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Financial and Administrative Review at Indian Health Service Area Offices

The Indian Health Service (IHS) provides health services to approximately 2.2 million American Indians and Alaska Natives in 567 federally recognized Tribes located in 35 States. These services are funded through annual appropriations distributed among IHS headquarter offices and 12 regional offices called Area Offices. These services are provided through IHS and Tribal facilities that operate (1) IHS direct health care service programs, (2) tribally operated health care service programs authorized under Titles I and V of the Indian Self-Determination and Education Assistance Act (P.L. No. 93-638), and (3) Urban Indian Health Program services and resource centers. Congress has expressed concern about IHS's administrative and financial management of program funds. We will examine how an IHS Area Office monitors and allocates appropriations received from IHS headquarter offices within its geographic area. We will examine an Area Office with respect to (1) accounting for IHS annual appropriations and (2) allocating IHS appropriations to service units within the Area Office's geographic area.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Completed Indian Health Service Financial and Administrative Review at Indian Health Service Area Offices Office of Audit Services A-05-18-00019;
W-00-18-59435		 2021