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638 Contract

Overview

Financial Strategy Development

Financial Strategy Development

We provide expert guidance to tribal governments and healthcare organizations on navigating and leveraging the 638 Contract (ISDEAA). We empower tribes to gain full control and optimization of their healthcare organization. 

Financial Strategy Development

Financial Strategy Development

Financial Strategy Development

We collaborate closely with tribal leadership to develop financial plans and optimize budgets under the 638 Contract. Ensuring the delivery of sustainable and effective healthcare organizations.

Regulatory Compliance

Financial Strategy Development

Collaboration with Tribal Leaders

We ensure that all healthcare organizations comply with federal, state, tribal and 638 Contract requirements. With focus on reporting and audit readiness. 

Collaboration with Tribal Leaders

Collaboration with Tribal Leaders

Collaboration with Tribal Leaders

We engage directly with tribal leaders to ensure healthcare initiatives align with the tribal community's cultural values and governance goals. Our collaborative efforts focus on empowering tribal leadership by providing the tools and knowledge necessary to manage and optimize their healthcare organization under the 638 Contract. This partnership fosters a tailored approach to healthcare that respects and upholds the sovereignty and traditions of each tribe. 

638 Contracting Expertise

Collaboration with Tribal Leaders

638 Contracting Expertise

We offer in-depth expertise in:

638 Contracting

Tribal governments 

Title 1 Self-Determination Contracts

Title 5 Self-Governance Compacts


Our team is dedicated to ensuring that tribes maximize the benefits of the 638 Contract. We provide strategic guidance on compliance, negotiation, and management of contracts.

Medicine Bear Management

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