Transmittal Notice 25-10
BACKGROUND:
The purpose of this Transmittal Notice (TN) is to transmit a copy of the revised Part 3, Chapter 16, “Community Health Representative Program,” Indian Health Manual (IHM). This chapter establishes goals, objectives, responsibilities, and requirements for the Indian Health Service (IHS) Community Health Representative (CHR) Program with recommendations for Tribal and Urban Indian communities. Tribes and Tribal Organizations predominantly carry out the CHR Program activities through contracts and compacts with IHS under the Indian Self-Determination and Education Assistance Act (ISDEAA), 25 U.S.C. § 5301 et seq.
/P. Benjamin Smith/
P. Benjamin Smith, M.B.A., M.A.
Acting Director
Indian Health Service
MATERIAL TRANSMITTED:
The revised Part 3, Chapter 16, “Community Health Representative Program,” IHM.
MATERIAL SUPERSEDED:
Part 3, Chapter 16, “Community Health Representative Program,” IHM, dated April 24, 1991.
MANUAL MAINTENANCE:
Remove Part 3, Chapter 16, “Community Health Representative,” IHM, dated April 24, 1991, in its entirety and insert the attached copy of IHM 3-16, “Community Health Representative Program,” IHM, including the chapter Table of Contents, in its place.
Log and file this Transmittal Notice in sequential order.
Distribution: IHS-Wide
Date: 09/10/2025
