(CHCC) — The Health Network Program or HNP, formerly known as the Medical Referral Program, is now under the administration of the Commonwealth Healthcare Corporation.
CHCC wishes to advise the general public that there have been no changes in the regulations (Title 75-50) since the enactment of Public Law 22-33 authorizing the program.
However, facing a critical funding crisis, the program must exercise caution in its expenditures while adhering to the regulations. Steps taken include clarifying ambiguities and updating the income eligibility, which determines who is eligible for benefits of the program — air transportation, accommodations, ground transportation, and subsistence.
As the new law requires, on Jan. 31, 2023, CHCC administration requested $3,487,754 to operate the program in the current quarter, leaving the CHCC leadership with the challenge of ensuring support continues for those currently in the system and for those waiting for the determination of eligibility. Since that request, however, CHCC has received $700,000 in total.
CHCC had hoped to receive two years of adequate funding to turn the program around and bring sustainability to the program, which helps provide access to necessary medical services for individuals in the CNMI.
CHCC has already implemented cost reduction strategies which have contributed to a nearly 34% decrease — from an annual expenditure of nearly $17 million in 2019 to $11.2 million in 2022 while still providing benefits to over 1,000 residents. Initiatives implemented require time and continued funding to obtain tangible outcomes. Some of the cost savings measures taken by CHCC since 2021 include improved coordination of benefits with insurance plans, particularly CNMI Medicaid, capped airfare, use of a company credit card to book flights, minimizing blocked rooms, and the utilization of ridesharing platforms such as Uber Health.
CHCC is working closely with Gov. Arnold I. Palacios, the acting secretary of Finance, the OMB Director, the Commonwealth Medicaid Agency, and lawmakers to continue toward the goal of making the HNP service accessible, equitable, and sustainable.
In the meantime, CHCC urges the community to access primary and preventive care. Before requesting HNP support, know if you will qualify for HNP benefits and understand your options to access services. The HNP staff are available to answer questions and assist you with making appointments, which is open to all, even if determined to be ineligible to receive other benefits.
You may reach an HNP staff member at (670) 323-1445 or email medref.saipan.@chcc.health/.



