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Medicaid could cover traditional Indigenous healing practices in Arizona

A decaying hogan
Megan Marples/Cronkite News
A decaying hogan sits in an expansive valley outside Piñon. Hogans are small structures that served as the traditional dwellings for Navajo people and today house traditional healing ceremonies.

Traditional healers in Arizona could soon be able to bill Medicaid for their services, which take a more holistic approach and have been around for centuries. Now, the only thing standing between AHCCCS billing for practices like sweat lodge ceremonies is a “yes” vote from the Arizona Legislature.

Arizona's Medicaid program received federal approval this week to cover traditional healing services for Native American members through the Indian Health Service and tribally-run health centers.

“There's no opposition between integrating Western medicine and traditional healing practices because they go hand in hand,” said AHCCCS tribal liaison Christine Holden. “That's just an added layer of traditional healing practices of which is a vital aspect of the health and wellness and tribal communities since time immemorial.”

Using knowledge that’s been centuries in the making, she said, is a way to honor the ancestors who died preserving it.

“It reflects the deep rooted connection that Indigenous populations have with their cultures and identity and how these practices are still a core piece of our communities,” said Holden.

Advocates have been working toward coverage for traditional healing practices, like songs, prayers and the use of sacred objects, for years. Holden said the green light from CMS a significant step in the right direction.

“And even though it hasn't been recognized by the Western system, it doesn't mean that we haven’t seen and we don’t know that these practices work,” Holden said. “They serve a purpose in our lives. … In 2024, [it's] somewhat of a miracle that there are so many tribes remaining that we still have our cultures, traditions.”

Other states like New Mexico are pursuing similar approvals. Holden said she’s confident that legislators will see the move as worthwhile, and plans are in the works to make sure everything runs smoothly once they vote.

Kirsten Dorman is a field correspondent at KJZZ. Born and raised in New Jersey, Dorman fell in love with audio storytelling as a freshman at the Walter Cronkite School of Journalism and Mass Communication in 2019.
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