Tribal Care Coordination (TCC)

Services Provided

Tribal Care Coordination (TCC) is focused on providing care coordination through a range of services including connecting patients to community resources, coordinating and implementing care plans, patient advocacy, and communicating with the patient’s primary care provider.

Care coordination exchanges information between health entities to ensure accurate, up-to-date information is provided to benefit the patient’s care. TCC takes a holistic approach by providing each patient with a care team that includes nurses, social advocates and community health representatives.

  • Chronic disease management
  • Education and advocacy
  • Health care navigation and referrals
  • Interim medication management and adherence support
  • Transitional care coordination
  • Foot care and wound care
  • Advocacy while linking patients to tribal and community resources
  • Program eligibility and enrollment assistance
  • Self-management support
  • Facilitate connections between vulnerable patients and providers
  • Assist patients navigating health care and social services
  • Provide culturally appropriate health education
  • Advocacy and social-emotional support
Locations & Hours
Elmo Health Center

33116 US Highway 93 North
Elmo, MT 59915
Mon – Fri: 8:00 AM – 4:30 PM

Hot Springs Health Center

214 North Spring Street
Hot Springs, MT 59845
Mon – Fri: 8:00 AM – 4:30 PM

Polson Health Center

#5 Fourth Ave. East

Polson, MT 59860
Mon–Fri: 8:00 AM – 5:30 PM

Ronan Community Health Center

8 2nd Avenue SW
Ronan, MT 59864
Mon-Fri: 8:00 AM – 4:30 PM

St. Ignatius Health Center

35401 Mission Drive
St. Ignatius, MT 59865
Mon-Fri: 8:00 AM – 5:30 PM

Arlee Community Center

4086 Pow Wow Road
Arlee, MT 59821
Mon-Fri: 8:00 AM – 4:30 PM