Indian Self-Determination

Applying for this for someone you care for? Eleplan keeps the paperwork, dates and documents in one plan.

Start free with Eleplan

Benefit program

Indian Self-Determination

Federal · INDIAN HEALTH SERVICE · #93.441

To enable Indian tribes to assume the management and operation of programs, functions, services, and activities (PFSA) for the delivery of health care to Indian people. To enter into a self- determination contract or contracts with Indian tribes or tribal organizations (T/TO) interested in transferring the responsibility for the administration and provision of health services from the government to tribal leadership.

Also known as

Indian Self-Determination 638 Contracts

About this program

To enable Indian tribes to assume the management and operation of programs, functions, services, and activities (PFSA) for the delivery of health care to Indian people. To enter into a self- determination contract or contracts with Indian tribes or tribal organizations (T/TO) interested in transferring the responsibility for the administration and provision of health services from the government to tribal leadership.

Who can apply

Local (includes State-designated lndian Tribes, excludes institutions of higher education and hospitalsNative American Organizations (includes lndian groups, cooperatives, corporations, partnerships, associations)

Categories

DIRECT PAYMENTS FOR A SPECIFIED USEDirect Payments for Specified Use

Source: SAM.gov Assistance Listings ↗ · 2026

Informational only — official eligibility is determined by the administering agency.

Look up another benefit

Powered by Eleplan

Turn benefit information into your next steps.

Create a free care plan, then work with Ellie on an application checklist. Check the requirements before deciding whether to apply.