Advancing Long-Term Services and Supports (LTSS) in Indian Country

Bridging Culture and Community

In 2025, IA² produced three animated videos and related fact sheets that introduce and describe service options for elders under states’ Medicaid Home and Community Based Services (HCBS) Waiver programs. The videos and fact sheets are designed to both inform about state-based HCBS waiver programs and encourage tribal elders and their caregivers to apply for important HCBS services as an alternative to costly nursing home care. They will be of value for service providers, including Title VI Directors to use with elders and caregivers within their communities. Medicaid HCBS Waiver Programs are state-specific, so the information must be tailored to individual states’ programs. It is our hope that the videos and fact sheets provide a template for future production for other states where tribal elders would benefit from Medicaid HCBS Waiver services. This project was made possible with financial support from the Office of American Indian Alaskan Native and Native Hawaiian Programs at the Administration for Community Living through the National Indian Council on Aging.