Committed to working in partnership with Montana’s American Indian people

Montana is home to federally-recognized tribes on seven reservations, one state-recognized tribe, and a large urban Indian population. In a 2014 report on the health of Montanans, the Montana Department of Public Health and Human Services documented severe health disparities among American Indians living in Montana. The report found that American Indians in Montana die at a median age of 50 years (more than 20 years earlier than non-Indian Montanans). Death rates for specific illnesses, including heart disease, cancer, respiratory illnesses, injuries, and suicide are substantially higher as well. Statistics such as these are only a starting point for understanding the health challenges facing American Indians in Montana. These health disparities are rooted in longstanding challenges, including poverty and unemployment, racial discrimination and historical trauma, inadequate housing, and food insecurity, among others.

Funding Opportunities

We are currently accepting two types of grant proposals: competitive grants submitted under our 2018 Call for Proposals and invited grants submitted under our specific American Indian Health Initiatives, which include:

NOTE: Only tribes, tribal health departments, and urban Indian health centers (members of the American Indian Health Leaders group) are eligible for invited initiative grants.

Strengthening American Indian Health Services

Reducing American Indian Health Disparities

Our Work in American Indian Health

American Indian Health Grantees

Eagle Shield Center

Blackfeet Community Hospice Project

Project Term: 12 months; Dec 2017 – Nov 2018
Grant Amount: $26,262

This planning grant aims to achieve two primary objectives: (1) establish a partnership among tribal agencies on the Blackfeet reservation who will collaborate toward developing hospice services for the community; and (2) provide a one-day workshop to educate the Blackfeet community about hospice and end-of-life care. Since 2007, Blackfeet community members and a researcher from Montana State University have been collaborating on end-of-life experiences among Blackfeet people using a participatory approach. The partnership includes the Blackfeet Tribal Business Council, the Eagle Shield Center, the Blackfeet Tribal Health Department, Tribal Planning, Blackfeet Community College, Blackfeet Family and Child Services, Indian Health Service, and the Tribal Diabetes Clinic. At the conclusion of this project, a solid partnership will be established in the community and the workshop on available hospice services in the Blackfeet community will increase the community’s knowledge of end-of-life care needs and services.

North American Indian Alliance

Strategic Planning Initiative

Project Term: 12 months; Aug 2017 – Jul 2018
Grant Amount: $50,000

For this project, North American Indian Alliance (NAIA) will complete a needs assessment and strategic plan. This initiative will take place in two stages: first, a consultant will work with organizational leadership to create an interim plan to stabilize the organization by fall 2017; and second, NAIA will work with partner organizations including the county health department, hospital, and behavioral health providers to conduct an in-depth needs assessment and develop a more comprehensive strategic plan. The strategic plan will reveal current and potential service provision gaps and formulate a plan that addresses programming, operations, and financing. The goal is to stabilize the organization internally and build on the strengths of their current work while looking for ways to extend their services to the community.

Salish Kootenai College

Type 2 Diabetes Intervention for At-Risk Youth

Project Term: 24 months; Aug 2017 – Jul 2019
Grant Amount: $75,000

This project will develop a screening and exercise-based intervention project for teens who are at-risk for type 2 diabetes on the Flathead Indian Reservation. Salish Kootenai College (SKC) nursing students will work with the CSKT Tribal Health Department to identify at-risk teens based on family history and other risk factors. Quarterly, for two years, identified teens will be screened for diabetes as part of a “field day” that will provide intensive education on diet and exercise. Field day activities will include completing physical parameters, education on nutrition and the need for regular checkups, physical activity sessions with a fitness trainer, and screening for hypertension and diabetes. Students who screen positive for diabetes will be referred immediately to CSKT primary care or their private primary care provider.

North American Indian Alliance

Electronic Health Record and Revenue Cycle Optimization Project

Project Term: 12 months; Ended 2017
Grant Amount: $15,000

This project helped optimize the North American Indian Alliance’s electronic health records and improved third-party revenue within the organization. The Helena Indian Alliance provided technical support in developing office procedures to ensure accountability, producing efficient managers capable of teaching staff, and building the correct measures to report progress. All of the clinical and behavioral health providers were successfully trained to use the new system and the organization is now able to successfully complete third-party billing.


Northern Cheyenne Tribal Board of Health

Revenue Enhancement Project

Project Term: 18 months; Apr 2017 – Oct 2018
Grant Amount: $75,000

This project will help increase revenue by billing third-party insurance and will strengthen tribal health services by improving the tribe’s revenue management system. Funding will be used to hire a new staff position to focus on insurance enrollment, and a consultant to help with revenue cycle management. Expected outcomes include educating the revenue enhancement staff in third-party insurance billing, increasing revenue by approximately 25 percent, and hiring a permanent patient registration staff.

2018 Call for Proposals

Find out about this year’s available grants.