A memorandum of agreement (IHS-MOA) 638 is a contract between a tribe or tribal organization and the Indian Health Service (IHS) that outlines the terms of a health care program. This agreement is named after Section 638 of the Indian Self-Determination and Education Assistance Act, which allows tribes to contract with the federal government to administer health care programs for their members.
This agreement is beneficial for both parties as it allows for improved health care services for Native American communities while also giving tribes more control over how those services are provided. Under an IHS-MOA 638, the tribe or tribal organization assumes responsibility for the operation and management of a health care program, including staffing, budgeting, and program development. In exchange, the IHS provides funding and technical assistance to support the program.
One of the key advantages of an IHS-MOA 638 is that it allows for health care programs to be tailored to the specific needs of the community being served. Tribal communities often have unique health care needs and customs that may not be adequately addressed by a one-size-fits-all federal program. By allowing tribes to have more control over their health care programs, the IHS-MOA 638 helps to ensure that the services provided are culturally sensitive and appropriate.
In addition to improving health care services, an IHS-MOA 638 can also have economic benefits for tribal communities. By assuming responsibility for a health care program, tribes can create job opportunities for members of their communities and may also be able to generate revenue through fees charged for services.
Overall, the memorandum of agreement (IHS-MOA) 638 is an important tool for improving health care services for Native American communities. By allowing tribes to take more control over their health care programs, this agreement helps to ensure that services are culturally sensitive and appropriate while also providing economic benefits to tribal communities.
