Resources

This page shares resources for Tribal leaders, Indian health care providers (IHCPs), billing offices, managed care organizations (MCOs), and individuals seeking information or care.

Tribal Bulletin newsletter

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Dear Tribal Leader Letters (DTLLs)

2026

Date Name
May 4 New Contingency Management Chapter 182-567 WAC
May 1 Grant Application: Crisis Counseling Assistance and Training Program Guidance Regular Services Program
April 28 Tribal Discussion on Supplemental Pathways for Washington state Tribal Prevention Systems (WSTPS) Technical Assistance (TA) Resources
April 23

Medicaid Sate Plan Amendment 26-0011 Medicare Cost Report Update

Draft of Amendment
April 21

Medicaid State Plan Amendment 26-0010 Remove Outdated 4.19-E Reference

Attachment
April 17 Community Care Behavioral Health Demonstration sites chosen pending SAMHSA Approval
April 6 Funding Opportunity: State Opioid Response Grant TI-24-008
April 2 Invitation to Individuals with Lived Experience to Participate on the Washington State Tribal Opioid and Fentanyl Taskforce
March 26 Tribal Listening Session Washington Thriving Prenatal through age 25 Behavioral Health Strategic Plan
March 25 Trinity Wilson Appointed Medicaid Director of the Washington State Health Care Authority, effective April 1, 2026
March 25 Medicaid 1915 (b)(4) Waiver Renewal Application for Selective Contracting to Continue the Consumer Directed Employer Program
March 23 Request for Feedback on Guidance for Conducting Culturally Appropriate DCR Investigations
March 19 Traditional Health Care Practices 1115 Waiver next steps
March 17 Medicaid State Plan Amendment 26-0007 Fee Schedule Effective Date Updates
March 10 Expanding the For Our Lives Campaign to Youth
March 5 Helping you prepare for the ASAM 4 criteria adoption 2028
February 20

Medicaid SPA 26-0006 Withdrawal Management Services Payments
February 9 Reinforcing existing federal rules around mandatory days of operation in opioid treatment program provider settings
January 23 SAMHSA Grant Termination Rescinded
January 21 Tribal Roundtable for the 1115 waiver to reimburse Traditional Health Care Practices (THCP)
January 13 Interoperable Document Listening Sessions
January 9 Invitation to Quarterly Managed Care Meeting

2025

Date Name
December 24 Medicaid State Plan Amendment 26-0002 correction to Outpatient Hospital Supplemental Payments
December 16 Tribal Consultation rescheduled for the 1115 Waiver to Reimburse for Traditional Health Care Practices (THCP)
December 2 Medicaid State Plan Amendment 26-0002 January 2026 Fee Schedule Update
December 1 Extended Public Comment Period for Traditional Health Care Practices Waiver
November 26 Implementation of a statewide waitlist for Medicaid Alternative Care (MAC) and Tailored Supports for Older Adults (TSOA) programs
November 17 Post-overdose toolkit for families
October 30 Traditional Health Care Practices - Notice of Public Comment and Application
October 29 Leadership changes at HCA
October 20 Implementation of HB 1813 Behavioral Health Administrative Services Organization Operational Plan
October 14 Sovereign Nation Agreements Block Grant Closeout and Invoicing Due Dates
October 13 Medicaid State Plan Amendments for Hospital Payment Related Updates
October 10 Managed Care Quality Strategy Update
September 26 Rural Health Transformation Program
September 25

Opioid Treatment Program provider oversight
August 22 SAMHSA MH Block Grant Consultation Closeout
August 19 Traditional Health Care Practices Workgroup on the 1115 Waiver to Reimburse for Tribal Health Care Services
August 19 Medicaid State Plan Amendment 25-0025 Birthing Center Payment Methodology Update
August 8 WAC Work Session
August 4 Medicaid State Plan Amendment 25-0010 Add Licensed Psychological Associates and Name Change for Certified Peer Support Specialists
July 15 Sovereign Nation Agreement Fiscal Year 2026 Updates
July 2 Health Care Management and Coordinated System (HCMACS)
June 24 Medicaid State plan Amendment 25-0020 July 1, 2025 Fee Schedule Updates
June 17 Apple Health Medicaid data HCA response
June 12 Encounter rate Reimbursement Consultation Closeout
June 6 Behavioral Health Network Adequacy Standards in the Integrated Managed Care Contract
June 2 Medicaid State Plan Amendment (SPA) Remove Ancillary Services Payments
May 22 Passing of Senate Bill 5361 - Delaying the use of American Society of Addiction Medicine (ASAM) 4 criteria
May 12 Indian Nation Agreement (INA) Risk Assessment Tool revision
May 8 Application for SAMHSA Block Grants FFY 2026-2027
May 7 2025 Funding Opportunity: For Our Lives Campaign Youth Materials
May 5 Indian Nation Agreement (INA) Desk Monitoring Reviews SFY 2024-2025
May 1 Medicaid SPA Physician Services Updates
April 29 INA Restatement Consultation Closeout
April 17 Children’s Health Insurance Program (CHIP) SPA Reentry Services for Incarcerated Juveniles
April 13 INA Closeout and Restatement
April 11 Termination of ARPA and COVID-19 Mitigation Grants
April 3 Medicaid SPA Managed Care Update to Add Reentry Services for Incarcerated Juveniles
March 25 Medicaid SPA Fee Schedule Updates for April 1, 2025
March 20 Invitation to Participate in a Meeting on Regional Tribal Mobile Crisis Response Team – South Sound Region
March 19

Rescheduled: Invitation to Participate in Roundtables and Consultation Meeting on Encounter Rate Reimbursement

Note: This went out after the initial DTLL on January 15.
March 17 Managed care organization (MCO) and behavioral health – administrative services organization (BH-ASO) Contract Amendments for July 1, 2025
March 13 INA Closeout and Restatement
March 11 Opioid Treatment Program Oversight
March 10 Bureau of Justice Assistance Comprehensive Opioid, Stimulant, and Substance Use Site-Based Program Funding Opportunity
March 5 Complex Discharge Task Force – Invitation to Participate in Workgroups
February 5 Tribal Mural unveiling, thanks to your support!
February 5 Medicaid SPA Update to the Inpatient Diagnosis Related Group (DRG) Payment Method
February 4 Medicaid SPA Alternative Benefit Plan Updates
January 28 Medicaid SPA Reentry Services for Incarcerated Juveniles
January 28 Medicaid SPA for Dental Therapists
January 22 New Youth Toolkit materials added to the For Our Lives website
January 17 Listening Session and Request of Feedback on the Implementation of School-based Guidance and Grant Impacts on School-based Medicaid Programs
January 15 Invitation to Participate in Roundtables and Consultation Meeting on Encounter Rate Reimbursement
January 7 Residential Support Waiver WA.1086 Amendment

If you need a DTLL from a previous year, please contact us.

Some DTLLs are also available with Consultation, Roundtable, and other meeting materials on our Consultations page.

Other Tribal communications

Press release: New behavioral health facility, Fern Lodge, opens in Snohomish County (June 2025)

Opioid awareness campaigns and behavioral health and crisis support

For Our Lives campaign

Designed to inform and educate Tribal communities about opioid misuse prevention, overdose response, and treatment.

Native & Strong Lifeline

Provides a help line for suicide prevention and crisis support for Native people, with support from Native counselors.

Native Resource Hub

Offers a centralized information center that connects Native people and health care providers to resources and services.

Providers and billing offices

Miscellaneous

Resources

Contact information for IHCPs, MCOs, and others
Tribal Consultations and government-to-government relations
Information on health care, services, and support

Apple Health (Medicaid)

Find a provider

Support

Other

Contact

Office of Tribal Affairs

Related links