​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Indian Health Program

To receive a copy of the attachments and other supporting documents, contact TribalAffairs@dhcs.ca.gov.

The purpose of this policy is to guide engagement between DHCS, Tribes, and Indian health program representatives on policies that affect health care for American Indians in California.

DHCS received approval on December 29, 2021 for the CalAIM Section 1115 demonstration and CalAIM Section 1915(b) waiver, effective through December 31, 2026. DHCS and the Centers for Medicare & Medicaid Services (CMS) continue to work toward additional approvals for equity-oriented CalAIM initiatives that provide services and supports for justice-involved adults and youth, and reimbursement for traditional healers and natural helpers as part of the state’s Section 1115 demonstration requests. Traditional healers and natural helpers help provide culturally appropriate options and improved access to substance use treatment for American Indians and Alaska Natives receiving services through Indian health care providers. CMS approval of these waivers is anticipated in early 2022 and materials will be updated as the approved demonstration is updated. Visit the CalAIM webpage or CalAIM 1115 Demonstration & 1915(b) Waiver webpage for materials and additional information.