• P.L. 93-638 allows your Tribe to take control of federally funded programs
• The Tribe controls delivery of services in the Community
• The Tribe decides how to spend the money to meet Community needs

Taking over the delivery of healthcare or any other vital service to your Tribe is a big responsibility. All relevant factors must be considered before beginning the process with the federal agency. Tribal Council, the Board of Directors and Tribal members need to fully understand what it means to assume a federal program utilizing PL 93-638. Indian Health Service (IHS) and the Bureau of Indian Affairs (the BIA) have specific federal requirements before, during and after the takeover that your Tribe must comply with.

AXIOM can assist every step of the way. AXIOM can assist by determining the true costs of running those programs, preparing a proposal to assume those costs and responsibilities, and negotiating with the federal agency so that your Tribe can begin serving its own Tribal members in a much better way. We can also provide workshops to help all parties understand the process, the benefits, the costs and the risks related to this endeavor.

CERTIFIED PUBLIC ACCOUNTANT SERVICES Pre-Audit Wellness Check Up™ Temporary Staffing Financial Policies and Procedures Financial System Design and Implementation PL 93-638 Contracting / Negotiations / Start Up Indirect Cost Proposals Accounting Budgeting