Patient Information and Forms
Thank you for choosing Yellowhawk Tribal Health Center!
We have prepared this Managed Care Handbook
to help you understand how managed care services are offered through Yellowhawk Tribal Health Center (YTHC). We hope it will answer many of your questions about your benefits, eligibility, and the various requirements associated with access to the Managed Care Program.
YTHC is mandated by Federal Regulation 42CFR
regarding eligibility for services.
The Federal regulations determine eligibility.
The Patient Benefit Coordinator can also be contacted at 541.278.7540
with any additional questions or concerns.
Completing these forms in advance can save you time at your next appointment:
Other Necessary Documentation:
Proof of Native descent or Certificate of Indian blood (CIB)
Copy of Birth Certificate
Social Security Card
Proof of Residency
All PDF downloads (handbook and forms) are also available for pick-up at YTHC