Covering Indian Country – July 2025
Centers for Medicare and Medicaid Services: Covering Indian Country

July 2025

Spotlight: Increasing access to Medicaid clinic services

People who are able to access health care services through third-party coverage are more likely to seek care when they need it. However, some health services may not be readily available in remote geographic areas.

To help increase access to care in some of those areas, last month CMS approved Medicaid State Plan Amendments in Minnesota, New Mexico, Oregon, South Dakota, Washington, and Wyoming.

Through the State Plan Amendments, IHS and tribal Medicaid clinic service providers in these six states now have greater flexibility to deliver care where people need it most, whether that’s in homes, schools, or other appropriate community locations.

List of the 6 states where the clinic services State Plan Amendment was approved, along with a message noting that the approval expands access to culturally grounded care for Native communities.

The recent approval of the State Plan Amendments underscores the importance of efforts to help clinic staff make the most of Medicaid and other third-party coverage options.

For that reason, CMS Division of Tribal Affairs, in collaboration with CMS’s Native American Contacts, encourages benefits coordinators, patient registration staff, and billing/coding professionals to attend one of this summer’s CMS/ITU outreach and education trainings. Scroll down to this newsletter’s calendar of events to learn more.

For tribal-specific resources about health care coverage, download and share:

July: Culture and mental wellness

2 Native people on horseback, with a path to a pinned location mapped out. Text encourages people to view culture as a source of strength when navigating uncertainty, and to find someone who can help tap into that strength.

Share this ad in your newsletter or on your website. For more information, please visit CMS’s Outreach and Education Resources page.

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Need advice on how to navigate uncertainty? Contact your local Indian health care provider today.

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CMS tribal products

A collage of some of CMS's tribal products with information about health coverage for American Indians and Alaska Natives.

Access these online, tribal-specific resources anytime:

 

Health observances

Mental health awareness

In observance of National Minority Mental Health Awareness Month, encourage adults in your network to undergo training in youth mental health first aid for tribal communities and Indigenous peoples.

The training provides the skills needed to safely identify and support Indigenous youth who are experiencing behavioral health challenges.

Also, remind parents and other caregivers that depression screening is a preventive health service offered routinely for adolescents age 12 and older.

Additional resources

NIHB’s call for award nominations

July 18 is the deadline to submit nominations for this year’s National Indian Health Board (NIHB) Outstanding Service Awards.

The awards honor people, organizations, and programs that have demonstrated exceptional commitment to advancing the health and well-being of American Indian and Alaska Native communities.

Awardees will be honored during the annual awards gala at NIHB’s National Tribal Health Conference to be held September 7–12 in Phoenix, Arizona.

Funding opportunities

Tribal HUD-VASH Expansion Grants

Deadline: August 15
Learn more about the Tribal HUD-VASH funding opportunity (PDF, 65 KB, 11 pp)
Submit applications via grants.gov

The U.S. Department of Housing and Urban Development’s Veterans Affairs Supportive Housing (HUD-VASH) Expansion Grants support efforts to reduce the number of Native veterans who are homeless or at risk of homelessness.

HUD anticipates making seven awards of about $300,000 each. Tribes and Tribally Designated Housing Entities are welcome to apply. View the 2018 Consolidation Notice (PDF, 229 KB, 10 pp) for a complete list of program requirements.

Calendar of events

CMS ITU trainings

The National Indian Health Board (NIHB) and CMS are providing trainings to help Indian Health Service, tribal, and urban Indian health programs (ITUs) maximize their access to third-party resources through Medicare, Medicaid, and the Marketplace.

The training is intended for business office staff, benefits coordinators, patient registration staff, and billing and coding professionals. Planning is in progress, and registration links will be provided as they become available. For more information, visit NIHB’s CMS/ITU outreach and education training website.

Upcoming ITU trainings by IHS Area

Billings/Portland: July 14–25, virtual
Phoenix: August 4–15, virtual
Albuquerque: August 20–21, in Albuquerque, New Mexico
Oklahoma: August 27–28, in Durant, Oklahoma

Telebehavioral health webinars

The Indian Health Service TeleBehavioral Health Center of Excellence (TBHCE) is sponsoring the following tele-education webinars for health care team members:

Behavioral Health Integration webinar series, 12 p.m. Eastern

  • July 17 – Trauma-Informed Approaches to Cultural Safety
  • August 21 – Traditional Healing as Part of the Continuum of Integrated Care: A 2024 Interview with Rick Two-Dogs

Child and Adolescent Behavioral Health webinar series, 2 p.m. Eastern

  • July 17 – Concussions in Children: Causes, Symptoms, and Outcomes
  • July 24 – Sleep Disturbance and Sleep Hygiene for Children with Neurodevelopmental Disorders
  • August 14 – Selfcare and Wellness for Parents/Caregivers of Children with ASD and Other Neurodevelopmental Disorders
  • August 21 – Selfcare and Wellness for Providers of Children with ASD and Other Neurodevelopmental Disorders: Addressing Burnout

TBHCE webinar series, 12 p.m. Eastern

  • July 22 – Ethics in Working with Children, Adolescents, and Families (Including School-Based Behavioral Health)
  • August 12 – Cultural and Spiritual Dimensions of Ethical Practice for Behavioral Healthcare Teams
  • August 26 – Ethical Issues Working in Rural and Frontier Communities

2025 Tribal Elder Abuse Code Summit

August 13
Tulsa, Oklahoma

Register for the Tribal Elder Abuse Code Summit

Hosted by the International Association for Indigenous Aging and AARP, the Tribal Elder Abuse Code Summit will support the efforts of tribal communities to develop and enhance culturally relevant elder abuse codes. AARP membership is not required to attend.

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Circle of Harmony HIV/AIDS Wellness Conference

August 26–28
Albuquerque, New Mexico

Register for the Circle of Harmony Conference

Plan to attend the Circle of Harmony HIV/AIDS Wellness Conference, which will address HIV/AIDS services and related syndemic impacts from an Indigenous perspective. The conference’s theme is “Cultural Threads of HIV Wellness: Weaving Healing, Partnerships, and Care.”

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National Tribal Health Conference

September 7–12
Chandler, Arizona

Register for the National Tribal Health Conference

Themed “Culture is Medicine; Community is Healing,” this year’s National Indian Health Board (NIHB) National Tribal Health Conference will highlight connections between policy, advocacy, and Indian health best practices. Make sure to attend at least one of the federal tribal listening sessions and tribal consultations, to be held September 8 at the conference.

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Do you have news to share? Send it to coveringic@kauffmaninc.com for possible inclusion in an upcoming newsletter. Contact us with other comments or feedback, too.

About the newsletter

Covering Indian Country is published by the Centers for Medicare & Medicaid Services (CMS) Division of Tribal Affairs to share resources, success stories, and best practices with the people who connect tribal communities to health care coverage.


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