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U.S. Department of Health and Human Services

Community Health Aide Program Expansion

CHAP Authorization

Indian Health Care Improvement Act (IHCIA)

Indian Health Care Improvement Act, 25 U.S.C. § 1616l

Indian Health Manual

Circular 20-06: The Community Health Aide Program (CHAP)-Indian Health Service Circular NO. 20-06
The Community Health Aide Program (CHAP) Circular 24-16, November, 2024

Tribal Initiatives

Policy Statement (2016)

Indian Health Service Draft Policy Statement on Creating a National Indian Health Service Community Health Aide Program. [PDF - 34 KB]

Tribal Leader Letters

2019

The Principal Deputy Director writes to Tribal Leaders to initiate Tribal Consultation on a draft Indian Health Service policy to implement, outline, and define a National Community Health Aide Program. [PDF - 193 KB]

2018

The Acting Director writes to Tribal Leaders to provide updates on efforts to expand the Community Health Aide Program. This includes: 1) formation of the CHAP Tribal Advisory Group (TAG), and 2) developing the formal policy and implementation plan. [PDF - 97 KB]

2016

The Principal Deputy Director writes to Tribal Leaders to inform them that the period to comment on the Community Health Aide Program letter has been extended until October 27, 2016. [PDF - 25 KB]

Urban Letters

2018

The Acting Director writes to Urban Indian Organization Leaders to provide an update on efforts by the Indian Health Service to develop a policy and implementation plan to nationalize a Community Health Aide Program , as authorized by the Indian Health Care Improvement Act as it relates to Urban Indian Organizations. [PDF - 92 KB]

2016

The Principal Deputy Director writes Urban Indian Organization Leaders to confer on a draft policy statement that proposes an expansion in the use of community health aides at Indian Health Service facilities across the country. [PDF - 603 KB]

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