The Midwest Native term refers to two distinct Native American tribes, the Osage and the Otoe. The Osage are a Midwestern Native American tribe that originally lived in the Ohio River Valley in present-day Ohio, Kentucky, and West Virginia. They later moved to Missouri and Arkansas, where they currently reside. The Otoe are a Midwestern Native American tribe that originally lived in the Great Lakes region of present-day Wisconsin, Michigan, and Illinois. They later moved to Nebraska and Oklahoma, where they currently reside. Both tribes have a long history of cultural and spiritual practices, and continue to be active members of their respective communities.