Services
Tribal Relations & Government-to-Government Affairs
We help tribal governments, state agencies, and organizations navigate complex government-to-government relationships while respecting tribal sovereignty and jurisdiction.
Services include:
• Government-to-government consultation support
• Intergovernmental agreement development
• Tribal-state collaboration strategies
• Policy advisory for Tribal and State leadership
• Strategic planning for intergovernmental partnerships

Child Welfare & Family Services
We support organizations working to strengthen child welfare systems and improve outcomes for children and families.
Services include:
• Child welfare policy development
• Program evaluation and system improvement
• Strategic planning for family services programs
• Compliance and regulatory guidance
• Culturally responsive service models

Health Equity & Behavioral Health
We assist healthcare organizations and tribal health systems in developing strategies that improve health equity and expand access to behavioral health services.
Services include:
• Behavioral health program design
• Health equity policy strategy
• Community health needs assessment support
• Program evaluation and performance improvement
• Strategic planning for healthcare initiatives

Legislative Advocacy & Policy Development
We provide policy analysis and legislative strategy to support organizations advancing meaningful policy initiatives.
Services include:
• Legislative research and policy analysis
• Policy drafting and framework development
• Legislative advocacy strategy
• Policy briefs and stakeholder engagement
• Regulatory and policy implementation guidance

Rural Health & Community Development
We work with rural and tribal communities to strengthen healthcare access, infrastructure, and long-term community development.
Services include:
• Rural healthcare strategic planning
• Community development initiatives
• Healthcare access and infrastructure planning
• Program development for rural health challenges
• Cross-sector collaboration and stakeholder engagement

Our Approach
Rivara Group brings a collaborative and solutions-focused approach to every engagement. We combine policy expertise, legal insight, and practical implementation strategies to help organizations move from ideas to meaningful results.
Our work is grounded in respect for tribal sovereignty, cultural understanding, and a commitment to supporting strong, resilient communities.

