The Home and Community Living Administration supports Tribal Nations through government‑to‑government relationships and provides programs that help elders, adults with disabilities, and caregivers stay supported in their community.

Our work with Tribal Nations is guided by listening, shared goals, and cultural respect. Each Tribe defines its own community strengths, and HCLA supports those strengths through programs and services.

Policies

Tribal Agreements and Codes

Executive Order 25-10 (PDF)

7.01 Update

Report Abuse, Neglect or Grievances 

Adult Protective Services
Use this option if you are worried about abuse, neglect, or exploitation of a vulnerable adult.

• Online Form
• Call: 1-877-734-6277
   

Complaint Resolution Unit
Use this option to report a complaint or concern about a licensed long‑term care setting. This includes nursing homes, adult family homes, assisted living, enhanced care facilities, ICF/IID, or supported living services.

• Online Form
• Call 1-800-562-6078
   

Home and Community Based Services Grievance
Use this option if you have a concern with state staff or a provider about person‑centered planning rules, services in the care plan, or Home and Community Based Services settings requirements.

• Online Form

Resource Documents

Health Home Program for Tribes (PDF)

FAQ Tribal Health Home Program (PDF)

Tribal Health Home Fact Sheet (PDF)

Health Home Care Coordination Organization Agreement (PDF)

Health Home Care Coordination Organizations Fact Sheet (PDF)

Home Health Lead Organization  Fact Sheet (PDF)

Primary Care Case Management vs Health Homes (PDF)

Register as a Medicaid Contractor (PDF)

High School Home Care Aide Program (PDF)