What is Purchased Referred Care?
Purchase Referred Care (PRC) formerly known as Contract Health providing service to get the best quality health care for you.
What is Purchased Referred Care (PRC)? The Winslow Indian Health Care Center Purchased Referred Care team tries to help patients get access to health care that aren't offered at WIHCC. Medical care provide here at this facility is called Direct Care. PRC receives a limited amount of funding from Indian Health Service (IHS) to pay for special health care needs that are not available at WIHCC or in the IHS. WIHCC PRC manages the PRC funds carefully in order to make sure funds are available to as many people as possible, for as long as possible, If PRC cannot pay for needed health care, we try to help the patient find an alternate payer, or find the needed services within the Indian Health Services (IHS).
PRC Wants to Help
PRC wants to help you get access to needed health care, help patients avoid problems with medical bills and understand what to do next if Purchase Referred Care cannot pay their medical bills.
What you need to know...
Patients need to know not everyone is eligible for PRC. Eligibility is determine by federal regulations which included 6 criteria that must be met to be eligible. The following criteria are listing below.
To be eligible, the patient must be a member of a Tribe or Tribes serviced by the local Purchased Referred Care delivery area.
The patient must live in the WIHCC PRC delivery area. If the patient is living out of the area for more than 180 days, he or she is no longer eligible.
The health care requested must meet Navajo Area Indian Health Services (NAIHS) established medical priorities.
NOTIFICATION / PRIOR AUTHORIZATION
ALTERNATE RESOURCES AVAILABLE
PRC is the payer of last resort by regulation.
APPROPRIATE ORDERING OFFICIAL
Not everyone is eligible for PRC.
- The care must be pre-approved by PRC (except for emergencies).
- It is important to find out from PRC who is going to pay your bill before you get health care outside of WIHCC or the IHS. If you don't get prior approval you may have to pay your own bill.
- PRC is only available to eligible patients as long as funds are available.
What health care am I eligible for?
- DIRECT CARE: If you are Native American from a federally recognized Tribe, you can get direct health care at most I.H.S or Tribal Health Programs without a cost to you.
- REFERRED CARE: This is also known as Purchased Referred Care. If you need health care that a direct care program can't provide and a health care professional has to refer you to an outside specialist, this is called Referred Care.
PRC STAFF - available to help you.
PRC Support Assistant
Health System Specialist
Contact Representative will provide you assistance according to the first letter of your last name. For example if your last name is Yazzie, you may contact the "Contact Representative - U, V, W, X, Y, Z." Click on the proper Contact Representative for their contact information. Or you may call anyone of the representatives who are willing to provide you additional instructions or to assist you anyway. Thank you for the opportunity to serve you.
Contact representative - a, c, d, e
Jennifer Yazzie..............Phone Number (928) 289 - 8094
Contact representative - f, g, h, i
Dawndee Rosenburg..............Phone Number (928) 289 - 8076
Contact representative - b
Aundra Lee..............Phone Number (928) 289 - 6106
contact representative - Begay-begaye
Amber Clark..............Phone Number (928) 289 - 6240
contact representative - k, l, m
Jamielynn Begay..............Phone Number (928) 289 - 8069
contact representative - n, o, p, q, r
Winifred Barton..............Phone Number (928) 289 - 6248
contact representative - s, t
Marcella John..............Phone Number (928) 289 - 8132
contact representative - u, v, w, x, y, z.
Colleen Monroe..............Phone Number (928) 289 - 6138
PRC Support Assistant provide support to their corresponding Contact Representative on the first tab. Patients are provided assistance according to the first letter of your last name, for example if your last name is Nez, your PRC Support Assistant which you may contact will be "PRC SUPPORT ASSISTANT (N-Z)" below.
prc sUPPORT ASSISTANT A-B, Begay
Tanya Nells..................Phone Number: (929) 289 - 8004
prc support assistant K-m, b
Teal Jensen.......................Phone Number: (928) 289 - 6125
prc support assistant n-z
Wynter Dacawyma................Phone Number: (928) 289 - 9098
Health system specialist i, a-la
Grace Yazzie..................Phone Number: (929) 289 - 6109
health system specialist I, le-z
Alicia Parker..................Phone Number: (929) 289 - 6282
health system specialist ii
Stephanie Poolheco..................Phone Number: (929) 289 - 6104
In-patient case Manager
Karline Mariano, RN..................Phone Number: (929) 289 - 6108
Out-patient case manager
Paige Barton, RN..................Phone Number: (929) 289 - 6107
cec Case manager
Julie Lucek..................Phone Number: (929) 289 - 6182
PRC Contact Information:
Winslow Indian Health Care Center
Purchased Referred Care
500 North Indiana Avenue
Winslow, Arizona 86047
PRC Office Assistant:
Phone Number: (928) 289 - 8015
Fax Number: (928) 289 - 5668 or
Fax Number: (928) 289 - 6294
PRC Supervisor's Office:
Margie Saucedo, RN
(928) 289 - 6207