This report begins by describing the strategies studies reported for adapting or developing culturally relevant home visiting models, the challenges experienced in delivering home visiting services and conducting evaluation research in tribal communities, and lessons learned across the 76 studies identified in the HomVEE tribal review (see Mraz Esposito et al., 2017), with a focus on cultural relevance and implementation. Then, it discusses challenges to conducting evaluations in tribal communities. The report closes with considerations for supporting program implementation in tribal communities and for strengthening research on tribal home visiting programs.