Learn about each of the 8 AHCCCS contract Tribal ALTCS plans, and their diverse and well respected programs. These plans serve over 2500 Tribal members and ensure each one receives, any and all, medically necessary service to enrich their spiritual and physical health. AHCCCS DFMS Tribal ALTCS program feels very grateful partnering with such outstanding member care focused staff and administrators.
Answer: 8-10
Answer: Tucson
Answer: All of Arizona-regardless of where our members live.
Answer: Helping members get the much needed Long Term Care Services.
Answer: The high acuity level of the member's we serve. Especially now with the COVID pandemic. The "fear that our most vulnerable members are at such high risk of getting COVID. Many of their own family members do not take the advise of enforcing the CDC recommendations. Lack of knowledge of some people and their refusal to "quarantine, isolate, lack of employment, hygiene, resources to purchase cleaning supplies. Just the state of the world. Our tribe is doing a great job on all these fronts, but there are many people who do not adhere to the policies in place.
Answer: More of a Mission:
About Pascua Yaqui Health Services Division
The PYHSD mission is to promote the highest possible standard for health and well-being within its communities. The PYHSD carries out this mission by managing over $30 million from federal, state, tribal, and private funds. As an Indian Self-Determination Act (ISDA) contract tribe, it negotiates two separate Annual Funding Agreements, one with Indian Health Service (IHS) Phoenix Area for member in Maricopa County, and the second with the Tucson Area
Answer: Spanish, English, Yaqui.
Answer:
Answer: As part of the Health Department, we are assisting in a variety of outreach programs and helping the nursing staff by delivering food boxes and medications to COVID affected families. Helping where ever needed. Answering phone, covering for staff who get sick, learning other tasks that the CHR/CHN staff do.
Handing out PPE, learning and teaching members about COVID. So many new things and challenges. We have to work closer and help each other.
Answer: Deer, Humming Bird, flowers are important symbols. However, given that the most practiced "religion is catholic", i would say the "Cross with Jesus". But that is only from my personal experiences in the homes of the members I have served. I will ask our Culture Department for a more specific answer and let you know.
What traditional foods and linens/clothing do members within your community make from the harvested livestock/crops? We don't use the livestock for clothing. Although we have a ranch and there are horse, cattle, goats and crops grown there. Crops are given to the community members when they are harvested.
Answer: Horses, cattle, goats, chickens. Crops are seasonal.
Answer: I am not aware there is a style. Standard track housing for the new projects.
Answer: The death of so many in the Phoenix, Guadalupe area. We are more aware, contacting members frequently, providing educational materials, making personal contact with them. We have grown closer to our members.
Answer: No mountains near us that are called anything special.
Answer: 92 years and going.
Answer: 80-107 degrees.
Answer: The fact that I have been here almost 30 years. Both myself and my co-working case manager have formal education. This has meant a great deal for me and her. Probably not as important to our staff, but on the outside world, we are viewed and respected by those who know what it takes to get an education at the highest possible level in Social Work.
Answer: Pascua, means "Passover". Yaqui means "the people".
Answer: The medical services and advocacy we provide.
Answer: Yes, medical social workers, resource building, public education about the program, a position within each tribe to complete the "eligibility" process and paperwork. This is what keeps many members from completing the process. Too much red tape.
Answer: On demand services. Not always accepting that AHCCCS doesn't cover "everything they would like" evenwhen not medically necessary.
Answer: 3
Answer: Because we use PPE daily in our work space, I have not been infected with COVID. This goes to show that PPE works. I have gotten used to wearing the mask. I tell, others would you rather deal with a mask everyday or be on a ventilator! That is a reality check for me. Thanks to God, I have not missed any work days and am available to help where ever needed.
Coming soon.
Answer: 4
Answer: Kykotsmovi, Arizona
Answer: 50 miles both directions (east & West) = 100 miles.
Answer: Obtaining DMEs and home modifications for members.
Answer: Nursing home placements.
Answer: To envision a comprehensive health care system that ensures all Hopi people enjoy a long healthy life (Hopit Pötskwaniat 2011).
Answer: Three (3) - Hopi; Tewa; English.
Answer: Going to baby namings; go see traditional dances; prayer in the mornings; weddings; cultural events through out the year; cook to feed for various events; These have been practiced for time in memorial.
Answer: Eagles, hawks, and animals that relate to their clanship.
Answer: There are many HOPI Traditional foods made from the corn using various part of the corn stalk. Blue corn mush, piki, blue marbles, a variety of blue corn tamales, Corn stew, hominy, any many more.
Answer: Live stock includes, horses, cattle, sheep, and crops are corn, squash, melons, chili, beans, fruit(apples, peaches, grapes, pears).
Answer: Adobe house made from local rocks. The traditional homes were structured like a man's traditional haircut. Meaning is sacred
Answer: This can have multiple answers per tribe and/or belief. WUyok, Wuwuyom.
Answer: CMs not being able to make home visits. Members always enjoyed the home visits from CMs. Silver lining is many of the families are stepping up to provide informal care of their elders.
Answer: Nuvatuqwiovi . Not right in community but can be seen clearly form the Hopi mesa. The San Francisco Peaks
Answer: 98 years old.
Answer: 60 -68 in office and 49-70 in community
Answer:Helping one another with data entries when one is unable to do so. Team Work.
Answer: Hopi means being respectful and being humble.
Answer: Ensuring members receive services that they adds to the quality of their life.
Answer: Vigorous training for CMs. Cultural Sensitivity Training for AHCCCS personnel because each tribe is very different especially in the rural areas.
Answer: To remain at home cared by family members.
Answer: 3
Answer: Majority of Hopi members are receiving Community/Home based services.
Coming soon.
Answer: 5
Answer: San Carlos, Arizona
Answer: 100 plus
Answer: The elders like the attention that the Case Managers gives to them.
Answer: Lack of laptops make the work harder to complete in a timely manner
Answer: SCAT ALTCS wants to have a team of Behavior Health Case Managers in helping issues for behavioral/mental health.
Answer: Staff speaks first language, Apache and second is English.
Answer: The SCAT members pray, eat and practice traditional beliefs
Answer: Eagle
Answer: Acorn is harvest in the fall.
Answer: SCAT range cattle is the livestock.
Answer: Trailers and modern homes are built with the front door facing east.
Answer: This can have multiple answers per tribe and/or belief.
Answer: The impact of COVID is the deaths of 4 ALTCS members.
Answer: The oldest is 90.
Answer: The temperature varies.
Answer: The dynamic part is the hard work that everyone puts in accomplish the good of the ALTCS members.
Answer: To have the ALTCS program to be open 7 days a week to accommodate access in healthcare.
Answer: Elders like the healthcare workers speak Apache.
Answer: 4
Answer: Currently have 38 staff and 6 vacant positions
Answer: Chinle, Dilkon, Fort Defiance, and Tuba City.
Answer: About 18,000 square miles
Answer: Helping the elderly and disabled individuals.
Answer: The vastness of the land that have different types of terrains that makes it difficult to get to the remote areas.
Answer: Navajo Nation Arizona Long TermCare Systems(NNALTCS) shall provide comprehensive and ethical case management through quality and cost effective services that strives to respect cultural sensitivity and individual needs of enrolled members.
Answer: Navajo and English
Answer: Traditional ceremonies that have been practiced for hundreds of years.
Answer: The Nation was able to reduce the number of cases that were reported weekly on Overdue Case Review and No Service reports.
Answer: Eagle
Answer: Anything using mutton, corn, and squash. Sheep wool is used to make rugs, blankets, and rug dresses.
Answer: Sheep, cattle, various colors of corn, squash, variety of vegetables, watermelon, cantaloupe, etc.
Answer: Most Navajos live in modern structures and the traditional hogan is used for ceremonies. Navajos have their main door opening to the East.
Answer: This can have multiple answers per tribe and/or belief. Nataani, which means leader.
Answer: COVID has taken our vulnerable population.
Answer: Their are 4 sacred mountains and they are all tall - Blanca Peak and Mount Taylor in NM, San Francisco Peak in AZ, and Hesperus Mountain in Colorado.
Answer: 65 degrees
Answer: That we are all Navajos and educated.
Answer: The People
Answer: The staff know their communities available resources.
Answer: AHCCCS staff need to become more familiar with the tribal communities to get a better understanding of the challenges that our program faces in delivering ALTCS services
Answer: Traditional healing services needs to be added.
Answer: That they have someone available to assist them with their daily living.
Answer: 7 including myself.
Answer: Sells
Answer: 5,544 estimated - comparable to the state of Connecticut.
Answer: Being able to assist with ALTCS member medical needs.
Answer: Seeking Limited Resources - Convincing vendors of who we are.
Answer: More Revenue for more Case Managers - so they have less of a case load to keep up with their files.
Answer: Predominately Tohono O'odham/English.
Answer: Use of traditional healing, gathering of Saguaro fruit, basket weaving - practiced part of culture -Tohono O'odham (Desert People) gather Sonoran Desert plant materials by hand to weave baskets in the traditional way. The inner coil, the warp, is made from split beargrass and the outer design, the weft, is typically made from soaptree yucca (natural green or sun bleached white). Sometimes other materials are woven into the basket's design using devil's claw (black), or in more rare instances, the root from the banana yucca (red).
Answer: A SNF member (double amputee/use of prosthesis) tested positive for C19 and chose to not return to SNF due to the deaths within the facility; arrangements made for member to be quarantined back on the reservation and later moved to an ALF in Phoenix, when no admissions in Tucson.
Answer: Animals we don't see too much of are deer or eagles; if they appear it is considered a sign of something positive to happen in your life.
Answer: ?actus jam, Cholla buds, prickly pear, mesquite bean ground for flour, cowhide sandals, Royalty Crowns made from Yucca, bear grass and devils claw and banana root (indigenous plants) horsehair earrings, clay potter.
Answer: Cattle/horses; squash, melons, alfalfa for hay, tepary beans, mesquite beans ground for flour, wheat.
Answer: Adobe house, and round houses made out of cactus rib and desert broom shrub round house used for wine feasts.
Answer: This can have multiple answers per tribe and/or belief. "one who leads us - our leader" (o'odham translation)
Answer: A lot of the Elders have an understanding about having to stay home and not be out and about; not sure if there is a silver lining other than keeping close to family
Answer: Kitt Peak
Answer: 100.
Answer: 80's, 90's 100's
Answer: I don't know about the word "dynamic" my team could be if there were more Case Managers but I have been told that it is up to our Tribal Leaders to make up the difference for those additional bodies to fill those positions - that is not likely to happen. I still feel what Tohono O'odham Nation is reimbursed is not across the board with some of the other tribes in remote locations. (just another comment)
Answer: Tohono O'odham - Desert People.
Answer: Ensuring the care of our Elders is provided.
Answer: I don't know about service; but the current way of certain vendors providing services shouldn't be limited to only certain ones. Once I had our Community College apply to be a provider for Tohono O'odham to submit in the big process for ADA wheel chair ramps; because of the competitive field our community college was never chosen for a local job it always went to a company that was far away and was reluctant to come out to this distant location. That was the reason for hoping our community college could have been a local provider and have the competitive bid process waived? (just a suggestion)
Answer: Tribal members of the Tohono O'odham fought in wars before the world wars; they fought with the Apaches a lot. the Apaches would raid the villages and steal the women. Since then the Tohono O'odham have fought in World War I, World War II, the Korean War, the Vietnam War, the Gulf War and what is continuing now.
Answer: 5
Answer: Mesa
Answer: SW Az to NW Az. (Maricopa, Somerton, Yuma, Parker, Kingman, Peach Springs, Supai, Camp Verde, SRPMIC-Scottsdale, Ft McDowell)
Answer: Aiming to improve human well-being and help satisfy the fundamental human care needs of Tribal Communities.
Answer: Finding AHCCCS Providers that will service our Tribal ALTCS population.
Answer: People in Healthy Communities.
Answer: 2 different languages. Ak chin & Salt River Indian Tribe speak the O'odham language. Colorado River Indian/Cocopah/Quechan/Hualapai/Havasupai/Yavapai/Ft Mcdowell/Kiabab Pauite all speak a version of the Yuman-Cochimi/Chemehuevi aka Pai language.
Answer: Natural resource preservation such as land, water, trees and grass. Traditions have been in practice since the evolution of each tribe.
Answer: Anytime a member is in immediate dire need of basic household items such as food, gloves, toiletry or personal need items, the Native Health CMs have provided/donated out of their pockets according to the members needs until other resources are identified, established and coordinated.
Answer: Seeing an eagle or hawk are signs of blessings
Answer: Corn, cotton, barley, potatoes, alfalfa, squash, melons, desert tobacco, cane reed, bear grass, various cacti, edible grass seeds, sorghum and many other agricultural products.
Answer: Tribal homes have been modernized to current day structures of single family homes. Historical back in the day Tribal homes ranged from brush wickiups/ brush huts from cottonwood poles and mud/clay dome dwellings.
Answer: This can have multiple answers per tribe and/or belief. Tribal Shaman/Native Healer
Answer: Isolation/Restrictions/Deaths
Answer: Self and health awareness.
Answer: Office year round temp would be 75 degrees/ communities served varies based on geographical forecasted weather.
Answer: Team work/creative collaboration
Answer: If it does what is its translated meaning? Yes tribe served Akchin/CRIT/Hualapai/Havasupai/Quechan/Cocopah/Yavapai/Ft McDowell/Kiabab Pauite/Salt River Indian Tribes have their individualized meaning and translations.
Answer: Quality.
Answer: A list of FFS providers who will deliver Tribal ALTCS services without questioning claims/billing or not contracted responses.
Answer: Efficiency and quality of care.
