Digital Tool Box Tribal Plan Spotlights

Learn about each of the 8 AHCCCS contract Tribal ALTCS plans, and their diverse and well respected programs. These plans serve over 2500 Tribal members and ensure each one receives, any and all, medically necessary service to enrich their spiritual and physical health. AHCCCS DFMS Tribal ALTCS program feels very grateful partnering with such outstanding member care focused staff and administrators.

Pascua Yaqui

  • Pascua Yaqui

  • 1. Question: How many staff do you have?

    Answer: 8-10

    2. Question: What city is your office(s) located in?

    Answer: Tucson

    3. Question: How many square miles does your plan cover?

    Answer: All of Arizona-regardless of where our members live.

    4. Question: What is the most rewarding aspect of your team's scope of work?

    Answer: Helping members get the much needed Long Term Care Services.

    5. Question: What is the most challenging aspect of your team's scope of work?

    Answer: The high acuity level of the member's we serve. Especially now with the COVID pandemic. The "fear that our most vulnerable members are at such high risk of getting COVID. Many of their own family members do not take the advise of enforcing the CDC recommendations. Lack of knowledge of some people and their refusal to "quarantine, isolate, lack of employment, hygiene, resources to purchase cleaning supplies. Just the state of the world. Our tribe is doing a great job on all these fronts, but there are many people who do not adhere to the policies in place.

    6. Question:Do you have an agency vision? If so, can you share it with us?

    Answer: More of a Mission:

    About Pascua Yaqui Health Services Division

    The PYHSD mission is to promote the highest possible standard for health and well-being within its communities. The PYHSD carries out this mission by managing over $30 million from federal, state, tribal, and private funds. As an Indian Self-Determination Act (ISDA) contract tribe, it negotiates two separate Annual Funding Agreements, one with Indian Health Service (IHS) Phoenix Area for member in Maricopa County, and the second with the Tucson Area

    7. Question: How many different languages do your members speak? And can you list what those languages are?

    Answer: Spanish, English, Yaqui.

    8. Question: What are some traditions that are practiced by your members? How long have these traditions been in practice?

    Answer:

    • Easter, Passover is the big one.
    • Ceremonies of the Yaqui
    • Lent and Easter
    • Ceremonies of the Pascua Yaqui Tribe
    • January 18: The Mazo Kova Pahko (Deer Head) Ceremony: is held to commemorate the massacre of 400 Hiaki individuals at Maso Kova in the Vakateeve (tall bamboo) Mountains in Rio Hiaki, Sonora, Mexico. This massacre occurred on January of 1900. This ceremony is held in Pascua Pueblo. Prayer Leaders, Kantoras (Female Singers) the oficios (Pahko’ola Dance Group) and (Deer Dance Group) will also participate in this memorial. These participants may include: Pahko’ola Dancers (3), Deer Dancer (1), Deer Dance Singers (3), Violinist (1), Harpist (1), Pahko’ola Moro (Assistant for Pahko’ola group) (1), Maso Moro (Assistant for Deer Dance group) (1) It is an evening ceremony. Participants from Sonora, Mexico may be requested to participate if we are unable to locate enough tekiakame (ceremonial persons) in the five local Hiaki communities.
    • February: Lent begins on Ash Wednesday. The processions and weekend ceremonials begin and the Prayer Leaders, Kantoras (Female singers) Kiyohteis (Female Church Assistants) Vanteareom (Female Flag Bearers) Anhelitom (Angels) Padrinos and Madrinas (Godparents) and Kohtumvre Ya’ura (Fariseo Society) and pueblo will participate in the Friday processions. These societies, (except the angels) as well as the oficios for the Pahko’ola and Deer Dance Society will participate in the weekend ceremonials. The oficios for the Pahko’ola and Deer Dance Societies are noted above. The Lenten activities last for seven weeks. The ceremonials begin early Saturday morning and culminate on Sunday afternoon. They members of the above societies will participate in their own respective communities. When Lent is over, the oficios (Pahko’olas & Deer Dancer) will usually remain in the Hiaki communities until the Holy Cross ceremonies are over. These are described below.
    • May 2: The Feast of the Holy Cross (Santa Cruz Pahko): This ceremony occurs on May 2nd. However, the Vespers (Vispera) are usually offered the night prior to the actual Holy Cross ceremony. This is an all-night ceremony where the oficios (Pahko’ola and Deer Dance Societies) as well as the Prayer Leaders will participate. The ceremony ends on Sunday, around midday (depends on the community)
    • June 24th: St John Feast Day (San Juan Pahko): This feast will begin around the 24th of June. Ceremonial people from Sonora are usually requested to come to Arizona prior to San Juan’s day in order to participate in the Vespers (Vispera) ceremony which begins one day prior to the actual ceremony.
    • July 30: San Ignatius Feast Day (Fiesta de San Ignacio): This ceremony is celebrated in Old Pascua in Tucson. The Vespers (Vispera) occurs a day earlier or it may begin that same day, hours earlier. The Prayer Leaders, Kantoras, Kiyohteis as well as the oficios (Pasko’ola and Deer Dance Group) will participate in this ceremony. This is an overnight ceremony which will culminate midday on Sunday, depending on the community.
    • August 8: Feast Day of Our Lord of Miracles (Fiesta del Senor de Los Milagros): This ceremony is celebrated at the church of Senor de Los Milagros located at the corner of 16th and 44th St. in Tucson. Ceremonial participants may be asked to arrive a day early in order to participate in the Vespers (Vispera) which occurs one day early on Friday. The Prayer Leaders, Kantoras and the oficios from the Pahko’ola and Deer Dance Soceities usually participate in this ceremony. The ceremony culminates on Sunday at midday.
    • September 18: Pascua Yaqui Tribe Recognition Day: On this day the Pascua Yaqui Tribe celebrates its annual Federal Tribal Recognition Day activities. Prayer Leaders, Kantoras, and the oficios from the Pahko’ola and Deer Dance societies participate in this activity. This is a one day activity which culminates around midnight of that same day.
    • October 1: Month of the Return of the Spirits of the Deceased: During this month, beginning on the 1st of October, the Prayer Leaders and the Kantoras will offer prayers for the spirits of the Deceased beginning on the 1st Monday of the month and continuing each Monday of the entire month of October. These prayers are usually offered at the local community church.
    • November 1: All Saints Day: On this day some traditional families will set a table in their private residences and ask the Prayer Leaders and the Kantoras to offer prayers for the spirits of the deceased. This activity begins at midday and continues through the night. All the Hiaki communities celebrate this activity.
    • November 2: All Souls Day: The Prayer Leaders and Kantoras, as well as the Matachinim (Matachin Society dancers) participate in offering prayers at the local cemeteries. This ceremony begins early in the morning and lasts through midnight. It is celebrated in New Pascua and Guadalupe.
    • October/Nov:

      St. Jude Feast (Fiesta de San Judas): This Saint day is cerebrated by families during these months. Prayer Leaders, Kantoras, Kiyohteis and the oficios (Pahko’ola and Deer Dance Societies) participate in this fiesta. This is an all night ceremony.
    • November 3: Feast Day of Saint Martin De Porres(Fiesta de San Martin De Porres): This ceremony is celebrated at the church of San Martin de Porres located at the corner of 39th and 10th Ave. in South Tucson, Barrio Libre. On November 3rd a mass is held in the evening and pahko the following weekend. The Prayer Leaders, Kantoras and the oficios from the Pahko’ola the Wiko Yau’ra and Deer Dance Societies usually participate in this ceremony. All are invited to come join us in lighting candles, procession and the all night pahko.
    • December: Our Lady of Guadalupe (Itom Ae Waalupe): This ceremony is celebrated in all five communities as well as at the private residences of our community members throughout the month of December. The actual feast day is December 12th. The Prayer Leaders, Kantoras and oficios (Pahko’ola and Deer Dance societies) are involved in this ceremonial which traditionally lasts throughout the night. Vespers are also offered one day prior to the actual Feast Day of Our Lady of Guadalupe. Vespers would take place on the 11th of December.

    9. Question: Can you tell us a short story of something impactful that occurred due to the hard work your staff/team provided for a member?

    Answer: As part of the Health Department, we are assisting in a variety of outreach programs and helping the nursing staff by delivering food boxes and medications to COVID affected families. Helping where ever needed. Answering phone, covering for staff who get sick, learning other tasks that the CHR/CHN staff do.

    Handing out PPE, learning and teaching members about COVID. So many new things and challenges. We have to work closer and help each other.

    10. Question: Are there are any sacred animals your members attribute to being a sign of future good luck?

    Answer: Deer, Humming Bird, flowers are important symbols. However, given that the most practiced "religion is catholic", i would say the "Cross with Jesus". But that is only from my personal experiences in the homes of the members I have served. I will ask our Culture Department for a more specific answer and let you know.

    What traditional foods and linens/clothing do members within your community make from the harvested livestock/crops? We don't use the livestock for clothing. Although we have a ranch and there are horse, cattle, goats and crops grown there. Crops are given to the community members when they are harvested.

    11. Question: What livestock or crops do farmers within your community typically raise/grow?

    Answer: Horses, cattle, goats, chickens. Crops are seasonal.

    12. Question: What types of traditional homes did/do tribal members within your community live in? Are there specific shapes and meanings to the structures?

    Answer: I am not aware there is a style. Standard track housing for the new projects.

    13. Question: How has COVID affected your members and team? What silver linings have occurred due to COVID?

    Answer: The death of so many in the Phoenix, Guadalupe area. We are more aware, contacting members frequently, providing educational materials, making personal contact with them. We have grown closer to our members.

    14. Question: What is the tallest mountain called in your community?

    Answer: No mountains near us that are called anything special.

    15. Question: What is the age of the oldest member you have enrolled?

    Answer: 92 years and going.

    16. Question: What is the average year round temperature at your office and/or in the community(ies) you serve?

    Answer: 80-107 degrees.

    17. Question: What is the most dynamic part of your team?

    Answer: The fact that I have been here almost 30 years. Both myself and my co-working case manager have formal education. This has meant a great deal for me and her. Probably not as important to our staff, but on the outside world, we are viewed and respected by those who know what it takes to get an education at the highest possible level in Social Work.

    18. Question: Does your Tribe name have a meaning? If it does what is its translated meaning?

    Answer: Pascua, means "Passover". Yaqui means "the people".

    19. Question: What is the single most important aspect of your team's work?

    Answer: The medical services and advocacy we provide.

    20. Question: What would you suggest on how to improve Long Term Services? Is there a service which should be developed and/or added?

    Answer: Yes, medical social workers, resource building, public education about the program, a position within each tribe to complete the "eligibility" process and paperwork. This is what keeps many members from completing the process. Too much red tape.

    21. Question: What would you say is the most important element a member expects while receiving LTC services?

    Answer: On demand services. Not always accepting that AHCCCS doesn't cover "everything they would like" evenwhen not medically necessary.

    22. Question: How many of your members are veterans?

    Answer: 3

    23. Question: Please add any other facts and/or information you would like to share so we can include this within your spotlight.

    Answer: Because we use PPE daily in our work space, I have not been infected with COVID. This goes to show that PPE works. I have gotten used to wearing the mask. I tell, others would you rather deal with a mask everyday or be on a ventilator! That is a reality check for me. Thanks to God, I have not missed any work days and am available to help where ever needed.

River Indian Community

  • River Indian Community

  • Coming soon.

The HOPI Tribe

  • HOPI Tribe

  • 1. Question: How many staff do you have?

    Answer: 4

    2. Question: What city is your office(s) located in?

    Answer: Kykotsmovi, Arizona

    3. Question: How many square miles does your plan cover?

    Answer: 50 miles both directions (east & West) = 100 miles.

    4. Question: What is the most rewarding aspect of your team's scope of work?

    Answer: Obtaining DMEs and home modifications for members.

    5. Question: What is the most challenging aspect of your team's scope of work?

    Answer: Nursing home placements.

    6. Question: Do you have an agency vision? If so, can you share it with us?

    Answer: To envision a comprehensive health care system that ensures all Hopi people enjoy a long healthy life (Hopit Pötskwaniat 2011).

    7. Question: How many different languages do your members speak? And can you list what those languages are?

    Answer: Three (3) - Hopi; Tewa; English.

    8. Question: What are some traditions that are practiced by your members? How long have these traditions been in practice?

    Answer: Going to baby namings; go see traditional dances; prayer in the mornings; weddings; cultural events through out the year; cook to feed for various events; These have been practiced for time in memorial.

    9. Question: Are there are any sacred animals your members attribute to being a sign of future good luck?

    Answer: Eagles, hawks, and animals that relate to their clanship.

    10. Question: What traditional foods and linens/clothing do members within your community make from the harvested livestock/crops?

    Answer: There are many HOPI Traditional foods made from the corn using various part of the corn stalk. Blue corn mush, piki, blue marbles, a variety of blue corn tamales, Corn stew, hominy, any many more.

    11. Question: What livestock or crops do farmers within your community typically raise/grow?

    Answer: Live stock includes, horses, cattle, sheep, and crops are corn, squash, melons, chili, beans, fruit(apples, peaches, grapes, pears).

    12. Question: What types of traditional homes did/do tribal members within your community live in? Are there specific shapes and meanings to the structures?

    Answer: Adobe house made from local rocks. The traditional homes were structured like a man's traditional haircut. Meaning is sacred

    13. Question: What is the name used for the most respected individual in your member's community?

    Answer: This can have multiple answers per tribe and/or belief. WUyok, Wuwuyom.

    14. Question: How has COVID affected your members and team? What silver linings have occurred due to COVID?

    Answer: CMs not being able to make home visits. Members always enjoyed the home visits from CMs. Silver lining is many of the families are stepping up to provide informal care of their elders.

    15. Question: What is the tallest mountain called in your community?

    Answer: Nuvatuqwiovi . Not right in community but can be seen clearly form the Hopi mesa. The San Francisco Peaks

    16. Question: What is the age of the oldest member you have enrolled?

    Answer: 98 years old.

    17. Question: What is the average year round temperature at your office and/or in the community(ies) you serve?

    Answer: 60 -68 in office and 49-70 in community

    18. Question: What is the most dynamic part of your team?

    Answer:Helping one another with data entries when one is unable to do so. Team Work.

    19. Question: Does your Tribe name have a meaning? If it does what is its translated meaning?

    Answer: Hopi means being respectful and being humble.

    20. Question: What is the single most important aspect of your team's work?

    Answer: Ensuring members receive services that they adds to the quality of their life.

    21. Question: What would you suggest on how to improve Long Term Services? Is there a service which should be developed and/or added?

    Answer: Vigorous training for CMs. Cultural Sensitivity Training for AHCCCS personnel because each tribe is very different especially in the rural areas.

    22. Question: What would you say is the most important element a member expects while receiving LTC services?

    Answer: To remain at home cared by family members.

    23. Question: How many of your members are veterans?

    Answer: 3

    24. Question: Please add any other facts and/or information you would like to share so we can include this within your spotlight.

    Answer: Majority of Hopi members are receiving Community/Home based services.

White Mountain Apache Tribe

  • White Mountain Apache Tribe

  • Coming soon.

Apache Tribe San Carlos Arizona

  • Apache Tribe San Carlos Arizona

  • 1. Question: How many staff do you have?

    Answer: 5

    2. Question: What city is your office(s) located in?

    Answer: San Carlos, Arizona

    3. Question: How many square miles does your plan cover?

    Answer: 100 plus

    4. Question: What is the most rewarding aspect of your team's scope of work?

    Answer: The elders like the attention that the Case Managers gives to them.

    5. Question: What is the most challenging aspect of your team's scope of work?

    Answer: Lack of laptops make the work harder to complete in a timely manner

    6. Question: Do you have an agency vision? If so, can you share it with us?

    Answer: SCAT ALTCS wants to have a team of Behavior Health Case Managers in helping issues for behavioral/mental health.

    7. Question: How many different languages do your members speak? And can you list what those languages are?

    Answer: Staff speaks first language, Apache and second is English.

    8. Question: What are some traditions that are practiced by your members? How long have these traditions been in practice?

    Answer: The SCAT members pray, eat and practice traditional beliefs

    9. Question: Are there are any sacred animals your members attribute to being a sign of future good luck?

    Answer: Eagle

    10. Question: What traditional foods and linens/clothing do members within your community make from the harvested livestock/crops?

    Answer: Acorn is harvest in the fall.

    11. Question: What livestock or crops do farmers within your community typically raise/grow?

    Answer: SCAT range cattle is the livestock.

    12. Question: What types of traditional homes did/do tribal members within your community live in? Are there specific shapes and meanings to the structures?

    Answer: Trailers and modern homes are built with the front door facing east.

    13. Question: What is the name used for the most respected individual in your member's community?

    Answer: This can have multiple answers per tribe and/or belief.

    14. Question: How has COVID affected your members and team?

    Answer: The impact of COVID is the deaths of 4 ALTCS members.

    15. Question: What is the age of the oldest member you have enrolled?

    Answer: The oldest is 90.

    16. Question: What is the average year round temperature at your office and/or in the community(ies) you serve?

    Answer: The temperature varies.

    17. Question: What is the most dynamic part of your team?

    Answer: The dynamic part is the hard work that everyone puts in accomplish the good of the ALTCS members.

    18. Question: What would you suggest on how to improve Long Term Services? Is there a service which should be developed and/or added?

    Answer: To have the ALTCS program to be open 7 days a week to accommodate access in healthcare.

    19. Question: What would you say is the most important element a member expects while receiving LTC services?

    Answer: Elders like the healthcare workers speak Apache.

    20. Question: How many of your members are veterans?

    Answer: 4

Tohono Nation

  • Tohono Nation

  • 1. Question: How many staff do you have?

    Answer: 7 including myself.

    2. Question: What city is your office(s) located in?

    Answer: Sells

    3. Question: How many square miles does your plan cover?

    Answer: 5,544 estimated - comparable to the state of Connecticut.

    4. Question: What is the most rewarding aspect of your team's scope of work?

    Answer: Being able to assist with ALTCS member medical needs.

    5. Question: What is the most challenging aspect of your team's scope of work?

    Answer: Seeking Limited Resources - Convincing vendors of who we are.

    6. Question: Do you have an agency vision? If so, can you share it with us?

    Answer: More Revenue for more Case Managers - so they have less of a case load to keep up with their files.

    7. Question: How many different languages do your members speak? And can you list what those languages are?

    Answer: Predominately Tohono O'odham/English.

    8. Question: What are some traditions that are practiced by your members? How long have these traditions been in practice?

    Answer: Use of traditional healing, gathering of Saguaro fruit, basket weaving - practiced part of culture -Tohono O'odham (Desert People) gather Sonoran Desert plant materials by hand to weave baskets in the traditional way. The inner coil, the warp, is made from split beargrass and the outer design, the weft, is typically made from soaptree yucca (natural green or sun bleached white). Sometimes other materials are woven into the basket's design using devil's claw (black), or in more rare instances, the root from the banana yucca (red).

    9. Question: Can you tell us a short story of something impactful that occurred due to the hard work your staff/team provided for a member?

    Answer: A SNF member (double amputee/use of prosthesis) tested positive for C19 and chose to not return to SNF due to the deaths within the facility; arrangements made for member to be quarantined back on the reservation and later moved to an ALF in Phoenix, when no admissions in Tucson.

    10. Question: Are there are any sacred animals your members attribute to being a sign of future good luck?

    Answer: Animals we don't see too much of are deer or eagles; if they appear it is considered a sign of something positive to happen in your life.

    11. Question: What traditional foods and linens/clothing do members within your community make from the harvested livestock/crops?

    Answer: ?actus jam, Cholla buds, prickly pear, mesquite bean ground for flour, cowhide sandals, Royalty Crowns made from Yucca, bear grass and devils claw and banana root (indigenous plants) horsehair earrings, clay potter.

    12. Question: What livestock or crops do farmers within your community typically raise/grow?

    Answer: Cattle/horses; squash, melons, alfalfa for hay, tepary beans, mesquite beans ground for flour, wheat.

    13. Question: What types of traditional homes did/do tribal members within your community live in? Are there specific shapes and meanings to the structures?

    Answer: Adobe house, and round houses made out of cactus rib and desert broom shrub round house used for wine feasts.

    14. Question: What is the name used for the most respected individual in your member's community?

    Answer: This can have multiple answers per tribe and/or belief. "one who leads us - our leader" (o'odham translation)

    15. Question: How has COVID affected your members and team? What silver linings have occurred due to COVID?

    Answer: A lot of the Elders have an understanding about having to stay home and not be out and about; not sure if there is a silver lining other than keeping close to family

    16. Question: What is the tallest mountain called in your community?

    Answer: Kitt Peak

    17. Question: What is the age of the oldest member you have enrolled?

    Answer: 100.

    18. Question: What is the average year round temperature at your office and/or in the community(ies) you serve?

    Answer: 80's, 90's 100's

    19. Question: What is the most dynamic part of your team?

    Answer: I don't know about the word "dynamic" my team could be if there were more Case Managers but I have been told that it is up to our Tribal Leaders to make up the difference for those additional bodies to fill those positions - that is not likely to happen. I still feel what Tohono O'odham Nation is reimbursed is not across the board with some of the other tribes in remote locations. (just another comment)

    20. Question: Does your Tribe name have a meaning? If it does what is its translated meaning?

    Answer: Tohono O'odham - Desert People.

    21. Question: What is the single most important aspect of your team's work?

    Answer: Ensuring the care of our Elders is provided.

    22. Question: What would you suggest on how to improve Long Term Services? Is there a service which should be developed and/or added?

    Answer: I don't know about service; but the current way of certain vendors providing services shouldn't be limited to only certain ones. Once I had our Community College apply to be a provider for Tohono O'odham to submit in the big process for ADA wheel chair ramps; because of the competitive field our community college was never chosen for a local job it always went to a company that was far away and was reluctant to come out to this distant location. That was the reason for hoping our community college could have been a local provider and have the competitive bid process waived? (just a suggestion)

    23. Question: Please add any other facts and/or information you would like to share so we can include this within your spotlight.

    Answer: Tribal members of the Tohono O'odham fought in wars before the world wars; they fought with the Apaches a lot. the Apaches would raid the villages and steal the women. Since then the Tohono O'odham have fought in World War I, World War II, the Korean War, the Vietnam War, the Gulf War and what is continuing now.

Native Health

  • Native Health

  • 1. Question: How many staff do you have?

    Answer: 5

    2. Question: What city is your office(s) located in?

    Answer: Mesa

    3. Question: How many square miles does your plan cover?

    Answer: SW Az to NW Az. (Maricopa, Somerton, Yuma, Parker, Kingman, Peach Springs, Supai, Camp Verde, SRPMIC-Scottsdale, Ft McDowell)

    4. Question: What is the most rewarding aspect of your team's scope of work?

    Answer: Aiming to improve human well-being and help satisfy the fundamental human care needs of Tribal Communities.

    5. What is the most challenging aspect of your team's scope of work?

    Answer: Finding AHCCCS Providers that will service our Tribal ALTCS population.

    6. Do you have an agency vision? If so, can you share it with us?

    Answer: People in Healthy Communities.

    7. How many different languages do your members speak? And can you list what those languages are?

    Answer: 2 different languages. Ak chin & Salt River Indian Tribe speak the O'odham language. Colorado River Indian/Cocopah/Quechan/Hualapai/Havasupai/Yavapai/Ft Mcdowell/Kiabab Pauite all speak a version of the Yuman-Cochimi/Chemehuevi aka Pai language.

    8. What are some traditions that are practiced by your members? How long have these traditions been in practice?

    Answer: Natural resource preservation such as land, water, trees and grass. Traditions have been in practice since the evolution of each tribe.

    9. Can you tell us a short story of something impactful that occurred due to the hard work your staff/team provided for a member?

    Answer: Anytime a member is in immediate dire need of basic household items such as food, gloves, toiletry or personal need items, the Native Health CMs have provided/donated out of their pockets according to the members needs until other resources are identified, established and coordinated.

    10. Are there are any sacred animals your members attribute to being a sign of future good luck?

    Answer: Seeing an eagle or hawk are signs of blessings

    11. What livestock or crops do farmers within your community typically raise/grow?

    Answer: Corn, cotton, barley, potatoes, alfalfa, squash, melons, desert tobacco, cane reed, bear grass, various cacti, edible grass seeds, sorghum and many other agricultural products.

    12. What types of traditional homes did/do tribal members within your community live in? Are there specific shapes and meanings to the structures?

    Answer: Tribal homes have been modernized to current day structures of single family homes. Historical back in the day Tribal homes ranged from brush wickiups/ brush huts from cottonwood poles and mud/clay dome dwellings.

    13. What is the name used for the most respected individual in your member's community?

    Answer: This can have multiple answers per tribe and/or belief. Tribal Shaman/Native Healer

    14. How has COVID affected your members and team?

    Answer: Isolation/Restrictions/Deaths

    15. What silver linings have occurred due to COVID?

    Answer: Self and health awareness.

    16. What is the average year round temperature at your office and/or in the community(ies) you serve?

    Answer: Office year round temp would be 75 degrees/ communities served varies based on geographical forecasted weather.

    17. What is the most dynamic part of your team?

    Answer: Team work/creative collaboration

    18. Does your Tribe name have a meaning?

    Answer: If it does what is its translated meaning? Yes tribe served Akchin/CRIT/Hualapai/Havasupai/Quechan/Cocopah/Yavapai/Ft McDowell/Kiabab Pauite/Salt River Indian Tribes have their individualized meaning and translations.

    19. What is the single most important aspect of your team's work?

    Answer: Quality.

    20. What would you suggest on how to improve Long Term Services? Is there a service which should be developed and/or added?

    Answer: A list of FFS providers who will deliver Tribal ALTCS services without questioning claims/billing or not contracted responses.

    21. What would you say is the most important element a member expects while receiving LTC services?

    Answer: Efficiency and quality of care.