The Centers for Medicare & Medicaid Services (CMS) is expanding access to vital care for American Indian and Alaska Native communities by approving Medicaid State Plan Amendments (SPAs) in several states.  Indian Health Service (IHS) and Tribal clinics in Minnesota, New Mexico, Oregon, South Dakota, Washington, and Wyoming are now authorized to provide Medicaid clinic services beyond the physical clinic site, including in homes, schools, and other appropriate community locations.