Opportunity Information: Apply for HHS 2008 CMS RCS 0009
Apply for HHS 2008 CMS RCS 0009
- The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Combined Real Choice Systems Change and Aging and Disability Resource Center/Area Agency on Aging Grants" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.779 Centers for Medicare and Medicaid Services (CMS) Research, Demonstrations and Evaluations.
- This funding opportunity was created on Jul 18, 2008 and posted on Apr 16, 2008.
- Applicants must submit their applications by Jul 17, 2008 See link to full announcement for details.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $8,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $800,000.00 in funding.
- The number of recipients for this funding is limited to 5 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Base Grant Developing and Implementation of a Person centered Hospital Discharge Planning Model The base grant opportunity is open to any single State Medicaid Agency, State Mental Health Agency, State Mental Retardation and Developmental Disabilities Agency, State Units on Aging or an instrumentality of the State. Only one application per State will receive an award, but a State may submit more than one application. Specific requirements pertaining to eligible applicants in a State and the required supporting documentation can be found in, Section III., Eligibility Information. Failure to comply with all requirements of this solicitation will result in withdrawal of the application from competitive status. Eligibility to apply for Options (Applicant must apply for the base grant to be eligible to apply for an additional option funding opportunity. The applicant is limited to apply for one option only. An applicant is not obligated to apply for any option.) OPTION #1 Eligible applicants under this option include States that received a CMS and AoA ADRC grant in 2003, 2004 or 2005 or a State that has an existing Single Entry Point (SEP) program that conforms with the definition of a Fully Functional SEP as detailed in Appendix B. OPTION #2 Any State or territory that has not previously received a CMS and AoA ADRC grant and that does not currently have a SEP program that is fully operational as defined in Appendix B of the solicitation.
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Opportunity Summary:
The Combined Real Choice Systems Change (RCSC) and Aging and Disability Resource Center/Area Agency on Aging (ADRC/AAA) Grants for Fiscal Year 2008 was a discretionary grant opportunity from the Centers for Medicare and Medicaid Services (CMS) aimed at helping states tackle long term care reform, with a strong emphasis on improving how people transition out of hospitals and into appropriate community based supports. CMS made roughly $8,000,000 available under this solicitation to support state systems change work, and it also notes an additional $5,000,000 awarded for ADRC/AAA related grants. The opportunity was posted April 16, 2008, with an application closing date of July 17, 2008, and it anticipated making about five awards. The program falls under CFDA 93.779 (CMS Research, Demonstrations and Evaluations) and included a cost sharing or matching requirement.
At the center of the announcement was a required base grant category focused on the development and implementation of a person-centered hospital discharge planning model. CMS offered three year awards in this base category, with funding up to $800,000, and only one award could be made per state (even though a state could submit more than one application, only one could ultimately be funded). The purpose of the base grant was to push states toward discharge planning approaches that are more individualized and that actively involve Medicaid eligible individuals, people who may become Medicaid eligible, and people with disabilities, along with their informal caregivers. The intent was not just better paperwork at discharge, but a practical shift toward discharge processes that increase the likelihood that individuals can access home and community based services (HCBS) rather than defaulting to institutional care. A second major goal was to strengthen the capacity of single entry points for long term care information and access (including ADRCs) so they can connect people leaving hospitals to the right community services and also provide meaningful support to family and other unpaid caregivers.
In addition to the base grant, the solicitation offered two optional funding tracks, but states could choose only one option at most. In other words, an applicant could apply for the base grant alone or the base grant plus one option, but could not pursue both options simultaneously. Importantly, a state had to apply for the base grant in order to be eligible to seek funding under either option; the options were add-ons to deepen or broaden the state’s single entry point or ADRC capacity in direct support of the proposed discharge planning model.
Option 1 was designed for states that already had an ADRC or a qualified single entry point program and wanted to enhance or expand it. CMS offered three year funding under this option with awards up to $500,000 (the announcement also describes a three year range of roughly $300,000 to $500,000 per award). The idea was that strengthening an existing ADRC/SEP would make it easier for that program to take an active operational role in the state’s person-centered discharge planning work, such as receiving referrals from hospitals, providing options counseling, connecting people to HCBS providers, and helping caregivers navigate available supports. To qualify for Option 1, applicants generally needed to be states that had previously received a CMS and Administration on Aging (AoA) ADRC grant in 2003, 2004, or 2005, or states with an existing single entry point program that met the solicitation’s definition of a fully functional SEP (referenced as Appendix B). Option 1 projects also had to align with the ADRC framework established in the earlier AoA/CMS ADRC program announcements from 2003 and 2005. Partnership was a core requirement: ADRCs/SEPs funded under this option were expected to work with Area Agencies on Aging, Centers for Independent Living, and other organizations representing the specific target populations being served.
Option 2 focused on states or territories that did not already have an ADRC grant history and did not have a fully operational SEP, and it provided support to build a new ADRC or SEP from the ground up. CMS offered three year awards under this option up to $800,000. Like Option 1, the purpose was to ensure that the ADRC/SEP infrastructure would be strong enough to play a central role in the person-centered hospital discharge planning model. The solicitation described the expected reach of these programs broadly: the ADRC/SEP should be a resource for both public and private pay individuals, and it should serve older adults, younger people with disabilities, family caregivers, and individuals planning ahead for future long term support needs. Option 2 also required formal partnership with Area Agencies on Aging, Centers for Independent Living, and other entities representing the populations the program would serve, reflecting CMS’s emphasis on coordinated cross-system access rather than siloed services.
Eligibility for the base grant was limited to specific types of state level entities: a single state Medicaid agency, state mental health agency, state mental retardation and developmental disabilities agency (language used in the original solicitation), state units on aging, or another instrumentality of the state. While a state could submit multiple applications, the solicitation made clear that failing to meet eligibility and documentation requirements would remove an application from competitive consideration. The overall structure of the opportunity signals that CMS was trying to drive practical, on-the-ground systems change by tying hospital discharge improvements to stronger community access infrastructure, particularly through ADRCs and SEPs, and by requiring sustained collaboration among aging, disability, and independent living networks.
Administrative details in the source indicate this was a grant (not a contract), categorized under health, with an award ceiling of $800,000 and an award floor listed as $800,000 for the base category. The funding opportunity number was HHS-2008-CMS-RCS-0009, and the full announcement was linked through CMS’s Real Choice program web page. The listed contact for assistance accessing the announcement was Nicole Nicholson at CMS (Nicole.Nicholson@cms.hhs.gov).
Frequently Asked Questions (FAQs)
What is this grant opportunity?
The Combined Real Choice Systems Change (RCSC) and Aging and Disability Resource Center/Area Agency on Aging (ADRC/AAA) Grants for Fiscal Year 2008 was a discretionary grant opportunity from the Centers for Medicare and Medicaid Services (CMS). It was focused on state systems change for long term care reform, with a strong emphasis on improving transitions from hospitals to appropriate community-based supports.
Who offered this funding?
The funding was offered by the Centers for Medicare and Medicaid Services (CMS).
What is the main goal of the program?
The central goal was to help states develop and implement a person-centered hospital discharge planning model that improves how people leave hospitals and connect to home and community-based services (HCBS), rather than defaulting to institutional care. A related goal was strengthening single entry points for long term care information and access (including ADRCs) so they can better connect people leaving hospitals to community services and support informal caregivers.
How much total funding was made available?
CMS made roughly $8,000,000 available under the solicitation to support state systems change work, and the announcement also notes an additional $5,000,000 awarded for ADRC/AAA related grants.
How many awards were anticipated?
The solicitation anticipated making about five awards.
When was the opportunity posted and when did it close?
The opportunity was posted on April 16, 2008. The application closing date was July 17, 2008.
What CFDA number is associated with this program?
The program falls under CFDA 93.779 (CMS Research, Demonstrations and Evaluations).
Is this a grant or a contract?
This opportunity was a grant (not a contract).
Was there a cost sharing or matching requirement?
Yes. The solicitation included a cost sharing or matching requirement.
What was the required base grant category?
The required base grant category focused on the development and implementation of a person-centered hospital discharge planning model.
How long were base grant awards?
Base grant awards were three-year awards.
What was the maximum funding for the base grant?
Funding for the base category was up to $800,000.
Was there an award floor or ceiling listed?
Administrative details indicate an award ceiling of $800,000, and an award floor listed as $800,000 for the base category.
Could more than one award be made per state?
No. Only one award could be made per state. A state could submit more than one application, but only one could ultimately be funded.
Who was the base grant intended to benefit?
The base grant emphasized active involvement of Medicaid-eligible individuals, people who may become Medicaid-eligible, and people with disabilities, along with their informal caregivers, within a person-centered discharge planning approach.
What does "person-centered hospital discharge planning" mean in this announcement?
In this context, it refers to discharge planning approaches that are more individualized and that actively involve the person and their informal caregivers. The intent was a practical shift in discharge processes to increase the likelihood of accessing HCBS rather than defaulting to institutional care.
What role do ADRCs or single entry points play in this program?
The program aimed to strengthen the capacity of single entry points for long term care information and access (including ADRCs) so they can connect people leaving hospitals to appropriate community services, provide options counseling, help connect people to HCBS providers, and offer meaningful support to family and other unpaid caregivers.
Were there optional funding tracks in addition to the base grant?
Yes. The solicitation offered two optional funding tracks (Option 1 and Option 2) as add-ons to the base grant.
Could an applicant apply for both options?
No. States could choose only one option at most. An applicant could apply for the base grant alone or the base grant plus one option, but could not pursue both options simultaneously.
Was the base grant required to apply for an option?
Yes. A state had to apply for the base grant in order to be eligible to seek funding under either option.
What was Option 1?
Option 1 was designed for states that already had an ADRC or a qualified single entry point program and wanted to enhance or expand it, specifically to support the proposed person-centered discharge planning model.
How much funding was available under Option 1 and for how long?
Option 1 offered three-year funding with awards up to $500,000. The announcement also describes a three-year range of roughly $300,000 to $500,000 per award.
Who qualified for Option 1?
Option 1 generally applied to states that had previously received a CMS and Administration on Aging (AoA) ADRC grant in 2003, 2004, or 2005, or states with an existing single entry point program that met the solicitation's definition of a fully functional SEP (referenced as Appendix B).
Did Option 1 require alignment with prior ADRC program guidance?
Yes. Option 1 projects had to align with the ADRC framework established in earlier AoA/CMS ADRC program announcements from 2003 and 2005.
What partnerships were expected under Option 1?
Partnership was a core requirement. ADRCs/SEPs funded under Option 1 were expected to work with Area Agencies on Aging, Centers for Independent Living, and other organizations representing the specific target populations being served.
What was Option 2?
Option 2 focused on states or territories that did not already have an ADRC grant history and did not have a fully operational SEP. It provided support to build a new ADRC or SEP from the ground up to support the person-centered hospital discharge planning model.
How much funding was available under Option 2 and for how long?
Option 2 offered three-year awards up to $800,000.
Who was the intended audience for ADRC/SEP services under Option 2?
The solicitation described ADRC/SEP reach broadly: it should be a resource for both public and private pay individuals, and it should serve older adults, younger people with disabilities, family caregivers, and individuals planning ahead for future long term support needs.
What partnerships were required under Option 2?
Option 2 required formal partnership with Area Agencies on Aging, Centers for Independent Living, and other entities representing the populations the program would serve.
What types of entities were eligible to apply for the base grant?
Eligibility for the base grant was limited to specific state-level entities: a single state Medicaid agency, state mental health agency, state mental retardation and developmental disabilities agency (as stated in the original solicitation), state units on aging, or another instrumentality of the state.
Could a state submit multiple applications?
Yes. A state could submit multiple applications, but only one could ultimately be funded per state.
What happens if an application did not meet eligibility or documentation requirements?
The solicitation indicated that failing to meet eligibility and documentation requirements would remove an application from competitive consideration.
What funding opportunity number is associated with this announcement?
The funding opportunity number was HHS-2008-CMS-RCS-0009.
Where was the full announcement linked?
The full announcement was linked through CMS's Real Choice program web page.
Who was listed as the contact for assistance accessing the announcement?
The listed contact was Nicole Nicholson at CMS. The email provided was Nicole.Nicholson@cms.hhs.gov.
How was this opportunity categorized administratively?
Administrative details indicate it was categorized under health, structured as a grant, with a listed award ceiling of $800,000.
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