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PRC is a program that helps eligible American Indian patients get the necessary special health care service (needed) that is not available at TCRHCC or any IHS.
PRC is NOT an IHS insurance program.
IHS does not cover payment for all medical services a patient wants or receives. They provide primary (direct) care (at no cost) at the local IHS/638 facilities. Through PRC, the IHS covers only certain necessary services.
PRC funds are limited; our tribes are increasing in number which means we have more people who require special health care services that are not available at TCRHCC. These laws make sure all patients receive consistent and fair treatment.
No. Each individual requesting for PRC assistance must meet all five eligibility criteria.
If you are eligible for some type of medical insurance and use it, then PRC will have more funds to help more patients for a longer time.
The PRC staff will assist refer you to a Patient Benefit Coordinator (PBC) to apply for the Arizona state medicaid program, AHCCCS or any other program you may be eligible for.
The patient must be a member of the Tribes served by the local Purchased Referred Care Service Delivery Area (PRCSDA). TCRHCC PRCSDA serves members of Navajo, Hopi and San Juan Paiutes.
You must be a Native American with a verified tribal census number or Certificate of Indian Blood (CIB).
Exception:
A non-Indian woman who is pregnant with an eligible Indian’s child is eligible for care during pregnancy and six weeks postpartum.
The patient must live within the TCRHCC PRCSDA:
You must be receiving care for a condition that meets the TCRHCC Medical Priority and Necessity
guidelines. Only life-threatening and limb threatening situations are emergencies.
If you go to a non-IHS hospital Emergency Room for something that is not an emergency (like a cold) this will not meet medical priority.
PRC is considered Payor of Last Resort and secondary to all other alternate health resources, i.e., Medicare, Medicaid, private insurance, etc.
You must apply for and use any other alternate health care resources available to you before PRC funds can assist with the payment of any Non-IHS provider/facility health care bills. This includes: Medicare, State Medicaid (AHCCCS, Utah/Colorado/New Mexico) or private insurance.
PRC must be properly notified when a patient has or will be obtaining medical services from a non-lHS provider/facility:
Notification occurs after the emergency service.
Prior Authorization occurs before service is provided.
The patient must be a member of the Tribes served by the local Purchased Referred Care Service Delivery Area (PRCSDA). TCRHCC PRCSDA serves members of Navajo, Hopi and San Juan Paiutes.
You must be a Native American with a verified tribal census number or Certificate of Indian Blood (CIB).
Exception:
A non-Indian woman who is pregnant with an eligible Indian’s child is eligible for care during pregnancy and six weeks postpartum.
Building 2000
Next to the Dental Clinic
Phone: 1-866-976-5941
Patient Toll Free: 866-944-76011
Monday - Friday
8:00am - 5:00pm
Tuba City Regional Health Care
167 North Main St.
PO Box 600
Tuba City, Arizona 86045
1-866-976-5941
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