Board Members Logo

Topics Include:

Contract Support Costs

  • IHS CSC Policy
  • BIA CSC Policy
  • How tribes are adjusting to the new CSC policies:
    • Implementation issues
    • Current disputes and summaries of litigation in play
  • Agency's budgeting to meet the full funding of CSC
    • 2018/2019 Appropriations
  • Annual Contract Support Costs Calculations (ACC) form:
    • Agency use of Indirect Cost Proposals to determine CSC need
    • Purchased/Referred Care Costs vs. on-site contract providers - member assistance or contract?

New and Updated Topics/Issues

  • 477 Program:
    • What does the law say about how tribes can track expenditures, and why are auditors so unhappy?
  • CSC in the Trump Administration
  • OMB's FAQ's and important clarifications to the Uniform Guidance
  • CSC issues under the FAST Act and Department of Transportation agreements
  • New funding opportunities through Section 105(l) leasers - and the President's proposal to nullify Section 105(l)
  • Update on Navajo Health Foundation - Sage Memorial Hospital, Inc. v. Burwell, including CSC payments on third-party revenues

OMB Revisions

  • Avoiding the refund and retroactive rate adjustment provisions
  • Managing the new Modified Total Direct Cost (MTDC) Base definitions
  • Requirements for establishing an indirect rate for pass through funds
  • How to obtain approval of time reporting internal control framework
  • Allowability of council costs
  • How to submit an indirect cost rate proposal every four years with sequential four-year indirect cost rate extensions
  • Choosing the rate needed for extensions
  • Determining "consistent costs"

Negotiations/Interior Business Center

  • Minimizing the impact when adding tribal funds to programs
  • Latest position on IBC regarding certain pool costs
  • Costs of tribal government

Rate and Exclusions Scenarios

  • Analyzing the impact of different scenarios
    • When your main funder is IHS
    • When your main funder is BIA
    • The interaction of different rates/exclusions
  • Presenting to tribal council

One-on-One Consultations Available

Instructors and topics subject to change.






Register and pay in a group and receive significant discounts. Please call 1-800-992-4489 for details.