INDIAN HEALTH SERVICE National Community Health Aid Program

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INDIAN HEALTH SERVICE National Community Health Aid Program Tribal Advisory Group Update Jennifer Mc.

INDIAN HEALTH SERVICE National Community Health Aid Program Tribal Advisory Group Update Jennifer Mc. Leod, CHAP TAG, Tribal Co. Chair Beverly Cotton, CHAP TAG, Federal Co. Chair April 1, 2019 Tribal Self-Governance Conference Grand Traverse, MI

INDIAN HEALTH SERVICE Community Health Aide Program Behavioral Health Aide Community Health Aide Dental

INDIAN HEALTH SERVICE Community Health Aide Program Behavioral Health Aide Community Health Aide Dental Health Aide

INDIAN HEALTH SERVICE CHAP Expansion Recap • 2016 - Tribal Consultation initiated on CHAP

INDIAN HEALTH SERVICE CHAP Expansion Recap • 2016 - Tribal Consultation initiated on CHAP Expansion • 2017 - IHS issues report on consultation and policy statement on decision to move forward with expansion • 2017 - Agency continues to engage stakeholders to begin laying foundation for expansion • 2018 - CHAP Tribal Advisory Group (TAG) established • 2019 - IHS and the CHAP TAG continue work to establish a policy/circular for the National CHAP 3

INDIAN HEALTH SERVICE Tribal Consultation Workforce Barriers Certification/Training Roundtables 180+ comments Listening Sessions Consultation

INDIAN HEALTH SERVICE Tribal Consultation Workforce Barriers Certification/Training Roundtables 180+ comments Listening Sessions Consultation Cultural Inclusion Reimbursement 4

INDIAN HEALTH SERVICE P: Tim Davis A: Conrad Fisher P: Mark Fox A: Larry

INDIAN HEALTH SERVICE P: Tim Davis A: Conrad Fisher P: Mark Fox A: Larry Wright Jr. P: Jennifer Mc. Leod A: Julie Beeney P: John Stephens A: Andy Joseph P: Philbert Watahomigie Sr. A: Brook Bender P: Russell Begaye A: Glorinda Segay P: Teresa Sanchez A: Guadalupe Luna P: Clarissa Sabattis A: Dee Sabattis P: Sandra Ortega A: Adrianne Tiller P: TBD A: TBD P: Crystal Stordahl A: Robert Onders P: Annette James A: Amanda Wyatt TSGAC P: Shawn Duran A: Kay Rhoads DSTAC P: TBD A: TBD

INDIAN HEALTH SERVICE IHS Draft Circular IHCIA requires… Draft Circular… CHAP TAG Recommends… IHS

INDIAN HEALTH SERVICE IHS Draft Circular IHCIA requires… Draft Circular… CHAP TAG Recommends… IHS cannot fill dentist vacancy with DHAT Clearly outlines this restriction for IHS Provides clarification this does not apply to Title I or Title V ISDEAA Tribes Certification Will include National Certification Board and Area Certification Boards that will be deemed federal boards Including tribal consultation to ensure tribal representation is included on certification boards State authorization for DHAT Federal law (IHCIA) authorizes DHAT services in states that authorize the use of DHATs. It is a requirement of Federal law versus state law. Need to specify Title I and Title V ISDEAA Tribes are not subject to this restriction. IHS agrees; however, services provided under an ISDEAA compact/contract, must comply with the requirements specified in the IHCIA.

INDIAN HEALTH SERVICE 7

INDIAN HEALTH SERVICE 7

INDIAN HEALTH SERVICE CHAP Expansion Website www. ihs. gov/chap 8

INDIAN HEALTH SERVICE CHAP Expansion Website www. ihs. gov/chap 8

INDIAN HEALTH SERVICE Next Steps • Issue a Dear Tribal Leader Letter • Consult

INDIAN HEALTH SERVICE Next Steps • Issue a Dear Tribal Leader Letter • Consult on the IHS Draft CHAP Policy/Circular • Prepare to establish the National Certification Board and the national training and practice standards for CHAPs 9

INDIAN HEALTH SERVICE Resources • General – – – IHS Dear Tribal Leader Letter

INDIAN HEALTH SERVICE Resources • General – – – IHS Dear Tribal Leader Letter (6/2016) IHS CHAP Press Release (1/2017) IHS Policy Statement on CHAP Expansion Alaska CHAP IHS Circular 18 -01 Community Health Aide Program Tribal Advisory Group Charter (2/2018) – IHS CHAP Website – IHS CHAP Expansion Overview • Behavioral Health Aide – – • Behavioral Health Aides: A Promising Practice for Frontier Communities An Action Plan for Behavioral Health Workforce Development Alaska Behavioral Health Aide Program Alaska BHAs 101 Dental Health Aide – – Alaska Dental Health Aide Program Sample Dental Therapy Curriculum for Community Colleges Current Use of DHATs in Indian Country and Beyond Dental Health Aides 101

INDIAN HEALTH SERVICE Questions Jen Downs, Interim CHAP Secretary jennifer. downs@ihs. gov 11

INDIAN HEALTH SERVICE Questions Jen Downs, Interim CHAP Secretary jennifer. downs@ihs. gov 11