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IHCP bulletin INDIANA HEALTH COVERAGE PROGRAMS BT201651
SEPTEMBER 13, 2016
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Providers must take actions by October 17, 2016, to demonstrate
nondiscrimination compliance The Indiana Health Coverage Programs
(IHCP) does not discriminate on the basis of race, color, national
origin, sex,
age, or disability in compliance with federal requirements set
forth in:
Section 1557 of the Affordable Care Act
Title VI of the Civil Rights Act of 1964
Section 504 of the Rehabilitation Act of 1973
Age Discrimination Act of 1975
Omnibus Budget Reconciliation Act (OBRA) of
1981, where applicable
Federal laws and regulations require similar
compliance from all recipients of federal funds. New
federal rules require such entities, including IHCP
providers, to demonstrate such compliance by taking
the following actions by October 17, 2016:
All IHCP providers must prominently post notices that specify
the following information:
The provider complies with applicable federal civil rights laws
and does not discriminate on the basis of race,
color, national origin, sex, age, or disability
The provider makes available free aids and services to people
with disabilities to communicate effectively with
the provider, including qualified interpreters, written
information in other formats and free language services to
people whose primary language is not English
How to obtain the aids and services referenced previously
The name and contact information of the provider’s civil rights
coordinator who handles grievances (if the
provider employs 15 or more individuals)
The availability of a grievance procedure as well as how to file
a grievance
How to file an Office for Civil Rights (OCR) complaint
A sample posting is available at the Department of Health and
Human Services (HHS) website at hhs.gov for
your reference. The IHCP has developed a sample posting specific
to the state of Indiana, which is attached to
this bulletin for your possible use.
http://www.hhs.gov/sites/default/files/sample-ce-notice-english.pdf
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IHCP bulletin BT201651 SEPTEMBER 13, 2016
All IHCP providers must include taglines in published materials
to alert individuals with limited English proficiency
(LEP) to the availability of language assistance services. Major
patient publications are required to include taglines
translated into at least the top 15 languages spoken by
individuals with LEP in the state. Lesser patient publications
are required to include taglines for the top two languages
spoken. Aside from English, the top languages spoken in
Indiana are noted in Table 1. Translated resources for
nondiscrimination notices and taglines are available in these
and many languages at the HHS website at hhs.gov. The sample
nondiscrimination posting referenced in this
bulletin includes taglines in these 15 languages.
Table 1 – Top 15 non-English languages spoken in Indiana*
*Source: Language Access Guide for Exchanges, Qualified Health
Plan (QHP) Issuers, and Web-Brokers (March 30, 2016); Center
for Consumer Information & Insurance Oversight (CCIIO),
Regulations and Guidance; Consumer Support and Information; CMS
website at cms.gov
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Order ranking Language Population
1 Spanish 121,383
2 Chinese 14,737
3 German 7,565
4 Pennsylvanian Dutch 4,600
5 Burmese 4,320
6 Arabic 3,783
7 Korean 3,729
8 Vietnamese 3,434
9 French 2,835
10 Japanese 2,679
11 Dutch 2,595
12 Tagalog 1,887
13 Russian 1,759
14 Panjabi 1,755
15 Hindi 1,712
If you need additional copies of this publication, please
download them from indianamedicaid.com.
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Discrimination is Against the Law (Sample posting template –
Indiana-specific)
[Name of entity] complies with applicable federal civil rights
laws and does not discriminate on the basis of race, color,
national origin, age, disability, or sex.
[Name of entity] does not exclude people or treat them
differently because of race, color, national origin, age,
disability, or sex.
[Name of entity]:
Provides free aids and services to people with disabilities to
communicate effectively with us. Provides free language services to
people whose primary language is not English.
If you need these services, contact [Name of Civil Rights
Coordinator – if 15 or more employees/Other Contact]
If you believe that [Name of entity] has failed to provide these
services or discriminated in another way on the basis of race,
color, national origin, age, disability, or sex, you can file a
grievance in person or by mail, fax, or email.
[Name and Title of Civil Rights Coordinator – if 15 or more
employees/Other Contact], [Mailing Address], [Telephone number],
[TTY number—if entity has one]; [Fax], [Email] If you need help
filing a grievance, [Name and Title of Civil Rights Coordinator –
if 15 or more employees/Other Contact] is available to help
you.
You can also file a civil rights complaint with the Indiana
Civil Rights Commission (ICRC) by calling 1-800-628-2909 or filing
electronically at in.gov/icrc/.
You can also file a civil rights complaint with the U.S.
Department of Health and Human Services, Office for Civil Rights
electronically through the Office for Civil Rights Complaint
Portal, available at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or
telephone at:
U.S. Department of Health and Human Services 200 Independence
Avenue, SW Room 509F, HHH Building Washington, D.C. 20201
1-800-368-1019; 1-800-537-7697 (TDD)
http://www.in.gov/icrc/https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
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Discrimination is Against the Law Español (Spanish): [Name of
covered entity] cumple con las leyes federales de derechos civiles
aplicables y no discrimina por motivos de raza, color,
nacionalidad, edad, discapacidad o sexo. 繁體中文 (Chinese): [Name of
covered entity] 遵守適用的聯邦民權法律規定,不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。
Deutsch (German): [Name of covered entity] erfüllt geltenden
bundesstaatliche Menschenrechtsgesetze und lehnt jegliche
Diskriminierung aufgrund von Rasse, Hautfarbe, Herkunft, Alter,
Behinderung oder Geschlecht ab. Deitsch (Pennsylvania Dutch): [Name
of covered entity] iss willich, die Gsetze (federal civil rights)
vun die Owwerichkeet zu folliche un duht alle Leit behandle in der
seem Weg. Es macht nix aus, vun wellem Schtamm ebber beikummt, aus
wellem Land die Voreldre kumme sinn, was fer en Elt ebber hot, eb
ebber en Mann iss odder en Fraa, verkrippelt iss odder net.
یلتزم [Name of covered entity] بقوانین الحقوق المدنیة الفدرالیة
المعمول بھا وال یمیز على أساس العرق أو اللون أو :(Arabic) ةيبرعلا
األصل الوطني أو السن أو اإلعاقة أو الجنس.
한한한 (Korean): [Name of covered entity] 은(는) 관련 연방 공민권법을 준수하며 인종,
피부색, 출신 국가, 연령, 장애 또는 성별을 이유로 차별하지 않습니다.
Tiếng Việt (Vietnamese): [Name of covered entity] tuân thủ luật
dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa
trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật,
hoặc giới tính. Français (French): [Name of covered entity]
respecte les lois fédérales en vigueur relatives aux droits
civiques et ne pratique aucune discrimination basée sur la race, la
couleur de peau, l'origine nationale, l'âge, le sexe ou un
handicap.
日本語 (Japanese): [Name of covered entity]
は適用される連邦公民権法を遵守し、人種、肌の色、出身国、年齢、障害または性別に基づく差別をいたしません。 Nederlands
(Dutch): [Name of covered entity] voldoet aan de geldende
wettelijke bepalingen over burgerrechten en discrimineert niet op
basis van ras, huidskleur, afkomst, leeftijd, handicap of geslacht.
Tagalog (Tagalog – Filipino): Sumusunod ang [Name of covered
entity] sa mga naaangkop na Pederal na batas sa karapatang sibil at
hindi nandidiskrimina batay sa lahi, kulay, bansang pinagmulan,
edad, kapansanan o kasarian. Русский (Russian): [Name of covered
entity] соблюдает применимое федеральное законодательство в области
гражданских прав и не допускает дискриминации по признакам расы,
цвета кожи, национальной принадлежности, возраста, инвалидности или
пола. ਪੰਜਾਬੀ (Punjabi): [Name of covered entity] ਲਾਗੂ ਸੰਘੀ ਨਾਗਿਰਕ
ਹੱਕ� ਦੇ ਕਾਨੰੂਨ� ਦੀ ਪਾਲਣਾ ਕਰਦੀ ਹੈ ਅਤੇ ਨਸਲ, ਰੰਗ, ਰਾਸ਼ਟਰੀ ਮੂਲ, ਉਮਰ,
ਅਸਮਰਥਤਾ, ਜ� ਿਲੰਗ 'ਤੇ ਅਧਾਰ 'ਤੇ ਿਵਤਕਰਾ ਨਹ� ਕਰਦੀ ਹੈ।
�हदं� (Hindi): [Name of covered entity] लागू होन ेयोग्य संघीय
नाग�रक अिधकार क़ानून का पालन करता ह ैऔर जाित, रंग, रा�ीय मूल, आयु,
िवकलांगता, या �लग के आधार पर भेदभाव नह� करता ह।ै