![Tribal medicine wheel](https://webarchive.library.unt.edu/web/20201218055750im_/https://www.medicaid.gov/sites/default/files/2019-12/medicine-wheel.png)
Medicaid and CHIP can serve as a critical source of care for American Indians and Alaska Natives. More than 1 million in this community are enrolled in coverage through Medicaid and CHIP, and many more are eligible for coverage as a result of the Affordable Care Act’s Medicaid expansion. Learn more about
CMS’ policy regarding tribal consultation and a full listing of states’ approved state plan amendments (SPAs) regarding tribal consultation.