Purchased Referred Care
Purchased/Referred Care (previously known as Contract Health) Service is a financial resource to assist in payment for healthcare services that cannot be directly provided at the Oneida health care facilities.
The first step for utilizing purchased/referred care funds is a referral for services must be determined by the patient’s Oneida Community Health Center and/or Oneida Behavioral Health primary care provider. Then a Purchased/Referred Care Representative will determine eligibility based upon federal regulations.
All patients seeking Purchased/Referred Care Service funds must:
- Complete a Purchased Referred Care Application:
- Proof of residency
- Provide proof of tribal affiliation. Acceptable forms of tribal affiliation include:
*tribal identification cards, and/or
*descendent letters. - Patients with no insurance must apply for alternate resources for care. Examples of some alternate resources include:
*Medicare
*Medical Assistance,
*Wisconsin Well Women’s Program,
*Disability,
*Kinship Care,
*Express Enrollment for Pregnant women and children
NOTE:
If patients qualify for an alternate resource, they must comply with alternate resource to receive Purchased/Referred Care Service funds.
ATTENTION:
Federal regulations require that Purchased/Referred Care Service funds are to be used only after all other alternative resources have paid.
Eligibility criteria
- Oneida tribal member or descendent residing within Brown or Outagamie County
- Member of another federally recognized tribe residing in Brown or Outagamie County with a social or economic tie to the Oneida Nation
- Member or descendent of another federally recognized tribe residing within the Oneida Reservation boundaries
- Students who meet eligibility guidelines at their permanent residence prior to leaving for school. Student must supply purchased/referred care service application with a copy of full-time student status each semester
- Eligible patient that leaves the community, may continue to be eligible for 180 days
- Non-Indian women pregnant with an eligible Native American’s child for duration of pregnancy through postpartum. NOTE: The Father’s Acknowledgment form must be signed prior to receiving Purchased/Referred Care Service funds.
Proof of Residency
Provide one form of proof of residency. Documents acceptable for proof of residency are one of the following:
- Official government documentation
- Documentation from mortgage holder or landlord on letterhead.
- Direct deposit or payroll stubs
- Current active bank statements and e-statements with dates included
- Acceptance letters (college/grants) and dated transcripts
- Utility bills (heat, water, sewer and garbage disposal)
- Cable, satellite, telephone, cell phone bills
NOTE: your name, address, and current date must be visible and it must be a current document from within the past 60 days.
Examples of UNACCEPTABLE proof of residency forms: Personal mail, Envelopes, Collection statements, Medical bills, Bulk/junk mail, Vehicle registration renewals.
General E-mail Address
Purchased/Referred Care
OHC_PRC_Services@oneidanation.org
You are now able to scan and email us the following documents:
- Bills for Purchased/Referred Care
- Proof of Residency
- Purchased/Referred Care Application
- Proof of Income
Please NOTE: It is not acceptable to send cellphone pictures of documents required.
Questions? Please call Purchased/Referred Care at 920-869-2711
