Opportunity Information: Apply for CMS 1N1 12 001

  • The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "ACA SHIP and ADRC Options Counseling for Medicare Medicaid Individuals in States with Approved Financial Alignment Model" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.626 Affordable Care Act State Health Insurance Assistance Program (SHIP) and Aging and Disability Resource Center (ADRC) Opt.
  • This funding opportunity was created on Nov 1, 2012 and posted on Aug 23, 2012.
  • Applicants must submit their applications by Aug 15, 2013 Application Due Dates September 24, 2012 November 2, 2012 January 18, 2013 April 4, 2013 June 6, 2013 August 15, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $1,000,000.00 in funding.
  • The number of recipients for this funding is limited to 15 candidate(s).
  • Eligible applicants include: State governments.
Apply for CMS 1N1 12 001

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Opportunity Summary:

The grant opportunity titled "ACA SHIP and ADRC Options Counseling for Medicare Medicaid Individuals in States with Approved Financial Alignment Model" is a discretionary funding program offered by the Centers for Medicare and Medicaid Services (CMS) through a cooperative agreement. It sits within the broader Affordable Care Act effort to improve how care is delivered and paid for, especially for people who are enrolled in both Medicare and Medicaid (often called Medicare-Medicaid enrollees or "dual eligibles"). The core idea is to strengthen consumer-facing counseling and assistance so that people who have complex coverage and service needs can better understand their options, make informed choices, and navigate integrated care arrangements that states and CMS are putting in place.

This opportunity is tied directly to CMSs Financial Alignment Initiative, which was developed jointly by the Center for Medicare and Medicaid Innovation (Innovation Center) and the Federal Coordinated Health Care Office, also known as the Medicare-Medicaid Coordination Office. The Innovation Center has authority to test new payment and service delivery models aimed at reducing Medicare, Medicaid, and CHIP spending while maintaining or improving quality. In parallel, the Medicare-Medicaid Coordination Office focuses on improving how Medicare and Medicaid benefits work together and how federal and state partners coordinate. As background, CMS issued guidance to State Medicaid Directors in July 2011 describing two models intended to integrate care and align financial incentives across Medicare and Medicaid. This funding supports states that have an approved Financial Alignment Model by expanding and enhancing on-the-ground options counseling and related support functions through two established networks: the State Health Insurance Assistance Program (SHIP) and Aging and Disability Resource Centers (ADRCs).

Practically, the funding is meant to help states build or improve the capacity of SHIP and ADRC programs to deliver options counseling and beneficiary assistance tailored to Medicare-Medicaid enrollees in states participating in an approved alignment model. SHIP programs are known for providing unbiased Medicare counseling and education, while ADRCs serve as coordinated entry points to long-term services and supports and broader aging and disability resources. By using these existing structures, CMS is aiming to make it easier for beneficiaries to understand integrated care models, coverage rules, enrollment choices, and available supports, and to reduce confusion that can occur when Medicare and Medicaid benefits overlap or differ. The program is structured as a cooperative agreement, which typically means CMS expects substantial involvement during the project period, such as collaboration on implementation, reporting, and technical assistance.

In terms of basic funding details, the opportunity number is CMS-1N1-12-001 and it is categorized under the health activity area. CMS anticipated up to 15 awards. Individual awards were expected to range from $250,000 (award floor) to $1,000,000 (award ceiling). There is no cost-sharing or matching requirement listed, which lowers the barrier to participation for states and signals that federal funds are intended to cover the full approved scope of work. The CFDA number associated with the opportunity is 93.626, connected to Affordable Care Act SHIP and ADRC options counseling activities.

Eligibility is limited to state governments, reflecting the fact that Financial Alignment Models are state-federal arrangements and that states typically oversee Medicaid, operate or oversee ADRCs, and coordinate with SHIPs and other consumer assistance programs. The grant was posted on August 23, 2012, with an original closing date of September 24, 2012. It later included multiple application due dates over time: September 24, 2012; November 2, 2012; January 18, 2013; April 4, 2013; June 6, 2013; and August 15, 2013, with the current closing date listed as August 15, 2013. The archive date is October 24, 2013, indicating the opportunity is no longer open but remains available for reference.

For applicants and stakeholders, the main takeaway is that this grant was designed to support states in improving beneficiary-centered counseling and navigation for people dually enrolled in Medicare and Medicaid, specifically in the context of approved Financial Alignment Models that seek to integrate care and align incentives. The emphasis is less on creating entirely new systems and more on reinforcing and coordinating existing counseling and resource networks (SHIP and ADRC) so that Medicare-Medicaid enrollees receive clearer guidance, better support during enrollment and transitions, and more effective help accessing the right benefits and services. For technical access issues, the announcement directs users to the Grants.gov Contact Center (1-800-518-4726; support@grants.gov), which operates continuously except on federal holidays.

Frequently Asked Questions (FAQs)

What is the name of this grant opportunity?

The opportunity is titled "ACA SHIP and ADRC Options Counseling for Medicare Medicaid Individuals in States with Approved Financial Alignment Model."

What type of funding is this?

This is a discretionary funding program offered by the Centers for Medicare and Medicaid Services (CMS) through a cooperative agreement.

What does it mean that this is a cooperative agreement?

Because the award is structured as a cooperative agreement, CMS typically expects substantial involvement during the project period. That can include ongoing collaboration on implementation, reporting, and technical assistance related to the funded work.

Which federal agency is offering the funding?

The funding is offered by the Centers for Medicare and Medicaid Services (CMS).

What is the opportunity number?

The opportunity number is CMS-1N1-12-001.

What is the CFDA number associated with this opportunity?

The CFDA number is 93.626, associated with Affordable Care Act SHIP and ADRC options counseling activities.

What activity area/category does this grant fall under?

The activity area is categorized under health.

What is the main purpose of the grant?

The purpose is to strengthen consumer-facing counseling and assistance so Medicare-Medicaid enrollees (often called "dual eligibles") can better understand their options, make informed choices, and navigate integrated care arrangements being implemented by states and CMS.

Who is the grant intended to help?

The grant is focused on people enrolled in both Medicare and Medicaid (Medicare-Medicaid enrollees), especially those with complex coverage and service needs who may need additional guidance to understand integrated care models, enrollment options, coverage rules, and available supports.

How does this opportunity relate to the Affordable Care Act (ACA)?

This opportunity sits within a broader Affordable Care Act effort to improve how care is delivered and paid for, particularly for Medicare-Medicaid enrollees.

What initiative is this grant tied to?

This funding is tied directly to CMS's Financial Alignment Initiative.

What is the Financial Alignment Initiative in this context?

As described in the opportunity, the Financial Alignment Initiative was developed jointly by the Center for Medicare and Medicaid Innovation (Innovation Center) and the Federal Coordinated Health Care Office (also known as the Medicare-Medicaid Coordination Office). It is connected to models intended to integrate care and align financial incentives across Medicare and Medicaid.

Which CMS components are involved in the initiative referenced by this grant?

The initiative is described as being developed jointly by the Center for Medicare and Medicaid Innovation (Innovation Center) and the Federal Coordinated Health Care Office, also known as the Medicare-Medicaid Coordination Office.

What is the role of the Innovation Center as described in the opportunity?

The Innovation Center has authority to test new payment and service delivery models aimed at reducing Medicare, Medicaid, and CHIP spending while maintaining or improving quality.

What is the role of the Medicare-Medicaid Coordination Office as described in the opportunity?

The Medicare-Medicaid Coordination Office focuses on improving how Medicare and Medicaid benefits work together and how federal and state partners coordinate.

What states are this grant intended for?

The opportunity is intended to support states that have an approved Financial Alignment Model.

Who is eligible to apply?

Eligibility is limited to state governments.

Why is eligibility limited to state governments?

The opportunity explains that Financial Alignment Models are state-federal arrangements and states typically oversee Medicaid, operate or oversee ADRCs, and coordinate with SHIPs and other consumer assistance programs.

How many awards did CMS anticipate making?

CMS anticipated up to 15 awards.

What is the expected funding range per award?

Individual awards were expected to range from $250,000 (award floor) to $1,000,000 (award ceiling).

Is there a cost-sharing or matching requirement?

No. The opportunity indicates there is no cost-sharing or matching requirement listed.

What programs or networks does this grant strengthen?

The funding is meant to expand and enhance options counseling and related support functions through two established networks: the State Health Insurance Assistance Program (SHIP) and Aging and Disability Resource Centers (ADRCs).

What is SHIP in this opportunity?

SHIP refers to the State Health Insurance Assistance Program, described here as providing unbiased Medicare counseling and education.

What are ADRCs in this opportunity?

ADRCs are Aging and Disability Resource Centers, described as coordinated entry points to long-term services and supports and broader aging and disability resources.

What kinds of activities is the funding meant to support?

The opportunity describes funding to build or improve the capacity of SHIP and ADRC programs to deliver options counseling and beneficiary assistance tailored to Medicare-Medicaid enrollees in states participating in an approved Financial Alignment Model. It also emphasizes helping beneficiaries understand integrated care models, coverage rules, enrollment choices, and available supports.

Is the goal to create new counseling systems from scratch?

No. The opportunity emphasizes reinforcing and coordinating existing counseling and resource networks (SHIP and ADRC), rather than creating entirely new systems.

What problem is this funding trying to address for beneficiaries?

The opportunity highlights confusion that can occur when Medicare and Medicaid benefits overlap or differ, and it aims to make it easier for beneficiaries to navigate integrated care models, enrollment choices, and access the right benefits and services.

When was the grant opportunity posted?

The opportunity was posted on August 23, 2012.

What was the original closing date?

The original closing date was September 24, 2012.

Were there multiple application due dates?

Yes. The opportunity listed multiple due dates over time: September 24, 2012; November 2, 2012; January 18, 2013; April 4, 2013; June 6, 2013; and August 15, 2013.

What was the final (current) closing date listed?

The current closing date listed was August 15, 2013.

Is this opportunity still open?

No. The archive date is October 24, 2013, which indicates the opportunity is no longer open and is available for reference.

Where should users go for technical help with access issues related to applying?

The announcement directs users to the Grants.gov Contact Center at 1-800-518-4726 or support@grants.gov. The Contact Center operates continuously except on federal holidays.

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