
Home and Community Living Administration’s Office of Tribal Affairs is committed to partnering with tribes in Washington to achieve mutual goals between sovereign governments. By developing partnerships with tribes and urban Indian organizations, existing Long-Term Services and Support partners and providers such as state and local government and private contractors, we believe the goal of comprehensive, culturally appropriate service delivery can be achieved.
News Updates
Annual Tribal Summit held Oct. 22-24
HCLA Tribal Affairs hosted the 2025 five-state Money Follows the Person Tribal Initiative Summit at Great Wolf Lodge, owned by the Confederated Tribes of the Chehalis Reservation, from Oct. 22-24. A total of 175 people attended the event, with representation from 17 tribes in Washington state, and 30 different tribes across the country. The three-day event resulted in statewide recognition of the importance of our Tribal partners in bridging institutional barriers to provide Long-Term Services and Support programs and Home and Community Based Services for all Washingtonians.
Topics included: Tribal case management, workforce and caregiver retention, maximizing LTSS for Tribal partners, and the importance of traditional knowledge and practices in preserving Tribal cultural identity.

What is the meaning of the MFTP Tribal Initiative Medicine Wheel Logo?
Money Follows the Person Tribal Initiative is a part of the larger Centers for Medicare and Medicaid funded Money Follows the Person Rebalancing Demonstration.
- White is north, it is the image of a buffalo photographed in the Theodore Roosevelt National Park.
- Red is south, an image of a bird of prey, often depicted in the art, songs and oral histories of Native Americans including those of the south and southwest.
HCLA Services and Supports
HCLA offers services that support elders and people with disabilities to remain independent and supported in their home. Services are coordinated to respond to health, social and personal care needs of individuals with chronic conditions or disabilities that limit the ability for self-care. Often the eligible person has caregivers that may also be eligible for supports.
HCLA also partners with people with intellectual and developmental disabilities to live the lives they want to live.
Other Programs/Information
- Finding Services
- Report Concerns Involving Vulnerable Adults
- Information for Tribes as Potential Medicaid Contractors
- Health Home Tribal CCOA Addendum
- Washington Health Home Program
- Opportunity to Develop Hiring Recommendations for In-Home Aides
- How to enroll in Developmental Disabilities Community Services
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[LP1]New bullet point, and the link is: https://www.dshs.wa.gov/dda/consumers-and-families/eligibility
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