Tribal Health Clients

Medicaid & Long-Term Care

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What you need to know

​​​​​​​​​​​​​​​There are numerous federal laws and treaties which impact the administration of care for tribes. This section of the Medicaid website has useful information for Medicaid beneficiaries who are members of a Tribe.

Learn more about services for Medicaid's clients.

Client Copayment  

American Indians and Alaska Natives don't pay premiums, copayments, coinsurance, or deductibles under Medicaid. 

This does not exclude American Indians and Alaska Natives from having to contribute toward and pay for share of cost programs, also known as spend-down programs. For such programs, expenses are paid as a part of meeting eligibility requirements.

​Share of Cost Programs

People with incomes too high for traditional Medicaid can sometimes qualify for Medicaid benefits through a share of cost program. Through these programs a beneficiary's medical expenses can be counted against their income, allowing them to qualify for benefits that they otherwise would not be eligible for.

In some cases, a spend-down (or share of cost) is required to be paid before an individual is eligible to receive Medicaid. Individuals who receive long-term care services are also required to pay a share of cost toward their monthly services.

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​Children's Health Insurance Program (CHIP)

Tribal members have special benefits under CHIP, which is a program that provides coverage for minors in need of health care. 

American Indians and Alaska Natives Medicaid and CHIP rights and protections

If you're eligible for services from the Indian Health Service (also known as an Indian hospital or Public Health Service), tribal health programs, or urban Indian programs, including Contract Health Services:

  • You don't have to pay Medicaid premiums or enrollment fees.
  • You don't have to pay out-of-pocket costs like copayments, coinsurance, and deductibles for Medicaid services.
  • In CHIP, you have no out-of-pocket costs.
  • Certain Indian resources and payments aren't counted for Medicaid and CHIP eligibility, making it easier for some people to qualify.   
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​No​​n-Emergency Medical Transportation ​​

​​​​​​In order to schedule a trip please contact your Health Plan. Transportation for an emergency situation is a separate service.

If you have questions about non-emergency medical transportation, please email

​​Certified Community Behavioral Health Clinics

Certified Community Behavioral Health Clinics (CCBHCs) are providers enrolled in Medicaid that provide a range of mental health and substance use disorder services to vulnerable individuals.  ​

​​CCBHCs in Nebraska

​Health Insurance Marketplace:​​

​​The Health Insurance Marketplace is a resource where people who are over-income for Medicaid can enroll in a health insurance plan that meets their needs. There are resources available that may be helpful for Tribal members.​

​​Advanced Premium Tax Credit​​s

      • A tax credit you can use to lower your monthly insurance payment (called your “premium") when you enroll in a plan through the Health Insurance Marketplace​. Learn more.

Limited Cost Sharing​ Plan

      • A plan available to members of federally recognized Tribes and Alaska Native Claims Settlement Act (ANCSA) Corporation shareholders regardless of income or eligibility for premium tax credits. Learn more.

Tribal Health Resources Map Criteria

  • ​This map details providers that administer services through Indian Health Services and the Urban Indian Health Program, or are Tribal Health Facilities. If you are a provider that fits this description and would like to be added to this map, please contact​.​