Tribal health amendments extend the ‘four walls’

The Centers for Medicare and Medicaid Services is expanding Medicaid services to American Indian and Alaska Native communities by approving Medicaid State Plan Amendments (SPAs) in several states. 

The amendments give the Indian Health Service (IHS) and Tribal clinics the Medicaid funding to support care beyond the physical clinic site, such as in   homes, schools and other community locations. 

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