LTSS Programs

CMS LTSS Survey_Tabular form LTSS Programs_Attachment A.pdf

CMS Tribal Long Term Services and Supports (LTSS) Program Survey

LTSS Programs

OMB: 0938-1350

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Long Term Services and Supports Programs
Program
Aleutian Pribilof Islands Association, Inc. Elders Program
Arctic Slope Native Association, Limited
Asa'carsarmiut Tribal Council
Association of Village Council Presidents Social Services
Central Council Tlingit & Haida Indian Tribes of Alaska
Chickaloon Native Village Elder Outreach
Chugachmiut, Inc. Elder Services
Denakkanaaga
Fairbanks Native Association, Inc.
Galena Village
Kenaitze Indian Tribe Elder Services
Ketchikan Indian Corporation
Kodiak Area Native Association
Kuskokwim Native Association
Maniilaq Association
Native Village of Barrow
Native Village of Eyak
Native Village of Gambell
Native Village of Point Hope
Native Village of Savoonga
Native Village of Unalakleet
Orutsararmiut Native Council
Seldovia Village Tribe
Southcentral Foundation
Tanana Chiefs Conference
Tsimphean/Metlakatla
Quyanna Care Center
Utuqqnat Inaat Maniiliq Association Elder Care
Fort Yukon (Gwichyaa Zhee Gwich'in) Tribal Government Elder Program
Copper River Native Association Elders Program
Native Village of Diomede (aka Inalik)
Alutiiq Tribe of Old Harbor
Soaring Eagle Transit
Mt. Sanford Tribal Consortium LTC for Elders Planning Project
Mt. Sanford Tribal Consortium Aging in Place Program
Southeast Senior Services
Tlingit-Haida Regional Housing Authority Elderly Low Rent program
Tlingit-Haida Regional Housing Authority Fireweed Place
Marrulut Eniit Assisted Living

State
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK

Program
K'oyitl'ots'ina Limited
Igiugig Clinic
Social Services Department-Senior and Disabilities Services
Kawerak, Inc. Children and Family Services
Bristol Bay Native Association Elderly Services
The Elder Rehabilitation Program
Senior Program for the North Slope Elders
Native Village of Afognak
Native Village of Belkofski
Native Village of Chuathbaluk (Russian Mission, Kuskokwim)
Native Village of Deering
Egegik Village Clinic
Eklutna Village Clinic
Frank Tobuk Sr. Health Center
Aleutian Housing Authority
AVCP Regional Housing Authority
Baranof Island Housing Authority Senior Housing
Bering Straits Regional Housing Authority Senior Housing
Cook Inlet Housing Authority
Copper River Basin Regional Housing Authority
Interior Regional Housing Authority
Ketchikan Indian Community Housing Authority
Kodiak Island Housing Authority
North Rim Pacific Housing Authority
TNHA North Slope Elder Housing Program
Petersburg Medical Center
Yukon Kuskokwim Health Corporation
Gulkana Health Clinic
Hughes Village Clinic
Ninilchik Elders Outreach Program
Nome Eskimo Community
Mt. Sanford Tribal Consortium Elder Care
Chalkyitsik Elders Program
Nenana Senior Center
Meda Lord Senior Housing
New Stuyahok Village Elders Program
Togiak
Village of Saxman
Aimaagvik Assisted Living
Poarch Creek Indians - Senior Services Department
Ak-Chin Indian Community Elder Center
Cocopah Indian Tribe Elderly Nutrition

State
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AL
AZ
AZ

Program
Colorado River Indian Tribes Senior Citizens
Gila River Indian Community
Havasupai Tribe
Hualapai Tribe
Inter-Tribal Council of Arizona
Navajo Nation
Salt River Pima-Maricopa Indian Community
Navajoland Nursing Homes, Inc.
Archie Hendricks, Sr. Skilled Nursing Center
Gila River Indian Community-Caring House
Hopi Tribal Council - Hopi Aging and Adult Services
Yavapai Apache Nation - Senior Program
White Mountain Apache - Elderly Services Program
San Carlos Older Adult Center
Salt River Pima-Maricopa Community - Department of HHS Senior Services Division
Gila River Indian Community - Elderly Service Program
Pascua Yaqui Tribe - Liogue Senior Center
Tohono O'Odham Nation - Senior Services
Quechan Indian Tribe-Elder Services
Kaibab Band of Paiute Indians Human Services Department
Fort McDowell Yavapai Nation Senior Service Center
Wassaja Memorial Health Center
Native Americans for Community Action
Native American Community Health Center, Inc.
Tucson Indian Center
Bishop Tribal Elders
California Indian Manpower Consortium
Fort Mojave Indian Tribe
Hoopa Valley Tribe
Indian Senior Center Inc.
Pala Band of Mission Indians
Pit River Health Service
Quechan Indian Tribe
Redding Rancheria Indian Health Services
Riverside-San Bernardino County Indian Health Inc. for Morongo
Riverside-San Bernardino County Indian Health Inc. for Pechanga
Riverside-San Bernardino County Indian Health Inc. for Soboba
Santa Ynez Band of Mission Indians
Southern Indian Health Council, Inc.
Toiyabe Indian Health Project - North and South
Tule River Indian Health Center
United Indian Health Services

State
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA

Program
Karuk Tribe of California
K'imain Medical Center
Blue Lake Rancheria Elderly Health & Welfare
RVIT Senior Center
Picayune Rancheria of the Chukchansi Indians
Santa Ynez Tribal Health Clinic
Pueblo of Santa Ana Senior Center
Quartz Valley Tribal Health Clinic
Indian Health Council Community Health
Sycuan Band Medical/Dental Center Elders Program
XL-Clinic, Pit River Health Service
Feather River Tribal Health Inc.
Central Valley Indian Health, Inc.
Lake Country Tribal Health Consortium
MACT Health Board, Inc.-Angels Camp
Colusa Indian Community Health Clinic
Consolidated Tribal Health Project, Inc.
Two Feathers Native American Family Services
Fresno American Indian Health Project
Rincon Clinic
Santa Ysabel Clinic
Wiyot Tribe Health and Wellness Services
Shingle Springs Tribal Health Program
Sonoma County Indian Health Project, Inc.
Yurok Indian Housing Authority
Dry Creek Rancheria Band of Pomo Indians Housing
Federated Indians of Graton Rancheria Elder Services
Santa Rosa Rancheria Elders Center
Torres Martinez Band Senior Center
Tuolumne Me-Wuk Indian Health Center Elders Program
Cortina Rancheria
Rolling Hills Clinic
Dry Creek Rancheria Band of Pomo Indians Support Services
Enterprise Rancheria of Maidu Indians of California Tribal Elders Human Services
Potter Valley Senior Center
Greenville Rancheria Tribal Health Program
Greenville Rancheria Tribal Health Program – Red Bluff
Lake County Tribal Health Consortium, Inc.
Cold Springs Wellness Department
Chapa-de Indian Health Program, Inc.
North Fork Rancheria

State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA

Program
United American Indian Involvement Inc./Bakersfield American Indian Health
Project
United American Indian Involvement Inc./Los Angeles American Indian Health
Project
Sacramento Native American Health Center
San Diego American Indian Health Center
Native American Health Center, Inc.
Indian Health Center of Santa Clara Valley, Inc.
American Indian Health & Services Corporation
Sherwood Valley Tribe Elders Services
Ute Mountain Tribe of Indians
Ignacio Senior Center
Denver Indian Health and Family Services
Pequot Health Care
Mohegan Health Department
Seminole Tribe of Florida - Department of Elders
Alu Like, Inc. Elderly Services
Hana Community Health Center
Sac and Fox Tribe of the Mississippi in Iowa
Coeur d'Alene Tribe Social Services
Nez Perce Tribe Senior Citizen Program
Shoshone-Bannock Tribes
Kootenai Tribe of Idaho Elder Care
American Indian Health Service of Chicago, Inc.
Iowa Tribe of Kansas and Nebraska
Kickapoo Tribe in Kansas Senior Citizen
Prairie Band Potawatomi Indians
Hunter Health Clinic
Institute for Indian Development, Inc.
Tunica-Biloxi Tribe Social Services
RiverCane Senior Center
Jena Band of Choctaw Indians Health Department
Coushatta Tribe Health Program
Wampanoag Tribe of Gay Head
Aroostook Band of Micmac Social Services
Penobscot Indian Nation Elder Services
Passamaquoddy Elderly Feeding Program
Houlton Band of Maliseet Indians Social Services
Pleasant Point Health Center
Grand Traverse Band of Ottawa & Chippewa Indians
Inter-Tribal Council of Michigan Inc.
Little River Band of Ottawa Indians

State
CA
CA
CA
CA
CA
CA
CA
CA
CO
CO
CO
CT
CT
FL
HI
HI
IA
ID
ID
ID
ID
IL
KS
KS
KS
KS
LA
LA
LA
LA
LA
MA
ME
ME
ME
ME
ME
MI
MI
MI

Program
Little Traverse Bay Bands of Odawa Indians
Nottawaseppi Huron Band of Potawatomi Tribe
Pokagon Band of Potawatomi Indians
Sault Ste. Marie Tribe of Chippewa Indians
Keweenaw Bay Indian Community
Armella D. Parker Senior Center
Pokagon Band of Potawatomi Indians - Senior Center
Andahwod Continuing Care Community & Elder Services
Hannahville Health Center
American Indian Health & Family Services
Fond du Lac Reservation
Mille Lacs Band of Ojibwe
Red Lake Band of Chippewa Indians
White Earth Home Health
Jourdain Perpich Extended Care Center
Grand Portage
Red Lake Elderly Nutrition Program
Minnesota Chippewa Tribe- Elder Services
Leech Lake Band of Chippewa - Elderly Nutrition Program
Bois Forte Band of Chippewa Elderly Services
Lower Sioux Health Department
Bii Di Gain Dash Anwebi Elder Housing
White Earth Home Care
Upper Sioux Community Elder Services
Indian Health Board of Minneapolis, Inc.
Mississippi Band of Choctaw Indians Elderly Nutrition & Social Program
Choctaw Residential Center
CSKT Department of Human Resource Development
Fort Peck Assiniboine & Sioux Tribes - Community Services Program
Northern Cheyenne
Blackfeet Care Center
Eagle Shields Senior Center
Chippewa-Cree Tribal Elders Program
Fort Belknap Senior Center
Crow Tribe of Montana Elder Program
Indian Health Board of Billings
North American Indian Alliance
Indian Family Health Clinic
Helena Indian Alliance
Missoula Indian Center
Tsali Care Center
Tsali Manor Senior Center

State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MS
MS
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
NC
NC

Program
Trenton Indian Service Area
Turtle Mountain Band of Chippewa Indians - Nutrition & Support Services
Spirit Lake Nation - Senior Services
Three Affiliated Tribes Aging Services
Standing Rock Sioux Tribe - Nutrition for the Elderly Program
Omaha Tribe of Nebraska
Carl T. Curtis Health Education Center
Santee Nutrition Center
Winnebago Tribe of Nebraska - Senior Center
Nebraska Urban Indian Health Coalition: Inter Tribal Treatment Center
Eight Northern Indian Pueblo Council (Picuris, etc.)
Five Sandoval Indian Pueblos, Inc
Jicarilla Apache Nation Health Services
Laguna Rainbow Corporation
Ohkay Owingeh (formerly San Juan Pueblo)
Pueblo of Acoma Senior Center
Pueblo of Isleta Elderly Center
Pueblo of Taos
Pueblo of Tesuque
Laguna Rainbow Nursing Facility
Taos Pueblo Senior Citizen Program
Santa Clara Pueblo Senior Program
Cochiti Pueblo Elderly Program
Pueblo of Jemez - Senior Citizens Program
Pueblo of San Felipe - Senior Center
Santo Domingo Pueblo Tribe - Elderly Program
Pueblo of Zuni Senior Center Elderly Services
Mescalero Apache Tribe - Care Center
Santa Fe Service Unit
Pueblo of Pojoaque
Pueblo of Sandia-Health Center
First Nations Community Healthsource
Fallon Paiute Shoshone Tribes
Inter-Tribal Council of Nevada, Inc.
Pyramid Lake Paiute Tribe
Shoshone-Paiute Tribes
Yerington Paiute Tribe
Shoshone-Paiute Tribes (Duck Valley) - Senior Citizen's Program
Elko Band Council - Shoshone Welcome Center Elder Program
Numaga Paiute Tribe
Reno-Sparks Indian Colony - Senior Program
Washoe Tribal Elder Centers

State
ND
ND
ND
ND
ND
NE
NE
NE
NE
NE
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV

Program
Walker River Paiute Tribe Senior Nutrition Center
Washoe Tribe Dresslerville Senior Center
Fort McDermitt Shoshone Paiute Tribe
Fallon Tribal Health Center
Nevada Urban Indians, Inc.
Oneida Indian Nation
Seneca Nation of Indians AoA
Shinnecock Indian Nation
St. Regis Mohawk Tribe Office for the Aging
Tuscarora Nation House
Tonawanda Band of Seneca Senior Program
American Indian Community House, Inc.
Absentee Shawnee Tribe of Oklahoma
Alabama-Quassarte Tribal Town
Caddo Nation of Oklahoma Elder Services
Cherokee Nation Elder Care
Chickasaw Nation Aging Administration
Citizen Potawatomi Nation Elders Services
Delaware Nation Division on Aging
Delaware Tribes of Indians Elder Services
Eastern Shawnee Tribe of Oklahoma
Fort Sill Apache Tribe
Kaw Nation
Kickapoo Tribe of Oklahoma Elder Care
Kiowa Tribe of Oklahoma
Miami Tribe of Oklahoma
Muscogee (Creek) Nation - Title VI Program
Otoe-Missouria Tribe
Pawnee Tribe of Oklahoma
Peoria Tribe of Oklahoma
Quapaw Tribe of Oklahoma
Sac and Fox Nation
Seminole Nation of Oklahoma
Wichita and Affiliated Tribes
Wyandotte Nation - Elder Services Department
Quapaw Tribe Elder Center
Ottawa Tribal Healthy Living Center
Seneca-Cayuga Tribe of Oklahoma - Administration on Aging
Osage Nation Senior Service Program
Ponca Tribe Senior Citizens
United Keetoowah Band of Cherokee Indians in Oklahoma
Iowa Tribe of Oklahoma Nutrition and Caregiver Program

State
NV
NV
NV
NV
NV
NY
NY
NY
NY
NY
NY
NY
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK

Program
Cheyenne-Arapaho Tribes Elder Care Program
Apache Tribe of Oklahoma Administration on Aging
Comanche Nation Elder Center
Choctaw Nation Senior Services
Shawnee Tribe
Thlopthlocco Tribal Town Family Services
Modoc Tribe Eyeglasses and Hearing Aids
Oklahoma City Indian Clinic - Central Oklahoma American Indian Health Council, Inc.
Indian Health Care Resource Center of Tulsa, Inc.
CTSI Elders Program
CTUI Senior Center
CTCLUSI Health and Human Services
Confederated Tribes of Grand Ronde Social Services
Klamath Tribe
CTWS Senior Services
Yellowhawk Tribal Health Center
Cow Creek Band of Umpqua Tribe Elder Program
Wadatika Health Center
Coquille Tribe Elders Program
Native American Rehabilitation Association of the Northwest, Inc.
Narragansett Indian Tribe
Catawba Indian Nation Eldercare
Cheyenne River Sioux Nutrition Services
Golden Age Center
Lower Brule Sioux Tribe
Oglala Sioux Tribe
Rosebud Sioux Tribe
Sisseton-Wahpeton Sioux Tribe - Elderly Affairs
Yankton Sioux Tribe Title VI Program
White River Health Care Center
Sisseton-Wahpeton Sioux Tribe - Tribal Elderly Nutrition Program
Rosebud Sioux Tribe Caregivers Program
Flandreau Santee Sioux Tribe Senior Citizens Program
The Flandreau Santee Sioux Tribal Health Clinic
South Dakota Urban Indian Health, Inc.
Alabama-Coushatta Tribe
Kickapoo Traditional Tribe of Texas - Title VI Program
Ysleta Del Sur Pueblo Social Services Program
Urban Inter-Tribal Center of Texas
Skull Valley Band of Goshute Indians
Ute Tribe Senior Program
Indian Walk In Center

State
OK
OK
OK
OK
OK
OK
OK
OK
OK
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
RI
SC
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
TX
TX
TX
TX
UT
UT
UT

Program
Chehalis Tribe Elder's Center
Cowlitz Indian Tribe Health and Human Services
Jamestown S'Klallam Tribe
Lummi Tribe
Muckleshoot Indian Tribe Senior Services
Nooksack Indian Tribe
Puyallup Tribe of Indians Elder and Vulnerable Adult Services
Quileute Tribe
Samish Indian Nation
Skokomish Indian Tribe
Snoqualmie Tribe
South Puget Intertribal Planning Agency
Suquamish Indian Tribe
Tulalip Tribes
Upper Skagit Indian Tribe
Colville Tribal Convalescent Center
Makah Senior Citizens Program
Lower Elwha Klallam Tribe
Quileute Tribal Senior Center
Quinault Indian Nation-Senior Program
Port Gamble S'klallam Tribe - Elders Center
Lummi Senior Program
Swinomish Indian Tribal Community
Stillaguamish Tribe of Indians Elders Program
Puyallup Tribal Health Authority
Colville Indian Area Agency on Aging
Yakama Nation Area Agency on Aging
Spokane Tribe Senior Program
Camas Center Clinic
Nisqually Tribe Elders Program
Seattle Indian Health Board
N.A.T.I.V.E Project
Bad River Band of Lake Superior Chippewa Elderly Nutrition Program
Lac du Flambeau Aging & Long Term Care Program
Oneida Tribe Elder Services
Red Cliff Band of Lake Superior Chippewa Indians
St. Croix Chippewa Indians of Wisconsin
Stockbridge Munsee Community
Anna John Resident Centered Care Community
Menominee Aging Division
Ho-Chunk Nation Committee - Tribal Aging Unit
Forest County Potawatomi Community - Elderly Services Program

State
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI

Program
Red Cliff Elderly Program
Lac Courte Oreilles Band of Lake Superior Chippewa
Sokoagon Chippewa Elder Services
The Sokaogon Chippewa Elderly Complex
Gerald L. Ignace Indian Health Center, Inc.
Sokoagon Chippewa Housing Department
Eastern Shoshone Tribe
Northern Arapaho Tribe
Morning Star Care Center
Warm Valley Senior Center

State
WI
WI
WI
WI
WI
WI
WY
WY
WY
WY


File Typeapplication/pdf
File TitleLong Term Services and Supports Programs
SubjectLTSS, CMS, Programs, LTSS Programs
AuthorCenters for Medicare and Medicaid Services
File Modified2017-05-10
File Created2017-05-10

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