Tribal Self-Governance Health Care and Social Services Delivery Effectiveness Evaluation Feasibility Study: Draft Tribal Matrix Report. Background


The Office of the Assistant Secretary for Planning and Evaluation conducted a study in 2001-2002, as directed by Congress (PL-106-260), to review all DHHS programs and identify those that would be feasible and appropriate to include in a Self-Governance Demonstration.   OASPE’s draft report on the Tribal Self-Governance Demonstration Feasibility Study (November 5, 2002) identified 11 DHHS programs that could be included in a DHHS Self-Governance Demonstration. The scope of this task includes identifying Tribes that are managing health programs under self-governance compacts, and those who are managing the 11 identified DHHS programs under contracts and grants.  In addition to IHS programs, the 11 identified DHHS programs include:

n      Administration on Aging

§         Grants for Native Americans

n      Administration for Children and Families

§         Tribal Temporary Assistance for Needy Families

§         Low Income Home Energy Assistance

§         Community Services Black Grant

§         Child Care and Development Fund

§         Native Employment Works

§         Head Start

§         Child Welfare Services

§         Promoting Safe and Stable Families

§         Family Violence Prevention: Grants for Battered Women’s Shelters

n      Substance Abuse and Mental Health Services Administration

§         Targeted Capacity Expansion Grants

Currently, some Tribes are managing each of these programs under contractual arrangements or under competitively awarded grants.  In addition, many Tribes are managing their health programs through self-governance compacts.  The Tribes that are involved in self-governance compacts with IHS and/ or are managing the 11 DHHS programs listed above are the focus of the Tribal Matrix task.

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