The Passamaquoddy Tribe's Pleasant Point Health Center Needs To Improve Its Medical-Referral Process

The Passamaquoddy Tribe at Pleasant Point did not always meet Federal requirements for medical referrals. Specifically, we found that the Pleasant Point Health Center (PPHC) did not utilize a Managed Care Committee (MCC), composed of the required medical and administrative staff, to review medical referrals on a weekly basis. In addition, PPHC did not always maintain accurate and complete documentation of medical referrals.