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2010 Letters

October 14, 2020

The Director writes to Tribal Leaders to announce the new solicitation for the fiscal year 2020 Indian Health Service Small Ambulatory Program. The deadline for submitting applications is February 1, 2021. [PDF - 64 KB]

October 14, 2020

The Director notifies Tribal Leaders about a comment period, open through October 21, to request input on the Indian Health Service COVID-19 Pandemic Vaccine Draft Plan. [PDF - 168 KB]

October 4, 2020

The Director writes to Tribal Leaders to inform them that the Indian Health Service (IHS) and the U.S. Department of Veterans Affairs Veterans Health Administration recently amended the national IHS-VA VHA Reimbursement Agreement, which effects direct health care services to eligible American Indian and Alaska Native Veterans at 74 IHS facilities. [PDF - 178 KB]

September 25, 2020

The Director writes to Tribal Leaders to share an "Early Alert" issued by the Department of Health and Human Services Office of Inspector General that identifies a vulnerability that compromises the safety and well-being of Indian children who receive treatment at Tribal health programs operated under Indian Self-Determination and Education Assistance Act agreements with the Indian Health Service. [PDF - 184 KB]

September 21, 2020

The Director writes to Tribal Leaders to initiate Tribal Consultation on the use of $5 million from the fiscal year 2020 appropriations that the Indian Health Service has allotted to support national Community Health Aide Program expansion. [PDF - 564 KB]

September 16, 2020

The Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide updates regarding the Indian Health Service Resource and Patient Management System meeting the 2015 Edition Certification Requirements Published by the Office of the National Coordinator for Health Information Technology. [PDF - 1.36 MB]

September 11, 2020

The Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce the selection of the new Director for the Office of Urban Indian Health Programs. [PDF - 233 KB]

July 2, 2020

The Director writes to Tribal Leaders to initiate Tribal Consultation on the use of approximately $30 million in offset and prior-year funds from the Special Diabetes Program for Indians. [PDF - 311 KB]

May 22, 2020

The Director writes to Tribal Leaders and Urban Indian Organization Leaders to request assistance in identifying priority health professions for inclusion into categories eligible for the IHS Scholarship Program in academic year 2021-2022 and the IHS Loan Repayment Program in fiscal year 2021. Priorities are due to the IHS Scholarship and Loan Repayment Programs by June 15, 2020. [PDF - 240 KB]

May 20, 2020

The Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide several updates about the Special Diabetes Program for Indians. [PDF - 305 KB]

May 19, 2020

The Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce distribution decisions for $750 million in new resources appropriated to the Department of Health and Human Services to support testing and testing related activities in American Indian and Alaska Native communities, authorized by the recent enactment of the Paycheck Protection Program and Health Care Enhancement Act. [PDF - 394 KB]

April 23, 2020

The Director writes to Tribal Leaders and Urban Indian Organization Leaders in follow-up to the April 3, 2020, letter to announce the Indian Health Service final allocation decisions of the remaining resources, authorized by the Coronavirus Aid, Relief, and Economic Security Act, Public Law 116-36. [PDF - 341 KB]

April 3, 2020

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce the creation of a new Indian Health Service Opioid Grant Pilot Program. [PDF - 214 KB]

April 3, 2020

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce the availability of, and distribution decisions for, $600 million in new resources appropriated in the recently enacted Coronavirus Aid, Relief, and Economic Security Act to address coronavirus prevention, preparedness, and response in American Indian and Alaska Native communities. [PDF - 266 KB]

March 27, 2020

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce the availability of and distribution decisions for $134 million in new resources to respond to coronavirus in American Indian and Alaska Native communities. [PDF - 243 KB]

March 4, 2020

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide an update on the Indian Health Service Special Diabetes Program for Indians (SDPI) for the current fiscal year and provide decisions regarding the next SDPI grant cycle. [PDF - 217 KB]

March 2, 2020

The Principal Deputy Director provides Tribal Leaders and Urban Indian Organization Leaders with his decision on the funding mechanism to distribute Indian Health Service behavioral health initiative funding for the Substance Abuse and Suicide Prevention Program, the Domestic Violence Prevention Program, and the Zero Suicide Initiative. [PDF - 238 KB]

March 2, 2020

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce the selection of the new Area Director for the Alaska Area Indian Health Service. [PDF - 210 KB]

February 6, 2020

The Principal Deputy Director notifies Tribal Leaders and Urban Indian Organization Leaders that the HHS Secretary and Assistant Secretary for Health (ASH) have begun to implement Commissioned Corps (Corps) participation in Emergency Support Function #8 activities related to the rapid spread of the 2019 Novel Coronavirus and that the ASH has exercised his authority in Commissioned Corps Directive (CCD) 121.02 "Deployment and Readiness" to deploy Corps officers assigned to HHS Operating and Staff Divisions without supervisory or agency approval. [PDF - 317 KB]

January 22, 2020

The Principal Deputy Director provides Tribal Leaders and Urban Indian Organization Leaders with his decision on the Indian Health Service proposal to reprogram fiscal year 2019 funds for lease cost agreements with Tribes and Tribal Organizations authorized under section 105 (l) of the Indian Self-Determination and Education Assistance Act. [PDF - 401 KB]

December 20, 2019

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce the selection of the new Area Director for the Bemidji Area Indian Health Service. [PDF - 216 KB]

December 2, 2019

The Principal Deputy Director notifies Tribal Leaders and Urban Indian Organization Leaders about the upcoming deadline to file an application for a hardship exception for not having access to certified Health Information Technology. [PDF - 333 KB]

November 27, 2019

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide an update on short-term continuing appropriations for fiscal year 2020 that affect Tribal Health Programs with performance periods starting within the current continuing resolution period for October 1, 2019, through December 20, 2019. [PDF - 278 KB]

November 15, 2019

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to share updates on recent developments associated with modernizing Agency Health Information Technology. [PDF - 226 KB]

October 28, 2019

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce the selection of the Director, Billings Area Indian Health Service. [PDF - 211 KB]

October 2, 2019

The Principal Deputy Director writes to Tribal Leaders to initiate Tribal Consultation on the distribution of funding for the Indian Health Service Special Diabetes Program for Indians in fiscal year 2021. [PDF - 450 KB]

September 4, 2019

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to initiate Tribal Consultation and Urban Confer to seek input on the memorandum of understanding and related performance measures between the Department of Veterans Affairs, Veterans Health Administration and the Department of Health and Human Services, Indian Health Service. [PDF - 239 KB]

August 7, 2019

The Principal Deputy Director writes to Tribal Leaders to announce a new solicitation for the fiscal year 2020 Indian Health Service Joint Venture Construction Program. [PDF - 427 KB]

August 6, 2019

The Principal Deputy Director writes to inform Tribal Leaders of the results of Tribal Consultation on the Indian Health Service Indian Health Manual, Part 6 - Services to Tribal Governments and Organizations, Chapter 3 – Contract Support Costs, section 6-3.2E(3) – Alternative Methods for Calculating Indirect Costs Associated with Recurring Service Unit Shares (also known as the "97/3 Method" or "97/3 Split"). [PDF - 398 KB]

August 2, 2019

The Principal Deputy Director notifies Tribal Leaders and Urban Indian Organization Leaders of a 60-day comment period to seek input on recommendations by the IHS National Tribal Advisory Committee on Behavioral Health based on the input gathered from the initial comment period that closed in August 2018 [PDF - 313 KB]

July 26, 2019

The Principal Deputy Director notifies Tribal Leaders and Urban Indian Organization Leaders that the comment submission deadline for the Opioid Grant Program Tribal Consultation and Urban Confer has been extended until Tuesday, September 3, 2019. Notification is also provided about a Virtual/In-Person Opioid Grant Program Information Session on July 31, 2019, in conjunction with the 16th Annual Direct Service Tribes National meeting. [PDF - 287 KB]

July 5, 2019

The Principal Deputy Director invites Tribal Leaders to provide updated Facility Master Plans and/or other identified health care facility needs to their local IHS Area Facilities Program Director for possible inclusion in the 2021 IHS and Tribal Health Care Facilities' Needs Assessment Report to Congress. [PDF - 219 KB]

July 3, 2019

The Principal Deputy Director updates Tribal Leaders and Urban Indian Organization Leaders on new appointments and updates to the Indian Health Service senior leadership team. [PDF - 237 KB]

June 21, 2019

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to initiate Tribal Consultation and Urban Confer on developing an Indian Health Service Opioid Grant Program to distribute the fiscal year 2019 opioid funding. [PDF - 94 KB]

June 7, 2019

The Principal Deputy Director notifies Tribal Leaders that the deadline to provide comments on a draft Indian Health Service policy to implement, outline, and define a National Community Health Aide Program has been extended until July 8, 2019. [PDF - 244 KB]

May 24, 2019

The Principal Deputy Director writes to Tribal Leaders to provide an update on the Tribal Consultation for the Indian Health Service Sanitation Deficiency System – A Guide for Reporting Sanitation Deficiencies for American Indian and Alaska Native Homes and Communities. [PDF - 94 KB]

May 15, 2019

The Principal Deputy Director writes to Tribal Leaders to provide the results of the Tribal Consultation on the Indian Health Manual (IHM), Part 2--"Services to Indians and Others, Chapter 3 – Purchased/Referred Care" (PRC). [PDF - 206 KB]

May 8, 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]

April 23, 2019

The Principal Deputy Director notifies Tribal Leaders that the Indian Health Service is now accepting applications for the fiscal year 2019 Small Ambulatory Program. [PDF - 93 KB]

March 15, 2019

The Principal Deputy Director writes to inform Tribal Leaders of a training session for the Catastrophic Health Emergency Fund (CHEF) Online Tool. [PDF - 94 KB]

March 12, 2019

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to initiate Tribal Consultation and Urban Confer on short- and long-term options for meeting requirements of the Indian Self-Determination and Education Assistance Act, specifically at 25 U.S.C. § 5324(l), also referred to as "105(l)." [PDF - 191 KB]

February 27, 2019

The Principal Deputy Director announces the release of the Indian Health Service Strategic Plan FY 2019-2023.

[PDF - ]

The Principal Deputy Director notifies Arizona Tribal Leaders that comment submission deadline on the Tribal Consultation seeking comments and recommendations on the implication and feasibility of having the entire state of Arizona designated as a Purchased/Referred Care Delivery Area has been extended until May 15. 2019. [PDF - 190 KB]
The Principal Deputy Director writes to update Tribal and Urban Indian Organization Leaders on the plan for implementing the Resource and Patient Management System (RPMS) electronic Clinical Quality Measures (eCQM) Reporting Tool. [PDF - 189 KB]

February 6, 2019

The Principal Deputy Director updates Nashville Area Tribal Leaders and Urban Indian Leaders on the selection of Dr. Beverly Cotton as Area Director. [PDF - 180 KB]

January 16, 2019

The IHS Principal Deputy Director and HRSA Administrator write to Tribal Leaders and Urban Indian Organization Leaders to announce the availability of $15 million to support loan repayment awards to fully-trained medical, nursing, and behavioral/mental health clinicians, and substance use disorder providers, who provide primary health services in Indian Health Service facilities, tribally-operated 638 health programs, and Urban Indian Organizations. [PDF - 93 KB]

December 20, 2018

The Principal Deputy Director writes to update Tribal Leaders and Urban Indian Organization Leaders on the Indian Health Service Headquarters reorganization. [PDF - 94 KB]

December 11, 2018

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide an update on the mechanism to distribute behavioral health initiative funding. [PDF - 187 KB]

November 20, 2018

The Principal Deputy Director writes to Arizona Tribal Leaders to initiate Tribal Consultation on the Purchased/Referred Care (PRC) Program to perform a detailed analysis of PRC implications and identify the feasibility for the entire State of Arizona to be identified as a Purchased/Referred Care Delivery Area. [PDF - 202 KB]

November 19, 2018

The Principal Deputy Director provides Tribal Leaders and Urban Indian Organization Leaders with an update on the Agency’s progress in certifying the suite of applications that comprise the Indian Health Service Resource and Patient Management System to meet certification criteria and standards specified in the 2015 Edition Health Information Technology published by the Office of the National Coordinator. [PDF – 104KB] [PDF - 104 KB]

October 29, 2018

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide an update on recent developments related to Agency and Departmental initiatives to modernize health information technology infrastructure, applications, and capabilities in use throughout the Indian Health Service, Tribes, and Urban Indian Organizations. [PDF - 212 KB]

October 26, 2018

The Principal Deputy Director writes to Tribal Leaders to express the Indian Health Service’s (IHS) concern about sexual abuse of minors by a former IHS physician. [PDF - 107 KB]

October 4, 2018

The Principal Deputy Director writes to Tribal Leaders to announce a new automated tool for electronically submitting Catastrophic Health Emergency Fund requests. [PDF - 93 KB]

September 24, 2018

The Acting Director provides Tribal Leaders with a copy of the current IHS IT Service Catalog, which includes updated descriptions of the programs, services, functions, and activities carried out by the Headquarters Office of Information Technology and information on how Tribes can access OIT support services. [PDF - 98 KB]

September 15, 2018

The Acting Director writes to update Tribal Leaders and Urban Indian Organization Leaders on progress in resolving denied pharmacy claims from Pharmacy Benefit Manager CVS/Caremark. [PDF - 93 KB]

September 14, 2018

The Acting Director writes to inform Tribal Leaders and Urban Indian Organization Leaders of his decision on the IHS proposal to reprogram a portion of the fiscal year (FY) 2018 funding increase appropriated for inflation to fund lease cost agreements authorized under section 105(l) of the Indian Self-Determination and Education Assistance Act, and provides a summary of comments received. [PDF - 93 KB]

August 17, 2018

The Acting Director writes to Tribal Leaders to provide his decisions on the fiscal year 2018 Indian Health Care Improvement Fund formula. [PDF - 196 KB]

August 1, 2018

The Acting Director notifies Tribal Leaders and Urban Indian Organization Leaders that the deadline to submit comments on the funding mechanism to distribute behavioral health initiatives that are currently distributed through grants has been extended until August 17, 2018. [PDF - 115 KB]

August 1, 2018

The Acting Director notifies Tribal Leaders that the deadline to submit comments on the IHS Sanitation Deficiency System (SDS) – A Guide for Reporting Sanitation Deficiencies for American Indian and Alaska Native Homes and Communities has been extended until September 14, 2018. [PDF - 187 KB]

July 24, 2018

The Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce a 30-day comment period on the Draft IHS Strategic Plan Fiscal Years 2018-2022. [PDF - 93 KB]

July 23, 2018

The Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide an update on Indian Health Service regulatory reform activities. [PDF - 141 KB]

July 12, 2018

The Acting Director updates Tribal Leaders with his decisions on the fiscal year 2019 funding distribution for the Indian Health Service Special Diabetes Program for Indians. [PDF - 91 KB]

July 10, 2018

The Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to initiate Tribal Consultation and Urban Confer on an impending funding decision that impacts a portion of the Agency’s inflation funding increases received in the IHS fiscal year 2018 appropriation to meet requirements of the Indian Self-Determination and Education Assistance Act, specifically at 25 U.S.C. § 5324(l), also referred to as “105(l).” [PDF - 190 KB]

July 6, 2018

The Acting Director writes to notify Tribal Leaders that the deadline for submitting comments on the draft Purchased/Referred Care (PRC) Chapter has been extended until Monday, August 6, 2018. [PDF - 130 KB]

July 2, 2018

The Acting Director writes to Tribal Leaders to initiate Tribal Consultation on proposed updates to the Sanitation Deficiency System – A Guide for Reporting Sanitation Deficiencies for American Indian and Alaska Native Homes and Communities [PDF - 101 KB]

June 29, 2018

The Acting Director informs Tribal Leaders that the Indian Health Service (IHS) and Department of Veterans Affairs recently amended its agreement for reimbursement for direct health care services to eligible American Indian and Alaska Native Veterans at 77 IHS facilities. [PDF - 547 KB]

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]

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]
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]

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]

September 15, 2017

The Acting Director writes to Tribal and Urban Indian Organization leaders to initiate a Tribal Consultation and Urban Confer on the Indian Health Service Strategic Plan. [PDF - 94 KB]

August 25, 2017

The Acting Director writes to notify Tribal Leaders that the Indian Health Service is accepting applications for the Small Ambulatory Program. [PDF - 92KB]

July 26, 2017

The Acting Director notifies Tribal and Urban Indian Organization Leaders that two listening sessions have been added to seek further input and recommendations on how best to modernize and improve our Resource and Patient Management System Electronic Health Record. [PDF - 149 KB]

July 21, 2017

The Acting Director provides Great Plains Area Tribal and Urban Indian Organization Leaders with a report on the 2016 Indian Health Service Tribal Consultation and Urban Confer related to the Organization and Structure of the Great Plains Area IHS. [PDF - 118 KB]

July 14, 2017

The Acting Director invites Tribal Leaders to attend the 14th Annual Direct Service Tribes National Meeting on August 2-3, 2017, in Danvers, Massachusetts. [PDF - 468 KB]

June 28, 2017

The Acting Director writes to Tribal and Urban Indian Organization Leaders to initiate a 45-day Tribal Consultation and Urban Confer on a draft Indian Health Service Headquarters Information Technology Service Catalog. [PDF - 166 KB]

June 26, 2017

The Acting Director writes to Tribal and Urban Indian Organization Leaders to announce two listening sessions related to the Resource and Patient Management System Electronic Health Record. [PDF - 946 KB]
The Acting Director writes to Tribal Leaders to encourage them to update the Facilities Engineering Deficiency System Database by September 1. [PDF - 761 KB]

June 23, 2017

The Acting Director writes to invite Tribal Leaders and Urban Indian Organization Leaders to attend the upcoming Indian Health Service Listening Session on Behavioral Health, being held during the 2017 American Indian and Alaska Native (AI/AN) National Behavioral Health Conference. The Listening Session is scheduled for the morning of Tuesday, August 15. [PDF - 245 KB]

May 10, 2017

The Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide updates on several important Indian Health Service behavioral health initiatives. [PDF - 142 KB]

May 2, 2017

The Acting Director updates Tribal Leaders and Urban Indian Organization Leaders on efforts by the Indian Health Service to combat the opioid epidemic facing American Indian and Alaska Native communities. [PDF - 118 KB]

April 26, 2017

The Acting Director notifies Tribal Leaders that the IHS has launched a series of five video training modules for Contract Support Costs to compliment the updated IHS CSC policy. [PDF - 496 KB]

March 28, 2017

The Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to address the perception that the IHS is returning a significant amount of unused money to the United States Treasury each year. [PDF - 842 KB]

March 8, 2017

The Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide an update on systems enhancements related to the use of electronic prescriptions for controlled substances. [PDF - 106 KB]

February 10, 2017

The Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to share an update on the status of the exemption of certain Indian Health Service positions from the Federal civilian hiring freeze as provided by the Office of Management and Budget's guidance memoranda. [PDF - 100 KB]

January 17, 2017

The Principal Deputy Director writes to Tribal Leaders to share an exciting update on work with the U.S. Department of Veterans Affairs to improve the health status of American Indian and Alaska Native Veterans. [PDF - 56 KB]

January 6, 2017

The Principal Deputy Director writes to Tribal Leaders to announce that the Indian Health Service (IHS) recently signed and Interagency Agreement with the U.S. Department of Veterans Affairs (VA) authorizing the IHS to use the VA Veterans Health Administration's Consolidated Mail Outpatient Pharmacy (CMOP). [PDF - 727 KB]

January 4, 2017

The Principal Deputy Director writes to Tribal Leaders to provide an update to the June 1, 2016, letter which initiated a Tribal Consultation on the Indian Health Service draft policy statement on creating a national IHS Community Health Aide Program.

[PDF - 102 KB]

December 27, 2016

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to highlight some of the major actions that have taken place over the past 10 months. [PDF - 124 KB]

December 13, 2016

The Principal Deputy Director writes to Tribal Leaders to follow-up on the World Cafe hosted in Phoenix, Arizona on October 9, 2016, and the letter to Tribal Leaders on October 31, 2016, providing a summary report of the ideas and recommendations generated during the World Cafe. [PDF - 686 KB]

November 16, 2016

The Principal Deputy Director writes to Tribal Leaders and Urban Indian Organization Leaders to provide the final 2016-2017 Quality Framework and Implementation Plan. [PDF - 683 KB]

November 15, 2016

The Principal Deputy Director notifies Tribal Leaders and Urban Indian Organization Leaders that the deadline to provide comments on the Proposed Headquarters Realignment has been extended until January 13, 2017. [PDF - 836 KB]

October 31, 2016

The Principal Deputy Director updates Tribal Leaders on the workforce recommendations generated during the World Café Forum held on October 9th, in Phoenix, Arizona. [PDF - 102 KB]

October 27, 2016

The Principal Deputy Director writes to Tribal Leaders to announce that the Indian Health Service (IHS) has updated its Contract Support Costs (CSC) policy. [PDF - 187 KB]

October 12, 2016

The Principal Deputy Director writes to Tribal and Urban Indian Organization Leaders to provide updates to an October 5 letter about a proposed realignment of IHS Headquarters.

[PDF - 93 KB]

October 5, 2016

The Principal Deputy Director writes to Tribal Leaders about a proposed realignment of IHS Headquarters offices and a 30-day comment period that is open for input.

[PDF - 53 KB]

October 5, 2016

The Principal Deputy Director writes to inform Tribal Leaders that on Sunday, October 9, the Indian Health Service (IHS) will host a Tribal Advisory meeting in conjunction with the Direct Service & Contract Tribes Advisory Committee (DSTAC) and Tribal Self-Governance Advisory Committee (TSGAC). The Joint Advisory meeting will be held at the Phoenix Convention Center, located in Phoenix, Arizona. [PDF - 187 KB]

October 4, 2016

The Principal Deputy Director writes to inform Phoenix Area Tribal Leaders and Urban Indian Organization Leaders that on October 13, the Indian Health Service (IHS) will hold a Tribal Consultation and Urban Confer meeting at the Phoenix Area Office. [PDF - 49 KB]

September 16, 2016

The Principal Deputy Director writes to Tribal and Urban Indian Organization Leaders in the Great Plains Area to inform them that the comment and confer period on the Organization and Structure of the Great Plains Area has been extended [PDF - 97 KB]

September 15, 2016

The Principal Deputy Director writes to Tribal Leaders to inform them that the comment period for the Quality Framework has been extended. [PDF - 30.7 KB]

August 21, 2016

The Principal Deputy Director writes Tribal Leaders to request views and comments on the enclosed Fiscal Year 2015 Report to Congress on Administration of the Indian Health Service (IHS) Tribal Self-Governance Program. [PDF - 102 KB]

July 29, 2016

The Principal Deputy Director writes Tribal Leaders to provide an update to the July 18 letter regarding the draft Circular that addresses the purchase of health care coverage, which is commonly referred to as Tribal Premium Sponsorship. [PDF - 53 KB]

July 29, 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]

July 29, 2016

The Principal Deputy Director writes Tribal Leaders to provide an update to the June 1, Tribal Leader Letter on the Proposed Rule for the Catastrophic Health Emergency Fund (CHEF). [PDF - 39 KB]

July 22, 2016

The Principal Deputy Director writes to update Tribal Leaders on the Indian Health Service (IHS) Special Diabetes Program for Indians (SDPI) and its fiscal year (FY) 2016 Community-Directed (C-D) grant application process. [PDF - 48 KB]

July 22, 2016

The Principal Deputy Director writes to Tribal Leaders to announce an opportunity for small businesses owners and operators in your communities, and individuals from your communities who are interested in starting their own businesses, to learn about pursuing contracting opportunities with the Department of Health and Human Services and other federal agencies. [PDF - 44 KB]

July 20, 2016

The Principal Deputy Director writes to Tribal Leaders about an exciting new Pilot to increase Medicaid and Medicare enrollment of IHS patients at six health facilities in four states. [PDF - 34 KB]

July 20, 2016

The Principal Deputy Director writes to Tribal Leaders to initiate a 60-day Tribal consultation on a draft Quality Framework. [PDF - 671 KB]

July 18, 2016

The Principal Deputy Director writes to Tribal Leaders to request comments and recommendations on a draft Circular to address the purchase of health care coverage. [PDF - 39 KB]

June 29, 2016

The Principal Deputy Director writes to inform Tribal and Urban leaders of a tribally-requested date change for the first onsite Tribal Consultation and Urban Confer Session on the organization and structure of the IHS Great Plains. [PDF - 2 MB]

June 15, 2016

The Principal Deputy Director writes Tribal Leaders to provide an update on the Indian Health Service's strategy to improve quality health care delivery for American Indians and Alaska Natives. [PDF - 721 KB]

June 10, 2016

The Principal Deputy Director invites Tribal Leaders to attend the 13th Annual Direct Service Tribes National Meeting and 6th Annual Great Plains Tribal Chairmen's Health Board Health Summit. [PDF - 102 KB]

June 9, 2016

The Principal Deputy Director writes to Tribal Leaders to provide an update to the April 1, 2016, letter requesting input on the Fiscal Year 2016 $10 million increase for Generation Indigenous Initiative Support, part of the Substance Abuse and Suicide Prevention Program. [PDF - 27 KB]

June 2, 2016

The Principal Deputy Director writes to Great Plains Area Tribal Leaders about the June 3, 2016-dated Federal Register Notice for the opening of a 90-day comment period to request written comments by Tribes, Tribal Organizations, and Urban Indian Organizations located in the Great Plains Area on the structure of the IHS Great Plains Area. [PDF - 539 KB]

June 1, 2016

The Principal Deputy Director writes to Tribal Leaders to provide an update on the Proposed Rule for the Catastrophic Health Emergency Fund. [PDF - 35 KB]

June 1, 2016

The Principal Deputy Director writes to consult with Tribal Leaders on a draft policy statement that proposes an expansion in the use of community health aides at Indian Health Service (IHS) facilities across the country. [PDF - 77 KB]

May 24, 2016

Principal Deputy Director writes Tribal Leaders regarding Purchased/Referred Care rates [PDF - 26 KB]

April 21, 2016

The Principal Deputy Director writes to inform Albuquerque Area Tribal Leaders and Urban Indian Organization Leaders that on April 18, the Indian Health Service (IHS) held a conference call with Tribes and Tribal Organizations to discuss and consult with you about the Senior Executive Service (SES) search process to fill vacant IHS Area Director positions. [PDF - 590 KB]

April 21, 2016

The Principal Deputy Director writes to inform Navajo Area Tribal Leaders and Urban Indian Organization Leaders that on April 18, the Indian Health Service (IHS) held a conference call with Tribes and Tribal Organizations to discuss and consult with you about the Senior Executive Service (SES) search process to fill vacant IHS Area Director positions. [PDF - 590 KB]

April 21, 2016

The Principal Deputy Director writes to inform Phoenix Area Tribal Leaders and Urban Indian Organization Leaders that on April 18, the Indian Health Service (IHS) held a conference call with Tribes and Tribal Organizations to discuss and consult with you about the Senior Executive Service (SES) search process to fill vacant IHS Area Director positions. [PDF - 615 KB]

April 11, 2016

The Principal Deputy Director writes to notify Tribal Leaders that effective April 11, 2016, a Tribal Consultation opens for a 60-day period to consult with American Indian and Alaska Native Tribes and Tribal Organizations on the Indian Health Service Contract Support Costs Policy [PDF - 52 KB]

April 1, 2016

The Principal Deputy Director informs Tribal Leaders that the Methamphetamine and Suicide Prevention Initiative has been renamed the Substance Abuse and Suicide Prevention program. She also requests input on several consultation topics.

[PDF - 132 KB]

April 1, 2016

The Principal Deputy Director informs Tribal Leaders that the Methamphetamine and Suicide Prevention Initiative has been renamed the Substance Abuse and Suicide Prevention program. She also requests input on several consultation topics. [PDF - 125 KB]

April 1, 2016

The Principal Deputy Director writes to Tribal Leaders to provide an update on our consultation on the Indian Health Service Contract Support Costs policy [PDF - 106 KB]

February 8, 2016

The Principal Deputy Director writes to Tribal Leaders regarding a new partnership between the Indian Health Service and the Bureau of Indian Affairs to reduce opioid overdoses among American Indian and Alaska Native people. [PDF - 26 KB]

January 7, 2016

The Principal Deputy Director writes to initiate a consultation on the Indian Health Service (IHS) Contract Support Costs (CSC) policy. [PDF - 172 KB]

December 14, 2015

The Principal Deputy Director writes to Tribal Leaders to inform them that effective December 13, 2015, the Indian Health Service (IHS) has established a new Deputy Director position to oversee and focus the agency on improving quality improvement practices across the IHS. [PDF - 34 KB]

October 16, 2015

The Principal Deputy Director writes to Tribal Leaders to inform them that the Indian Health Service Headquarters offices are moving. [PDF - 22 KB]

September 23, 2015

The Deputy Director writes Tribal Leaders to inform them of a major change to annual performance reporting for the Indian Health Service. In fiscal year 2016, the IHS plans to begin preparations to implement the Integrated Data Collection System Data Mart, a new reporting mechanism within the National Data Warehouse. [PDF - 48 KB]

July 29, 2015

The Deputy Director writes to Tribal Leaders to provide an update to a May 22 letter regarding a Settlement that Indian Health Service reached with Employee Unions. [PDF - ]

June 29, 2015

Mr. McSwain provides Tribal Leaders with his decisions on the fiscal year 2016 funding distribution and formula for the Indian Health Service Special Diabetes Program for Indians. [PDF - 47 KB]

June 22, 2015

Mr. McSwain writes to Tribal Leaders to provide an update on how the IHS will move forward with MSPI and DVPI over the next five years. [PDF - 65 KB]

May 22, 2015

Mr. McSwain writes to Tribal Leaders to provide an update on Contract Support Costs. [PDF - 39 KB]

May 22, 2015

Mr. McSwain writes to inform Tribal Leaders of a settlement that the Indian Health Service (IHS) has reached with employee unions. [PDF - 84 KB]

April 8, 2015

Mr. McSwain writes Tribal Leaders to request input in identifying Tribe's top five health care facilities construction needs per the recommendation of the Facilities Appropriation Advisory Board (FAAB). [PDF - 28 KB]

March 19, 2015

Mr. McSwain writes to Tribal Leaders to initiate a Tribal Consultation on the distribution of funding for the Special Diabetes Program for Indians in fiscal year (FY) 2016. [PDF - 42 KB]

March 12, 2015

Mr. McSwain writes Tribal Leaders to review and comment on the Indian Health Service (IHS) Multi-Purpose Agreement (MPA). [PDF - 30 KB]

February 9, 2015

Dr. Roubideaux writes Tribal Leaders to initiate a Tribal consultation on the proposal to reclassify contract support costs funding as mandatory, rather than discretionary, starting with the fiscal year 2017 appropriation. [PDF - 52 KB]

February 6, 2015

Dr. Roubideaux writes Tribal Leaders to request input on the funding distribution for the Methamphetamine and Suicide Prevention Initiative and the Domestic Violence Prevention Initiative. [PDF - 108 KB]

February 6, 2015

Dr. Roubideaux writes to update Tribal Leaders on the status and plans for the International Classification of Disease, Revision 10 initiative for Indian Health Service, Tribal and Urban Indian health programs. [PDF - 49 KB]

January 22, 2015

Dr. Roubideaux writes to Tribal Leaders to provide an update on Contract Support Costs [PDF - 48 KB]

January 7, 2015

Dr. Roubideaux writes to Tribal Leaders to introduce new “on-line and on-demand” Community Health Representative Training [PDF - 30 KB]

October 30, 2014

Dr. Roubideaux updates Tribal Leaders on recent accomplishments and plans for the Indian Health Service Resource and Patient Management System (RPMS). [PDF - 42 KB]

October 2, 2014

Dr. Roubideaux writes to inform Tribal Leaders of the Announcement made last week by HHS Secretary Sylvia Burwell that individuals eligible to receive health care from an Indian Health Service, Tribal, or Urban Indian health care provider will be able to claim an exemption from the shared responsibility payment through the tax filing process starting with the 2014 tax year. [PDF - 23 KB]

September 29, 2014

Dr. Roubideaux writes to Urban Indian Organization Leaders to provide an update on our work to develop a policy on conferring with Urban Indian Organizations (UIOs) [PDF - 544 KB]
Dr. Roubideaux writes to Tribal Leaders to provide an update on our work to develop a policy on conferring with Urban Indian Organizations (UIOs) [PDF - 540 KB]

September 2, 2014

Dr. Roubideaux writes to Tribal Leaders to provide an update on Fiscal Year 2014 Contract Support Costs. [PDF - 65 KB]

August 1, 2014

Dr. Roubideaux writes to Tribal Leaders to announce a new application cycle for the Indian Health Service Joint Venture Construction Program. [PDF - 27 KB]

May 27, 2014

Dr. Roubideaux writes Tribal Leaders to provide an update on the Fiscal Year 2014 funding distribution of the Methamphetamine and Suicide Prevention Initiative and the Domestic Violence Prevention Initiative. [PDF - 24 KB]

May 15, 2014

Dr. Roubideaux writes to Tribal Leaders to request views and comments on the Fiscal Year 2012 and Fiscal Year 2013 Reports to Congress on Administration of the Self-Governance Program. [PDF - 31 KB]

May 12, 2014

Dr. Roubideaux writes to Tribal Leaders to provide an update on Contract Support Costs. [PDF - 98 KB]

May 9, 2014

Dr. Roubideaux writes to Tribal Leaders to provide an update on the Special Diabetes Program for Indians. [PDF - 25 KB]

April 2, 2014

Dr. Roubideaux and Assistant Secretary of Indian Affairs, Kevin Washburn, write to Tribal Leaders to inform them of an additional consultation on Contract Support Costs as it relates to the Fiscal Year 2014 Consolidated Appropriations Act [PDF - 39 KB]

March 6, 2014

Dr. Roubideaux writes to Tribal Leaders to notify them of her plan to schedule and personally attend listening sessions in all 12 Indian Health Service Areas this year. [PDF - 26 KB]

February 27, 2014

Dr. Roubideaux writes to Tribal Leaders to request input on the future funding distribution of the Methamphetamine and Suicide Prevention Initiative (MSPI) and the Domestic Violence Prevention Initiative. [PDF - 156 KB]

February 18, 2014

Dr. Roubideaux writes to Tribal Leaders to provide an update on the Indian Health Service Tribal Consultation activities in follow-up to the August 2, 2012 letter. [PDF - 28 KB]

February 12, 2014

Dr. Roubideaux and Assistant Secretary – Indian Affairs, Kevin Washburn write to Tribal leaders to initiate a consultation on Contract Support Costs as it relates to the Fiscal Year 2014 Consolidated Appropriations Act. [PDF - 55 KB]

January 13, 2014

Dr. Roubideaux notifies Tribal Leaders that the IHS has formally changed the name of the Aberdeen Area IHS to the Great Plains Area IHS effective January 10, 2014. [PDF - 25 KB]

December 20, 2013

Dr. Roubideaux writes to Tribal Leaders to initiate consultation on the distribution of funding for the Special Diabetes Program for Indians in fiscal year 2015. [PDF - 62 KB]

December 6, 2013

Dr. Roubideaux writes to Tribal Leaders to request input on rates charged for physician and other health care professional services purchased by Indian health programs and medical charges associated with non-provider-based care. [PDF - 80 KB]

September 25, 2013

Dr. Roubideaux invites Tribal Leaders to attend the upcoming 2013 Indian Health Service Tribal Consultation Virtual Summit scheduled for October 9-10, 2013 [PDF - 43 KB]

September 9, 2013

Dr. Roubideaux writes to Tribal Leaders to provide an update on Contract Support Costs [PDF - 551 KB]

August 8, 2013

Dr. Roubideaux writes to Tribal Leaders to request comments on Community Health Representatives training. [PDF - 21 KB]

August 8, 2013

Dr. Roubideaux writes to inform Tribal Leaders about the resolution of a coordination of benefits issue related to emergency care provided to eligible American Indian and Alaska Native veterans. [PDF - 39 KB]

June 19, 2013

Dr. Roubideaux writes to Tribal Leaders to provide an update on the Special Diabetes Program for Indians [PDF - 25 KB]

June 12, 2013

Dr. Roubideaux writes to Tribal Leaders to provide an update on Contract Supports Costs. [PDF - 70 KB]

May 6, 2013

Dr. Roubideaux writes to update Tribal Leaders on the ongoing Tribal consultation to improve the Indian Health Service Contract Health Services program. [PDF - 51 KB]

May 6, 2013

Dr. Roubideaux requests input on the FY 2013 funding distribution of the Methamphetamine and Suicide Prevention Initiative (MSPI) and the Domestic Violence Prevention Initiative (DVPI). [PDF - 29 KB]

March 26, 2013

Dr. Roubideaux writes to Tribal leaders to provide an update on contract support costs as a follow up to the September 24, 2012 and January 14, 2013 Tribal leader letters [PDF - 27 KB]

March 22, 2013

Dr. Roubideaux request comments from Tribal Leaders on the draft revised Indian Health Service policy on Sexual Assault, Part 3 - Chapter 29 of the IHS Indian Health Manual. [PDF - 192 KB]

January 15, 2013

Dr. Roubideaux provides an update on Contract Health Services (CHS) Program increases for referrals for prevention services as a follow-up to the Tribal Leader Letter dated August 2, 2012. [PDF - 26 KB]

January 14, 2013

Dr. Roubideaux provides an update on contract support costs (CSC) as a follow-up to the Tribal Leader Letter dated September 24, 2012 [PDF - 55 KB]

January 11, 2013

Dr. Roubideaux invites Tribal Leaders to attend the upcoming Indian Health Service (IHS) Listening Session on the draft Policy on Conferring with Urban Indian Organizations on January 22, 2013 at Rockville, Maryland. [PDF - 26 KB]
Dr. Roubideaux updates Tribal Leaders on the IHS Office of Information Technology (OIT) Programs, services, functions, and activities (PSFAs) and the Draft OIT Tribal Shares Improvement Plan. [PDF - 20 KB]

December 19, 2012

Dr. Roubideaux provides an update on the Indian Health Service budget. [PDF - 40 KB]

November 27, 2012

Dr. Roubideaux invites Tribal Leaders to attend the upcoming Listening Session Scheduled for Thursday, December 6, 2012 at the Department of Health and Human Services, in the the Great Hall of the Hubert H. Humphrey Buidling, Washington, D.C. [PDF - 26 KB]

October 12, 2012

Dr. Roubideaux writes to Tribal Leaders to inform them that she has extended the due date for comments on the Fiscal Year 2011 Report to Congress on Administration of the Tribal Self-Governance Program. [PDF - 26 KB]

September 24, 2012

Dr. Roubideaux provides an update to Tribal Leaders regarding contract support costs. [PDF - 46 KB]

August 20, 2012

Dr. Roubideaux writes to Tribal Leaders to request views and comments on the Fiscal Year 2011 Report to Congress on Administration of the Tribal Self-Governance Program. [PDF - 26 KB]

August 2, 2012

Dr. Roubideaux requests input from Tribal Leaders on how to improve the promotion of and access to Traditional Health Care Practices within the Indian Health Service. [PDF - 25 KB]
Dr. Roubideaux writes to Tribal Leaders to initiate a consultation on whether there should be a set aside of Contract Health Services program increases for prevention services [PDF - 26 KB]
Dr. Roubideaux writes to update Tribal Leaders on funding for the Indian Health Service Contract Health Services program. [PDF - 56 KB]
Dr. Roubideaux writes Tribal Leaders to provide an update on the Indian Health Service consultation on the Federal Advisory Committee Act (FACA). [PDF - 32 KB]
Dr. Roubideaux writes Tribal Leaders to provide an update on Indian Health Service Tribal consultation activities over the past few years. [PDF - 42 KB]

July 26, 2012

Dr. Roubideaux writes to Tribal Leaders to provide an update on progress on agency priorities and efforts to change and improve the Indian Health Service. [PDF - 30 KB]
Dr. Roubideaux writes Tribal Leaders to request consultation regarding amendments to the Indian Health Care Improvement Reauthorization and Extension Act of 2009 enacted by the Affordable Care Act [PDF - 27 KB]

July 13, 2012

Dr. Roubideaux writes to Tribal Leaders to provide an update on the progress of ongoing Tribal consultation related to the Indian Health Service Office of Information Technology programs, services, functions, and activities, and to request comments on [PDF - 33 KB]
Dr. Roubideaux writes to Tribal Leaders inviting them to attend the upcoming 2012 Indian Health Service (IHS) Tribal Consultation Summit scheduled for August 7-8, 2012 at the Denver Marriot City Center in Denver, CO. [PDF - 25 KB]

July 3, 2012

Dr. Roubideaux writes to Tribal Leaders to request their input on how to improve the Indian Health Service health care facilities construction process. [PDF - 88 KB]

May 29, 2012

Dr. Roubideaux updates Tribal Leaders on ongoing Tribal consultation to improve the Indian Health Service Contract Health Services program [PDF - 20 KB]

May 4, 2012

Dr. Roubideaux updates Tribal Leaders on the status of efforts to develop a Data Sharing Agreement template between Tribal Epidemiology Centers and the Indian Health Service [PDF - 20 KB]

May 1, 2012

Dr. Roubideaux writes Tribal Leaders to provide an update on the Indian Health Service ongoing consultation on Contract Support Costs [PDF - 25 KB]

April 5, 2012

Dr. Roubideaux and Dr. Robert Petzel write to continue consultation to facilitate the Department of Veteran Affairs (VA) reimbursement for direct care services provided by the Indian Health Service (IHS) and Tribal health facilities to eligible Ameri [PDF - 83 KB]

March 5, 2012

Dr. Roubideaux and Dr. Robert Petzel write to initiate consultation to facilitate the Department of Veterans Affairs (VA) reimbursement for services provided by the Indian Health Service (IHS) and Tribal health facilities to eligible American Indian [PDF - 107 KB]

March 2, 2012

Dr. Roubideaux writes Tribal Leaders to request input on selected issues related to Contract Support Costs [PDF - 25 KB]
Dr. Roubideaux writes to invite Tribal Leaders to attend the upcoming 2012 Indian Health Service (IHS) Tribal Consultation Summit on March 13-14, 2012 at the Renaissance Arlington Capital View Hotel in Arlington, Virginia [PDF - 24 KB]

February 2, 2012

Dr. Roubideaux writes to clarify the Agency’s position on the Federal Advisory Committee Act (FACA), and to request further input on this topic [PDF - 41 KB]

January 6, 2012

Dr. Roubideaux writes to Tribal Leaders to initiate a consultation on implementing long-term care provisions arising from the Indian Health Care Improvement Reauthorization and Extension Act of 2009 (IHCIA) [PDF - 31 KB]

November 25, 2011

Dr. Roubideaux writes to Tribal Leaders to inform them of her decisions on issues related to IHS consultation on the Indian Health Care Improvement Fund and its formula [PDF - 62 KB]

November 9, 2011

Dr. Roubideaux writes Tribal Leaders to begin a formal consultation with Tribes regarding issues surrounding the Federal Advisory Committee Act [PDF - 124 KB]

October 11, 2011

Dr. Roubideaux writes to tribal leaders to begin a formal consultation on the 2007 Contract Support Cost Policy [PDF - 22 KB]

September 2, 2011

Dr. Roubideaux shares with tribal leaders an important update on the progress of the Indian Health Service, in conjunction with Tribal and Urban partners, in developing Agency behavioral health strategic plans [PDF - 32 KB]

July 5, 2011

Dr. Roubideaux writes Tribal Leaders with an update on the progress of our efforts to implement the reauthorization of the Indian Health Care Improvement Act (IHCIA) [PDF - 22 KB]

June 6, 2011

Indian Health Service Chief Medical Officer Dr. Susan Karol responds to an increasing number of inquiries from patients and health care providers regarding the legality and prudence of using medical marijuana. [PDF - 2 MB]

May 5, 2011

Dr. Roubideaux writes to Tribal Leaders with an update on several provisions that had deadlines as of the one year anniversary of the Affordable Care Act and the Reauthorization of the Indian Health Care Improvement Act. [PDF - 41 KB]

May 2, 2011

Dr. Roubideaux writes to Tribal Leaders regarding her decision on the 2-year extension of the Special Diabetes Program for Indians as passed in H.R. 4994, the Medicare and Medicaid Extenders Act of 2010. [PDF - 22 KB]

March 28, 2011

Dr. Roubideaux writes to Tribal Leaders requesting consultation regarding sections 17 and 25 of the Tribal Law and Order Act of 2010 (TLOA), Public Law 111-211, Sexual Assault. [PDF - 725 KB]

January 25, 2011

Dr. Roubideaux writes to initiate a consultation on the recent extension of the Special Diabetes Program for Indians (SDPI) as passed in H.R. 4994, the Medicare and Medicaid Extenders Act of 2010 [PDF - 147 KB]

January 24, 2011

Dr. Roubideaux writes to update Tribal Leaders on activities that the Indian Health Services (IHS) is undertaking to implement Section 130 of the Indian Health Care Improvement Act – Tribal Epidemiology Centers [PDF - 90 KB]

January 4, 2011

A jointly signed letter from the Administrator of HRSA and the Director of IHS to update Tribal Leaders on the collaborations between the two Agencies [PDF - 43 KB]

December 30, 2010

Dr. Roubideaux writes to initiate a consultation on the Indian Health Care Improvement Fund (IHCIF) and its formula [PDF - 225 KB]

November 12, 2010

Department of Veterans Affairs and the Indian Health Service have signed a comprehensive and far-reaching Memorandum of Understanding aimed at improving the health status of American Indian and Alaska Native Veterans [PDF - 40 KB]
The Department of Interior and Department of Health and Human Services writes to inform Tribal Leaders of a combined effort to prepare a national Suicide Awareness Conference to occur early next year [PDF - 60 KB]

October 27, 2010

Dr. Roubideaux writes to update Tribal Leaders on the IHS Director’s Tribal Advisory Workgroup and their recommendations to improve the Tribal consultation process [PDF - 38 KB]

August 16, 2010

Dr. Roubideaux updates Tribal Leaders on the Agency actions related to Health Information Technology [PDF - 38 KB]

July 20, 2010

Dr. Roubideaux writes Tribal Leaders about the ongoing consultations to improve the Indian Health Service contract health services program [PDF - 30 KB]

June 8, 2010

Dr. Roubideaux informs the Tribal Leaders of the FY 2010 Contract Health Services Appropriation [PDF - 33 KB]

April 14, 2010

Dr. Roubideaux writes Tribal Leaders on the progress of the Indian Health Service Director's Area Tribal Listening Sessions [PDF - 27 KB]

March 19, 2010

Dr. Roubideaux informs Tribal Leaders of the United States Government Accountability Office study of the Indian Health Service's Contract Health Services program [PDF - 24 KB]

February 16, 2010

Dr. Roubideaux notifies Tribal Leaders about updates the "Director's Corner" on the Indian Health Service web site [PDF - 28]

January 15, 2010

Dr. Roubideaux request Tribal input on recommendations on how to improve IHS' Tribal consultation process [PDF - 44 KB]
Dr. Roubideaux writes to Tribal Leaders to begin consultation on how to reform the Indian Health Service contract health services program [PDF - 40 KB]

December 16, 2009

Co-signed letter to Tribal Leaders regarding collaborative efforts between the Indian Health Service and Health Resources and Services Administration to ensure access to culturally competent, quality care [PDF - 39 KB]
Dr. Roubideaux notifies Tribal Leaders of her decision on the allocation of funding appropriated by the Omnibus Appropriations Act, to support a national effort to addrress domestic violence and sexual assualt within American Indian and Alaska Native comm [PDF - 42 KB]

September 14, 2009

Tribal Leader Letter regarding Interconnect Security Agreement [PDF - 31 KB]

September 10, 2009

Tribal Leader letter clarifying decisions reached March 30, 2009 regarding Special Diabetes Program for Indians [PDF - 45 KB]

September 4, 2009

Dr. Roubideaux writes to Tribal Leaders about bringing reform to the IHS and asks that Tribes provide input on their top three priorities [PDF - 28 KB]

August 13, 2009

Dr. Roubideaux writes Tribal Leaders about improving the process for Tribal Consultation [PDF - 25 KB]

June 2, 2009

Dr. Roubideaux writes to share her Priority Areas and ask for participation in the National debate on Health Reform [PDF - 31 KB]

June 1, 2009

Tribal Leader letter regarding the 500 million the Indian Health Service received through the American Recovery and Reinvestment Act of 2009 [PDF - 29 KB]

August 18, 2008

Upcoming grant opportunity that has come about through collaboration between the Indian Health Service and the National Institutes of Health for funding to create Native American Research Centers for Health (NARCH) [PDF - 152 KB]

August 28, 2002

Memorandum Of Understanding Between The Department Of Health And Human Services Of The Government Of The United States And Health Canada Of The Government Of Canada [PDF - 34 KB]

July 30, 2002

Indian Health Service Alcohol & Substance Abuse National Consultation [PDF - 31 KB]

July 3, 2002

Decision on Diabetes Funding For Fiscal Year 2003 [PDF - 53 KB]

July 3, 2002

The Indian Health Service Transition Letter [PDF - 26 KB]

June 28, 2002

Letter To Tribal Leaders Regarding the Restructuring Initiative Workgroup [PDF - 30 KB]
"Transitions 2002 - A 5-Year Plan Initiative to Restructure Indian Health" A Preliminary Report Submitted To IHS For Consideration [PDF - 29 KB]

May 2, 2002

Distribution Of The $15 Million Increase For Alcohol Programs For Fiscal Year 2002 [PDF - 40 KB]

April 15, 2002

The Establishment Of The Indian Health Service Headquarters Audit Review Team (HART) [PDF - 31 KB]

February 20, 2002

Invitation to Tribal Leaders to participate in President Bush's Initiative To expand health centers [PDF - 67 KB]

February 11, 2002

The Re-Establishment Of The Business Plan Workgroup [PDF - 62 KB]

January 30, 2002

Announcement Of Tribal And Federal Representatives Who Will Serve As Members On The Restructuring Initiative Workgroup [PDF - 53 KB]

December 31, 2001

The Distribution Of The Contract Health Services Program Increases For Fiscal Year 2002 [PDF - 49 KB]

December 21, 2001

Tribal Consultation Sessions On The Increase In Indian Diabetes Funding For Fiscal Year 2003 [PDF - 51 KB]

December 13, 2001

Restructuring Initiative [PDF - 38 KB]

November 1, 2001

Information Regarding Bioterrorism Threats [PDF - 46 KB]

October 24, 2001

Fiscal Year 2002 Diabetes Funding Distribution [PDF - 58 KB]

October 12, 2001

Updated Indian Health Service Tribal Consultation And Participation Policy [PDF - 50 KB]

September 13, 2001

Comprehensive Export of Patient Registration Files into the National Patient Information Reporting System [PDF - 84 KB]

September 6, 2001

The Indian Health Service Joins with the Center for Disease Control and Prevention and the Agency for Toxic Substance and Disease Registry in the formation of a Senior Policy Workgroup [PDF - 78 KB]

August 15, 2001

Extension of Revised "Contract Support Cost" Pilot Project Program [PDF - 97 KB]

August 2, 2001

Indian Health Service Circular No. 2001-05, Contract Support Cost [PDF - 37 KB]

June 8, 2001

FY 2001 $15 Million Increase Distribution for Alcohol Programs [PDF - 48 KB]
FY 2001 $70 Million Increase Appropriated for Diabetes [PDF - 26 KB]

June 7, 2001

FY 2001 $40 Million Increase Distribution of Contract Health Services [PDF - 39 KB]

May 15, 2001

The Announcement of Tribal Management Grant Program Cycle of Change [PDF - 44 KB]

May 7, 2001

The Formation of the IHS Health Insurance Portability and Accountability Act (HIPAA) Implementation Team [PDF - 40 KB]

March 20, 2001

Application Plan and Timeline for Newly Funded Podiatry Program for Fiscal Year 2001 [PDF - 101 KB]

March 6, 2001

Direct Reimbursement Act [PDF - 36 KB]

February 22, 2001

Announcement of Funding for Periodontal Disease and Diabetes Model Programs Award [PDF - 53 KB]

January 24, 2001

Consultation Sessions on New Diabetes Funding [PDF - 171 KB]

December 14, 2000

Propose move IHS Headquarters to 801 Thompson Avenue, Rockville, MD [PDF - 78 KB]

December 7, 2000

Contract Health Services Allocation Workgroup [PDF - 82 KB]

November 28, 2000

The purchase of drugs under Federal Discount Programs under Indian Self-Determination and Education Assistance Act contracts and compacts [PDF - 51 KB]

November 17, 2000

Regional Tribal and National Consultation meeting on the Level of Need Funded tentatively set for the month of December 2000 [PDF - 61 KB]

October 16, 2000

The announcement of organizational change within the Office of Public Health [PDF - 62 KB]

August 28, 2000

Interim distribution of Fiscal Year 2000 Indian Health Care Improvement Fund [PDF - 61 KB]

January 10, 2000

Reaffirming the Federal Government's commitment to providing health services to American Indian and Alaska Native people [PDF - 187 KB]