---
title: How do Tribal health, Medicaid, and child welfare systems interact?
description: "This report profiles three Tribal-run programs, the Sacred Child Project, the Wahzhazhe Early Learning Academy, and Healing Horse Ranch. Each profile illustrates a different model of Tribal healing behavioral health care and a different approach to sustainable financing. Together, the…"
url: "https://bridges4mentalhealth.org/hub/tribal-communities/how-do-tribal-health-medicaid-and-child-welfare-systems-interact/"
updated: "2026-07-31"
category: American Indian/Alaska Native Tribal Nations
tags:
  - Audience
  - Mental health professionals
  - Tribes
---

# How do Tribal health, Medicaid, and child welfare systems interact?

This report profiles three Tribal-run programs, the Sacred Child Project, the Wahzhazhe Early Learning Academy, and Healing Horse Ranch. Each profile illustrates a different model of Tribal healing behavioral health care and a different approach to sustainable financing. Together, the briefs move from systems-level context to practical strategy to real-world examples, offering administrators a roadmap for building meaningful partnerships that uphold Tribal sovereignty, promote Tribal healing, and maintain cultural connection for Native children and families in behavioral health care.

[Read more](https://www.casey.org/tribal-health-medicaid-child-welfare/)

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