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Executive and committee reporting includes CEO updates on clinic infrastructure assessments and ongoing program funding discussions.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/letters/","Letters",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/tule-river-indian-health-center-inc-may-03-2017-board-meeting-minutes/261424/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/tule-river-indian-health-center-inc-may-03-2017-board-meeting-minutes/261424.png","ImageObject",442,249,{"name":42,"@type":43},"Rowan","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-01","2026-09-14",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What actions were taken to approve the meeting agenda and prior minutes?","Question",{"text":63,"@type":64},"The agenda was approved with additions, and the April 12, 2017 board meeting minutes were approved with corrections after a motion carried.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was Medicare Like Rates (MLR) handled for the Tribes self-insured program?",{"text":68,"@type":64},"CRIHB reviewed the issue and indicated MLR applies only to PRC eligible patients contracted with the Health Center, and a memo was suggested for forwarding to Tribal Council for review.",{"name":70,"@type":61,"acceptedAnswer":71},"Which major new business items were discussed and voted on?",{"text":72,"@type":64},"Items included approval of a Darrell Hostler contribution ($10,000), review of the SOC Grant and MOU, planning for an HHS meeting, discussion of casino repurpose for education/health uses, and approval steps for submitting IRS Form 990 pending updates.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},261424,1790310241,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,114,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},17,"Forms",40,"forms",{"id":115,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":116,"slug":117},18,30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":115,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":55,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":30},1099514067415,"https://ap-avatar.wpscdn.com/avatar/100002539d78ffe74a7?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779092875211072502","# TULE RIVER INDIAN HEALTH CENTER,INC.BOARD OF DIRECTORSTULE INDIAN RESERVATION\n\nPHONE 784-2316  \nP.0.BOX 768  \nPORTERVILLE,CALIFORNIA 93258  \n# MAY 03,2017 BOARD MEETING MINUTES\n\n## I.  CALL TO ORDER:Chairperson Gayline Hunter called meeting\n\nto order at 9:07 a.m.  \n## II.ROLL CALL:Secretary Nancy McDarment called roll\n\n\n| Board Members:  \u003Cbr>Gayline Hunter,Chairperson  \u003Cbr>Donna Medrano,Vice-Chair in @9:13 a.m.  \u003Cbr>Nancy McDarment,Secretary  \u003Cbr>William Carrillo,Sr.,Treasurer  \u003Cbr>Barbara Baga,Member in@9:08 a.m.  \u003Cbr>Richard Brown,Member  \u003Cbr>Shawn Gonzales,Member  \u003Cbr>Adam Christman,Alternate in @9:15 a.m.  \u003Cbr>Jade Garfield,Alternate   | P   \u003Cbr>L  \u003Cbr>P   \u003Cbr>P   \u003Cbr>L  \u003Cbr>P  \u003Cbr>PL工   | Staff  \u003Cbr>Zahid Sheikh  \u003Cbr>Resty Ri0S  \u003Cbr>Katherine Porti7lc  \u003Cbr>Elizabeth Acevedo-  \u003Cbr>Medrano   | PPP  \u003Cbr>P   |\n| --- | --- | --- | --- |\n\nP=Present;A=Absent;I=Ill/Sick;L=Late;E=Excused;T=Travel;V=Vacation  \n## III.ARROVAL OF AGENDA\n\nBarbara Baga joined the meeting @9:08 a.m.  \nMOTION \\#1:Shawn Gonzales/William Carrillo,Sr.motioned toapprove the agenda with additions;motion carried 5-0-0.  \nDonna Medrano joined @9:13 a.m.  \n## IV.  APPROVAL OF PREVIOUS BOARD MINUTES\n\n1.April 12,2017 Board MeetingAdam Christman joined at 9:15 a.m.  \nMOTION \\#2:Shawn Gonzales/Donna Medrano motioned to approve theApril 12,2017 Board Meeting Minutes with corrections;motioncarried 6-0-0.  \n## V.   OLD BUSINESS\n\n### 1.Approval of Podiatrist Job Description\n\nDr.Hana has reviewed the job description and made afew edits.  \nMOTION \\#3:Shawn Gonzales/Donna Medrano motioned to approve thePodiatrist Job Description as presented;motion carried 6-0-0.  \n### 2.MLR Info Re:Tribes Self Insured Program\n\nCRIHB was contacted regarding Medicare Like Rates(MLR)for the Tribes Self Insured program.This wasafter Councilmen Gary Santos presented Mr.Sheikhwith citations from attorneys regarding Tribal SelfInsured programs using MLR.Susan Dahl,ComplianceOfficer of CRIHB reviewed and returned with the sameanswer as before MLR can only apply to PRC eligiblepatients contracted with the Health Center.  \nNancy McDarment is suggesting the memo from CRIHB beforwarded to Tribal Council for review before ourMay 8th meeting with them.  \n## VI.  NEW BUSINESS\n\n### 1.Darrell Hostler Contribution\n\nDarrell Hostler Contribution has not been paid yet.CRIHB uses this contribution to pay for lobbying inSacramento and Washington,D.C.  \nMOTION \\#4:William Carrillo,Sr./Donna Medrano motioned toapprove the Darrell Hostler Contribution in the amount of$10,000;motion carried 6-0-0.  \n2.SOC Grant &MOU review (docs to be provided atmeeting)  \n3.HHS Meeting(discussion)  \nHHS meeting is May 17th in Las Vegas and HHSrepresentatives will be available for pre-scheduledone-on-one meetings.Board members are encouraged toattend and get together with CRIHB to reviewprospective discussion topics.  (Mr.Sheikh passedaround possible topics that were discussed at CRIHBquarterly)  \nBack to Item 2.SOC Grant &MOU review  \nMr.Sheikh has reviewed and spoken with SOC DirectorGordon Bussell,Hope Romero and Paul Delgado.Mr.Sheikh still has an issue with the MOU and returningmonies we receive form 3rd party revenue.Mr.Sheikhand Gordon Bussell discussed possibly moving alllicensed professionals under the Health Center.  \nPaul Delgado also approached Mr.Sheikh asking forextra help for his position.Mr.Sheikh would likefor him to work under the Health Center as afulltime employee and requesting funding from TribalCouncil for his salary and benefits.  Moving Mr.Delgado under the Health Center,he'll be able toaccess the EHR and document services provided andhis position will be billable to receive 3rd partyrevenue.  \nMain purpose of the grant is to eventually be self-sustaining.  Having billable positions under theHealth Center will be easier to bill and generate 3rdparty revenue allowing the possibility of self-sustainment.  \nMOU will be sent to attorney for review.Mr.Sheikhwould like to involve SAMSHA in discussions with theT","cbCaia6HXdoDaD7S","https://ap.wps.com/l/cbCaia6HXdoDaD7S","pdf",3103887,"English","# I. CALL TO ORDER\n# II. ROLL CALL\n# III. APPROVAL OF AGENDA\n# IV. APPROVAL OF PREVIOUS BOARD MINUTES\n# V. OLD BUSINESS\n## 1. Approval of Podiatrist Job Description\n## 2. MLR Info Re: Tribes Self Insured Program\n# VI. NEW BUSINESS\n## 1. Darrell Hostler Contribution\n## 2. SOC Grant & MOU review\n## 3. HHS Meeting\n## 4. Casino Repurpose\n## 5. Approval of 990 Tax Form\n## 6. Draft agenda for TRTC meeting\n# VII. EXECUTIVE REPORTS AND COMMITTEE REPORTS\n## 1. CEO Report","[{\"question\":\"What actions were taken to approve the meeting agenda and prior minutes?\",\"answer\":\"The agenda was approved with additions, and the April 12, 2017 board meeting minutes were approved with corrections after a motion carried.\"},{\"question\":\"How was Medicare Like Rates (MLR) handled for the Tribes self-insured program?\",\"answer\":\"CRIHB reviewed the issue and indicated MLR applies only to PRC eligible patients contracted with the Health Center, and a memo was suggested for forwarding to Tribal Council for review.\"},{\"question\":\"Which major new business items were discussed and voted on?\",\"answer\":\"Items included approval of a Darrell Hostler contribution ($10,000), review of the SOC Grant and MOU, planning for an HHS meeting, discussion of casino repurpose for education/health uses, and approval steps for submitting IRS Form 990 pending updates.\"}]","TULE RIVER INDIAN HEALTH CENTER, INC - MAY 03, 2017 BOARD MEETING MINUTES | PDF",1789353416]