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Tribal Self-Governance Planning

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Grant

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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The contract facilitates the Tribal Self-Governance Program (TSGP), which empowers Tribes to negotiate with the Indian Health Service (IHS) to assume responsibility for Programs, Services, Functions, and Activities (PSFAs) related to health care. This authority allows Tribes to manage and customize health services to better meet the specific needs of their communities. Tribes have three options for accessing health care services: receiving services directly from the IHS, contracting with the IHS to administer individual programs (Title I Self-Determination Contracting), or entering into compacts to assume control over entire health programs (Title V Self-Governance Compacting). These options are flexible and may be combined as appropriate. The purpose of this Planning Cooperative Agreement is to provide resources and support both to Tribes interested in joining the TSGP and to those already participating who wish to expand or assume new responsibilities within health programs. The contract is managed by the Indian Health Service under the Department of Health and Human Services and includes a point of contact through the Division of Grants Management. It aims to promote greater Tribal autonomy in health service management, enabling tailored care aligned with community priorities.

General Info

Tribes gain authority to manage health programs via Indian Health Service Self-Governance options.

Agency

Department Of Health And Human Services → Indian Health Service

NAICS

923120 - Administration of Public Health ProgramsView NAICS

Place of Performance

Not specified

Set-Aside

NONE

Documents

(1)

HHS-2026-IHS-TSGP-0001 Tribal Self-Governance Planning Cooperative Agreement NOFO

PDFnofo

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Organization & Contact Information

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AgencyDepartment Of Health And Human Services → Indian Health Service
Contacts1 person available
OfficeUSA
Organization / Agency
Department Of Health And Human Services → Indian Health Service
Office AddressUSA
Contacts
Division of Grants Management

Full Description

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The TSGP allows Tribes to negotiate with the IHS to assume Programs, Services, Functions, and Activities (PSFAs), in whole or in part. This gives Tribes the authority to manage and tailor health care programs to best suit the needs of their communities.
Participation in the TSGP gives Tribes flexibility to tailor their health care needs by choosing one of three ways to get health care from the Federal Government for their citizens.
Tribes can choose to:

  • Get health care services directly from the IHS.
  • Contract with the IHS to administer individual programs and services the IHS would otherwise provide (referred to as Title I Self-Determination Contracting).
  • Compact with the IHS to assume control over health care programs the IHS would otherwise provide (referred to as Title V Self-Governance Compacting or the TSGP).

These options are not exclusive. Tribes may choose to combine options based on their individual needs and circumstances.
This Planning Cooperative Agreement’s purpose is to provide resources to:

  • Tribes interested in entering the TSGP.
  • Existing Self-Governance Tribes interested in assuming new or expanded PSFAs

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