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I. Purpose

Recognizing the sovereign nation status of the tribes in the the state of Washington, and that the North Sound Accountable Community of Health (ACH) is not a government entity, the purpose of this policy is to establish a clear and concise collaboration policy and communication procedure between the ACH and tribal governments, Indian Health Service (IHS) facilities, and Urban Indian Health Programs (UIHPs) in the development of all ACH policies or actions. The North Sound ACH cannot require participation of any tribal entity. Appointment of a tribal representative to the ACH Board of Directors is entirely voluntary. The Medicaid Demonstration aims to transform the health care delivery system through regional, collaborative efforts led by Accountable Communities of Health (ACH) and tribal governments and new, supportive services to address relevant social determinants of health.


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