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Office of Tribal Government Relations


Tribal Consultation

On November 5, 2009, President Obama signed a Memorandum on Tribal Consultation that pronounces Tribal consultations a critical ingredient of a sound and productive Federal-Tribal relationship. The Presidential Memorandum directs all Federal agencies to develop a detailed plan of the actions to fully implement Consultation and Coordination with American Indian/Alaska Native Tribal Governments and to establish regular and meaningful consultation and collaboration with Tribal officials in the development of Federal policies that have Tribal implications.

VA Tribal Consultation Policy

2016 Tribal Consultation Report

Tribal Consultation Report CoverIn 2016, VA initiated consultation with American Indian and Alaska Native tribal governments on recognition of tribal organizations for representation of VA benefit claimants, the top three to five priorities for Veterans in Indian Country, and a proposed consolidation of non-VA care into a more standardized system under the Veterans Choice Program. This report presents tribal responses and policy background for each consultation topic. Download the report »

Directives and Handbooks
  • VA Directive 8603, Consultation and Communication with Federally-Recognized Indian Tribes
  • VA Handbook 8603, Consultation and Communication with Federally-Recognized Indian Tribes
Related Items/Documents



The Department of Veterans Affairs (VA), Office of Community Care and the Office of Tribal Government Relations held a virtual tribal consultation session on Tuesday, August 25, 2020, from 3:30–5:00 p.m. (est). VA invited tribal leaders (or their representative designee) along with tribal health program leadership to a tribal consultation regarding care coordination for Veterans receiving care under VA and Indian Health Service/Tribal Health Program (IHS/THP) Reimbursement Agreement Program (RAP).


VA initiates consultation on an alternative process in the National Historic Preservation Act called Program Comment. VA will offer a webinar on March 22, 2018. Dear Tribal Leader Letter


VA initiates Consultation on Care in the Community—comments due November 5, 2016. Download Dear Tribal Leader Letter, Federal Register Notice, Fact Sheet

Department of Veterans Affairs Round Table Discussion, Anchorage, AK–Postponed, date to be determined. Dear Tribal Leader Letter

VA initiates Tribal Consultation—comments due October 7, 2016. Dear Tribal Leader Letter, VA Fact Sheet

VA initiates Tribal Consultation—comments due April 2, 2016. Dear Tribal Leader Letter


VA initiates Tribal Consultation—comments due October 26, 2015. Dear Tribal Leader Letter, Non-VA Care Core Provider Network, 2014 Tribal Consultation Report

VA initiates Tribal Consultation on the Choice Act Section 102 (c)Deadline for comments is January 14, 2015. Dear Tribal Leader letter, Section 102(c) of the Veterans Access, Choice, and Accountability Act of 2014


VA/IHS MOU Tribal Consultation - Comment Deadline October 8, 2014. VA/IHS MOU


VA Tribal Consultation Reports — Dear Tribal Leader letter, Washington, DC and Anchorage, AK, Lincoln, Nebraska and Denver, Colorado

Tribal Consultation - Comment Deadline April 4, 2012. 03/05/2012 VA/IHS Letter, 03/05/2012 VA/IHS summary document, 03/12/2012 VA Consultation Letter, 04/05/2012 VA/IHS Letter

05/01/2012 Additional 2012 VA Consultation Sessions

08/24/2012 DTLL and support documents final package

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