CMS Division of Tribal Affairs

Important information for our tribal partners




Help spread the word to promote COVID-19 vaccination so we can reach community immunity.

We Can Do This. We’re working to promote COVID-19 vaccine confidence, encourage prevention, and support our partners’ efforts to reach their communities.

Through strong partnerships with tribes and urban Indian organizations across Indian Country, we have administered more than 1 million COVID-19 vaccines in Native communities, but we still have work to do to reach community immunity.

You can help by:


Marketplace Webinar Invitation: Information to Help Tribal Communities

Thursday, April 8 from 1:00 PM to 2:00 PM ET

In partnership with the Center for Consumer Information and Insurance Oversight (CCIIO), the CMS Division of Tribal Affairs is co-hosting a webinar providing Marketplace updates on Thursday, April 8, at 1:00 PM ET. This presentation will highlight recent policy changes that may impact American Indian and Alaska Natives (AI/AN), including the special enrollment period (SEP) from February 15 to May 15, 2021, CMS outreach efforts, and the American Rescue Plan Act of 2021 (ARP), which will help reduce health care costs, expand access to coverage, and ensure nearly everyone who buys their own individual or family health insurance through a Marketplace can receive a tax credit to reduce their premiums. ARP not only provides resources for America to beat this pandemic, but it also expands access to health insurance coverage, lowers costs, and ensures that health care truly is a right for all Americans.

We will also have a presentation on “Enrollment of Tribal Citizens and Other Indian Health Service (IHS) Eligible Individuals in Health Insurance Coverage through a Marketplace, Including Use of Tribal Sponsorship to help provide information” for those helping individuals enroll in assistance. Please join us to learn more about these recent changes and how we can help Tribal members get access to coverage.

To read the CMS fact sheet on the American rescue plan visit:

Who Should Attend:

Navigators and certified application counselors (CAC), agents and brokers, organizations that work with Tribal communities on education, outreach, and enrollment, Tribal advisors. 

When:  Wednesday, April 8 from 1:00 PM to 2:00 PM ET

Registration Link:



On March 3,  President Biden announced that the Centers for Medicare & Medicaid Services (CMS) is extending access to the Special Enrollment Period (SEP) until August 15. The original SEP was from February 15th to May 15th.  With the extension to August 15th, new and current enrollees will have additional three months to enroll or re-evaluate their coverage needs with increased tax credits available to reduce premiums. .  Although members of Federally-recognized Tribes can enroll in the Marketplace year round, this SEP is a good opportunity for Tribal members and their families to enroll in the Marketplace to better access health care services especially needed during this pandemic. 

The SEP will allow individuals and families in states with Marketplaces served by the platform to enroll in 2021 health insurance coverage.  These Marketplaces will make this SEP available to all Marketplace-eligible consumers who are submitting a new application or updating an existing application. Medicaid and CHIP-eligible consumers also can apply through the Marketplace both during and after the SEP.  State-based Marketplaces (SBMs) operating their own platform have the opportunity to take similar action within their states

Health Coverage is important now more than ever. The 2021 Special Enrollment Period for Marketplace Coverage is February 15 through August 15. Contact your local Indian health care provider for more information, visit or call 1-800-318-2596.

CMS Releases Extension of Grace Period Related to the “Four Walls” Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities Informational Bulletin 

On January 15, 2021, the Centers for Medicare and Medicaid Services (CMS) released a Center Informational Bulletin that extends the grace period previously granted to Indian Health Service (IHS) facilities, and facilities operated by Tribes and Tribal organizations under the Indian Self-Determination and Education Assistance Act (ISDEAA), which permits IHS and Tribal facilities to claim Medicaid reimbursement under the clinic services benefit at 42 C.F.R. § 440.90 (including at the IHS All Inclusive Rate) for services provided outside of the “four walls” of the facility.

The bulletin extends the grace period to October 31, 2021 and explains the steps Tribal facilities and states will need to take before the extended grace period expires in order for these facilities to continue to be reimbursed for services provided outside the four walls of the facility after October 31st.  CMS is also extending the grace period for IHS-operated facilities to October 31, 2021, to give IHS and states additional time to work toward a solution addressing compliance with the “four walls” requirement for IHS-operated facilities.

For more information on the Extension of Grace Period Related to the “Four Walls” Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities Informational Bulletin, please visit this link:

















Flu Resources (Print Ads, Fillable Flyer, Bookmark)

Email Signature Blocks


Page Last Modified:
04/06/2021 04:42 PM