What we're working on

Current projects

The Office of Tribal Affairs (OTA) works on a wide variety of projects on behalf of HCA and in support of our tribal partners. Below are some of our current projects. If you have questions about a project that you don't see listed please reach out to tribalaffairs@hca.wa.gov for more information. 

Active projects

Recently completed projects

Dear Tribal Leader Letters (DTLL)

Tribal Affairs helps manage the distribution of Dear Tribal Leader Letters on behalf of HCA. You can find the most recent letters below. If you are looking for a specific letter that is not listed below, please contact tribalaffairs@hca.wa.gov for assistance. 




December 14, 2021

Medicaid State Plan Amendment 22-0007 1915(i):
Behavioral health personal care changes

Application for the 1915(i) Medicaid State Plan Amendment
Updated February 8, 2022