Office Hours: Monday Through Thursday 8:00 am to 5:00 pm, Friday 8:00 am to 12:00 pm. Also closed the last Wednesday of each Month from 12:00 pm to 5:00 pm. To access CHS offices, please, enter through the KTHC Clinic Main Entrance.

Kickapoo Tribal Health Center patients can call Contract Health Services directly at 405-964-5824 to request a referral for specialty services or update appointment date/time for an approved referral.

CHS is open to the public. Patient(s) can utilize the options provided to submit documents via ONE of the following:

  • In-Person: Deliver directly to the office, enter through the main clinic entrance.
  • Drop Off: Deposit documents into the black mailbox at the entrance of the KTHC clinic.                 
  • Mail: PO Box 1059 McLoud, OK 74851
  • Email: [email protected] (must be in PDF format, no Photographs of documents)

April Severs, Assistant CHS Director, processes referrals for patients who reside in the Kickapoo CHSDA with the last name beginning with the letter A-G, as well as, referrals for the Eye Program and Dental.

Donna Murdock, CHS Tech, processes referrals for patients who DO NOT reside in the Kickapoo CHSDA and ER Notifications for patients who reside in the Kickapoo CHSDA.

Andrea Scott, CHS Tech, processes referrals for patients who reside in the Kickapoo CHSDA with the last name beginning with the letter H-O.

Amy Karr-CHS Tech/Receptionist, processes referrals for patients who reside in the Kickapoo CHSDA with the last name beginning with the letter P-Z.

Johnna Robertson, CHS Director, processes claims, Medical Statements, and Outside Area PRC referrals.

Contract Health Services is healthcare purchased by the Kickapoo Tribal Contract Health Service (CHS) program from non-Indian Health Service (IHS) providers and facilities when direct services are not available. 

Contract Health Services is not an Entitlement Program or a guarantee of payment.

Due to the limitation of CHS resources, funds are managed following established medical priorities.

CHS resources are for referred services and emergency services.

Emergency Room Policies
  1. Emergencies that are determined to be non-emergent (not life- or limb-threatening) will not be funded by CHS. These services can be obtained at the Kickapoo Tribal Health Center, Monday, thru Friday, or at an I.H.S. hospital located in ADA, LAWTON, CLAREMORE, or OKEMAH (24 hours a day).
  2. Patients with life- or limb-threatening emergencies are advised to go to the nearest emergency treatment center.

24 Hour IHS Facility

Address

Phone Numbers

Chickasaw Nation Medical Center 

1921 Stonecipher Blvd., Ada, OK 74820

(580) 436-3981

Lawton Indian Hospital Services

1515N. Lawrie, Lawton, OK 73507

(580) 354-5000 or (580) 353-0350 Alt

Creek Community Hospital

Muscogee (Creek) Nation Medical Center

1800 E. Coplin Road, Okemah, OK 74859

1401 Morris Dr., Okmulgee, OK 74447

(918) 623-1424

(918) 756-4233

Claremore Indian Hospital Services

101 S. Moore Ave., Claremore, OK 74017

(918) 342-6200
How does CHS work?
  • Referral requests are reviewed weekly
  • Ranked according to relative medical priority.
  • Approved to the extent of available resources.
Eligibility and Requirements

Patients must meet eligibility, notification, pre-authorization, and alternative resource requirements of the CHS program.

  •  You must be an enrolled member of a federally recognized Indian Tribe
  •  Provide appropriate documentation such as a Certificate Degree of Indian Blood (CDIB), State ID, Vital Statistic Birth Certificate, Proof of Residency and Medicaid Determination from the Oklahoma Healthcare Authority.
  •  You must reside in the CHS service area.
  •  Provide proof of residency (water, electric, gas, propane, or home phone/internet services)

Other Eligible Individuals:

  •  Full-time boarding school, college, vocational, or other academic students who may temporarily not residing in the CHS service area for their education.
  •  A person who is temporarily away from the service area due to things such as travel and employment.
  •  American Indian/Alaska Native child(ren) placed in foster care away from the service area by order of the court of competent jurisdiction and who are eligible for CHS at the time the court order shall continue to be eligible.
  • Maintain close economic and social ties with the federally recognized tribe or tribes.
Accessing Contract Health Services

A C.H.S. official can only authorize payment for medical care outside an IHS facility if funds are available. To access payment for services through CHS, a patient must first either have approved emergency services or referrals. Individuals who receive funds from a pay source considered to be an alternate resource are required to remit that payment directly to the rending provider or CHS. Failure to follow this procedure will result in criminal proceedings. Contract Health Service will always be the pay source of the last resort.

Referrals: written by IHS, Tribal, or IHS providers for services. A referral, however, does not constitute authorization for payment until approved by CHS. If funds are not available, the referred service is deferred. CHS must pre-authorize all non-emergency care before receiving medical treatment.

Verification: Patients are to take alternate resources identification with them to their appointment to ensure providers have accurate and appropriate billing information.

Emergency Services: Must be reported to CHS within 72 hours of receiving emergency care from a non-tribal/IHS facility.  Elderly or disabled person receiving emergency care, may be extended 30 days. If a patient is unable to contact CHS, a person acting on their behalf must contact CHS within the same time limits. CHS must approve all non-emergency care before receiving medical treatment. Emergency services may be approved for payment or denied. The patient must follow up with a Kickapoo Provider.
Alternate Resources

All patients are required to apply for all resources available to them such as:

  • Medicaid
  • Medicare
  • Worker’s Compensation (not covered by Contract Health Services)
  • Auto Insurance
  • And other personal injury or liability coverage

All Medicare-eligible patients are strongly encouraged to apply for Medicare at the age of 65 or more. Please see the Patient Benefit Coordinator, Valentina Manwell or call (405) 964-2081 Ext. 360, if you need assistance with applying for Medicare.

Patient Benefit Coordinator can assist with the application process for other resources.

Failure to apply for alternate resources can result in denial of payment.

Claims Coordination

Patients are to provide the CHS office copies of the following documents for claims processing:

  • Alternative resources payment information
  • Explanation of benefits report
  • Remittance statements/reports
  • Other documentation of payments
  • Responses to an application for alternate resources
  • Medical Records
Denials

If a request for CHS funding is denied, you will receive a letter informing you of the denial. Patients have 30 days to request reconsideration/appeal in writing.

Unfortunately, the federal government has never passed a law that says that Indian Health Care is an entitlement program like Medicare or the Veterans Administration. As entitlement programs, Medicare and the VA essentially have an open-ended budget. The Indian Health Services has the specific allocated amount of dollars and regardless of the healthcare needs the dollars to remain the same. When the funding is inadequate, the IHS and Tribes are forced to limit services through medical priorities, and that is mainly why there are never enough funds to cover ALL the medical needs of the Indian patients.

Contact Us

Direct Phone Line: (405) 964-5824
Fax: (405) 964-2722

Email: [email protected]