cherokee nation contract health claremore ok cherokee nation contract health claremore ok

hearing aid program of the Cherokee Nation, acute otitis media are more likely to develop hearing loss. There are a number of Cherokee Nation citizens who live close to Claremore that fall in the Claremore Indian Health Service unit which requires them to use the Claremore IHS facility and who apply for PRC contract health services. Opioid addiction treatment facilities like Cherokee Nation - Claremore Indian Hospital support people struggling with opioid dependency, which covers illegal and prescription opioids. First Amendment: Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances. A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. Most opioid addiction treatment plans include detoxification and subsequent medications to ease the process. Effective June 1, 2014 Cherokee Nation compacted a portion of Claremore IHS CHS/PRC. Contract Health Services is not an Entitlement Program or a guarantee of payment. Cherokee Nation - Claremore Indian Hospital 101 South Moore Avenue Claremore OK, 74017 www.ihs.gov (918) 342-6460 Last Updated: 02/17/2023 You might also consider: YouthCare of Oklahoma Drug Rehab | Alcohol Treatment | Dual Diagnosis 603 West 12th Street, Claremore, OK 74017 Human Skills and Resources Drug Rehab | Alcohol Treatment (1) These centers typically combine both physical as well as mental and emotional support to help stop addiction. There are no reviews yet. A post office was established there on June 25, 1874, thirty-three years prior to Oklahoma statehood, when the region was the Cherokee Nation, Indian Territory. In 2011, the tribe passed legislation that increased the Cherokee Nation Businesses dividend from 30% to 35%, with the extra 5% being set aside specifically for contract health services. There are also local community programs in Claremore, OK such as Alcoholics Anonymous. High near 55F. He said they are working to put in checks and balances on the issues so that patients are not having to pay for referrals on their health care. If a family member including a spouse needs to advocate on your behalf, please have them signHealth Insurance Portability and Accountability Act (HIPAA) forms for patient approval to release your confidential health care information. Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The town was named for the Osage Indian chief Claremore, whose nearby village was destroyed during the Battle of Claremore Mound in 1817. Provides care management to families caring for children and ensures their physical, social, emotional, cognitive, and behavioral health needs are met. We provide that service and the agreement is they would send them back to us and let us run that lab, let us do that image and then send them back. 74017. 1145 S. Utica Ave., Suite 110 WIC is a health and nutrition program for women, infants and children. OK Thatswhere were getting caught in this crossfire. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction. Line: (800)219-9458: Claremore Indian Hospital Services: 101 S. Moore Ave. Claremore OK 74017: Phone: (918)342-6200 Alt Line (888)275-4886: How does CHS work? People often abuse prescription opioids to get high instead of adhering to a medical providers directions. Inpatient is when the doctor performs the surgery and you have to stay over night in a hospital. An Intensive Outpatient Program like whats offered at Cherokee Nation - Claremore Indian Hospital, targets those who need intensive treatment but would rather get it in the comfort of their homes. Claremore, OK (74018) Today. You have permission to edit this article. Councilors asked why patients sign a document when contracted out for care that the patient will be responsible for a bill of care. This is a step towards fulfilling that obligation.. (918) 342-6200. 74017, 408 East Will Rogers Boul, Drug arrests have more than doubled over the last 10 years. INSTITUTION Public Health Serviceadhew) Arlington, Va, Integrating Indian Health Programs Into Medicaid Managed Care Systems, Part 2 Sara J, The Role of Medicare and the Indian Health Service for American, Indian Health Careers in the Oklahoma City Area Opportunity, Long-Term Care in Indian Country: New Opportunities and New Ideas, Tribal and Designees of Indian Health Program Meeting Summary, Tribal and Indian Health Representative Webinar, Increasing Rate of Pneumonia Hospitalizations Among Older American Indian and Alaska Native Adults Journal of Health Disparities Research and Practice, Medicaid's Role in Health Care for American Indians and Alaska Natives, 10 Important Facts About IHS and Health Insurance (PDF), Medicaid and American Indians and Alaska Natives, Indian Health Careers in the Navajo Area Opportunity, IHS Congressional Justification Fiscal Year 2021, JAMES M. GALLOWAY, M.D., F.A.C.P. Cherokee Nation - Claremore Indian Hospital offers a variety of services and programs for individuals struggling with mental health and substance abuse issues. To contact the Tribe, call (918) 453-5000 or visit www.cherokee.org. We have an obligation to take care of our people and help ensure our well-being, Baker said. MISSION: The Cherokee Nation is committed to protecting our inherent sovereignty, preserving and promoting Cherokee culture, language and values, and improving the quality of life for the next seven generations of Cherokee Nation citizens. Edit Close. Other revisions to the healthcare of the Cherokee nation include the $100 million dollars in health care facilities, a revision of Claremore Indian Hospitals contract health program and a three-month prescription drug program. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). Thats why disclaimers are put it there, Jones said. Examples of such care include cancer treatment, knee replacements,cardiologistsand other specialized care. A dual diagnosis by Cherokee Nation - Claremore Indian Hospital aims to treat the addiction as well as the cause of the addiction. NOTICE OF HEALTH INFORMATION PRACTICES . Box 2922, Claremore, OK 74018. Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). The revised hearing aid program now mandates that a Cherokee Nation citizen can receive two hearing aids, whereas previous legislation allowed for only one hearing aid. . We have a finite amount of money we spend each week, Valliere said. Some offer both, and tailor treatment to the patients individual requirements. TAHLEQUAH, Okla. The Cherokee Nation this week administered its 10,000th dose of the COVID-19 vaccine to Cherokee citizens falling within the tribe's Phase 1 and Phase 2A priority distribution Due to scheduled maintenance, Cherokee.org and its related websites will be intermittently unavailable between 12am - 4am CST Sunday, March 5th. Jones said patients with insurance or a third-party payer makes a difference in how far contract health dollars can go. You must contact PRC at 918-342-6355 within 72 hours of receiving emergency care at a non-Indian Health Service facility. 243/Monday, December 21, 2009, Health Insurance Choices for American Indians Health Insurance Is an Important Resource That Can Keep You and Your Family Healthy, APPENDIX B American Indian Or Alaska Native Family Member (AI/AN) Complete This Appendix If You Or a Family Member Are American Indian Or Alaska Native, GAO-21-20, Accessible Version, INDIAN HEALTH SERVICE: Actions, And Community-Based Services in Indian Country, Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care Oei-06-14-00011, Writing a New Future for American Indians and Alaska Natives T, Presentation on Care Coordination Agreements Between IHS and Uios, Indian Health Service FY 2023 National Tribal Budget Formulation Work Session Table of Contents Agenda 1) National Rollup A. Claremore, OK. Posted: February 06, 2023. The name change was official with passage of the FY 2014 appropriation, so you may need to use both terms to make sure your need is communicated. 903-596-3500. 74017, 1010 East Will Rogers Bou, George Valliere, Indian Health Service Chief Executive Officer for Claremore Indian Hospital, answered questions on why denial rates are high at the Claremore facility. It provides nutrition education, breastfeeding support and referrals for health care. Job Summary. Calls to numbers dedicated to specific provider listings will be routed to that provider. Chance of rain 60%.. . Contract health services within the Cherokee Nation will receive additional funding due to an increase in casino dividends. This act will be the first act I sign as chief of the Cherokee Nation, Baker said as part of his inaugural address. a revision of Claremore Indian Hospital's contract health program and a three-month prescription drug program. Otitis media often occurs in young children, with lack of healthcare and low socioeconomic status being possible factors in the illness. Winds light and variable. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation. Collaborates with other Cherokee Nation health care disciplines and community agencies to ensure the highest quality health care for patients . Past achievements from Principal Chief Bill John Baker include his successful petitioning of the Cherokee Nation Businesses to sell its corporate airplane and give the proceeds of the sale, roughly $1.5 million, to Cherokee healthcare services. End of story. 13 Oologah past No. Cherokee Nation continues to help more and more of our citizens who need these specialty and emergency services that are outside of our health system and we will continue to support these important needs, Hoskin said. Past achievements from Principal Chief Bill John Baker include his successful petitioning of the . Addiction treatment centers provide a monitored environment where you will get the medical attention you need, as well as the emotional support to overcome drug or alcohol abuse. One example of inpatient versus outpatient CHS/PRC is knee surgery. Cherokee Nation - Claremore Indian Hospital is located in Claremore, Oklahoma. We retrieve your medical records on your behalf and get them delivered to you quickly and securely. Cherokee Nation - Claremore Indian Hospitals Drug Treatment Center, located in Claremore, OK, offers multiple levels of care, individualized treatment options, and accepts most health insurance. If a person comes in and theyre from outside of our jurisdiction or outside of our boundaries, and they get referred out and theyre not eligible for contract health, and they are going to go out for that service and they choose to, then they are responsible for that. Calls to our helpline (all non-facility specific 1-8XX numbers) will be answered by Treatment Addiction Solutions, or one of our verified local treatment partners. COVID Vaccine Clinic: 918-342-6698, Office of Clinical and Preventive Services - 08N34 A&B, Office of the Director/Congressional and Legislative Affairs Staff - 08E37A, Office of the Director/Diversity Management and Equal Employment Opportunity Staff - 08E61, Office of the Director/Executive Secretariat Staff - 08E86, Office of the Director/Public Affairs Staff - 08E73, Office of Direct Service and Contracting Tribes - 08E17, Office of Environmental Health and Engineering - 10N14C, Office of Information Technology - 07E57B, Office of Resource Access and Partnerships - 10E85C, Office of Urban Indian Health Programs - 08E65C, U.S. Department of Health and Human Services, Exit Disclaimer: You Are Leaving www.ihs.gov, Office of Environmental Health and Engineering, Contact Us OCA IHS Administrative Offices, Payment for medical care outside an IHS facility can only be authorized by a PRC official if funds are available. The state spent more than $37 million to combat addiction by investing in quality drug and alcohol addiction treatment in 2017. For daily news and event . Cloudy with showers. There are 240,737 enrolled Cherokees residing in Oklahoma, and more than 141,000 living within the the Cherokee Nation reservation. For an elderly or disabled person receiving emergency care, this may be extended to 30 days. Cherokee Nation citizens only in Rogers County and Tulsa County will be outpatient CHS/PRC Cherokee Nation and inpatient Claremore IHS. Mailing Address PO Box 1007 Tahlequah, OK 74465. Rational Emotional Behavior Therapy (REBT) has short term results for addicts. Phase three includes all adults and those age 16 and older who are . The Vinita VA outpatient clinic will remain open until the new Claremore clinic opens at the end of 2022. The tribe, a 14-county northeast jurisdiction in Oklahoma, is normally provided hearing aids by the Cherokee Nation health services. Call 800-837-2869 202 East Stuart Roosa, Claremore, OK 74018 See open hours Sunday: Closed Monday: 8:00 AM - 5:00 PM CDT Tuesday: 8:00 AM - 5:00 PM CDT Wednesday: 8:00 AM - 5:00 PM CDT Thursday: 8:00 AM - 5:00 PM CDT Friday: 8:00 AM - 5:00 PM CDT Saturday: Closed More Info Save Share Notes Suggest Next Steps Housing Rehabilitation Program Claremore Indian Hospital is a government owned and operated facility providing inpatient services and outpatient care through nine organized clinical services. Addiction forces people to crave for opioids impulsively without factoring in the dangers these drugs bring to them. In a statement provided to the Cherokee Phoenix, Principal Chief Chuck Hoskin Jr. said the continues to make advancements in terms of serving more tribal citizens through contract health. UT Health East Texas Physicians Tyler - Fifth Street Internal Medicine Clinic. It can help one or both members of the couple. Through Cherokee Nation Health Services Executive Director Stephen Jones reported that the approval rate for June for PRC was 96%. All referrals are date specific and any further treatment shall require prior authorization for payment by PRC. Contact us now to see if your insurance covers treatment at this treatment center. Cherokee Tribal Council votes to increase health care funding, Claremore Ministerial Alliance hosts Lent services, Mayoral candidates enjoy friendly competition, , Town Hall to discuss synthetic opioid fentanyl, GIRLS BASKETBALL: Seaba's late floater sends No. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation. Clients may also self-pay. Some of the services offered by Cherokee Nation Behavioral Health include mental health and substance abuse services, community prevention, research, evaluation, outpatient services, individual therapy, group therapy, grief and trauma counseling, relapse prevention, parenting skills for disorders of childhood, psychiatry, psychological testing, and crisis intervention. Full-Time. Visit a Patient Benefit Coordinator at any Cherokee Nation health center or call our tribe's SoonerCare hotline at 844-749-4263. . Incidences of acute otitis media in the general child population is 5 percent, whereas rates of the disease among poorer children increase from about 20 to 25 percent. The counselor or therapist will use this time to address causes of an addiction, triggers, any type of mental issue or dual diagnosis . Toggle navigation. However, the town's founding date is in dispute. The Cherokee Nation is committed to preserving and promoting Cherokee culture, language, values, and improving the quality of life for the next seven generation of Cherokee Nation citizens. Where we tend to get more diverse is on the PRC side where were involved with more tribes, and we have different boundaries also.. Emergency Department - 24/7, Medical Clinic: 918-342-6658 23205 S Hwy 66 Claremore, OK 74018. Rehab.com is not a rehab services provider or treatment facility and does not provide medical advice of any kind. Cherokee Nation (CN) Contract Health Services (CHS) is funded by the Federal Government through Indian Health Services (IHS) at less than half its actual health care needs. Cherokee Nation - Claremore Indian Hospitals location in Claremore accepts most private health insurance. 13 Oologah past No. If you do not receive a response, forward the email to your Tribal Council member. Last Updated:1/10/2023 7 Anadarko, BOYS BASKETBALL: Turnovers sink Claremore in season-ending loss to Glenpool, BASKETBALL: Sequoyah boys, Inola girls claim regional titles, GIRLS BASKETBALL: Weast, Inola take care of Oologah in regional action, BASKETBALL: Sequoyah sweeps Westville in 3A Area IV regional, GIRLS BASKETBALL: Borgstadt, Waters lead Verdigris to 4A Area III regional title, Luncheon celebrates area women entrepreneurs, businesses, BOYS BASKETBALL: Vinita ends Verdigris season in regional consolation final, BOYS BASKETBALL: Clark posts career-highs of 31 points, 13 rebounds as Inola routs Cleveland. flag. Programs offered by Cherokee Nation - Catoosa Field Office serving Claremore, OK to help with social needs, including School Clothing Voucher Program. All rights reserved. Privacy Policy, Public Health (Physical Activity, Healthy Eating, & Tobacco Free). CHS/PRC requires each and every doctor visit and test to be pre-approved. Cara Cowan Watts is an elected Tribal legislator within the Cherokee Nation for portions of Rogers and Tulsa Counties. RehabNow.orgs helpline is a private and convenient solution for individuals seeking treatment for addiction or mental illness. Rhonda Hooper 539-234-1481; Lois Gay Fritts 539-234-1480; Renee Holloway 539-234-3108; Deborah Shepherd IHS COVID-19 Vaccine Distribution List As of August 26, 2021, CMS Serving American Indians and Alaska Natives in California, Indian Health Service California Area Office California Area Office, California Area Indian Health Service Talking Points Based on 2017 Data -- Numbers Are Approximate, Oklahoma City Area Federal / Tribal / Urban Indian Health System 2014, The Indian Health Program of the U.S. Public Health Service. We still see any federally recognized tribal member, just like Cherokee Nation does, as far as services in-house within our four walls, Valliere said. Completing a drug or alcohol rehab program shouldn't spell the end of substance abuse treatment. Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Effective Date: January 28, 2021 This notice describes how medical information about you may be used and disclosed and how you can get access to 8.1% of Claremore residents aged 12 or older reported use of an illicit drug, which is above the national average. Please use our convenient HIPAA-compliant online process to request your medical records from any US healthcare provider (including Claremore Indian Hospital). Claremore, TAHLEQUAH In the July Health Committee meeting, Tribal Councilors had questions regarding Purchase Referred Care, formerly known as contract health, and it affects on patients who utilize the program. Sorry, there are no recent results for popular commented articles. CHEROKEE NATION - HOUSING AUTHORITY - CLAREMORE. Assault, negligence, the loss of a loved one, and other unfortunate events may involve trauma. And thats not appropriate. Rehab.com receives advertising payments from the rehab providers that answer calls to the toll free numbers listed on the websites and is not associated with any specific rehab provider. Aftercare support plays an important role when sustaining a patients full recovery at Cherokee Nation - Claremore Indian Hospital. It is caused by blockage of the auditory tube, a tube connected to the inner ear, and swelling of the upper part of the pharynx. It targets addiction and it can make for a healthier relationship. Mental illnesses like schizophrenia, bipolar disorder or anxiety disorder could lie at the root. If you wish to connect with a specific treatment center, you can browse rehabs by state, or visit: SAMHSA.gov. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. rehabnow.org is a referral service that provides information about addiction treatment practitioners and facilities. A complete list of our advertisers can be obtained by calling: (410) 630-4885. RehabNow.org is not affiliated with or sponsored by Cherokee Nation - Claremore Indian Hospital. For more information about Public Health please visit CherokeePublicHealth.org. Cherokee Nation Public Health promotes and protects the health of Cherokee Nation citizens and the communities where they live, learn, work and play. OK Provides care management to families caring . Cherokee Nation - Claremore Indian Hospital, Drug Rehab | Alcohol Treatment | Dual Diagnosis, 603 West 12th Street, Holistic rehabs in Claremore, Oklahoma, integrate traditional addiction treatments with complementary therapies like yoga and meditation. According to Cherokee Nation Health Services, the tribe has processed 451,754 referrals for patients at a 97% approval rate and paid more than $200 million since 2019 for contract health services. Elder Health Consultant IHS Before, Navajo Area Indian Health Service Fall Session Report 24Th Navajo, Indian Health Services and Tribal 638 Facilities, Native American Lifelines Is a Title V Urban Indian Health Program Funded by the Indian Health Service, Oklahoma City Area Federal/Tribal/Urban Indian Health System Directory, Overview of the Indian Health Service Program, Rear Adm. Michael Toedt, MD Chief Medical Officer Indian Health Service, Healthcare Reducing Disparities in the Federal Health Care Budget, Indian Health Service: Navajo Area Shiprock and Tuba City, Indian Health Service California Area Office FY 2015 Annual Report, Locations of ID NOW COVID-19 Rapid Testing Systems Distributed By, GAO-19-612, INDIAN HEALTH SERVICE: Facilities Reported, Health Services Your Guide to Cherokee Nation Contract Health. It aims to help them move forward with their lives without having to deal with ongoing therapy. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal. All of this means you will quickly be approved and know you need knee surgery. General Hospital: 918-342-6200 In 2011, the tribe passed legislation that increased the Cherokee Nation Businesses dividend from 30% to 35%, with the extra 5% being set aside specifically for contract health services. Support; . The name change will not otherwise change the program, and all current policies, practices and improvements continue. Walk-ins are welcome at any of the tribes outpatient health centers from 8:00 a.m. - 4:00 p.m. For the month of June, 22 of 240 people were denied PRC at Claremore Indian Hospital. Aftercare, Cognitive Behavioral Treatment (CBT), Couples Therapy, Drug Rehab, Dual-Diagnosis, Family Therapy, Group Therapy, Individual Therapy, Intensive Outpatient (IOP), Motivational Interviewing, Nicotine Replacement Therapy (NRT), Outpatient Treatment (OP), Sober-Living / Half-Way, Trauma Therapy, Is your insurance accepted?Ask an expert, call (888) 674-0062. The additional 5 percentincrease provided by the Cherokee Nation businesses is used to further supplement healthcare services, and the additional hearing aids will be provided by funding specifically from the tribes gaming revenues. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. Copyright 2023 Cherokee Nation. Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Purchase Referred Care is affected by federal funding, third party payer options, Cherokee Phoenix accepting questions for princi, Contested candidate eligible to run, EC decides, 33 of 40 Cherokee Nation candidates get green light, UPDATE: Cherokee Phoenix deputy chief, principa, Stilwell head coach looks to lead team to state playoffs, Oklahomans to vote March 7 on recreational marijuana, Deal completed for Gold Strike Casino Resort, March 1, 2023 issue of the Cherokee Phoenix. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. All of these departments are headed by board-certified or board-eligible chiefs of service. 309 N. 14th Street Okemah, OK 74859: Phone: (918)623-1424 Alt. So, 96% of 14,000 when you look at those numbers, Jones said. Addresses challenges by providing individualized strength-based support, education, coaching, information, and resource referrals. . First Amendment: Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances. 400. 7 a.m. to 4 p.m. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare. Accreditations matter when weighing your options for addiction treatment. Cherokee Nation Health Services Health Services Any member of the public, 6 months and older, regardless of where they live, is eligible to receive the COVID-19 vaccine. Programs range from the Male Seminary Recreation Center, WINGS program, WIC, community partnerships, walking groups, Cancer Programs and more. The Cherokee Nation Tribal Council voted to increase the monthly dividend the tribe receives from its for-profit corporations by 5 percent Monday night, with the additional funding going exclusively to contract health care. Walk-ins are welcome at any of the tribe's outpatient health centers from 8:00 a.m. - 4:00 p.m. Additional calls to numbers marked with a label like ad will be primarily routed to advertisers of the website. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). According to the VA, the decision to close the clinic in Vinita was not in the Veterans Affairs' long-term . In the cases of Native American patterns of hearing loss, increased funding for healthcare service may serve as a preventative measure for protecting against ear infection and hearing loss. 7 Anadarko, BOYS BASKETBALL: Turnovers sink Claremore in season-ending loss to Glenpool, BASKETBALL: Sequoyah boys, Inola girls claim regional titles, GIRLS BASKETBALL: Weast, Inola take care of Oologah in regional action, BASKETBALL: Sequoyah sweeps Westville in 3A Area IV regional, GIRLS BASKETBALL: Borgstadt, Waters lead Verdigris to 4A Area III regional title, Luncheon celebrates area women entrepreneurs, businesses, BOYS BASKETBALL: Vinita ends Verdigris season in regional consolation final, BOYS BASKETBALL: Clark posts career-highs of 31 points, 13 rebounds as Inola routs Cleveland. The Indian Health Service (IHS) Contract Health Service (CHS) program funds referrals for care in the private sector when those services cannot be provided in the IHS facility. The next regular Tribal Council meeting is scheduled for Dec. 12 at 6 p.m. in the Tribal Council Chambers of the W.W. Keeler Complex in Tahlequah. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track. Salina, OK 74365 918-434-8500 Cherokee Nation Outpatient Health Center In January 2014 Cherokee National Principal Chief Bill John Baker issued an executive order to expand the healthcare package of the Cherokee Tribe in Oklahoma, allowing more than 317,000 citizens further access to hearing aids.