Purchased and Referred Care
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IHS PRC Website has basic information for both Tribal (638) and IHS Programs
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PRC Policies are far more dynamic than they once were.
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Online PRC Training is Provided by IHS (registration required offline as of June 6, 2017)
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Many tribes are unable or unwilling to update PRC given differences of opinion about eligibility or which benefits or services to include
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Some tribes add new services or benefits by adopting a 'policy' addendum to existing program
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Tribal Sponsorship
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Orthodontia
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Hearing Aids (no Medicare does not)
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Vision Policy (glasses, laser, contacts)
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Sometimes 638 programs no longer maintain a 'deferred services' list and some have eliminated a reference to the 'priority one, priority two etc,' designations.
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While benefits have expanded eligibility requirements have not.