Opportunity Information: Apply for HHS 2012 ACL BC 1217
Apply for HHS 2012 ACL BC 1217
- The Administration on Aging in the income security and social services sector is offering a public funding opportunity titled "Building the Business Capacity of Aging and Disability Community Based Networks for Managed Long Term Services and Supports" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.048 Special Programs for the AgingTitle IVand Title IIDiscretionary Projects.
- This funding opportunity was created on Jun 29, 2012 and posted on Jun 29, 2012.
- Applicants must submit their applications by Aug 1, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $250,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $250,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification) State governments Native American tribal governments (Federally recognized) County governments City or township governments Special district governments Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Native American tribal organizations (other than Federally recognized tribal governments).
- Faith based organizations and community based organizations.
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Opportunity Summary:
This grant opportunity, titled "Building the Business Capacity of Aging and Disability Community Based Networks for Managed Long Term Services and Supports," was a discretionary federal funding announcement issued by the Administration on Aging under Title IV of the Older Americans Act (42 U.S.C. 3032), as amended by the Older Americans Act Amendments of 2006. It was released as a cooperative agreement (not a standard grant), which typically means the federal agency expects to have substantial involvement with the recipient during the project period, such as providing guidance, collaborating on deliverables, or helping shape implementation. The opportunity was listed under CFDA 93.048 (Special Programs for the Aging, Title IV and Title II Discretionary Projects) and was categorized in the broad area of income security and social services.
The central purpose of the award was to strengthen the "business capacity" of aging and disability community-based networks so they can function effectively in a rapidly changing Medicaid environment, especially as more states move long term services and supports (LTSS) into managed care arrangements, commonly referred to as Managed Long Term Services and Supports (MLTSS). Historically, many state Medicaid programs used managed care primarily for acute or primary care, while LTSS remained more fee-for-service and fragmented. The announcement explains that this pattern was shifting quickly: an environmental scan for CMS identified 16 states already operating MLTSS programs at the time, and a 2011 state survey found that more than half of states were either operating or actively considering Medicaid MLTSS in at least part of their state, with many expecting changes within a couple of years. The grant was positioned as a way to help local and community-based aging and disability organizations adapt to that shift and remain viable partners in Medicaid-funded systems.
The rationale for the program was tied to several converging policy and fiscal pressures. States were facing long-running budget strain due to Medicaid consuming a growing share of state spending, and that strain intensified after the Great Recession, which increased Medicaid enrollment and demand while temporary federal stimulus funding under the American Recovery and Reinvestment Act ended. The announcement highlights a key driver behind state interest in MLTSS: people receiving Medicaid LTSS make up a small share of Medicaid beneficiaries (about 6 percent) but account for a very large share of spending (nearly half). Because of that spending concentration, states increasingly viewed LTSS as an area where new payment and delivery models might help manage costs while improving coordination.
The opportunity also situates MLTSS growth within the Affordable Care Act era. Beyond Medicaid expansion, the ACA promoted new models intended to achieve the "triple aim" of better care, better population health, and lower costs, particularly for individuals dually eligible for Medicare and Medicaid. The announcement references federal efforts led by CMS to integrate care for dual eligibles, including 2011 design contracts awarded to 15 states by the CMS Medicare-Medicaid Coordination Office and subsequent guidance to state Medicaid directors describing options to better align Medicare and Medicaid financing and service delivery through capitated or managed fee-for-service models. By mid-2012, 26 states had submitted financial alignment proposals to CMS, and others were using authorities such as Section 1115(a) demonstrations to implement managed care-based integration strategies. In that broader context, the grant sought to ensure community-based aging and disability organizations could participate in, and not be sidelined by, new managed care procurement, contracting, and performance expectations.
From a funding standpoint, the announcement anticipated a single award (ExpectedAwards: 1) with an estimated total funding amount of $250,000, and an award ceiling of $250,000 (award floor listed as $0). There was no cost-sharing or matching requirement. The funding opportunity number was HHS-2012-ACL-BC-1217. It was posted on June 29, 2012, with an original and final closing date of August 1, 2012, and an archive date of August 31, 2012. As a cooperative agreement, the funded project would likely have been expected to produce practical outputs that help networks become more "business ready" for MLTSS, such as strengthening contracting readiness, administrative infrastructure, performance measurement, care coordination approaches, or other capabilities needed to operate in managed care and integrated care settings, although the provided excerpt focuses more on the policy justification than a detailed scope of work.
Eligibility was broad and included state governments, local governments (county and city/township), special district governments, federally recognized tribal governments, and tribal organizations, along with nonprofit organizations (including 501(c)(3) nonprofits and certain nonprofits without 501(c)(3) status, other than institutions of higher education). The eligibility notes also explicitly mention faith-based organizations and community-based organizations, signaling an intent to include a wide range of service providers and community networks that support older adults and people with disabilities. The listing directs applicants to the Administration on Aging funding page for the full announcement and provides a contact for access issues or policy questions (Christine Ramirez at Christine.Ramirez@aoa.hhs.gov).
Frequently Asked Questions (FAQs)
1) What is the title of this grant opportunity?
The opportunity is titled "Building the Business Capacity of Aging and Disability Community Based Networks for Managed Long Term Services and Supports."
2) What federal agency issued this funding announcement?
It was issued by the Administration on Aging (AoA) under the U.S. Department of Health and Human Services.
3) What type of funding instrument is this (grant vs. cooperative agreement)?
This was released as a cooperative agreement, not a standard grant.
4) What does it mean that this is a cooperative agreement?
A cooperative agreement typically means the federal agency expects to have substantial involvement during the project period. That can include providing guidance, collaborating on deliverables, or helping shape implementation.
5) What legal authority supports this opportunity?
The announcement was issued under Title IV of the Older Americans Act (42 U.S.C. 3032), as amended by the Older Americans Act Amendments of 2006.
6) What is the CFDA number for this opportunity?
The listing is under CFDA 93.048 (Special Programs for the Aging, Title IV and Title II Discretionary Projects).
7) What broad program area does this opportunity fall under?
It was categorized in the broad area of income security and social services.
8) What is the main purpose of this award?
The central purpose was to strengthen the business capacity of aging and disability community-based networks so they can function effectively in a rapidly changing Medicaid environment, especially as states move long term services and supports (LTSS) into managed care arrangements (MLTSS).
9) What is MLTSS?
MLTSS stands for Managed Long Term Services and Supports, referring to the delivery of Medicaid LTSS through managed care arrangements rather than traditional fee-for-service approaches.
10) Why was there a need for this program at the time?
The announcement describes a rapid shift in state Medicaid programs toward managed care models for LTSS. Historically, managed care was more common for acute or primary care, while LTSS was more fee-for-service and fragmented. States were increasingly adopting or considering MLTSS, which created new contracting and performance expectations that community-based networks needed to be ready for.
11) How widespread was MLTSS according to the announcement?
The announcement references an environmental scan identifying 16 states operating MLTSS programs at the time. It also references a 2011 state survey finding that more than half of states were operating or actively considering Medicaid MLTSS in at least part of their state, with many expecting changes within a couple of years.
12) What policy and fiscal pressures are described as drivers of MLTSS growth?
The opportunity cites ongoing state budget strain as Medicaid consumed a growing share of state spending, with additional pressure after the Great Recession increased Medicaid enrollment and demand. It also notes that temporary federal stimulus funding under the American Recovery and Reinvestment Act ended, intensifying fiscal pressure.
13) Why do states focus on LTSS when considering cost and coordination reforms?
The announcement states that Medicaid LTSS users represent about 6 percent of beneficiaries but account for nearly half of Medicaid spending, making LTSS a major focal point for payment and delivery reforms aimed at managing costs and improving coordination.
14) How does this opportunity relate to the Affordable Care Act (ACA) era?
The announcement places MLTSS growth in the broader ACA context, referencing the push for new models that support the "triple aim" (better care, better population health, and lower costs), particularly for people who are dually eligible for Medicare and Medicaid.
15) Does the announcement mention efforts focused on dual eligibles?
Yes. It references federal efforts led by CMS to integrate care for dual eligibles, including 2011 design contracts awarded to 15 states by the CMS Medicare-Medicaid Coordination Office and later guidance to state Medicaid directors on options to better align Medicare and Medicaid financing and service delivery.
16) What kinds of integration models are referenced in the announcement?
The excerpt mentions options such as capitated models or managed fee-for-service models, and it also notes that some states were using authorities such as Section 1115(a) demonstrations to implement managed care-based integration strategies.
17) How does this grant aim to help community-based aging and disability organizations within managed care systems?
The grant was positioned to help these organizations adapt to managed care procurement, contracting, and performance expectations so they can participate in, and not be sidelined by, new managed care and integrated care arrangements.
18) How many awards were expected?
The announcement anticipated a single award (ExpectedAwards: 1).
19) What was the estimated total funding amount?
The estimated total funding amount was $250,000.
20) What was the award ceiling and award floor?
The award ceiling was $250,000 and the award floor was listed as $0.
21) Was cost sharing or matching required?
No. The announcement states there was no cost-sharing or matching requirement.
22) What is the funding opportunity number?
The funding opportunity number is HHS-2012-ACL-BC-1217.
23) When was the opportunity posted?
It was posted on June 29, 2012.
24) What were the application deadline dates?
The original and final closing date was August 1, 2012.
25) When was the opportunity archived?
The archive date was August 31, 2012.
26) Who was eligible to apply?
Eligibility included state governments; local governments (county and city/township); special district governments; federally recognized tribal governments; tribal organizations; and nonprofit organizations, including 501(c)(3) nonprofits and certain nonprofits without 501(c)(3) status (other than institutions of higher education).
27) Are faith-based organizations eligible?
The eligibility notes explicitly mention faith-based organizations.
28) Are community-based organizations eligible?
Yes. The eligibility notes explicitly mention community-based organizations.
29) Does the excerpt describe the exact scope of work or required deliverables?
The provided excerpt focuses more on policy justification than a detailed scope of work. It suggests the cooperative agreement would likely emphasize practical outputs that help networks become more "business ready" for MLTSS.
30) What kinds of practical outputs are suggested by the excerpt?
Examples suggested include strengthening contracting readiness, administrative infrastructure, performance measurement, care coordination approaches, or other capabilities needed to operate in managed care and integrated care settings.
31) Where does the listing direct applicants to find the full announcement?
It directs applicants to the Administration on Aging funding page for the full announcement.
32) Who is listed as the contact for access issues or policy questions?
The contact listed is Christine Ramirez at Christine.Ramirez@aoa.hhs.gov.
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