The clinic bills Medicaid, Medicare and other third-party payers. Patients who have no other medical coverage travel to the Lummi Tribal Health Center for direct care services that are not provided at the Upper Skagit Health Center. The Tribe’s Contract Health Services program is funded and administered by the Swinomish Tribes through a consortium agreement. The Tribe’s Contract Health Service Delivery Area (CHSDA) is Skagit County. Services include supervision of contaminated waste handling, food handling permits, health inspections of tribal facilities, water quality and sewage management, vector control and solid waste disposal, among other duties as assigned by the tribal health department. One full-time position is funded and the sanitarian provides services one day a week at Upper Skagit. Through a contract with the Lummi Nation, Upper Skagit purchases the on-site services of a nutritionist one day a week, a mental health counselor two days a week, and medical doctor one day per month. Specialty services include WIC and ECEAP. With its base funding the Tribe operates a Family Services Program that employs a full-time physician’s assistant, a public health nurse one day per week, two full-time CHRs, and one full-time alcohol counselor. 93-638, Title I contract with the Indian Health Service (IHS). Health programs are funded through a P.L. The Tribe provides limited primary care services in a 4,500 SF medical clinic built in 1995.
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