Tribal Technical Advisory Group to the Centers for Medicare & Medicaid Services

Please note that the TTAG is not a subcommittee of NIHB. It is a committee established by law for the Centers of Medicaid & Medicare Services (CMS).  The Medicare, Medicaid, and Health Policy Subcommittee (MMPC), is a subcommittee from NIHB, whose purpose is to prepare TTAG Tribal representatives and alternates for TTAG meetings and discussions with CMS. Visit CMS’s website to learn more about the TTAG.


The Tribal Technical Advisory Group (TTAG) is a group of elected tribal leaders, or an appointed representative from their Area, who are nominated from the twelve areas of the Indian Health Service (IHS) delivery System.

CMS established TTAG in 2004 to seek input and advice on policies and strategies to increase AI/AN access to CMS programs. TTAG adopted a  Strategic Plan that sets out three targets: (a) establishing and improving access to CMS funded long term care services; (b) implementing strategies to increase AI/AN enrollment in CMS programs; and (c) identifying current and future administrative, regulatory, and legislative policies that affect AI/AN beneficiaries and providers.

The TTAG serves as an advisory committee to the Centers for Medicare & Medicaid Services (CMS) on important health care matters associated with the Medicare, Medicaid, and State Children Health Insurance Programs (SCHIP). There is a Principal Member and an Alternate from each of the twelve service areas. These areas are: Alaska, Aberdeen, Albuquerque, Bemidji, Billings, California, Nashville, Navajo, Oklahoma, Phoenix, Portland, and Tucson. In addition to these twelve areas, there is representation from the four Washington, DC based advocacy organizations: Tribal Self Governance Advisory Committee (TSGAC), National Indian Health Board (NIHB), National Congress of American Indians (NCAI) and National Council of Urban Indian Health (NCUIH).

The TTAG is divided into TTAG subcommittees to analyze major Medicare and Medicaid topics effecting AI/ANs in greater detail. Individual TTAG and MMPC members along with employees from the CMS and IHS are subcommittee members. These subcommittees include, but are not limited to: Across State Borders, Strategic Plan, Tribal Consultation, Long Term Care, Data, Outreach & Education, Affordable Care Act Policy and Behavioral Health.