Urban Indian Health 4-in-1 Program

The Urban Indian Health 4-in-1 Program is a federal initiative led by the Indian Health Service under the Department of Health and Human Services, designed to enhance health outcomes for urban Indigenous populations through four core service areas: immunization, health promotion and disease prevention, mental health, and alcohol and substance abuse support. This program is forecasted to be posted on August 6, 2026, with no anticipated set-aside classification, and is classified under NAICS code 621420, indicating its focus on outpatient mental health and substance abuse facilities. The initiative aims to strengthen community-based health infrastructure in urban settings by providing targeted resources and services tailored to the unique needs of American Indian and Alaska Native people living outside of tribal lands. All program activities are coordinated through the Division of Grants Management, which serves as the primary point of contact for inquiries and application guidance, with communications directed via email at dgm@ihs.gov or phone at 301-443-5204. The program expects to fund eligible organizations to deliver culturally competent care and preventive services across diverse urban communities throughout the United States.