Eligibility

The following individuals are eligible for services:

1. AI/ANs from a federally recognized tribe living in Pierce County.
   To prove AI/AN blood, one of the following must be provided: tribal enrollment card or other proof of tribal enrollment, letter of descendancy, or certificate of Indian Blood (CIB or CDIB). If you do not already have one of these documents, you should begin by contacting your tribe. Pierce County residence must be proven at registration and at least annually thereafter. Depending on your eligibility status, acceptable proof of residence may include: mail or utility bills within 30 days of registration or update, rental agreements, car registration, current & valid state identification, etc. Call Patient Access or any front desk for a detailed list of acceptable proof.
2. AI/AN children 18 years old and under of someone who falls into Category 1. By 19 years of age, AI/AN children lose eligibility unless they can provide acceptable proof that they fall into Category 1.
3. Non-native women pregnant with AI/AN child until 6-weeks post-partum are eligible for Medical, Pharmacy, and Community Health Services. The father must fall into Category 1. A notarized paternity statement or marriage certificate must be provided. Both parents must reside in Pierce County and otherwise maintain eligibility for the duration of care.
4. Non-native dependents of an AI/AN who falls into Category 1.
   By 19 years of age, AI/AN children lose their eligibility.