The Bearskin Health Clinic is a staffed, on-site clinic that is receiving and seeing patients from the public on a daily basis. Family practitioners and in-house lab work is available to the public and does not require enrolled citizenship in the Wyandotte Nation or the Eastern Shawnee Tribe of Oklahoma to take advantage of these services.

We are always welcoming new patients and accept with confidence the responsibility of providing you with the very best in diagnosis, prescription, and treatment.

Purchased/Referred Care (PRC) is a federally-funded program by the Department of Health and Human Services to assist eligible patients financially with specialized care that is not directly available from Bearskin Healthcare. Because the PRC program is not fully funded, the PRC program must rely on specific regulations relating to eligibility, notification, residency, and a medical priority rating system.

PRC funds are intended to pay for care where no other sources of health care payments are available, or to supplement other alternate resources after they have been exhausted. The use of alternate resources allows PRC to maximize funds so that a wider range of health care may be provided to as many tribal citizens as possible.  Purchased/Referred Care is a supplement to other third-party reimbursement services. When services are not available at Bearskin Healthcare, contracted facilities or an IHS facility, the physician will initiate a referral to a contract specialty provider. After the referral is initiated by the physician, the patient must meet with a member of the PRC staff to approve scheduling of the appointment.

Payments for healthcare can only be authorized by a PRC ordering official. No one else can authorize payments. PRC payments are authorized through a process using federal guidelines and eligibility criteria. Additionally, the program provides quality, cost-effective/efficient services that preserve the rights of the clients.

Eligibility for services are limited to those individuals who are enrolled citizens of the Wyandotte Nation or Eastern Shawnee Tribe of Oklahoma; reside within one of the 12 counties (Ottawa, Craig, Mayes, Wagoner, Delaware, Rogers, Okmulgee, Nowata, Tulsa, Creek, Okfuskee, Washington) which comprise the Service Delivery Area (CHSDA).

PRC is designated as a payer of last resort, meaning that all other available alternate resources must first be used before PRC payment.  An Indian Health/Tribal/Urban (I/T/U) facility is deemed an alternate resource when available and accessible.

Important Notice:  All services REQUIRE prior authorization before obtaining services or a 72-hour notification following self-referred care (emergent care).

Specialty Care is referred services by Bearskin Health Clinic for tribal citizens only. The requirements for Specialty Care eligibility are as follows:

• Must be eligible for direct patient care services provided by Bearskin Health Clinic contracted facilities and/or an IHS facility. An individual is eligible if they are of Indian descent and a citizen of the Wyandotte Nation or Eastern Shawnee Tribe. Patient must also have an established medical health record at Bearskin Health Clinic.
• Non-Indians may be eligible in these situations: a non-Indian woman who is pregnant with an eligible Indian’s child through pregnancy and postpartum; or a non-Indian member of an eligible Indian’s household who resides within the CHS service area is eligible for CHS if the Medical Officer in charge determines that services are necessary to control a public health hazard or an acute infectious disease.
• Patient must reside within the Bearskin Health Clinic 12-county CHS service area within Oklahoma.

Out-Of-State residents are not eligible for CHS funds. Each patient must meet the federal criteria listed, as well as produce documentation on proof of residency. Documents required to be presented for service include:

• • Social Security Card
• • Oklahoma Driver’s License or Oklahoma State issued Identification Card
• • Tribal Membership Card
• • Residency Requirements (3 needed):
• • Utility Bill in patient’s name with physical address – lease agreement, gas, electric.

• For individuals that do not have a utility bill or lease in their name and reside with other individuals:

• • Previous years taxes (front page verifying state filed)
• • Land Tax statement
• • Recent School Records
• • Notarized affidavit verifying residence
• • Mortgage payment

Standard Notice: “Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act

Instructions Under Section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal healthcare program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling healthcare items and services, to receive a “Good Faith Estimate” of expected charges. This form may be used by the healthcare providers to inform individuals who are not enrolled in a plan or coverage or a Federal healthcare program (uninsured individuals), or individuals who are enrolled but not seeking to file a claim with their plan or coverage (self-pay individuals) of their right to a “Good Faith Estimate” to help them estimate the expected charges they may be billed for receiving certain healthcare items and services. Information regarding the availability of a “Good Faith Estimate” must be prominently displayed on the convening provider’s and convening facility’s website and in the office and on-site where scheduling or questions about the cost of health care occur