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Through December 5, the Health Care Authority (HCA) is holding a public comment period on Washington state's draft application for a Traditional Health Care Practices waiver. The public comment period began November 5 and ends Friday, December 5, 2025.
As part of our public comment period and in partnership with Lummi Nation and Yakama Nation, HCA is holding two public hearings.
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During the hearings, attendees can ask questions, provide input, and attend in person, join virtually, or call in.
Public Hearing #1
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Public Hearing #2
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Friday, November 14, 2025 1–2:30 p.m.
Legends Casino Hotel 580 Fort Road Toppenish, WA 98948
Join on Zoom Meeting ID: 817 3643 0815
Call in: 1-253-215-8782 (Tacoma) 1-253-205-0468 (U.S.)
See more information on how to join.
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The Traditional Health Care Practices waiver is a five-year Section 1115 waiver available through the Centers for Medicare & Medicaid Services (CMS). It focuses on spiritual, cultural, and traditional healing in Native communities.
If approved, this waiver will allow certain types of facilities in the state to provide traditional health care services as “qualifying facilities,” including:
- Indian Health Service (IHS) facilities
- Tribal facilities
- Urban Indian Health Organizations (UIHOs), depending on state funding from the Legislature
When a qualifying facility provides traditional health care services to an eligible Apple Health (Medicaid) or Children’s Health Insurance Program (CHIP) enrollee, Medicaid will reimburse (pay) that facility for the service.
If you are unable to attend a public hearing or would like to share input in a different way:
- Email us
- Mail us or drop off at:
Health Care Authority, Office of Tribal Affairs Regarding: Traditional Health Care Practices waiver public comment Attention: Lena Nachand P.O. Box 45502 Olympia, WA 98504-5502
See additional information if mailing or dropping off.
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