Self-Governance Communication & Education Tribal Consortium

IHS Announces Final Contract Support Costs Policy

Today, Indian Health Service (IHS) Principal Deputy Director, Mary Smith, announced that IHS has finalized a new Contract Support Costs (CSC) Policy.  The CSC Policy serves as a guide for IHS and Tribes in the preparation, negotiation, determination, payment and reconciliation of CSC funding used to support new, expanded and ongoing services provided through compacts and contracts.

The Policy includes several issues that Tribes advocated for in comments to the CSC Draft Policy. One of particular interest is the inclusion of the medical inflation rate to calculate estimated annual increases to ongoing direct CSC. Additional changes include an option to Tribes to reconcile and determine the full, final CSC expenditures within 90 days of the end of the annual performance period and a CSC Negotiation Template.

For more information, please click here.