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

Office of Direct Service and Contracting Tribes
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Title I

Title I Tribes are Federally recognized Tribes or Tribal organizations that contract or contracts with the Indian Health Service (IHS) to plan, conduct and administer one or more individual programs, functions, services or activities under Public Law (P.L.) 93-638, or portions thereof, including construction program that the IHS would otherwise provide for Indians because of their status as Indians. P.L. 93-638 is the Indian Self Determination and Education Assistance Act (ISDEAA).


In accordance with the Internal Agency Procedures Handbook for Non-Construction Contracting Under Title I of the ISDEAA [PDF], Chapter 15 - Training, our office provides on going Title I training.

Contract Proposal Liaison Officers

The IHS P.L. 93-638 contracting roles and responsibilities reside within the IHS twelve (12) Area Offices. The Contract Proposal Liaison Officers (CPLOs), the Contracting Officers (awarding personnel) and the Program Officials (programmatic monitoring of the contracts) primary responsibility is to work directly with tribes on P.L. 93-638 contracting.

These key Area Office staff are responsible for and involved with:
  • Informing tribes about the contracting process;
  • Providing technical assistance; and
  • Overseeing programmatic and financial aspects of the contracts.
The CPLO is the primary contact for all proposals submitted under P.L. 93-638 contracting. The CPLOs are also responsible for dissemination of information to tribes.

IHS Area Contract Proposal Liaison Officers [PDF - 26KB]
A Listing of Title I Contractors [PDF - 66KB]

Resourceful Links

  • Differences Between Title I Contracting and Title V Compacting Under the ISDEAA [PDF]

    Laws and Regulations

    The ISDEAA, also known as P.L. 93-638, authorizes Indian Tribes and Tribal Organizations to contract for the administration and operation of certain Federal programs which provide services to Indian Tribes and their members. Under the ISDEAA, Tribes and Tribal Organizations have the option to either (1) administer programs and services the IHS would otherwise provide (referred to as Title I Self-Determination Contracting) or (2) assume control over health care programs and services that the IHS would otherwise provide (referred to as Title V Self-Governance Compacting or the TSGP). These options are not exclusive; Tribes may choose to combine them based on their individual needs and circumstances. The following links provide comprehensive information about Title I and Title V regulations:
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