DC

ATTN: CMS-2325-P Dear Administrator Berwick: I write on behalf of the CMS Tribal Technical Advisory Group (TTAG) which provides policy advice to the Centers for Medicare and Medicaid Services (CMS) regarding the participation of American Indians and Alaska Natives and health programs of the Indian Health Service, Indian tribes, tribal organizations and urban Indian organizations in Medicare, Medicaid and CHIP programs. Please find attached the comments of TTAG on the Proposed Rule on the Review and Approval Process for Section 1115 Demonstrations (CMS-2325-P). Thank you for your consideration of these comments. Sincerely, Valerie Davidson, Chair