The Draft Tribal Matrix is presented in tabular form in this section. Tribal management of each program is indicated with an ‘X’ in the appropriate column. Tribal management of Indian Health Service health programs under self-governance compacts is indicated with an ‘X’ followed by the year that the self-governance compact was originally implemented.
The Matrix contains information only on Tribes with self-governance compacts. While some Tribes manage health programs under contracts, others manage only a subset of services under contract with IHS (e.g. substance abuse services, janitorial services) rather than contracting for full health program management. Because it was not feasible to obtain and analyze detailed information on each Tribe’s contract with IHS, the information in the Tribal Matrix is limited to Tribes with self-governance compacts.