1. If the certified clinic is not operated under the authority of the Indian health service, an Indian tribe, or tribal or urban Indian organization, the certified clinic shall reach out to such entities within the certified clinic's service area and offer to enter into arrangements with those entities to assist in the provision of services to tribal members and to inform the provision of services to tribal members. If the certified clinic and such entities jointly provide services, the certified clinic and those entities shall satisfy the requirements of this subsection. At a minimum, the certified clinic shall develop written protocols for supporting coordinated care undertaken by the certified clinic and efforts to deepen the partnership over time so jointly developed protocols or formal agreements can be developed.

2. The certified clinic shall have an independent financial audit performed annually for the duration the certified clinic is designated as a certified clinic in accordance with federal audit requirements and, if indicated, shall submit a corrective action plan addressing all findings, questioned costs, reportable conditions, and material weaknesses cited in the audit report.

History: Effective April 1, 2026.

General Authority: NDCC 50-06-05.2, 50-06-41.4