Long Term Care

Links | Medicaid | Grants | Roundtable

Long term care is an array of medical and social services which support elders who are frail or need help with their daily activities. Families provide most of the care elders need as they age in their communities. Formal long term care services help families as they care for their elders.

The Indian Health Service is working to support the development of long term care systems and services in American Indian and Alaska Native communities

AIAN Long Term Care Links: A Comprehensive Directory of Resources for Planning and Program Development and for Elders and their Families

Now available through the NICOA Tribal Long Term Care Technical Assistance project. Top

Medicaid Home Care for Tribal Health Services: A Tool Kit for Developing New Programs

20 guides that include a general overview of Medicaid in-home care programs as well as state-specific Medicaid home care details, such as services reimbursed by home and community based care programs and key contact information. These tool kits provide a road map for tribal health programs that are considering long-term care services, with a focus on personal care services for the elderly and disabled people that can be funded by Medicaid.

• Why Provide Medicaid Personal Care Services
• What Are Personal Care and other non-medical in-home services
• Medicaid Programs that Provide In-home Services
• How Personal Care and other in-home Services are Provided
• Tips for Developing a Plan for Delivering Medicaid Home Care Services

Grants for the Development of Long Term Care Services Awarded

In September 2003 the Indian Health Service awarded 20 grants to tribes, tribal consortia, and urban programs for the development of reimbursement-based or otherwise sustainable long term care services for the elderly. Successful applications included plans to develop personal care services for the elderly, elder day health, and reimbursable case-management services. The Administration for Native Americans (ANA) joined the IHS in this grant program, providing funding for 6 of the 20 grants. All of the grant awards were for between $30,000 and $50,000 per year for up to three years.

Grants were awarded to the following tribes, tribal consortia, and urban programs.
Trenton Indian Service Unit
Pyramid Lake Paiute Tribe
Seattle Indian Health Board
Lac Du Flambeau Band of Lake Superior Chippewa
Indian Health Center of Santa Clara Valley
Citizen Potawatomi Nation
NW Washington Indian Health Board
Poarch Band of Creek Indians
Eastern Shoshone Tribe
Aleutian/Pribilof Islands Association, Inc
Port Gamble S’Klallam Tribe
Native American Community Health Center, Inc
Inter-Tribal Council of California, Inc.
Inter Tribal Council of Arizona, Inc.
Lummi Indian Business Council
Pokagon Band of Potawatomi Indians
Indian Health Council, Inc
Ute Indian Tribe
Pueblo of Isleta
Kaw Nation of Oklahoma
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2002 American Indian and Alaska Native Roundtable on Long Term Care

In April of 2002, the IHS, in collaboration with the Administration on Aging and the National Indian Council on Aging, sponsored a Roundtable on American Indian and Alaska Native Long Term Care.

Link to Entire 2002 Roundtable Report.

Link to 2002 Roundtable Report Part 1.
Link to 2002 Roundtable Report Part 2.
Link to 2002 Roundtable Report Part 3.
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