Opportunity Information: Apply for HHS 2010 CMS CHIPRA 0004
Apply for HHS 2010 CMS CHIPRA 0004
- The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "CHIPRA OUTREACH TO AND ENROLLMENT OF INDIANS" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.767 Childrens Health Insurance Program.
- This funding opportunity was created on Dec 9, 2009 and posted on Nov 19, 2009.
- Applicants must submit their applications by Jan 15, 2010. (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 $300,000.00 in funding.
- The number of recipients for this funding is limited to 100 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- This grant opportunity is open to the following individual eligible entities or coalitions of eligible entities Indian Health Service Tribes and Tribal organizations operating a health program under the ISDEAA (P.L. 93 638, as amended) Urban Indian organizations operating a health program under the IHCIA (P.L. 94 437, as amended) Coalitions Proposals from coalitions must identify the members and the role and responsibilities of each member group and designate a lead entity. All members of a coalition must be eligible entities. Coalitions should represent partnerships that can implement breakthrough strategies, utilizing the strengths of each group that it represents. Written letters of agreement from partner organizations will confirm the coalition membership and, where applicable, should provide information about past joint endeavors.
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Opportunity Summary:
The CHIPRA Outreach to and Enrollment of Indians grant opportunity is a discretionary federal grant program run by the Centers for Medicare and Medicaid Services (CMS) under the U.S. Department of Health and Human Services (HHS). It was created in response to the Children s Health Insurance Program Reauthorization Act of 2009 (CHIPRA, Public Law 111-3), which renewed the Children s Health Insurance Program (CHIP) through federal fiscal year 2013 and provided major new federal funding to help states sustain CHIP and boost enrollment in both CHIP and Medicaid. A central purpose of this particular funding is to reach children who are eligible for coverage but still uninsured, with a specific emphasis on American Indian and Alaska Native children who may be harder to reach because of geography, limited access to enrollment support, or cultural and practical barriers.
At a high level, the program sets aside a total of 10 million dollars (covering the CHIPRA outreach grant set-aside for fiscal years 2009 through 2013) specifically to support outreach, enrollment assistance, and retention efforts for Indian children who qualify for Medicaid or CHIP but are not enrolled, or who may be at risk of losing coverage even though they remain eligible. CMS frames the grants as results-driven, meaning the outreach is not meant to be generic awareness raising alone; it is expected to translate into measurable enrollment and ongoing coverage for the target population. The solicitation also reflects an intent to identify strong approaches and then share lessons learned and best practices so that successful methods can be replicated by other communities and programs.
Funding is intended for eligible entities with a clear connection to Indian communities and the operational capacity to carry out culturally appropriate outreach that leads to actual applications, enrollments, and renewals. Applicants are expected to show they can produce credible data tying their activities to enrollment and retention outcomes, rather than relying only on participation counts or anecdotal success. Proposals may include data and systems improvements if the applicant can demonstrate that the improvements directly support the outreach strategy and will lead to higher enrollment and retention. In other words, technology or process work is fundable when it is clearly connected to getting more eligible children covered and keeping them covered.
Priority in grant awards, as required by law and described in the announcement, is aimed at organizations that target geographic areas and specific communities with a high incidence of eligible but unenrolled Indian children, including children living in rural areas. CMS also prioritizes applicants that can demonstrate real access to and credibility with the Indian populations they plan to serve, and that can address known enrollment barriers. Those barriers may include lack of awareness about eligibility, stigma or concerns about participating in public programs, fears that applying could trigger punitive consequences, and other cultural or community-specific obstacles that make families hesitant to apply or renew. Strong applicants are expected to define concrete quality and outcome performance measures, evaluate their own efforts against those measures, and cooperate in reporting enrollment data and other information needed for HHS to assess effectiveness across grantees.
The grants were structured as 36-month awards, with an anticipated award date of April 15, 2010. The opportunity anticipated a relatively large number of awards (expected awards: 100), with individual grant sizes ranging from a floor of 50,000 dollars to a ceiling of 300,000 dollars. There was no cost sharing or matching requirement, which lowers the barrier for participation by smaller programs and organizations that may not have flexible funds available. The program is listed under CFDA 93.767 (Children s Health Insurance Program), and the funding opportunity number is HHS-2010-CMS-CHIPRA-0004. The posting timeline in the notice shows it was posted on November 19, 2009, with an application closing date of January 15, 2010, and an archive date of February 14, 2010.
Eligibility is limited to Indian health and tribal entities that operate health programs serving Indian populations. Specifically, eligible applicants include the Indian Health Service (IHS); Tribes and Tribal organizations operating health programs under the Indian Self-Determination and Education Assistance Act (ISDEAA, P.L. 93-638, as amended); and Urban Indian organizations operating health programs under Title V of the Indian Health Care Improvement Act (IHCIA, P.L. 94-437, as amended). The solicitation also allows coalitions, but with clear conditions: every coalition member must be an eligible entity, the proposal must define the roles and responsibilities of each member, and a lead entity must be designated. Coalitions are encouraged when they represent partnerships capable of implementing breakthrough strategies by combining strengths across organizations, and the application is expected to include letters of agreement confirming the partnership and, when relevant, documenting prior joint work.
In practical terms, this funding opportunity is about building or expanding trusted, community-grounded enrollment pipelines for Indian children who qualify for Medicaid or CHIP. The most competitive proposals would be expected to show a deep understanding of the local coverage gap, a plan to meet families where they are (including remote and rural settings), and a method for tracking outcomes like applications started, applications completed, enrollments approved, renewals completed, and continuity of coverage over time. Just as importantly, CMS signals that it wants approaches that work and can be repeated elsewhere, so applicants are implicitly encouraged to document what they do, measure what happens, and contribute to a broader evidence base on how to successfully enroll and retain eligible Indian children in comprehensive health coverage.
CHIPRA Outreach to and Enrollment of Indians Grant (HHS-2010-CMS-CHIPRA-0004) FAQs
What is the CHIPRA Outreach to and Enrollment of Indians grant?
It is a discretionary federal grant program run by the Centers for Medicare and Medicaid Services (CMS) within the U.S. Department of Health and Human Services (HHS). The program was created in response to the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA, Public Law 111-3) to support outreach, enrollment assistance, and retention activities for American Indian and Alaska Native children eligible for Medicaid or CHIP.
What is the main purpose of this funding?
The central goal is to reach children who are eligible for Medicaid or CHIP but remain uninsured, with a specific emphasis on American Indian and Alaska Native children. The funding is intended to produce measurable enrollment and ongoing coverage (retention), not just general awareness.
Which federal agency administers the program?
CMS administers the program under HHS.
What law created or authorized this outreach effort?
The opportunity was created in response to CHIPRA (Public Law 111-3), which renewed CHIP through federal fiscal year 2013 and provided funding to help states sustain CHIP and boost enrollment in both CHIP and Medicaid.
How much total funding was set aside for this initiative?
A total of 10 million dollars was set aside (covering the CHIPRA outreach grant set-aside for fiscal years 2009 through 2013) specifically for outreach, enrollment assistance, and retention efforts for Indian children eligible for Medicaid or CHIP.
How large were individual awards expected to be?
Individual award amounts were expected to range from 50,000 dollars (floor) to 300,000 dollars (ceiling).
How many awards were anticipated?
The opportunity anticipated a relatively large number of awards, with expected awards listed as 100.
How long is the project period for an award?
The grants were structured as 36-month awards.
Was a cost share or match required?
No. There was no cost sharing or matching requirement.
Who is eligible to apply?
Eligibility is limited to Indian health and tribal entities that operate health programs serving Indian populations. Specifically, eligible applicants include:
- The Indian Health Service (IHS)
- Tribes and Tribal organizations operating health programs under the Indian Self-Determination and Education Assistance Act (ISDEAA, P.L. 93-638, as amended)
- Urban Indian organizations operating health programs under Title V of the Indian Health Care Improvement Act (IHCIA, P.L. 94-437, as amended)
Are coalitions allowed to apply?
Yes, coalitions are allowed, but only under specific conditions: every coalition member must be an eligible entity, the application must clearly define each member's roles and responsibilities, and the coalition must designate a lead entity.
What documentation is expected for coalition applications?
The application is expected to include letters of agreement confirming the partnership and, when relevant, documenting prior joint work among coalition members.
Who is the target population for outreach and enrollment?
The target population is Indian children (including American Indian and Alaska Native children) who qualify for Medicaid or CHIP but are not enrolled, as well as children who may be at risk of losing coverage despite remaining eligible.
Why does the program emphasize American Indian and Alaska Native children?
The solicitation highlights that these children may be harder to reach due to geography, limited access to enrollment support, and cultural or practical barriers that can affect application and renewal.
What kinds of activities does the funding support?
Funding is intended to support outreach, enrollment assistance, and retention efforts that lead to actual Medicaid or CHIP applications, approvals, and renewals for eligible Indian children.
Is this funding meant for general awareness campaigns?
No. CMS frames the grants as results-driven. Outreach is expected to translate into measurable enrollment and continued coverage, rather than generic awareness raising alone.
Are data and systems improvements allowed under this grant?
They may be included if the applicant can demonstrate that the improvements directly support the outreach strategy and will lead to higher enrollment and retention. Technology or process work is fundable when clearly tied to getting more eligible children covered and keeping them covered.
What does CMS mean by "results-driven" in this program?
It means applicants are expected to show credible, measurable outcomes connected to enrollment and retention (for example, increased approved enrollments or successful renewals), not just activity counts or anecdotal reports.
What types of performance measures are applicants expected to use?
Applicants are expected to define concrete quality and outcome performance measures and evaluate their efforts against those measures. The solicitation emphasizes tracking enrollment and retention outcomes, rather than relying only on participation numbers.
What outcomes does the opportunity suggest tracking?
The notice points to outcomes such as applications started, applications completed, enrollments approved, renewals completed, and continuity of coverage over time.
What reporting or data cooperation is expected of grantees?
Grantees are expected to cooperate in reporting enrollment data and other information needed for HHS to assess effectiveness across grantees.
What award priorities are described in the announcement?
Priority is aimed at organizations targeting geographic areas and specific communities with a high incidence of eligible but unenrolled Indian children, including rural areas. CMS also prioritizes applicants that demonstrate real access to and credibility with the Indian populations they plan to serve and that can address known enrollment barriers.
What kinds of enrollment barriers does the solicitation mention?
The announcement notes barriers such as lack of awareness about eligibility, stigma or concerns about participating in public programs, fears that applying could trigger punitive consequences, and other cultural or community-specific obstacles that may make families hesitant to apply or renew.
When was this opportunity posted and when did it close?
The notice shows it was posted on November 19, 2009, with an application closing date of January 15, 2010.
What is the archive date listed for the opportunity?
The archive date shown in the notice is February 14, 2010.
What was the anticipated award date?
The opportunity listed an anticipated award date of April 15, 2010.
What is the CFDA number for this program?
The program is listed under CFDA 93.767 (Children's Health Insurance Program).
What is the funding opportunity number?
The funding opportunity number is HHS-2010-CMS-CHIPRA-0004.
What is CMS hoping to do with lessons learned from grantees?
The solicitation reflects an intent to identify strong approaches, share lessons learned and best practices, and support replication by other communities and programs.
What makes an application more competitive based on the notice?
Based on the information provided, competitive proposals would be expected to show a strong understanding of the local coverage gap, culturally appropriate and community-grounded outreach, the ability to reach remote and rural settings, and a credible plan to track and report enrollment and retention outcomes.
Is the program focused only on initial enrollment, or also on keeping coverage?
It includes both. The funding supports enrollment of eligible but uninsured children and retention activities for children who may be at risk of losing coverage even though they remain eligible.
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