The TTAG is a group of elected tribal leaders, or an appointed representative from their Area, who are nominated from the twelve areas of the IHS deliver system.  The TTAG serves as an advisory committee to the CMS on important health care matters associated with the Medicare, Medicaid, and State Children Health Insurance Programs.  There is a Principal Member and an Alternate from each of the twelve IHS service areas and there is representation from the three Washington, DC based advocacy organizations:  Tribal Self Governance Advisory Committee, National Indian Health Board, and National Congress of American Indians.  The Medicare and Medicaid Policy Committee provide technical support to the TTAG.  Three face-to-face meetings are held per year along with intermittent conference call meetings.  A nomination letter from a Tribe should be submitted to the Director of the CMS Tribal Affairs Group.