Tribal MAA Program Description
California Welfare and Institutions (W&I) Code §14132.47 includes Native American Indian Tribes, Tribal Organizations, and Tribal subgroups as participants in the Medi-Cal Administrative Activities (MAA) program. This modification allows Native American Indian Tribes, Tribal Organizations, and subgroups of Tribes or Tribal Organizations within the definition of a Local Governmental Agency to contract for administrative activities. California has 107 federally recognized Tribes and about 12 Tribal Organizations. At this time, only federally recognized Tribes and eligible Tribal Organizations may claim MAA.
The Tribal MAA program was implemented pursuant to the provisions contained in the Tribal MAA Implementation Plan of 2009.
The Tribal MAA Contractor is the only entity that will submit the Tribal MAA Invoice to the Department of Health Care Services (DHCS) and is responsible for the preparation of the Tribal MAA Invoice and all backup and supporting documentation kept in the audit file. For invoices submitted for costs associated with the Tribal Organization and all subcontractors, the Tribal MAA Contractor will ensure receipt and review of all backup and supporting documentation prior to submission of the invoice to DHCS.
