1. CRIHB/NPAIHB CHS Strategy Session 12 TH BIENNIUM MEETING Northern Quest Hotel Resort July 10, 2013

2. GAO Findings 1. Congressional: Require IHS to develop new method to allocate CHS funds to account for variations across the IHS system. 2. Administrative: Require IHS to.... ◦ Use CHS users and not Active User Population for program increases ◦ To use variations in levels of available hospital services rather than qualifying hospital in an Area ◦ Require Areas to notify HQ when they make changes to the CHS funding methodology

3. CHS Workgroup Recommendations 1. CHS Funding should be held harmless 2. New CHS Formula remain in effect 3. Extend MLR to non-hospital based services 4. Statewide CHSDAs: ND, SD, & AZ 5. CHEF: Listing of CHEF services, 50% option, study CHEF equity issue, impact of lowering CHEF threshold to $19K 6. CHS Best Practices 7. CHEF Training 8. CHS for Prevention Services 9. Reconvene Workgroup after IHS Resource Deficiency Report

14. Discussion/Recommendations