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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Organizational Structure

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Organizational Chart of IHS Headquarters

The Indian Health Service (IHS) can be broken down into two major categories, Headquarters Offices and Regional Offices called Areas.

Headquarters Offices

  • Office of the Director
     

    Office of the Director

    Provides overall direction and leadership for the IHS

    1. Establishes goals and objectives for the IHS consistent with the mission of the IHS and ensures Agency performance is managed through goals/objectives, achievements, and/or improved outcomes
    2. Provides for the full participation of Indian Tribes in the programs and services provided by the Federal Government
    3. Develops health care policy
    4. Ensures the delivery of quality comprehensive health services
    5. Advocates for the health needs and concerns of American Indians/Alaska Natives (AI/AN)
    6. Promotes the IHS programs at the local, State, national, and international levels
    7. Develops and demonstrates alternative methods and techniques of health services management and delivery with maximum participation by Indian Tribes and Indian organizations
    8. Supports the development of individual and Tribal capacities to participate in Indian health programs through means and modalities that they deem appropriate to their needs and circumstances
    9. The IHS will carry out the responsibilities of the United States to Indian Tribes and individual Indians
    10. Affords Indian people an opportunity to enter a career in the IHS by applying Indian preference, and
    11. Ensures full application of the principles of Equal Employment Opportunity laws and the Civil Rights Act in managing the human resources of the IHS.
    • Office of Direct Service and Contracting Tribes (ODSCT)
       

      Office of Direct Service and Contracting Tribes (ODSCT) (GABI)

      1. Provides Agency leadership and advocacy for Direct Service Tribes (DST) in the development of health policy, program management, budget formulation and resource allocation and advises the IHS Director and senior management on DST issues and concerns
      2. Provides Agency leadership concerning policy development and Agency functions and responsibilities associated with self- determination contracting (Title I of the Indian Self-Determination and Education Assistance Act, Public Law 93–638, as amended), monitors Agency compliance with self-determination policies, administrative procedures and guidelines, and advises the Director, IHS, and senior management on activities and issues related to self- determination contracting
      3. Provides Agency leadership in the development of contract support cost (CSC) policy, and fulfills national operational responsibilities, with respect to the CSC program administered by IHS
      4. Provides Agency leadership with respect to policy development and issues concerning new Federally recognized/restored Tribes
      5. Administers a national statutorily mandated grant program designed to assist Tribes and Tribal organizations in beginning and/or expanding self- determination activities
      6. Serves as the principal liaison with DST Tribal leaders, the Direct Service Tribes Advisory Committee (DSTAC), national Indian or Tribal organizations, inter-Tribal consortiums, Area health boards, and Service Unit health boards
      7. Coordinates quarterly DSTAC and annual DST meetings to provide a forum for DST Tribal leaders to express their concerns and primary issues relating to direct health care delivery by the IHS
      8. Coordinates and facilitates meetings between Direct Service and Title I contracting Tribal delegations and the Office of the Director at Headquarters, during national meetings and at other locations as required
      9. Maintains a central database of contact information for Tribal leaders, health directors, health programs, etc.
      10. Assures that Indian Tribes and Tribal organizations are informed regarding pertinent health policy and program management issues and that consultation, with participation by Indian Tribes and Tribal organizations, occurs during the development of IHS policies and Agency decision making
      11. Provides technical assistance and support to IHS Area Offices and to Tribes in administering health programs, and
      12. Participates in cross-cutting issues and processes including but not limited to emergency preparedness/security, budget formulation, self-determination issues, Tribal shares computations, and resolution of audit findings as needed.

      Learn more by visiting the Office of Direct Service and Contracting Tribes (ODSCT) website.

    • Office of Tribal Self Governance (OTSG)
       

      Office of Tribal Self Governance (OTSG)

      1. Develops and oversees the implementation of Tribal self-governance legislation and authorities in the IHS, under Title V of the Indian Self-Determination and Education Assistance Act, Pub. L. 93-638, as amended
      2. Develops and recommends policies, administrative procedures, and guidelines for IHS Tribal self-governance activities, with maximum input from IHS staff and workgroups, Tribes and Tribal organizations, and the Tribal Self-Governance Advisory Committee
      3. Advises the IHS Director on Agency compliance with self-governance policies, administrative procedures and guidelines and coordinates activities for resolution of problems with appropriate IHS and HHS staff
      4. Provides resource and technical assistance to Tribes and Tribal organizations for the implementation of the Tribal Self-Governance Program (TSGP)
      5. Participates in the reviewing of proposals from Tribes for self-governance planning and negotiation grants and recommends approvals to the IHS Director
      6. Determines eligibility for Tribes and Tribal organizations desiring to participate in the TSGP
      7. Oversees the negotiation of self-governance compacts and annual funding agreements with participating Tribal governments
      8. Identifies the amount of Area Office and Headquarters managed funds necessary to implement the annual funding agreements and prepares annual budgets for available Tribal shares in conjunction with IHS Area and Headquarters components
      9. Coordinates semi-annual reconciliation of funding agreements with IHS Headquarters components, Area Offices, and participating Tribes
      10. Serves as the principal IHS office for developing, releasing, and presenting information on behalf of the IHS Director related to the IHS Tribal self-governance activities to Tribes, Tribal organizations, HHS officials, IHS officials, and officials from other Federal agencies, State and local governmental agencies, and other agencies and organizations
      11. Arranges national self-governance meetings to promote the participation by all AI/AN Tribes in IHS self-governance activities and program direction
      12. Participates in meetings for Self-Governance Tribal delegations visiting IHS Headquarters, and
      13. Participates in cross-cutting issues and processes including, but not limited to emergency preparedness/security, budget formulation, self-determination issues, Tribal shares computations and resolution of audit findings as may be needed and appropriate

      Learn more by visiting the Office of Tribal Self Governance (OTSG) website.

    • Office of Urban Indian Health Programs (OUIHP)
       

      Office of Urban Indian Health Programs (OUIHP)

      1. Advises the IHS Director on the activities and issues related to the IHS’ implementation of Title V, ‘‘Indian Health Care Improvement Act’’, as amended
      2. Develops and recommends policies, administrative procedures, and guidelines for IHS services and activities for Urban Indian health programs and organizations
      3. Assures that urban Indian health programs and organizations are informed of pertinent health policies
      4. Ensures that consultation with urban Indian health programs and organizations occurs during the development of IHS policy to the extent allowed by law
      5. Supports Urban Indian health programs and organizations in managing health programs
      6. Coordinates support available from other public and private agencies and organizations
      7. Advises the IHS Director on Agency compliance with Urban Indian health program policies, administrative procedures, and guidelines
      8. Maintains relevant information on urban Indian health programs and organizations
      9. Coordinates meetings and other communications with urban Indian health program representatives, and
      10. Participates in cross-cutting issues and processes including, but not limited to emergency preparedness/security, budget formulation, self-determination issues, Tribal shares computations and resolution of audit findings as may be needed and appropriate

      Learn more by visiting the Office of Urban Indian Health Program website.

    • Congressional and Legislative Affairs Office
       

      Congressional and Legislative Affairs Office

      1. Serves as the principal advisor to the IHS Director on all legislative and Congressional relations matters
      2. Advises the IHS Director and other IHS officials on the need for changes in legislation and manages the development of IHS legislative initiatives
      3. Serves as the IHS liaison office for Congressional and legislative affairs with Congressional offices, the HHS, the Office of Management and Budget (OMB), the White House, and other Federal agencies
      4. Tracks all major legislative proposals in the Congress that would impact Indian health
      5. Ensures that the IHS Director and appropriate IHS and HHS officials are briefed on the potential impact of proposed legislation
      6. Represents the IHS in discussions regarding policy and legislative initiatives/implementation
      7. Provides technical assistance and advice relative to the effect that initiatives/implementation would have on the IHS
      8. Establishes collaborations with Headquarters Officers on programmatic and financial issues related to budget formulation
      9. Conducts legislative analysis
      10. Provides support and serves as liaison to the IHS Director relative to IHS appropriations efforts
      11. Directs the development of IHS briefing materials for Congressional hearings, testimony, and bill reports
      12. Analyzes legislation for necessary action within the IHS
      13. Develops appropriate Legislative Implementation Plans, and
      14. Coordinates with IHS offices as appropriate to provide leadership, advocacy, and technical support to respond to requests from the public, including Tribal governments, Tribal organizations, and Indian community organizations regarding IHS legislative issues

      Learn more by visiting the Congressional and Legislative Affairs Office website.

    • Diversity Management and Equal Opportunity Office
       

      Diversity Management and Equal Opportunity Office

      1. Administers the IHS equal employment opportunity, civil rights, and affirmative action and alternative Dispute Resolution programs, in accordance with applicable laws, regulations, and HHS policies
      2. Plans and oversees the implementation of IHS affirmative employment and special emphasis programs
      3. Reviews data and advises IHS managers of possible discriminatory trends
      4. Ensures immediate implementation of required actions on complaints of alleged sexual harassment or discrimination
      5. Decides on accepting, for investigation, or dismissing discrimination complaints and evaluates accepted complaints for procedural sufficiency and investigates, adjudicates, and resolves such complaints
      6. Evaluates accepted complaints for procedural sufficiency and investigates, adjudicates, and resolves such complaint, and
      7. Develops/administers equal employment opportunity education and training programs for IHS managers, supervisors, counselors, and employees

      Learn more by visiting the Diversity Management and Equal Opportunity Office website.

    • Public Affairs Office
       

      Public Affairs Office

      1. Serves as the principal advisor for strategic planning on communications, media relations, and public affairs policy formulation and implementation
      2. Ensures IHS policy is consistent with directives from the Assistant Secretary for Public Affairs
      3. Provides leadership and advocacy to establish and implement policy for internal and external dissemination of Agency information intended for public release or employee and stakeholder information
      4. Serves as the central office for technical guidance and assistance to IHS staff for the development of public affairs and media communication
      5. Coordinates public affairs activities with other public and private sector organizations
      6. Coordinates the clearance of IHS public relations activities, campaigns, and communications materials
      7. Represents the IHS in discussions regarding policy and public affairs initiatives/implementation
      8. Provides technical assistance and advice relative to the effect public affairs initiatives/ implementation would have on the IHS
      9. Collaborates with the Division of Regulatory Affairs, for review and response to media requests received under the Freedom of Information Act (FOIA) or the Privacy Act, and ensures the security of IHS documents used in such responses that contain sensitive and/or confidential information; and
      10. Serves as the IHS liaison office for press and public affairs with HHS, IHS Area Offices, media and other external organizations and representatives.
    • Executive Secretariat Office
       

      Executive Secretariat Office

      1. Serves as the Agency’s liaison with the Office of the Secretary’s Executive Secretariat on IHS program, policy, and special matters
      2. Reviews correspondence received by the IHS Director and assigns reply or follow-up action to appropriate IHS Headquarters program offices and IHS Area Offices
      3. Ensures the quality (responsiveness, clarity, and substance) of IHS-generated correspondence prepared for the IHS Director’s signature by coordinating the review of integrity and policy issues, and performing standard edits and revisions
      4. Reviews and coordinates clearance of decision documents for the IHS Director’s approval to ensure successful operations and policymaking within the Agency
      5. Assists IHS officials as they prepare documents for the HHS Secretary’s review, decision, and/or signature
      6. Performs special writing assignments for the IHS Director
      7. Manages the flow of executive correspondence and related information to Tribes, Tribal organizations, heads of Federal departments and agencies, Congressional Staff offices, and members of Congress
      8. Maintains official records for the IHS Director’s correspondence and conducts topic research of files, as needed
      9. Maintains an electronic document handling system to assist in managing the timely processing of internal and external executive correspondence
      10. Conducts training to promote conformance by IHS Headquarters and Area staff to the IHS Executive Correspondence Guidelines and the electronic document handling system, and
      11. Tracks reports required by Congress
  • Office of Clinical and Preventive Services (OCPS)
     

    Office of Clinical and Preventive Services (OCPS)

    1. Serves as the primary source of national advocacy, policy development, budget development and allocation for clinical, preventive, and public health programs for the IHS, Area Offices, and Service Units
    2. Provides leadership in articulating the clinical, preventive, and public health needs of AI/AN, including consultation and technical support to clinical and public health programs
    3. Develops, manages, and administers program functions that include, but are not limited to, alcohol and substance abuse, behavioral health, chronic diseases such as diabetes, asthma, dental services, medical services, Health Promotion/Disease Prevention, domestic violence, pharmacy and pharmaceutical acquisition, community health representatives, emergency medical services, health records, disabilities, Human Immunodeficiency Virus/ Acquired Immune Deficiency Syndrome, maternal health, child health, clinical nursing, public health nursing, women’s health, nutrition and dietetics, and elder care
    4. Investigates service delivery and community prevention evidence-based and best practice models for dissemination to community service locations
    5. Expands the availability of resources available for AI/AN health by working with public and private entities as well as Federal agencies within and outside the HHS
    6. Coordinates development of staffing requirements for new or replacement health care facilities and approves Congressional budget requests for staffing, in collaboration with the Office of Environmental Health and Engineering
    7. Provides program oversight and direction for the facilities planning and construction process
    8. Develops and coordinates various Health Initiative and Nursing grant programs
    9. Provides the national focus for recruitment and retention of health professionals and coordinates with the scholarship and loan repayment programs
    10. Works with the Contract Health Services (CHS) program on CHS denial appeals to the IHS Director and in determining CHS medical priorities
    11. Manages the clinical (medical, nursing, pharmacy, dental) features of medical tort claims against the IHS
    12. Works with the Office of Management Services in managing the clinical aspects of the IHS workman’s compensation claims
    13. Oversees IHS efforts in a variety of quality assurance and improvement activities, including patient safety
    14. Monitors approximately one-half of the IHS’s Government Performance and Results Act (GPRA) indicators, overseeing indicator development, data collection, and reporting results, and
    15. Participates in cross-cutting issues and processes including, but not limited to emergency preparedness/security, budget formulation, self-determination issues, border health initiatives, Tribal delegation meetings, Tribal shares computations and resolution of audit findings as may be needed and appropriate
    Websites:
  • Office of Information Technology (OIT)
     

    Office of Information Technology (OIT)

    1. Provides Chief Information Officer (CIO) services and advises the IHS Director on all aspects of information resource management and technology ensuring Agency compliance with related Federal laws, regulations and policies
    2. Directs the development, implementation, and maintenance of policies, procedures, standards, and architecture for information resource management, technology activities, and services in the IHS
    3. Directs strategic planning and budgeting processes for information resources and technology
    4. Leads IHS efforts in the development and implementation of information resource and technology management initiatives in IHS
    5. Directs the design, development, acquisition, implementation, and support of information systems and services used in the IHS
    6. Directs the activities of the IHS Information Technology Investment Review Board in assessing, implementing, and reviewing the Agency’s information systems
    7. Contracts for information resource and technology-related software, equipment and support services in collaboration with appropriate acquisition authorities
    8. Provides project management support for information resource and technology initiatives
    9. Directs the development, implementation and management of the IHS Information Technology Security program to protect the information resources of the IHS
    10. Provides information technology services and support to IHS, Tribal, and Urban Indian health programs
    11. Ensures accessibility to information technology services
    12. Represents the IHS and enters into information technology agreements with Federal, Tribal, State and other organizations, and
    13. Participates in cross-cutting issues and processes including, but not limited to emergency preparedness/ security, budget formulation, self-determination issues, Tribal shares computations, and resolution of audit findings as may be needed and appropriate
    Websites:
  • Office of Public Health Support (OPHS)
     

    Office of Public Health Support (OPHS)

    1. Advises and supports the IHS Director on policy, budget formulation, and resource allocation regarding the operation and management of IHS, Tribal, and Urban Indian health programs
    2. Provides IHS-wide leadership, guidance and support for public health program and activities including strategic planning, evaluation, Government Performance and Results Act (GPRA), research, epidemiology, statistics, and health professions
    3. Provides Agency-wide leadership and consultation to IHS, Tribal, and Urban Indian health programs on IHS goals, objectives, policies, standards, and priorities
    4. Advocates for the public health needs and concerns of AI/AN and promotes quality health care
    5. Manages and provides national leadership and consultation for IHS on assessments of public health medical services, research agendas, special pay, and public health initiatives for the Agency
    6. Provides national leadership for the IHS scholarship and loan repayment programs, including physician recruitment
    7. Supports and advocates for AI/AN to access State and local public health programs, and
    8. Participates in cross-cutting issues and processes including, but not limited to emergency preparedness/security, budget formulation, self-determination issues, Tribal shares computations and resolution of audit finding as may be needed and appropriate
    Websites:
  • Office of Resource Access and Partnerships (ORAP)
     

    Office of Resource Access and Partnerships (ORAP)

    1. Provides Agency-wide leadership and consultation to the IHS direct operations and Tribal programs on IHS goals, objectives, policies, standards and priorities regarding the operations and management of the Business Office Service (BOS) and the Contract Health Services (CHS) and the IHS Partnership programs
    2. Develops and implements objectives, priorities, standards, measures and methodologies for the BOS and CHS and Partnership program
    3. Manages and provides leadership, advocacy, consultation and technical support to Headquarters, IHS Areas and local levels on the full scope of BOS, CHS and Partnership activities
    4. Represents the IHS at meetings and in discussions regarding policy, legislation and other national issues
    5. Provides oversight and monitors the BOS and CHS programs regarding compliance requirements, utilization reviews, revenue measures and reports
    6. Formulates and analyzes BOS and CHS budgets and prepares information for program budget presentations
    7. Collaborates and coordinates with IHS information technology staff and external organizations on new technologies, applications and business practices
    8. Develops resource opportunities through partnerships and coordinates the BOS and CHS activities with other governmental and nongovernmental programs, promoting optimum utilization of all available health resources
    9. Maintains a database of all inter-agency agreements, intra-agency agreements, memoranda of agreement and memoranda of understanding with external organizations, and
    10. Participates in cross-cutting issues and processes including, but not limited to emergency preparedness/security, budget formulation, self-determination issues, and resolution of audit findings as may be needed and appropriate
    Websites:
  • Office of Finance and Accounting (OFA)
     

    Office of Finance and Accounting (OFA)

    1. Develops and prepares the budget submission for the Indian Health Service and Facilities appropriation to the HHS, OMB and the Presidents budget
    2. Participates with HHS officials in budget briefings for the OMB and the Congress
    3. Distributes, coordinates, and monitors resource allocations
    4. Develops and implements budget, fiscal, and accounting procedures and conducts reviews and analyses to ensure compliance in budget activities in collaboration with Headquarters officials and the Tribes
    5. Provides cost advisory and audit resolution services in accordance with applicable statutes and regulations, and
    6. Supports the Agency’s Medicare Cost Report efforts by providing necessary financial data to the contractor preparing the cost reports, and
    7. Participates in cross-cutting issues and processes including, but not limited to emergency preparedness/security, budget formulation, self-determination issues, Tribal shares computations, and resolution of audit findings as may be needed and appropriate
    Websites:
  • Office of Management Services (OMS)
     

    Office of Management Services (OMS)

    1. Provides IHS-wide leadership, guidance and support for the management of human resources, grants, acquisition, records management, personal property and supply, and the regulations program
    2. Formulates, administers, and coordinates the review and analysis of IHS-wide policies, delegations of authority, and organizations and functions development
    3. Develops and oversees the implementation of policies, procedures and delegations of authority for IHS grants management activities, including grants added to self-governance compacts
    4. Ensures that Agency policies and practices for the administrative functions identified above are consistent with applicable regulations, directives and guidance from higher echelons in the HHS and other Federal oversight agencies
    5. Advises the IHS Director, in conjunction with the Office of the General Counsel(OGC), on the resolution of statutory and regulatory issues related to the IHS and coordinates resolution of IHS legal issues with the OGC, IHS staff, and other Federal agencies
    6. Assures that IHS appeal systems meet legal standards, in conjunction with the Office of the General Counsel
    7. Provides leadership and direction of activities for continuous improvement of management accountability and administrative systems for effective and efficient program support services IHS-wide
    8. Ensures the accountability and integrity of grants and acquisition management, records management, personal property utilization and disposition of IHS resources
    9. Assures that the IHS management services, policies, procedures, and practices support IHS Indian Self-Determination Act policies
    10. Assists in the assurance of Indian access to State, local, and private health programs
    11. Provides leadership and advocacy of the IHS mission and goals with the HHS, Administration, Congress, and other external authorities, and
    12. Participates in cross-cutting issues and processes including, but not limited to emergency preparedness/security, budget formulation, self-determination issues, Tribal shares computations and resolution of audit findings as may be needed and appropriate
    Websites:
  • Office of Environmental Health and Engineering (OEHE)
     

    Office of Environmental Health and Engineering (OEHE)

    1. Advises and supports the IHS Director on policy, budget formulation, and resource allocation regarding environmental health and engineering activities of IHS and Tribal facilities programs
    2. Provides Agency-wide leadership and consultation to IHS, Tribal, and Urban Indian health programs on IHS goals, objectives, policies, standards, and priorities
    3. Represents the IHS within the HHS and external organizations for purposes of liaison, professional collaboration, cooperative ventures, and advocacy
    4. Serves as the primary source of technical advice for the IHS Director, Headquarters, Area Offices, Tribal, and Urban Indian health programs on the full scope of health care facilities construction and operations, sanitation facilities construction and management, environmental health services, environmental engineering, clinical engineering, and realty services management
    5. Develops and recommends policies, administrative procedures and guidelines for Pub. L. 93–638 construction activities
    6. Develops objectives, priorities, standards, and methodologies to conduct and evaluate environmental health, environmental engineering, and facilities engineering and management activities
    7. Coordinates the formulation of the IHS Facilities appropriation budget request and responds to all inquiries about the budget request and programs funded by the IHS Facilities appropriation
    8. Maintains needs-based and workload based methodologies for equitable resource distribution for all funds appropriated under the IHS Facilities appropriation
    9. Provides leadership, consultation, and staff development to assure functional, safe, and well-maintained health care facilities, a comprehensive environmental health program, and the availability of water, sewer, and solid waste facilities for Indian homes and communities
    10. Coordinates the IHS OEHE responsibilities in responding to disasters and other emergency situations, in collaboration with the Office of Clinical and Preventive Services, and
    11. Participates in cross­cutting issues and processes including, but not limited to emergency preparedness/security, budget formulation, self-determination issues, Tribal shares computations and resolution of audit findings as may be needed and appropriate
    Websites:

Regional Offices (Area Offices)

Area Map

Map of the United States showing IHS Area
Offices

Each Area Office supports a unique physical region of the United States

  • Alaska Area
     
    Alaska Area

    Alaska Area

    The Alaska Area Indian Health Service works in conjunction with Alaska Native Tribes and Tribal Organizations to provide comprehensive health services to 141,921 Alaska Natives (Eskimos, Aleuts, and Indians). Approximately 99% of the Alaska Area budget is allocated to Alaska Native Tribes and Tribal Organizations who operate under the authority of the Indian Self-Determination Act Education Assistance Act,  and Public Law 93-638, as amended. The Alaska Area maintains 14 Title I contracts with Alaska tribes and tribal organizations, and negotiates one Title V compact with 25 separate tribal funding agreements each year. The Alaska Tribal Health Compact is a comprehensive system of health care that serves all 228 federally recognized tribes in Alaska.

    Hospitals funded by the Indian Health Service and managed by the tribes are located in Anchorage, Barrow, Bethel, Dillingham, Kotzebue, Nome and Sitka. There are 36 tribal health centers, 180 tribal community health aide clinics and five residential substance abuse treatment centers. The Alaska Native Medical Center in Anchorage is the state-wide referral center and gatekeeper for specialty care. Other health promotion/disease prevention programs that are state-wide in scope are operated by the Alaska Native Tribal Health Consortium, which is managed by representatives of all Alaska tribes.

    Learn more about the Alaska Area

  • Albuquerque Area
     
    Albuquerque Area

    Albuquerque Area

    One of twelve area offices of the Indian Health Service, the Albuquerque Area is responsible for the provision of health services to a number of distinctly different tribal groups.

    In New Mexico, the tribes served are the 19 Pueblos, the Jicarilla and Mescalero Apaches, and the Alamo, Canoncito and Ramah Chapters of the Navajo Nation.

    In Southern Colorado are the Southern Utes, and the Ute Mountain Ute Reservation (extending into a small portion of southern Utah).

    In Texas, the Ysleta Del Sur Reservation is served. Additionally, numerous tribal members from throughout the United States who live, work, or go to school in the urban centers of the Albuquerque Area are provided services in health facilities operated by the Indian Health Service.

    Learn more about the Albuquerque Area

  • Bemidji Area
     
    Bemidji Area

    Bemidji Area

    The Bemidji Area Office provides service and support to 34 Federally-recognized Tribes and 4 Urban Indian Health programs located in Illinois, Indiana, Michigan, Minnesota and Wisconsin. Tribal health services are provided through 11 P.L. 93-638 Title V compacts and 23 Title I contracts. Urban Indian Health programs are located in Chicago, IL; Detroit, MI; Milwaukee, WI; and Minneapolis, MN.

    Tribes in the Bemidji Area include Ojibwe (Chippewa), Ho-Chunk, Menominee, Mohican, Oneida, Odawa, Potawatomi, and Sioux.

    Learn more about the Bemidji Area

  • Billings Area
     
    Billings Area

    Billings Area

    The Billings Area Indian Health Service provides a comprehensive health services delivery system to more than 70,000 American Indian and Alaska Native people in the states of Montana and Wyoming. There are six service units, two self-governance service units, five urban programs and an administrative office in Billings, Montana.

    During fiscal year 2004 the user population increased by two-percent, increased outpatient workload by four-percent, and decreased the average daily patient load (ADPL) by 1.2 for inpatient.

    Learn more about the Billings Area

  • California Area
     
    California Area

    California Area

    The California Area Indian Health Service provides the healthcare delivery system to the State of California, the home of the largest population of American Indians/Alaska Natives in the country. According to the 2010 Census, California's Indian population was 362,801. California is home to 107 federally recognized tribes.

    Learn more about the California Area

  • Great Plains Area
     
    Great Plains Area

    Great Plains Area

    The Great Plains Area Office in Aberdeen, South Dakota, works in conjunction with its 19 Indian Health Service Units and Tribal managed Service Units to provide health care to approximately 122,000 Native Americans located in North Dakota, South Dakota, Nebraska, and Iowa. The area office's service units include seven hospitals, eight health centers, and several smaller health stations and satellite clinics.

    Learn more about the Great Plains Area

  • Nashville Area
     
    Nashville Area

    Nashville Area

    The Nashville Area Indian Health Service serves 29 tribes or nations with sixteen Title I (contracted) Tribally Administered programs, nine Title V (compacted) Tribally Administered programs, four Federal Direct Care Service Unit programs, and three Urban Indian Health programs. These tribes and nations are dispersed across fourteen states, although the Nashville Area also assists patients in a total of twenty-four states in the eastern, southeastern and mid-United States.

    Learn more about the Nashville Area

  • Navajo Area
  • Oklahoma City Area
     
    Oklahoma Area

    Oklahoma City Area

    The Oklahoma City Area Indian Health Service serves the states of Oklahoma, Kansas, and portions of Texas. Oklahoma is home to more than 39 tribes and tribal organizations. Oklahoma City Area is unique because a large number of tribes have opted to operate their own health programs including large scale hospitals to the smaller preventive care programs and behavioral health programs.

    The Area consists of 8 service units with federally operated hospitals, clinics and smaller health stations.

    Learn more about the Oklahoma Area

  • Phoenix Area
     
    Phoenix Area

    Phoenix Area

    The Phoenix Area Indian Health Service Office in Phoenix, Arizona, oversees the delivery of health care to approximately 140,000 Native American users in the tri-state area of Arizona, Nevada and Utah.

    Learn more about the Phoenix Area

  • Portland Area
     
    Portland Area

    Portland Area

    The Portland Area Indian Health Service provides access to health care for an estimated 150,000 American Indian/Alaska Native residents of Oregon, Washington, and Idaho. Health delivery services are provided by a mix of health centers, health stations, preventative health programs and urban programs. Health centers provide a wide range of clinical services and are open 40 hours each week. Health stations provide a limited range of clinical services and usually operate less than 40 hours per week. Preventive programs offer counseling and referral services.

    Learn more about the Portland Area

  • Tucson Area
     
    Tucson Area

    Tucson Area

    The Tucson Area provides primary care and community outreach programs for the Tohono O'odham Nation (to.ho.no aah.tum), formerly known as the Papago, and the Pascua Yaqui Tribe (pah.skwah ya.ke) of Arizona.

    Learn more about the Tucson Area