Welcome To Tucson
From The IHS Tucson Area Office For
Tribal Self-Governance Financial Training 2012
March 27 -28, 2012
The Tucson Area Office
Servicing & Supporting
The
Pascua
Yaqui
Tribe
The
Tohono
O’odham
Nation
Urban Indian Program
Tucson Area
Tohono O’odham Sells Service Unit
Pascua Yaqui Service Unit
Tucson Indian Center Urban Health

Health service for the Tohono O'odham is centered at the Sells
Hospital with health centers located in the reservation
communities of Santa Rosa, San Xavier, and San Simon. Health
care is a combined effort of IHS and the TON Department of
Health and Human Services, providing a comprehensive health
program of inpatient services, ambulatory care, and community
health/preventive services.

Prior to September 30, 2010, healthcare services for the Pascua
Yaqui tribal members of Pima County were provided through a
unique managed care contract with the El Rio Health Center. On
October 1, 2010, the Tribe contracted their health care services
from the IHS and currently manage their healthcare services.

The Tucson Indian Center provides health promotion,
preventative services, education, outreach and referral services to
Tucson urban Indians.
The Pascua Yaqui Tribe

Gained federal recognition in 1978
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Health care delivery mechanism is a contract health service
(CHS) funded commercial contract for health care services.
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Contracts Managed Care Program from IHS beginning October
1, 2010.
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Tribal Enrollment 17,928

User Population – 6,529
Pascua Yaqui Tribe
•
Ambulatory care is provided by contract with El Rio Health Center
(Nine sites available).
•
Inpatient services generally provided through St. Mary’s hospital
Pascua Yaqui Tribe
Yaqui communities:
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MARICOPA COUNTY (7,011)
Phoenix
» Guadalupe (Tempe),
» Penjamo (Scottsdale)
» High Tower (Chandler)
» Coolidge (Coolidge)
PINAL COUNTY (655)
» Eloy (Eloy)
Other AZ Counties (236)
Out of state (1,681)
PIMA COUNTY (8,345)
Tucson
» New Pascua (SW Tucson)
Main reservation: 1000 + acres
» Barrio Libre (South Tucson)
» Old Pascua (Tucson)
» Yoeme Pueblo
(NW Tucson - Marana)
» Tucson
(outside of Yaqui communities)
Population: 17,928 (includes enrolled members
residing in Yaqui communities, City of Tucson,
within the State of Arizona and out-of state.)
* PYT 2007
The Tohono O’odham Nation

Gained federal recognition in 1937

Primarily a Direct Services (83%) Tribe with some Title I
contracted PFSAs (17% Aids, MH, A/SA, CHR)

Tribal Enrollment – 31,032

User Population – 20,035
Tohono O’odham Nation
•1 Hospital (ER, IP)
•3 Ambulatory Care Facilities
(Accredited as Hospital Sponsored Ambulatory Care Facilities)
Tohono O’odham Nation

In the heart of the Sonoran Desert, 60 miles west of Tucson

Population: 31,032 w/approx. 13,393 live on the Tohono O’odham main
reservation including San Xavier, Florence Village & Gila Bend

Total land base 2.85 million acres (larger than the state of Connecticut)
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Encompassing three counties (Pima, Pinal and Maricopa)

Entire southern border of the reservation (75 miles) is part of the international
border with nine villages in the State of Sonora, Mexico, inhabited by approximately
1,500 citizens of the Nation.
Urban Program
Tucson Indian Center (1963)
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Contracted With IHS TAO
Transportation Svcs, Diabetes, Substance Abuse, HIV/AIDS/STD’s Education
& Prevention Services
Employment Services, Work Experience Training, Adult Education Services,
Vocational Training, Fair Housing Program, Four Winds Program, Youth
Opportunities Program
Tobacco Education/Cessation Program
Emergency Assistance
Tucson Indian Center

Mission is to lead, serve,
empower and advocate for the
Tucson Urban American Indian
Community and others, by
providing culturally appropriate
wellness and social services.

Tucson Urban Indian Population
45,000+

Six most significant health
problems:
Alcohol/substance abuse,
diabetes, domestic violence,
mental health, elder health and
maternal child health.
* US Census 2009
I/T/U Tucson Area Health Priorities
1. Diabetes
2. Behavioral Health (Alcohol Substance
Abuse/Mental Health)
3. Maternal Child Health
4. Health Promotion/Disease Prevention
5. Cancer
TAO Challenges
-State Medicaid (AHCCCS) Elimination or Reduction Of Services
* Reduction Of Most Dental Care Including Emergency
* Services provided by a Podiatrist
* Well exams
* Non Emergency Medical Transportation for limited populations
* Outpatient Physical Therapy Limit of 15 visits per contract year
-Meaningful Use Medicare/Medicaid Incentive Program
Implementation
-Implementation of Health Insurance Reform and the Indian Health
Care Improvement Act
-IHS Director’s Initiatives:
* To renew and strengthen our partnership with tribes
* In the context of national health insurance reform, to bring reform to IHS
* To improve the quality of and access to care
* To make all our work accountable, transparent, fair and inclusive
TAO Residual & Tribal Shares
Thank You
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