IHCIA In-Person Training Session - June 2026

IHCIA In-Person Training Session:

Wednesday, June 10 and Thursday, June 11, 2026

Kimpton Sawyer Hotel
500 J Street, Sacramento, CA 95814

AGENDA

On behalf of the Indian Health Service Tribal Self-Governance Advisory Committee (IHS-TSGAC), we are pleased to share the IHCIA in-person training materials. This training was designed for Tribal leaders, Indian Health Service staff, Health Directors, and frontline healthcare professionals interested in learning more about the opportunities and resources available through the Indian Health Care Improvement Act (IHCIA).

Day 1- June 10, 2026

Overview of Training
Cyndi Ferguson, Hobbs, Straus, Dean and Walker, ACA/IHCIA Project Lead

-ACA/IHCIA 101 Refresher

Elizabeth Bailey, Government Relations Advisor, Hobbs, Straus, Dean and Walker

PowerPoint for this Session: Click Here
Indian Provisions in the ACA
IHCIA Improvements to Indian health law
Positive Impacts of the ACA/IHCIA

-Opportunities to Maximize Tribal Resources

Elliott Milhollin, Partner, Hobbs, Straus, Dean and Walker

PowerPoint for this Session: Click Here
Maximize funding opportunities from the IHS and Expanding Your Scope of Work
Section 105(l) Leases
Serving and billing non-beneficiaries
Claiming CSC on Third Party Revenue
Increasing your Medicaid revenues
State Plan Amendments
Medicaid Waivers
VA Tribal Agreements

-Tribal Medicare and Medicaid Legislative Priorities

Elizabeth Bailey, Government Relations Advisor, Hobbs, Straus, Dean and Walker

PowerPoint for this Session: Click Here

-One Big Beautiful Bill Act (OBBBA) Implementation

Elliott Milhollin, Partner, Hobbs, Straus, Dean and Walker

PowerPoint for this Session: Click Here

-VA-Indian Health Service/Tribal Health Program/ Urban Indian Organization (ITU) Reimbursement Agreement

Stephanie Birdwell, Executive Director, Office of Tribal Government Relations, U.S.

Department of Veteran Affairs

Michelle Slusser, Program Analyst, ITU Reimbursement Agreement Office of Integrated

Veteran Care, U.S. Department of Veterans Affairs

PowerPoint for this Session: Click Here
Overview of the ITU Reimbursement Agreement
Provide information on how to participate in the agreement
Verify Veteran eligibility and enrollment
Bill VA for Direct Care
Purchased Referred Care and Contract Travel
Check the status of claims submissions

-Participant Roundtable (Review and Discussion on Topics Raised on Day 1)

Facilitated by Cyndi Ferguson, Hobbs, Straus, Dean and Walker, ACA/IHCIA Project Lead

PowerPoint for this Session: Click Here