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
Clinic Design & Customization
Credentialing & Workforce Development
Launch & Operations Oversight
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