Purchased Referred Care

Purchased Referred Care (PRC) program is federally funded under P.L. 94-437 of the Indian Healthcare Improvement Act.  This program allows UIHS to assist PRC eligible Indian clients depending on federal funding with payment of services which may be provided at public or private medical, dental, vision or hospital facilities or other Indian Health Services facilities.

Purchased Referred Care Covered Services

The UIHS PRC program operates within a system developed from federal guidelines, medical staff consultation, and approved by the UIHS Board of Directors.  It is important to note that not all outside services are within the UIHS list of "Covered Services." At the current time, out PRC program covered services include the following:

  • Priority Level I - Care that must be done within 30 days to preserve life, limb, function or senses.
  • Priority Level II - Non-emergent care that is needed within 30-60 days, but enough time in which alternate resources can be evaluated.
  • Priority Level III - Hearing aids, eye glasses, and limited other services that are determined to be medically necessary.


Eligibility Requirements

  • Must be registered at UIHS as an "Eligible Indian Beneficiary" (EIB) and be a resident of one of the nine federally recognized Indian Reservations or Rancherias within the UIHS Service Area; or,
  • Must be registered at UIHS an an EIB and must be a resident of the UIHS Service Area and be "an enrolled member" of a federally recognized California Indian Tribe; or an "an enrolled member" of a Tribe within the UIHS Service Area currently seeking federal recognition; or,
  • Must be registered at UIHS as an EIB and must be a resident of the UIHS Service Area and be married to, or a child of a person who is "an enrolled member" of a federally recognized California Indian Tribe; or "an enrolled member" of a tribe within the UIHS Service Area currently seeking federal recognition; or,
  • Must be registered at UIHS as an EIB and must be a resident of the UIHS Service Area and be a "regular full-time" employee of one of the nine federally recognized Indian tribes or their tribal organizations.