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American Indian Alaska Native

Tribal Consultation

The Centers for Medicare & Medicaid Services (CMS) seeks the guidance of Tribal leaders on the delivery of health care for American Indians/Alaska Natives (AI/AN) served by Medicare, Medicaid and State Children's Health Insurance Program (SCHIP) or any other health care program funded by CMS.

CMS accomplishes this in several ways.

  • Tribal Technical Advisory Group (TTAG) – serves as an advisory body to CMS, providing expertise on policies, guidelines, and programmatic issues. The 15 members of the TTAG are elected Tribal leaders (or their designated employees with authority to act on their behalf) selected from the 12 administrative units (Area Offices) of the IHS and representatives National Congress of American Indians (NCAI), the National Indian Health Board (NIHB) and the Tribal Self-Governance Advisory Committee (TSGAC) designated by Tribal leaders to act on their behalf.
  • Consultation – CMS conducts annual Tribal consultations with federally recognized Tribes in the Regions and is in the process of developing a formal consultation policy. The guiding principle of the policy is to ensure that broad based input is sought by CMS prior to taking actions that have the potential to affect federally recognized tribes.
  • National Indian Health Board (NIHB) – CMS contracts with NIHB to manage operations for TTAG.  NIHB maintains TTAG information on their web site.

For more information about CMS and Tribal consultation, see below.

Downloads

Tribal Technical Advisory Group (TTAG)

TTAG Members [PDF, 63KB]

TTAG Charter [PDF, 1.39MB]

Consultation

Tribal Consultation Policy DRAFT 1 for Tribal review 2006 [PDF, 105KB]

CMS Tribal Consultation Strategy [PDF, 34KB]

Executive Orders and Memoranda

Executive Order 13175 - Nov 2000 [PDF, 176KB]

Executive Order 13084 - May 1998 [PDF, 76KB]

Presidential Memo - April 1994 [PDF, 17KB]
Related Links Inside CMS

National Indian Health Board Site for the CMS Tribal Technical Advisory Group

DHHS Tribal Consultation – Intergovernmental Affairs

DHHS Consultation Policy

National Indian Health Board - Consultation

Tribal Self-Governance Advisory Committee (TSGAC)
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

 

Page Last Modified: 05/28/2008 3:23:38 PM
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