DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Service Delivery Area Designation for the Mashpee Wampanoag Indian Tribe
The IHS currently provides services under regulations in effect on September 15, 1987 and IHS republished at 42 CFR part 136, Subparts A-C. Many of the newly recognized Tribes do not have reservations and either Congress has legislatively designated counties to serve as SDAs or the Director, IHS, exercised reasonable administrative discretion to designate SDAs to effectuate the intent of Congress for these Tribes. The Director, IHS, published notice of the establishment of SDAs in the June 21, 2007 FR Notice (72 FR 34262-01). The SDAs function as CHSDAs for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638. Thus, the CHSDA list incorporates the SDAs that operate as CHSDAs for newly recognized Tribes. At 42 CFR part 136 subpart C, a CHSDA is defined as the geographic area within which CHS will be made available by the IHS to members of an identified Indian community who reside in the area. Residence within a CHSDA by a person who is within the scope of the Indian health program, as set forth in 42 CFR 136.12 creates no legal entitlement to contract health services but only potential eligibility for services. Services needed but not available at an IHS/Tribal facility are provided under the CHS program depending on the availability of funds, the person's relative medical priority, and the actual availability and accessibility of alternate resources in accordance with the regulations.
As applicable to the Tribes, these regulations provide that, unless otherwise designated, a CHSDA shall consist of a county which includes all or part of a reservation and any county or counties which have a common boundary with the reservation (42 CFR 136.22(a)(6) (2007). In theFederal Registeron February 22, 2007 (72 FR 8007), the Mashpee Wampanoag Indian Tribe was officially recognized as an Indian Tribe within the meaning of Federal law. After consultation with the Tribal governing body, the SDA for the Tribe was agreed upon. The purpose of this FR notice is to notify the public of the Mashpee Wampanoag Indian Tribe SDA to incorporate Barnstable, Bristol, Norfolk, Plymouth and Suffolk counties in the State of Massachusetts. The SDA was established on December 22, 2008 and services were provided to eligible beneficiaries beginning on January 19, 2009.
Under 42 CFR 136.23 those otherwise eligible Indians who do not reside on a reservation but reside within a CHSDA must be either members of the Tribe or maintain close economic and social ties with the Tribe. In this case, the Tribe estimated the eligible user population to be 1,422 enrolled Mashpee Wampanoag members who are actively involved with the Tribe.
The Mashpee Wampanoag Indian Tribe is located in the town of Mashpee, Barnstable County, Massachusetts, on the southeastern portion of Cape Cod along Nantucket Sound. A significant number of the Mashpee Wampanoag SDA eligible user population also reside in the counties of Bristol, Norfolk, Plymouth and Suffolk counties in the state of Massachusetts. These five counties are adjacent to each other. Barnstable, Bristol, Norfolk, Plymouth and Suffolk counties are not part of any other Tribe's CHSDA or SDA. It is important for the Mashpee Wampanoag Indian Tribe to be able to deliver health care services to enrolled members residing in these five counties. The Tribe believes eligible Tribal members living in the counties of the proposed SDA should also be eligible for CHS. The financial resources required to meet the immediate needs of the Tribal members residing in the five counties were determined by the IHS and were placed in the Nashville Area CHS budget. Since
This notice does not contain reporting or recordkeeping requirements subject to prior approval by the Office of Management and Budget under the Paperwork Reduction Act of 1980.
Contract Health Service Delivery Areas and Service Delivery Areas
Ak Chin Indian Community of the Maricopa (Ak Chin) Indian Reservation, Arizona
Alabama-Coushatta Tribes of Texas
Arapahoe Tribe of the Wind River Reservation, Wyoming
Hot Springs, WY, Fremont, WY, Sublette, WY.
Aroostook Band of Micmac Indians of Maine
Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Montana
Daniels, MT, McCone, MT, Richland, MT, Roosevelt, MT, Sheridan, MT, Valley, MT.
Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin
Ashland, WI, Iron, WI.
Bay Mills Indian Community, Michigan
Blackfeet Tribe of the Blackfeet Indian Reservation of Montana
Glacier, MT, Pondera, MT.
Minnesota Chippewa Tribe, Minnesota Bois Forte Band (Nett Lake)
Itasca, MN, Koochiching, MN, St. Louis, MN.
Brigham City Intermountain School Health Center, Utah
Burns Paiute Tribe of the Burns Paiute Indian Colony of Oregon
Entire State, except for the counties listed in the footnote.5
Catawba Indian Nation of South Carolina
All Counties in SC6, Cabarrus, NC, Cleveland, NC, Gaston, NC, Mecklenburg, NC, Rutherford, NC, Union, NC.
Cayuga Nation of New York
Allegany, NY7,Cattaraugus, NY, Chautauqua, NY, Erie, NY, Warren, PA.
Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South Dakota
Corson, SD, Dewey, SD, Haakon, SD, Meade, SD Perkins, SD, Potter, SD, Stanley, SD, Sully, SD Walworth, SD, Ziebach, SD.
Chippewa-Cree Indians of the Rocky Boy's Reservation, Montana
Chouteau, MT, Hill, MT, Liberty, MT.
Chitimacha Tribe of Louisiana
St. Mary Parish, LA.
Cocopah Tribe of Arizona
Yuma, AZ, Imperial, CA.
Coeur D'Alene Tribe of the Coeur D'Alene Reservation, Idaho
Benewah, ID, Kootenai, ID, Latah, ID, Spokane, WA, Whitman, WA.
Colorado River Indian Tribes of the Colorado River Indian Reservation, Arizona and California
La Paz, AZ, Riverside, CA, San Bernardino, CA Yuma, AZ.
Confederated Salish & Kootenai Tribes of the Flathead Reservation, Montana
Flathead, MT, Lake, MT, Missoula, MT, Sanders, MT.
Confederated Tribes of the Chehalis Reservation, Washington
Grays Harbor, WA, Lewis, WA, Thurston, WA.
Confederated Tribes of the Colville Reservation, Washington
Chelan, WA8, Douglas, WA, Ferry, WA, Grant, WA, Lincoln, WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians of Oregon
Coos, OR9, Curry, OR, Douglas, OR Lane, OR, Lincoln, OR.
Confederated Tribes of the Goshute Reservation, Nevada and Utah
Nevada, Juab, UT, Toole, UT.
Confederated Tribes of Grand Ronde Community of Oregon
Polk, OR10, Washington, OR, Marion, OR, Yamhill, OR, Tillamook, OR, Multnomah, OR.
Confederated Tribes of the Siletz Reservation, Oregon
Benton, OR11, Clackamas, OR, Lane, OR, Lincoln, OR, Linn, OR, Marion, OR, Multnomah, OR, Polk, OR, Tillamook, OR, Washington, OR, Yam Hill, OR.
Confederated Tribes of the Umatilla Reservation, Oregon
Umatilla, OR, Union, OR.
Confederated Tribes of the Warm Springs Reservation of Oregon
Clackamas, OR, Jefferson, OR, Linn, OR, Marion, OR, Wasco, OR.
Confederated Tribes & Bands of the Yakama Nation, Washington
Klickitat, WA, Lewis, WA, Skamania, WA12, Yakima, WA.
Coquille Tribe of Oregon
Coos, OR, Curry, OR, Douglas, OR, Jackson, OR, Lane, OR.
Coushatta Tribe of Louisiana
Allen Parish, LA, Elton, LA.13
Cow Creek Band of Umpqua Indians of Oregon
Coos, OR14, Deshutes, OR, Douglas, OR, Jackson, OR, Josephine, OR, Klamath, OR, Lane, OR.
Cowlitz Indian Tribe, Washington
Clark, WA, Cowlitz, WA, King, WA, Lewis, WA, Pierce, WA, Skamania, WA, Thurston, WA, Columbia, OR, Kittitas, WA, Wahkiakum, WA.15
Crow Tribe of Montana
Big Horn, MT, Carbon, MT, Treasure, MT16, Yellowstone, MT, Big Horn, WY, Sheridan, WY.
Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota
Brule, SD, Buffalo, SD, Hand, SD, Hughes, SD, Hyde, SD, Lyman, SD, Stanley, SD.
Eastern Band of Cherokee Indians of North Carolina
Cherokee, NC, Graham, NC, Haywood, NC, Jackson, NC, Swain, NC.
Flandreau Santee Sioux Tribe of South Dakota
Fond du Lac Band of Chippewa Indians of Minnesota
Carlton, MN, St. Louis, MN.
Forest County Potawatomi Community, Wisconsin
Forest, WI, Marinette, WI, Oconto, WI.
Fort Belknap Indian Community of the Fort Belknap Reservation of Montana
Blaine, MT, Phillips, MT.
Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon
Nevada, Malheur, OR.
Fort McDowell Yavapai Nation, Arizona
Fort Mojave Indian Tribe of Arizona, California and Nevada
Nevada, Mohave, AZ, San Bernardino, CA.
Gila River Indian Community of the Gila River Indian Reservation, Arizona
Maricopa, AZ, Pinal, AZ.
Grand Portage Band of Chippewa Indians of Minnesota
Grand Traverse Band of Ottawa & Chippewa Indians of Michigan
Antrim, MI17, Benzie, MI, Charlevoix, MI, Grand Traverse, MI, Leelanau, MI, Manistee, MI.
Hannahville Indian Community, Michigan
Delta, MI, Menominee, MI.
Haskell Indian Health Center
Havasupai Tribe of the Havasupai Reservation, Arizona
Ho-Chunk Nation of Wisconsin
Adams, WI19, Clark, WI, Columbia, WI, Crawford, WI, Dane, WI, Eau Claire, WI, Houston, MN, Jackson, WI, Juneau, WI, La Crosse, WI, Marathon, WI, Monroe, WI, Sauk, WI, Shawano, WI, Vernon, WI, Wood, WI.
Hoh Indian Tribe of the Hoh Indian Reservation, Washington
Hopi Tribe of Arizona
Apache, AZ, Coconino, AZ, Navajo, AZ.
Houlton Band of Maliseet Indians of Maine
Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona
Coconino, AZ, Mohave, AZ Yavapai, AZ.
Huron Potawatomi, Inc., Michigan
Allegan, MI21, Barry, MI, Branch, MI, Calhoun, MI, Kalamazoo, MI, Kent, MI, Ottawa, MI.
Iowa Tribe of Kansas and Nebraska
Brown, KS, Doniphan, KS, Richardson, NE.
Jamestown S'Klallam Tribe of Washington
Clallam, WA, Jefferson, WA.
Jena Band of Choctaw Indians, Louisiana
Grand Parish, LA22, LaSalle Parish, LA, Rapides Parish, LA.
Jicarilla Apache Nation, New Mexico
Archuleta, CO, Rio Arriba, NM, Sandoval, NM.
Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona
Coconino, AZ, Mohave, AZ, Kane, UT.
Kalispel Indian Community of the Kalispel Indian Reservation, Washington
Pend Oreille, WA, Spokane, WA.
Keweenaw Bay Indian Community, Michigan
Baraga, MI, Houghton, MI, Ontonagon, MI.
Kickapoo Tribe of Indians of the Kickapoo Reservation of Kansas
Brown, KS, Jackson, KS.
Kickapoo Traditional Tribe of Texas
Klamath Tribes of Oregon
Kootenai Tribe of Idaho
Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin
Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac du Flambeau Reservation of Wisconsin.
Iron, WI, Oneida, WI, Vilas, WI.
Lac Vieux Desert Band of Lake Superior Chippewa Indians, Michigan
Leech Lake Band of Chippewa Indians of Minnesota
Beltrami, MN, Cass, MN, Hubbard, MN, Itasca, MN.
Little River Band of Ottawa Indians, Michigan
Kent, MI25, Muskegon, MI, Newaygo, MI, Oceana, MI, Ottawa, MI, Manistee, MI, Mason, MI, Wexford, MI, Lake, MI.
Little Traverse Bay Bands of Odawa Indians, Michigan
Alcona, MI26, Alger, MI, Alpena, MI, Antrim, MI, Benzie, MI, Charlevoix, MI, Cheboygan, MI Chippewa, MI, Crawford, MI, Delta, MI, Emmet, MI, Grand Traverse, MI, Iosco, MI, Kalkaska, MI, Leelanau, MI, Luce, MI, Mackinac, MI, Manistee, MI, Missaukee, MI, Montmorency, MI, Ogemaw, MI, Oscoda, MI, Otsego, MI, Presque Isle, MI, Schoolcraft, MI, Roscommon, MI, Wexford, MI.
Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota
Brule, SD, Buffalo, SD, Hughes, SD, Lyman, SD, Stanley, SD.
Lower Elwha Tribal Community of the Lower Elwha Reservation, Washington
Lower Sioux Indian Community in the State of Minnesota
Redwood, MN, Renville, MN.
Lummi Tribe of the Lummi Reservation, Washington
Makah Indian Tribe of the Makah Reservation, Washington
Mashantucket Pequot Tribe of Connecticut
New London, CT.27
Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA and Suffolk, MA.28
Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan
Allegan, MI29, Barry, MI, Kalamazoo, MI, Kent, MI, Ottawa, MI.
Menominee Indian Tribe of Wisconsin
Langlade, WI, Menominee, WI, Oconto, WI, Shawano, WI.
Mescalero Apache Tribe of the Mescalero Reservation, New Mexico
Chaves, NM, Lincoln, NM, Otero, NM.
Miccosukee Tribe of Indians of Florida
Broward, FL, Collier, FL, Miami-Dade, FL, Hendry, FL.
Mille Lacs Band of Chippewa Indians of Minnesota
Aitkin, MN, Kanebec, MN, Mille Lacs, MN, Pine, MN.
Mississippi Band of Choctaw Indians, Mississippi
Attala, MS, Jasper, MS30, Jones, MS Kemper, MS, Leake, MS, Neshoba, MS, Newton, MS, Noxubee, MS31, Scott, MS32, Winston, MS.
Mohegan Indian Tribe of Connecticut
Fairfield, CT, Hartford, CT, Litchfield, CT, Middlesex, CT, New Haven, CT, New London, CT, Tolland, CT, Windham, CT.
Muckleshoot Indian Tribe of the Muckleshoot Reservation, Washington
King, WA, Pierce, WA.
Narragansett Indian Tribe of Rhode Island
Navajo Nation, Arizona, New Mexico and Utah
Apache, AZ, Bernalillo, NM, Cibola, NM, Coconino, AZ, Kane, UT, McKinley, NM, Montezuma, CO, Navajo, AZ, Rio Arriba, NM, Sandoval, NM, San Juan, NM, San Juan, UT, Socorro, NM, Valencia, NM.
Nez Perce Tribe of Idaho
Clearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID.
Nisqually Indian Tribe of the Nisqually Reservation, Washington
Pierce, WA, Thurston, WA.
Nooksack Indian Tribe of Washington
Northern Cheyenne Tribe of the Northern Cheyenne Indian Reservation, Montana
Big Horn, MT, Carter, MT35Rosebud, MT.
Northwestern Band of Shoshoni Nation of Utah (Washakie)
Box Elder, UT.36
Oglala Sioux Tribe of the Pine Ridge Reservation, South Dakota
Bennett, SD, Cherry, NE, Custer, SD, Dawes, NE, Fall River, SD, Jackson, SD37Mellete, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD.
Omaha Tribe of Nebraska
Burt, NE, Cuming, NE, Monona, IA, Thurston, NE, Wayne, NE.
Oneida Nation of New York
Chenango, NY, Cortland, NY, Herkimer, NY, Madison, NY, Oneida, NY, Onondaga, NY.
Oneida Tribe of Indians of Wisconsin
Brown, WI, Outagamie, WI.
Onondaga Nation of New York
Paiute Indian Tribe of Utah
Iron, UT,39Millard, UT, Sevier, UT Washington, UT.
Pascua Yaqui Tribe of Arizona
Passamaquoddy Tribe of Maine
Aroostook, ME,41Washington, ME.
Passamaquoddy Tribe of Pleasant Point, Maine
Washington, ME, south of State Route.42
Penobscot Tribe of Maine
Aroostook, ME43, Penobscot, ME.
Poarch Band of Creek Indians of Alabama
Baldwin, AL44, Escambia, AL, Mobile, AL, Monroe, AL, Escambia, FL.
Pokagon Band of Potawatomi Indians, Michigan and Indiana
Allegan, MI, Berrien, MI, Cass, MI, Elkhart, IN45, Kosciusko, IN, La Porte, IN, Marshall, IN, St. Joseph, IN, Starke, IN, Van Buren, MI.
Ponca Tribe of Nebraska
Boyd, NE46, Burt, NE, Charles Mix, SD, Douglas, NE, Hall, NE, Holt, NE, Knox, NE, Lancaster, NE, Madison, NE, Platte, NE, Pottawattomie, IA, Sarpy, NE, Stanton, NE, Wayne, NE, Woodbury, IA.
Port Gamble Indian Community of the Port Gamble Reservation, Washington
Prairie Band of Potawatomi Nation, Kansas
Prairie Island Indian Community in the State of Minnesota
Pueblo of Acoma, New Mexico
Pueblo of Cochiti, New Mexico
Sandoval, NM, Santa Fe, NM.
Pueblo of Jemez, New Mexico
Pueblo of Isleta, New Mexico
Bernalillo, NM, Torrance, NM, Valencia, NM.
Pueblo of Laguna, New Mexico
Bernalillo, NM, Cibola, NM, Sandoval, NM Valencia, NM.
Pueblo of Nambe, New Mexico
Santa Fe, NM.
Pueblo of Picuris, New Mexico
Pueblo of Pojoaque, New Mexico
Rio Arriba, NM, Santa Fe, NM.
Pueblo of San Felipe, New Mexico
Pueblo of San Ildefonso, New Mexico
Los Alamos, NM, Rio Arriba, NM, Sandoval, NM, Santa Fe, NM.
Pueblo of San Juan, New Mexico
Rio Arriba, NM.
Pueblo of Sandia, New Mexico
Bernalillo, NM, Sandoval, NM.
Pueblo of Santa Ana, New Mexico
Pueblo of Santa Clara, New Mexico
Los Alamos, NM, Sandoval, NM, Santa Fe, NM.
Pueblo of Santo Domingo, New Mexico
Sandoval, NM, Santa Fe, NM.
Pueblo of Taos, New Mexico
Colfax, NM, Taos, NM.
Pueblo of Tesuque, New Mexico
Santa Fe, NM.
Pueblo of Zia, New Mexico
Puyallup Tribe of the Puyallup Reservation, Washington
King, WA, Pierce, WA, Thurston, WA.
Quechan Tribe of the Fort Yuma Indian Reservation, California and Arizona
Yuma, AZ, Imperial, CA.
Quileute Tribe of the Quileute Reservation, Washington
Clallam, WA, Jefferson, WA.
Quinault Tribe of the Quinault Reservation, Washington
Grays Harbor, WA, Jefferson, WA.
Rapid City, South Dakota
Red Cliff Band of Lake Superior Chippewa Indians of Wisconsin
Red Lake Band of Chippewa Indians, Minnesota
Beltrami, MN, Clearwater, MN, Koochiching, MN, Lake of the Woods, MN, Marshall, MN Pennington, MN, Polk, MN, Roseau, MN.
Rosebud Sioux Tribe of the Rosebud Indian Reservation, South Dakota
Bennett, SD, Cherry, NE, Gregory, SD, Lyman, SD, Mellette, SD, Todd, SD, Tripp, SD.
Sac & Fox Tribe of the Mississippi in Iowa
Sac & Fox Nation of Missouri in Kansas & Nebraska
Brown, KS, Richardson, NE.
Saginaw Chippewa Indian Tribe of Michigan
Arenac, MI,48Clare, MI, Isabella, MI, Midland, MI, Missaukee, MI.
St. Croix Chippewa Indians of Wisconsin
Barron, WI, Burnett, WI, Pine, MN, Polk, WI Washburn, WI.
Saint Regis Mohawk Tribe, New York
Franklin, NY, St. Lawrence, NY.
Salt River Pima-Maricopa Indian Community of Salt River Reservation, Arizona
Samish Indian Tribe, Washington
Clallam, WA,49Island, WA, Jefferson, WA King, WA, Kitsap, WA, Pierce, WA, San Juan, WA, Skagit, WA, Snohomish, WA, Whatcom, WA.
San Carlos Apache Tribe of the San Carlos Reservation, Arizona
Apache, AZ, Cochise, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Pinal, AZ.
San Juan Southern Paiute Tribe of Arizona
Coconino, AZ, San Juan, UT.
Santee Sioux Nation, Nebraska
Bon Homme, SD, Knox, NE.
Sauk-Suiattle Indian Tribe of Washington
Snohomish, WA, Skagit, WA.
Sault Ste. Marie Tribe of Chippewa Indians of Michigan
Alger, MI,50Chippewa, MI, Delta, MI Luce, MI, Mackinac, MI, Marquette, MI Schoolcraft, MI.
Seminole Tribe of Florida
Broward, Fl, Collier, Fl, Miami-Dade, FL, Glades, FL, Hendry, FL.
Seneca Nation of New York
Allegany, NY, Cattaraugus, NY, Chautauqua, NY, Erie, NY, Warren, PA.
Shakopee Mdewakanton Sioux Community of Minnesota
Shoalwater Bay Tribe of the Shoalwater Bay Indian Reservation, Washington
Shoshone Tribe of the Wind River Reservation, Wyoming
Hot Springs, WY, Fremont, WY, Sublette, WY.
Shoshone-Bannock Tribes of the Fort Hall Reservation of Idaho
Bannock, ID, Bingham, ID, Caribou, ID, Lemhi, ID51, Power, ID.
Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada
Nevada, Owyhee, ID.
Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South Dakota
Codington, SD, Day, SD, Grant, SD, Marshall, SD, Richland, ND, Roberts, SD, Sargent, ND, Traverse, MN.
Skokomish Indian Tribe of Skokomish Reservation, Washington