Sovereign Wellness

Empowering Indigenous Wellness Through Self-Determined Healthcare

Wellness Equity Alliance partners with Tribal communities to create sustainable, Tribally-owned and Tribally-controlled healthcare systems that advance sovereignty, improve health outcomes, and support economic development.

Why It Matters

For generations, Indigenous communities have faced structural barriers to care, from underfunded services and geographic isolation to poor health outcomes and limited economic opportunity. Today, the legacy of systemic inequity persists, but so does the opportunity to reclaim healthcare on Tribal terms.

Our Solution

Off-Reservation 638 Tribal Health Facilities

We support the development of 638-authorized health centers that are:

  • Tribal-led and culturally grounded

  • Located in accessible urban or rural areas

  • Open to AI/AN patients and Medicaid-eligible non-beneficiaries

  • Reimbursed at 100% FMAP ($801 per encounter)

These centers create jobs, reinvest revenue into Tribal priorities, and deliver comprehensive, integrated care including:

  • Primary Care

  • Behavioral Health

  • Dental & Imaging Services

  • Pharmacy & Recovery Programs

Measurable Impact

Tribal 638 centers have demonstrated:

  • Reduction in opioid overdose rates

  • Better hypertension and diabetes control

  • Increased clinical utilization

  • Fewer emergency room visits

  • Improved behavioral health outcomes

How We Partner

We offer turnkey support from concept to launch:

Community Health Needs Assessment

  1. Clinic Design & Customization

  2. Credentialing & Workforce Development

  3. Launch & Operations Oversight

  4. Data Sovereignty & Impact Reporting

Every plan is customized to fit the values, needs, and goals of each Tribal partner.

Let’s Build a Healthier Future Together

If your Tribal community is ready to take the next step toward health sovereignty and economic sustainability, we’re ready to support you.

Marsha Zimmerman, M.Ed | Chief Development Officer | marsha@wellnessequityalliance.com