Purchased Referred Care

We stand by your side, always.

ABSENTEE SHAWNEE TRIBAL CITIZENS

In the event services are required beyond what is available at ASTHS, your ASTHS provider may refer you for services outside of the clinic. For AST enrolled citizens, Purchased Referred Care (PRC) funds may cover the cost of these services and some additional services such as hearing aids, orthodontics, and emergency room visits. The expenditure of PRC services are based on medical necessity and current funding availability of the program.

Enrolled Absentee Shawnee Tribal citizens who meet PRC guidelines, including providing proof of residency within the designated catchment area for the previous 6 months, will be eligible to receive services through PRC. AST citizens must reside with the AST catchment area of Pottawatomie, Cleveland, Oklahoma, Logan, or Lincoln counties.

To coordinate PRC benefits on your behalf, PRC requires at least 72 hours' notice prior to scheduling appointments with outside providers or facilities. In the case of emergency room visits, PRC must be notified within 72 hours to determine eligibility for payment.

Federal regulations require that PRC funds be used only after all other alternative resources have been paid.

If you have questions, please contact the PRC office located at the Little Axe Health Center at 405.701.7951 or email PRC directly at PRC@astribe.com.

OTHER AMERICAN INDIAN BENEFICIARIES
Non-AST patients who are members of other federally recognized tribes who require advanced care will be referred to their local IHS/PRC service area or closest IHS facility.

SOONERCARE (MEDICAID)
Patients covered by SoonerCare will have referrals coordinated with SoonerCare contracted specialists.

NON-NATIVE
Non-Native patients will have referrals processed as directed by their private insurance.