CMS Division of Tribal Affairs

Important Guidance & Resources for our Tribal Partners.

Medicaid

Guidance & Reports

• CIB: Extension of Grace Period Related to the “Four Walls” Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities (PDF, 141.06 KB)
• CIB: Strategies to Enroll American Indian and Alaska Native Families and Children in Medicaid and CHIP (PDF, 132.88 KB)
• CIB: Indian Provisions in the Final Medicaid and Children’s Health Insurance Program Managed Care Regulations (PDF, 155.89 KB)
• Model Medicaid Addendum for IHCPs (PDF, 68.17 KB)
• Availability of Federal Funding for Services Furnished to Medicaid-eligible American Indians and Alaska Natives (PDF, 128.37 KB)
• FAQs: Federal Funding for Services “Received Through” an IHS/Tribal Facility and Furnished to Medicaid Eligible American Indians and Alaska Natives (SHO #16-002) (PDF, 185.8 KB)
• Navajo Nation Medicaid Agency Feasibility Report to Congress (PDF, 670.55 KB)
• 1996 CMS(HCFA)/IHS Memorandum of Agreement (PDF)

Medicare

•  Medicare Part D Addendum (PDF)

Health Insurance Marketplace

Guidance

• https://www.healthcare.gov/american-indians-alaska-natives/exemptions/
• https://www.healthcare.gov/american-indians-alaska-natives/coverage/
• https://www.healthcare.gov/american-indians-alaska-natives/medicaid-chip/

QHP Addendum

•  https://www.qhpcertification.cms.gov/s/Model_QHP_Addendum_Indian_Health_Care_Providers.pdf?v=1