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Renee Gayhart staff photo
Renee Gayhart
Tribal Health
Project Coordinator
(907) 465-1619

Table of Contents

Tribal Health
Tribal Consultation

Medicaid and the Tribal Health Care Delivery System

Important Updates:
November 20, 2015 - The Centers for Medicare & Medicaid Services (CMS) is updating its policy regarding the circumstances in which 100 percent federal funding would be available for services furnished to Medicaid-eligible American Indian and Alaska Native (AI/AN) individuals through facilities of the Indian Health Service (IHS) or Tribes.
The State of Alaska appreciates the opportunity to respond to CMS’s proposed changes to define and allow flexibility for the terms, “Medicaid Services “Received Through” an Indian Health Service (IHS)/Tribal Facility. The State is in strong support of CMS’s intent to revise interpretation of Section 1905(b) of the Social Security Act. The concepts under consideration have the potential to improve access to necessary care and care coordination for American Indians and Alaska Natives (AI/AN).


The State's relationship with the Tribes is a commitment to improving the health status of Alaska Native people. The Alaska Medicaid Tribal Health Program recognizes the importance of the tribal health care system in providing access to care as essential to the viability of the Medicaid Program for all Alaskans.

Goals and Objectives:

In order to improve the health status of Alaska Native people and maximize federal Medicaid funding, the Department:

  • Advocates for enhanced federal funding for American Indians and Alaska Natives under Medicaid for all services and contract health referrals made by the Tribes.
  • Provides adequate funding for the tribal health care delivery system.
  • Supports the infrastructure development of the Tribal health care delivery system.
  • Collaborates with the Tribes on various initiatives and Department programs.