MISSOULA URBAN INDIAN HEALTH CENTER ELIGIBILITY FOR SERVICES
At the Missoula Urban Indian Health Center we offer an array of services for our clients; ranging from Health Prevention/Promotion, Chemical Dependency Outpatient treatment, Mental Health counseling and Tobacco & Substance Abuse outreach to community activities, resource & referral for those in need and an on-site computer lab. All eligibility for services available at MUIHC is based on our funding source, with our primary goal to meet the needs of the Native population within Missoula County. Our Chemical Dependency and Mental Health service offerings are accessible & open to all populations. All clients seeking services at the center are required to provide the following:
- Completed Registration Application.
- Valid form of Photo Identification, i.e. State driver’s license or ID, Tribal issued ID card.
- Birth Certificate for applicants under the age of 18 yrs. old.
- Proof of Residency, i.e. utility bill, vehicle registration, lease/rental agreement.
- Proof of Health Coverage, i.e. Private Insurance, Medicaid, Medicare.
- Native Americans living within Missoula County;
- Proof of Tribal Enrollment or Decendency of a Federally Recognized Tribe, i.e. Enrollment card, Tribal issued Certificate of Indian Blood.
For our services that are fee-for-service, and an individual does not have coverage there is a sliding discount available based on income & household eligibility. Please inquire upon registration for an application to apply for a discount.
MISSOULA URBAN INDIAN HEALTH CENTER PATIENT RIGHTS:
- You have the right to be treated with consideration, respect, and dignity.
- You have the right to participation in the development of and access to your treatment plan,
case planning, and referral services.
- You have the right to privacy and confidential treatment of all Missoula Urban Indian Health Center
records and provision of services.
- You have the right to services that respect your social, religious and cultural values.
- You have the right to accept or refuse treatment.
- You have the right to authorize/restrict access to your information by person(s)/entities of your
consent, via signed/dated Release of Information, as applicable.
- You have the right to know the professional experience and certification of your service provider;
including provider/organization accreditation status and other qualifying measures.
- You have the right to a fair and efficient process for resolving differences with the
Missoula Urban Indian Health Center and to be informed of the Grievance Procedure used by MUIHC.
- You have the right to be informed of any research that may affect your care.
- You have the right to be free from coercion, discrimination, or reprisal for exercising your rights.
PATIENT RESPONSIBILITIES TO ENHANCE YOUR CARE:
- Extend the same courtesy and respect that you have the right to receive from Missoula Urban
Indian Health Center.
- Disclose information you feel is relevant to your request for service. MUIHC acknowledges your
responsibility for participation in your own health and well-being.
- Be proactive in the communication of your specific request for assistance and/or service.
- Acknowledge understanding and agreement for financial responsibility for payment of services received.
- Request information about Missoula Urban Indian Health Center’s Patient Payment Responsibility;
including, MUIHC’s Sliding Fee Scale to make arrangements for manageable payments for services.
- Disclose all required and applicable information for payment and billing purposes.
- Provide updated information for Patient Registration and Third-Party Billing at each visit, for
accurate and timely billing.
- We appreciate your call to reschedule if you cannot keep your appointment, so that others
awaiting appointments can be scheduled.