A study by the Government Accountability Office – or GAO - shows that it takes over one year for the Indian Health Service to process payments to contractors in 8-percent of claims.
The Indian Health Service provides limited medical services to tribal members and outsources other treatments through the contract health services program. The GAO’s Kathleen King says some payments are delayed because decisions about whether IHS will pay for a service are made on a case-by-case basis.
There are about $2.9 billion worth of sanitation development projects in tribal communities across the US, and Wyoming has 33 projects that add up to just under $16.5 million dollars, according to the US Indian Health Service.
Ronald Ferguson directs the IHS Division of Sanitation Facilities. He says Wyoming is in a better position than some other areas.