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U.S. Department of Health and Human Services
Tribal Leader Letters

2019 Letters

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 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]

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

 [PDF - ]

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]
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