DISCLAIMER: CoC (Continuum of Care) is an alternative term for LTSS (Long Term Services and Support). Please note that not all instances of LTSS have been transitioned to the new designation.
IHS, Tribal, and Urban Indian CoC Programs Databases
The ITU database is a listing of Indian Health Service, tribally operated, or urban Indian health programs (ITUs) that offer any type of long-term services and supports (LTSS) or Continuum of Care (CoC) programs —a variety of services for elders and people with disabilities.
This database offers a view of CoC programs available through ITUs nationally, and is also a place to find a specific program based on location or a certain service offered. Information in the ITU CoC Program database is collected and updated by a team of researchers on an ongoing basis.
CoC Programs in Indian Country – By the Numbers
The database includes 400+ organizations in Indian Country that provide CoC services. This includes a vast array of clinics and facilities, including urban Indian health organizations, nursing homes, senior centers, adult day programs, nutrition programs, hospice, social service and program offices, and more. Of the organizations, 260+ are Title VI grantees. Programs offering CoC programs and services are shown on the map below.
CoC programs can include a wide variety of medical, personal, and social services. Researchers identified 29 different care types under the broad category of “long-term services and supports.” The bar graph below shows these care types and the number of organizations that offer each kind.
Map of IHS, Tribal, and Urban CoC Programs
Disclaimer: Each tribe, inter-tribal organization, or other organization listed has their own policy on who they serve and whether they offer services to non-tribal members. This varies from program to program.
Many Types of CoC Programs
This interactive graph shows the most common types of CoC programs provided by ITUs. The bar graph below shows these care types and the number of organizations that offer each kind.
Many tribal health organizations also refer patients to other organizations to receive CoC services when the tribes themselves do not provide the specifically needed services. Referred services are not included in the database.
How Many Programs Offer Each Type of Care?
This interactive graph shows the most common types of CoC services provided by ITUs. The bar graph below shows these care types and the number of organizations that offer each kind.
Many tribal health organizations also refer patients to other organizations to receive CoC services when the tribes themselves do not provide the specifically needed services. Referred services are not included in the database.
Total Services Bar Graph
How Many Types of Care Do Organizations Provide?
On average, programs listed in the database provide at least 5 types of CoC services. But this is only an average—many programs offer more services while others offer fewer.
Number of Services by Program
Contact Us
If you have any corrections to your program information as it appears in the database, please email ltssinfo@kauffmaninc.com and let us know.
All content on this page was originally posted on the CMS.gov website here