Centers for Medicare and Medicaid Services Tribal Technical Advisory Group (CMS TTAG)

About CMS TTAG

The Centers for Medicare and Medicaid Services Tribal Technical Advisory Group (CMS TTAG) was established in 2003. TTAG was formed to provide advice and input to the CMS on policy and program issues affecting delivery of health services to American Indians and Alaska Natives (AI/AN) served by CMS-funded programs. Although not a substitute for formal consultation with tribal leaders, the TTAG enhances the Government-to-Government relationship and improves increased understanding between CMS and Tribes.

TTAG Advisory Role and Subcommittees

The TTAG carries out its responsibilities as an advisory group by holding monthly conference calls and 3 face-to-face meetings each year.  To be more effective and perform more in-depth analysis of Medicare, Medicaid, CHIP, and the Marketplace policies having tribal implications, the TTAG formed smaller subject-specific subcommittees.

Composition of TTAG Smaller Subject-Specific Subcommittees

The TTAG is comprised of 17 representatives: an elected tribal leader, or an appointed representative from each of the twelve geographic Areas of the Indian Health Service (IHS) delivery system; and

  • In addition, a representative from each national Tribal organization headquartered in Washington, DC: the National Indian Health Board (NIHB), the National Congress of American Indians (NCAI), and the Tribal Self Governance Advisory Committee (TSGAC)
  • The American Recovery and Reinvestment Act of 2009 (Recovery Act) section 5006(e)(1), which became effective July 1, 2009, mandates that the TTAG shall be maintained within the Center for Medicaid and Medicare Services (CMS) and added 2 new representative’s positions: a representative and alternate from a national urban Tribal health organization (i.e., the National Council on Urban Indian Health (NCUIH)) and a representative and alternate from the Indian Health Service (IHS).
TTAG Subcommittees
  • ACA Policy Subcommittee
  • Behavioral Health
  • CMS Tribal Consultation Subcommittee
  • Data Subcommittee
  • Long Term Care Support and Services Subcommittee
  • Outreach and Education Subcommittee
  • Strategic Plan Subcommittee
  • 1115 Tribal Waiver Subcommittee

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Upcoming Events
March 4, 2025 - March 5, 2025

National Indian Health Board will host the Tribal Health Data Symposium on March 4–5, 2025

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