' Indian Health Manual (IHM) - Chapter 11 - Authorized Dollar Thresholds <br>P.L. 93-638 Contracts & Grants By Area - Part 1 - General
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     Indian Health Manual

Part 1 - General

Chapter 11 - Authorized Dollar Thresholds
P.L. 93-638 Contracts & Grants By Area

Title Section
PURPOSE 1-11.1
POLICY 1-11.2


1-11.1  PURPOSE

This Chapter establishes and authorizes the dollar thresholds under which Indian Health Service Area/Program Directors or their contracting officer delegatees review and approve proposed contract and grant awards under the authorities under Title I of the Indian Self-Determination and Education Assistance Act (P.L. 93-638).

1-11.2  POLICY

Public Law 93-638 contract and grant actions of the Indian Health Service are to be reviewed and approved prior to award in accordance with the following dollar thresholds:

Contracts 1/ Grants 2/ IHS Procuring Activity IHS Procuring Official
$300,000 $ above   IHS Service Wide Deputy Director; Associate Director for Administration
$300,000 & above   Alaska Area IHS Anchorage, AK Area Director
$500,000 & below   Aberdeen Area IHS Aberdeen, SD Area Director
$300,000 & below   Albuquerque Area IHS Albuquerque, NM Area Director
$500,000 & below   Billings Area IHS Billings MT Area Director
$500,000 & below   Navajo Area IHS Window Rock, AZ Area Director
$300,000 & below   Oklahoma City Area IHS Oklahoma City, OK Area Director
$300,000 & below   Phoenix Area IHS Phoenix, AZ Area Director
$500,000 & below   Portland Area IHS Portland, OR Area Director
$500,000 & below   Nashville Program Office Nashville, TN Program Director
$500,000 & below   Bemidji Program Office Bemidji, MN Program Director
$300,000 & below   California Program Office Sacramento, CA Program Director
$300,000 & below   Division of Health Systems Development Tucson, AZ Director

1/ IHS Headquarters will review and approve all proposed P.L. 93-638 contracts which exceed the maximum dollar threshold authorized in section 1-11.2 for the IHS Area/Program Offices.

2/ All P.L. 93-638 proposed grant awards will only be approved at Headquarters.

1-11.3  APPROVALS.  Awards shall not be made until approval is granted by the reviewing official identified in IHS 1.11.2.  All approvals shall be in writing except that, when time is of the essence, approval may be given verbally and subsequently confirmed in writing.

Approvals required hereunder may not be granted on a conditional basis if the reviewing official determines that substantive issues remain to be resolved.  All substantive issues must be resolved prior to granting approval.


The exercise of the authority under section 106 to make advance payments for any contract under section 103 of P.L. 93-638 is subject to the provisions that (1) there be a prior review and documented recommendation by the Director, Division of Grants and Procurement Management, HRSA, on each proposed advance; and (2) a copy of each approved advanced be submitted (within two weeks of its approval) to the Director, Office of Administrative Management, Office of the Assistance Secretary for Health.


  1. Within their area of authority, the approving official listed in IHS 1.11.2 may redelegate to the area contracting officer, only the authority to sign the resulting contract or grant documents associated with the award of P.L. 93-638 contracts and grants at or below the dollar thresholds indicated in IHS 1.11.2. (See attached Delegation).
  2. A copy of all redelgations will be furnished the Associate Director for Administration, IHS.

1-11.6  AUTHOR1TY

P.L. 93-638, Indian Self-Determination and Education Assistance Act.

IHS Delegation of Authority, Indian Self-Determination and Education Assistance Act, Title 1, dated February 17, 1981.

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