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.

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.

All patients seeking Purchased/Referred Care Service funds must:

• Complete a Purchased/Referred Care Application
• Provide proof of tribal affiliation. Acceptable forms of tribal affiliation include:
  *tribal identification cards, and/or
  *descendent letters.
• 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.