Tribal Leader Letters
June 14, 2018
The Acting Director writes to invite Tribal Leaders to attend the 15th Annual Direct Service Tribes National Meeting. [PDF - 91 KB]June 8, 2018
The Acting Director writes to inform Tribal Leaders that there will be additional in-person Tribal Consultation sessions on the Indian Health Manual (IHM), Part 2 – “Services to Indians and Others,” Chapter 3 – "Purchased/Referred Care." [PDF - 94 KB]June 8, 2018
The Acting Director writes to initiate a Tribal Consultation on recommendations made by the Indian Health Care Improvement Fund (IHCIF) Workgroup to revise the formula used to allocate funding increases appropriated for the Indian Health Care Improvement Fund. [PDF - 214 KB]- IHCIF Workgroup Interim Report [PDF - 990 KB]
May 18, 2018
The Acting Director writes to initiate a Tribal Consultation and an Urban Confer on the funding mechanism to distribute behavioral health initiatives that are currently distributed through grants. [PDF - 144KB]- Enclosure: Schedule – Virtual Learning Series on Behavioral Health Initiative Funding [PDF - 436 KB]
The Acting Director writes to initiate Tribal Consultation on the Indian Health Service Indian Health Manual (IHM), Part 2 – “Services to Indians and Others, Chapter 3 – Purchased/Referred Care” at the request of Tribes. [PDF - 233 KB]
- Indian Health Manual Part 2 Chapter 3: Purchased/Referred Care
- Manual Exhibit 2-3-A: Sample Template for Re-designation of Purchased/Referred Care Delivery Area [PDF - 183 KB]
- Manual Exhibit 2-3-B: This will be available soon.
- Manual Exhibit 2-3-C: Use of Purchased/Referred Care Fund in Support of Direct Care [PDF - 259 KB]
- Manual Exhibit 2-3-D: Acceptable Documentation for Proof of Residency [PDF - 43 KB]
- Manual Exhibit 2-3-E: Purchased/Referred Care Eligibility for Persons Visiting a Foreign Country [PDF - 43 KB]
- Manual Exhibit 2-3-F: Notice to Purchased/Referred Care Providers [PDF - 56 KB]
- Manual Exhibit 2-3-G: This will be available soon
- Manual Exhibit 2-3-H: Procedure for Setting Up and Running Electronic Signature [PDF - 64 KB]
- Manual Exhibit 2-3-I: Sample Purchased/Referred Care Denial Letter [PDF - 310 KB]
- Manual Exhibit 2-3-J: This will be available soon.
- Manual Exhibit 2-3-K: Sample Purchased/Referred Care Spending Plan [PDF - 1419 KB]
- Manual Exhibit 2-3-L: Sample Letter to Provider Follow-Up on an Outstanding Purchased/Delivery Order [PDF - 60 KB]
- Manual Exhibit 2-3-M: Reconciliation Document [PDF - 81 KB]
- Manual Exhibit 2-3-N: Fiscal Year 2017 CHEF Guidance [PDF - 2829 KB]
- Manual Exhibit 2-3-O: Unmet Need Memo and Tables [PDF - 538 KB]
April 13, 2018
The Acting Director writes to Tribal Leaders to initiate Tribal Consultation on the Indian Health Service Indian Health Manual, Part 6 – Services to Tribal Governments and Organizations, Chapter 3 – Contract Support Costs, specifically, section 6-3.2E(3) – Alternative Methods for Calculating Indirect Costs Associated with Recurring Service Unit Shares (commonly known as the “97/3 Method or 97/3 Split”). [PDF - 110 KB]The Acting Director writes to Tribal Leaders to initiate a Tribal Consultation on the distribution of funding for the Special Diabetes Program for Indians in Fiscal year 2019. [PDF - 106 KB]
February 27, 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 - 92.6 KB]December 29, 2017
The Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide an update on the progress of the Indian Health Service Strategic Planning Workgroup activities and updated timeline on the IHS draft Strategic Plan 2018-2022. [PDF - 95 KB]December 21, 2017
The Acting Director notifies Tribal Leaders about an important policy update to the Indian Health Manual, Part 6 – Services to Tribal Governments and Organizations, Chapter 3 – Contract Support Costs. Effective immediately, the IHS has decided to temporarily rescind section 6-3.2E(3) – Alternative Methods for Calculating Indirect Costs Associated with Recurring Service Unit Shares of the CSC policy. [PDF - 101 KB]November 28, 2017
The Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to share progress to date on the Indian Health Service draft Strategic Plan 2018-2022. [PDF - 94 KB]November 22, 2017
The Acting Director notifies Tribal Leaders that in the spring of 2018 the Indian Health Service (IHS) will initiate a Tribal Consultation on the draft Sanitation Deficiency System-Guide for Report Sanitation Deficiencies for Indian Homes and Communities (SDS Guide). [PDF - 21KB]November 13, 2017
The Acting Director writes to Tribal Leaders to share an update on Indian Health Service actions relating to the Indian Health Care Improvement Fund. [PDF - 150KB]November 8, 2017
The Acting Director writes to Tribal Leaders to provide an update on a recent court ruling related to the eligibility of the Cherokee Freedman of the Cherokee Nation to receive health services from the Indian Health Service and/or tribally operated health programs authorized by the Indian Self-Determination and Education Assistance Act. [PDF - 94 KB]September 22, 2017
The Acting Director writes to Tribal and Urban Indian Organization Leaders to provide information on ways to submit written and in-person comments and provide updates on the formation and role of the IHS Strategic Planning Workgroup. [PDF - 138 KB]