Covered Services & Eligible Patients

Are corrective measure to the home such as repair of water leaks and gel bait extermination for roach infestation reimbursable?

Presentation today sounded very nice for States. But what about Tribes? Is there something that would allow Tribes to access support/reimbursement form IHS or through other Federal programs to address asthma services? And what kind of services are reimbursable to a Federally Recognized Tribes through these non-State framework?

NCHH heard from two states in our survey that structural remediation (which would include items like repair of water leaks) was covered as part of the service, but we have a lot of questions about how that is actually being financed.  It appears from some of the open-ended comments that some of these types of services may being funded by leveraged CDBG funds.  This is an area that we'll be following up in our follow-up interviews and case studies this year.

In terms of gel baits extermination for roach infestations, that is something that would fall under the category of low-cost supplies or services and NCHH heard from five states that these types of products and services were covered as part of the home-based asthma service.  It appears that these services may be delivered in a managed care delivery framework, which allows much more flexibility for the types of services and products provided (e.g., the managed care organization may be paid for providing a disease management program and they choose to include gel baits as parts of that disease management program).

As a follow up to charliel's question, are there any tribes that already have programs in place to address IAQ issues that trigger asthma?