PRB Targeted Distribution FAQ
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Indian Health Service
HHS allocated funding for IHS, Tribal, and Urban Indian Health programs. This includes IHS and Tribal hospitals.
HHS allocated $500 million to IHS, Tribal, and Urban Indian Health programs. Approximately 4% of the $500 million in available funding was allocated for Urban Indian Health programs, consistent with the percent of patients served by Urban Indian Organizations (UIOs) in relation to the total IHS active user population, as well as prior allocations of IHS COVID-19 funding. IHS divided remaining funding equally between hospitals (48%) and clinics (48%).
HHS used different formulas for each of the different facility types.
- IHS Hospitals and Tribal Hospitals
- Per hospital allocation = $2. 815 million base + (Total Operating expenses * 3%)
- IHS and Tribal Clinics/Programs
- Per IHS clinic allocation = Base amount of $187,000 + 5% of (estimated service population * average cost per user)
- IHS Urban Programs
- Per IHS Urban Indian health allocation = Base amount of $181,250 + 6% of (estimated service population * average cost per user)
HHS analyzed the following files to determine the allocation for IHS Distribution to IHS and tribal hospitals:
- Provider of Services Files, December 2019 update.
- Healthcare Cost Report Information System (HCRIS), 1/17/2020 update, contains the most recent cost report data available. For most hospitals, this is the 2018 fiscal year.
- Total operating expenses are reflected in Worksheet B PART I COL 26 of the cost report.
HHS identified the service population for most service units, and estimated an operating cost of $3,943 per person per year based on actual IHS spending per user from a 2019 IHS Expenditures Per Capita and Other Federal Health Care Expenditures Per Capita.