American Indians will have unique rights, benefits or opportunities through MNsure.
Minnesota has 11 federally recognized Indian Tribes in the state: Bois Forte Band of Chippewa; Fond du Lac Band of Superior Chippewa; the Grand Portage Band of Chippewa; the Leech Lake Band of Ojibwe; the Lower Sioux Community; the Mille Lacs Band of Ojibwe; the Prairie Island Indian Community; the Red Lake Band of Ojibwe; Shakopee Mdewakanton Sioux Community; the Upper Sioux Community Pejuhutazizi Oyate; and the White Earth Band of Ojibwe.
Staff from MNsure, the Minnesota Department of Health and the Minnesota Department of Human Services has been consulting with tribal leaders to describe options for American Indians within the new health insurance marketplace and obtain feedback.
In August 2011, the State initiated regular consultations with Minnesota’s tribes on MNsure issues affecting American Indians. The group developed a Tribal Consultation Policy to build meaningful relationships with federally recognized Indian Tribes and to establish a mutually acceptable consultation process. The policy was endorsed through tribal resolutions and presented to the Advisory Task Force in September 2012.
To determine eligibility for cost-sharing protections, the ACA allows MNsure to verify AI/AN status using documentation of citizenship and electronic data sources approved by the Secretary of HHS or documents currently accepted by Medicaid showing tribal membership. Minnesota has suggested that IHS data should be included in the planned “data hub,” that would allow exchanges to access data from a number of federal sources to assist in enrolling people into insurance plans, and also that tribal data sources be considered.
Under the ACA, plans within MNsure may require the payment of deductibles or co-pays. To increase access to care, American Indians with incomes below 300% federal poverty levels, and all Indians who obtain services from or receive a referral from I/T/U providers, will be exempt from cost-sharing requirements.