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VHA Office of Community Care


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Indian Health Service / Tribal Health Program (IHS/THP) Reimbursement Agreements Program

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The VHA Office of Community Care, the Office of Tribal Government Relations, and VA medical centers work together to implement the Tribal Reimbursement Agreements Program. The Tribal Reimbursement Agreements Program provides a means for Indian Health Services (IHS) and Tribal Health Programs (THP) facilities to receive reimbursement from the VA for direct care services provided to eligible American Indian/Alaska Native Veterans. This program is part of a larger effort set forth in the Department of Veteran Affairs and IHS Memorandum of Understanding signed in October 2010 to improve access to care and care coordination for our nation’s Native Veterans.

More information about the program can be found on the Office of Tribal Government Relations website or by contacting the Tribal Agreements Program Team at

Additional Resources


Office of Tribal Government Relations (OTGR) website

Tribal Agreements Program Team email

VA-IHS/THP Claims Payment Processing Center