VA consults with tribal governments in order to facilitate tribal engagement and input in our policies, programs, and services that may affect Veterans living in Indian Country and tribal governments. Tribal Consultation is either formal or informal in nature, with a focus on emphasizing the importance of establishing and sustaining enduring, trusting relationships necessary to serve our Nation’s heroes.

Notices and Guidance

  • Federal Register Notice — Notice of Tribal Consultation and Request for Comments on New Agreement Template Draft for VA’s Indian Health Services/Tribal Health Program Reimbursement Agreement – September 16, 2022
  • Federal Register Notice — VA’s Indian Health Service/Tribal Health Program Reimbursement Agreements Program-Pharmacy Reimbursement Rate for the Lower 48 States – June 3, 2021
  • Presidential Memorandum on Tribal Consultation and Strengthening Nation-to-Nation Relationships – January 26, 2021