Eligibility

Adult:

• CDIB/Tribal enrollment card/Tribal roll verification (degree or quantum must be noted on the document)
• Social Security Card
• Driver’s License or Picture I.D.
• Third Party resource card/information (if applicable)

Dependent Children:

• Child’s CDIB/Tribal enrollment card/Tribal roll verification or parent(s) CDIB/Tribal enrollment card/Tribal roll verification
• State certified birth certificate
• Child’s Social Security card
• Immunization record (if applicable)

Non-Indian Dependent:

• CDIB/Tribal enrollment card/Tribal roll verification of eligible Indian guardian/foster parent/adoptive dependent children legal documents proving guardianship/adoption
• State certified birth certificate
• Child’s Social Security card
• Immunization record (if applicable)

Non-Indian Prenatal:

• Baby’s Father’s CDIB, Social Security card, and Driver’s License
• Patient’s Social Security card and Driver’s License
• Divorce decree (if previously married)
• Marriage License or acknowledgement of Paternity (both individuals MUST be present). If the male (father) is seventeen (17) or younger, his parent/guardian MUST be present to give permission for acknowledgement.
• Proof of positive pregnancy test from outside provider

If an individual has used an IHS facility previously, Eligibility may be establish by calling that IHS clinic/hospital the patient has used, or by calling the patient’s tribe to verify enrollment. It is the patient’s responsibility to produce his/her CDIB.