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Purchased Referred Care

For the duration of the Oneida Nation’s Public Health State of Emergency, the Nation is directing resources toward mitigation efforts and response to the COVID-19 pandemic. Our website may not be updated regularly – please refer to the Nation’s website, oneida-nsn.gov/covid-19, and the Nation’s social media accounts for the most up-to-date information.

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:
- Fillable Form
- Non Fillable Form
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 Proof of Residency General E-mail Address

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.