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Centennial Accord Plan - Introduction

The Washington State Health Care Authority (HCA) seeks to make affordable, quality health care more accessible and decrease health disparities of American Indians and Alaska Natives through state-tribal partnerships. HCA acknowledges the importance of state-tribal government-to-government relations and has increasingly made agency programs and systems accessible to tribal governments through the Centennial Accord Plan and the Tribal Consultation Policy.

The HCA Centennial Accord Plan establishes the agency’s policy and action plan to implement its state-tribal government-to-government relations. The plan includes an introduction to the agency, followed by descriptions of program and program support divisions, accomplishments for 2005-07, goals for 2008-10, and definitions. The agency contact information and matrix of agency activities, including goals and accomplishments since 2002 are also attached.

The HCA utilizes the guiding principles and critical elements identified in the Centennial Accord, ¹ the New Millennium Agreement,² and the Centennial Accord Implementation Guidelines³. The HCA is fully committed to the principles cited in the Centennial Accord and the New Millennium Agreement. As mandated by the Centennial Accord, the HCA seeks to establish policies embraced by both state and tribal officials in its Centennial Accord plan for 2008-2010. The HCA Centennial Plans are developed on a biennial basis, although modifications may be made as areas of mutual interest are identified and new collaboration opportunities develop with tribes in Washington State. Updates on agency activities are provided as part of the annual Centennial Accord briefing highlights.

Agency Level Dispute Resolution

The HCA will make every effort to cooperatively resolve issues of concern and address problems that arise at the appropriate program level of authority. However, when consultation has not been successful in resolving issues at the program level, Tribes have the authority to raise the issues to the HCA Administrator or the Governor.