
LTSS Videos
Drawing from interviews with tribal health experts, community planners, elders, and caregivers, these videos discuss proven strategies for tribal LTSS programs and show examples of successful programs.
What Works for Tribal LTSS Programs
These videos bring together experts from different tribal LTSS programs to present successful strategies.

Most LTSS programs are stitched together from state and federal funding sources, community services, and different types of tribal support. "There's always a way" to fill gaps in services, explains an experience health administrator in this video
Read about how Pueblo of Zuni’s LTSS Network collaborates across multiple community programs, CMS, and IHS.

Involving elements of tribal cultures, such as Native languages, ceremonies, and traditional foods, can enhance LTSS programs. In this video, tribal health care leaders discuss how they incorporated culture into their programs.
Learn promising practices from tribal nursing homes on how they include cultural considerations in care.
Locations can be remote and paychecks are sometimes low, but experienced administrators of tribal LTSS programs know how to hire and keep good employees. In this video, they share some solutions to these challenges.
Learn about planning and implementation steps for LTSS programs, including how to plan for staffing.

Much of the funding needed for LTSS comes from state and federal sources. Here, experienced tribal planners and administrators describe challenges and rewards of forming good working relationships with state and federal officials and agencies.
Learn more about building relationships with state and federal partners.
Program examples
These videos highlight several tribal LTSS programs, with those involved in the programs sharing their challenges and successes in meeting the needs of elders and those with disabilities in their communities.

Colville Tribes’ Convalescent Center helps ensure that elders and adults with disabilities can receive culturally appropriate care close to home. The facility provides high-quality LTSS while preserving residents' dignity.
Learn more about different LTSS program models, including facility-based care.

Oneida Nation’s community health center worked with the state of Wisconsin to switch from a fee-for-service program to managed care to offer a full range of services for tribal elders and adults with disabilities.
Learn more about Oneida Nation's Family Care program, which also provides LTSS.

Phoenix Native Health is an urban Indian organization that serves over 300 tribes. It also provides long-term services and supports to the growing senior population among urban Indians in Arizona.

The Tohono O'odham Nation's Nursing Care Authority (TONCA) coordinates and delivers skilled nursing care, hospice, and other LTSS. TONCA received an All-Stars Award from the Honoring Nations project as an outstanding example of tribal governance. Read the Honoring Nations Profile on TONCA (PDF) .

Salt River Pima-Maricopa Indian Community’s Senior Services Program provides culturally sensitive services to its rapidly growing senior population, including meal delivery, exercise programs, transportation, and more.
See what LTSS services tribes commonly provide and why those services are important to tribal communities.

Involving elements of tribal cultures, such as Native languages, ceremonies, and traditional foods, can enhance LTSS programs. In this video, tribal health care leaders discuss how they incorporated culture into their programs.
Learn promising practices from tribal nursing homes on how they include cultural considerations in care.

Home- and community-based services are delivered in the Pueblo of Zuni through the coordinated efforts of the Zuni Home Health Care Agency, Zuni Senior Citizen Center, and the Zuni IHS hospital. To learn more about this LTSS network, visit Pueblo of Zuni's profile page.

The Oneida Nation worked with the State of Wisconsin to create a "win-win" solution for the state and tribe through a reimbursement scenario called 100% FMAP. The Oneida Nation uses needs assessments and research to inform care delivery. To learn more about this program, visit the Oneida Nation's profile page.
