Welcome to the Alaska Area Office of IHS
The Alaska Area Indian Health Service (IHS) works in conjunction with Alaska Native Tribes and Tribal Organizations (T/TO) to provide comprehensive health services to 136,065 Alaska Natives (Eskimos, Aleuts, and Indians). Approximately 99% of the Alaska Area budget is managed by T/TOs pursuant to the Indian Self-Determination and Education Assistance Act, P.L. 93-638, as amended. The Alaska Area negotiates and administers 16 Title I contracts and one Title V compact with 24 separate tribal funding agreements. The latter has resulted in the Alaska Tribal Health Compact, which sets forth terms and conditions for tribal management of a comprehensive system of health care that covers all 228 federally recognized tribes in Alaska.
IHS-funded, tribally-managed hospitals are located in Anchorage, Barrow, Bethel, Dillingham, Kotzebue, Nome and Sitka. There are 37 tribal health centers, 166 tribal community health aide clinics and five residential substance abuse treatment centers. The Alaska Native Medical Center in Anchorage is the state-wide referral center and gatekeeper for specialty care. Other health promotion/disease prevention programs that are state-wide in scope are operated by the Alaska Native Tribal Health Consortium (ANTHC), which is managed by representatives of all Alaska tribes.
There are 37 residual positions in the Alaska Area IHS, which perform inherently federal functions that cannot be contracted to T/TOs. The Alaska Area supports USPHS Commissioned Corps officers and civil service employees to T/TOs to aide them in the provision of health services. Additionally, to address the critical shortage of medical providers in remote facilities, the Alaska Area IHS awards federal personal services contracts for itinerant and emergency providers to work in tribal facilities. During FY 2008, providers hired through Area Office PSCs numbered 61 dentists, 42 physicians and 36 pharmacists. Other federal agencies such as the Arctic Investigations Laboratory of the Centers for Disease Control (CDC), work closely with the Alaska Area IHS and the tribes to improve the health status of Alaska Natives.
The Indian Health Service still holds title to six tribally operated hospitals and three tribally operated health centers in Alaska, and is responsible for their maintenance.
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