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History of Advocating for 100% Federal Funding:

Alaska continually works with federal officials to secure the maximum federal funding possible for Medicaid services delivered to Alaska Natives through tribal facilities. In the early 1990’s the state worked with Region X in Seattle to convince the Center for Medicaid and Medicare Services, formerly Health Care Financing Administration (HCFA) that the 100% federal matching should be made available to tribally owned and leased facilities. 

CMS issued State Health Official letter #16-002 on February 26, 2016 revising CMS payment policy for services provided to Medicaid-eligible AI/AN beneficiaries “received through” an IHS/Tribal facility, and expanded the scope and nature of services that qualify for the 100% Federal Medical Assistance Percentage (FMAP).  This information elevated the importance of the statewide commitment to continue to improve relations between states, federal and tribal entities for improving health outcomes for Alaskans with the added benefit of state general fund savings.


Tribal Health Program staff continually work with other states that have American Indian populations in order to share information about federal activities on Indian health policy and coordinate efforts to advocate for favorable policy changes.