Indian Health Service (IHS): A Guide for New Government Contractors

Understanding IHS

What is IHS?

The Indian Health Service (IHS) is a federal agency within the U.S. Department of Health and Human Services (HHS) that provides healthcare services to American Indians and Alaska Natives (AI/AN). IHS operates healthcare facilities, funds tribal health programs, and supports medical initiatives to improve health outcomes for indigenous communities.

Key Areas of Focus

  • Direct Healthcare Services – Operates hospitals, clinics, and health stations serving AI/AN populations.
  • Tribal Health Programs – Provides funding and technical assistance for tribally managed health programs.
  • Urban Indian Health Programs – Supports healthcare services for AI/AN individuals living in urban areas.
  • Behavioral Health Initiatives – Focuses on mental health, substance abuse treatment, and suicide prevention.
  • Health Promotion and Disease Prevention – Addresses chronic diseases, maternal health, and childhood immunizations.
  • Telehealth and Digital Health Expansion – Improves access to care in remote tribal communities through technology.

Mission and Goals

IHS’s mission is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest possible level. The agency strives to provide comprehensive, culturally appropriate healthcare services while ensuring tribal sovereignty and self-determination.

IHS Organizational Structure

IHS is structured into various offices and regional service areas that oversee healthcare delivery and policy implementation. Key divisions include:

  • Office of Clinical and Preventive Services (OCPS) – Manages primary care, behavioral health, and disease prevention programs.
  • Office of Tribal Self-Governance (OTSG) – Supports tribes managing their own healthcare systems.
  • Office of Urban Indian Health Programs (OUIHP) – Administers health programs for urban AI/AN populations.
  • IHS Area Offices – Regional offices overseeing healthcare services across different tribal regions.

Working with IHS as a Government Contractor

Helpful Tips for IT Professionals and Consultants

  • Understand Tribal Healthcare Systems – Familiarize yourself with IHS-operated and tribally managed healthcare programs.
  • Familiarize Yourself with IHS Systems – Key platforms include:
    • Resource and Patient Management System (RPMS) – IHS’s electronic health record (EHR) system.
    • IHS Contract Health Services (CHS) – Manages external healthcare provider referrals.
  • Ensure Compliance with Federal and Tribal Regulations – Follow healthcare privacy laws such as HIPAA and IHS-specific policies.
  • Support Digital Health Initiatives – Assist with telehealth and health IT solutions tailored to tribal healthcare needs.
  • Engage with Tribal Communities – Build relationships with tribal leaders and healthcare stakeholders to ensure culturally competent services.
  • Stay Updated on Funding Opportunities – Participate in IHS industry days, grant announcements, and tribal consultation meetings.

Helpful Links