Opportunity Information: Apply for CMS 1C1 14 001

  • The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Health Care Innovation Awards Round Two" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.610 Health Care Innovation Awards (HCIA).
  • This funding opportunity was created on Aug 13, 2013 and posted on May 15, 2013.
  • Applicants must submit their applications by Aug 15, 2013 No Explanation. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $900,000,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $30,000,000.00 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).
  • The intent of this initiative is to engage with a wide variety of innovators. Interested parties of all types that meet the eligibility requirements specified in this section and have developed innovations that will drive significant improvement in population health, quality of care, and total cost of care and who can create a clear pathway to an alternate payment model based on their innovation are welcome to apply. Examples of the types of organizations expected to apply are provider groups, health systems, payers and other private sector organizations, faith based organizations, state and/or local governments, academic institutions, research organizations, public private partnerships, and for profit organizations. In addition, certain organizations may apply as conveners that assemble and coordinate the efforts of a group of participants. Unsuccessful applicants from prior CMS funding competitions are eligible to apply. Technology develope rs, including software designers and others creating solutions for health care providers, are welcome to apply. However, any such technology model needs to reflect the actual use, not the development, of a product in a broader service delivery or payment model. Applicants that develop open source technology or software that are placed in the public domain will be given preference.
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Opportunity Summary:

Health Care Innovation Awards Round Two (Funding Opportunity Number CMS-1C1-14-001) was a Centers for Medicare and Medicaid Services (CMS) initiative, run through the Center for Medicare and Medicaid Innovation (CMMI), aimed at funding practical, near-term innovations in health care delivery and payment. The core goal was to support applicants proposing new service delivery models tied to corresponding payment models that could achieve the familiar “triple aim”: better health outcomes, better patient care, and lower costs for people enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). The award mechanism was a cooperative agreement, meaning CMS expected an active role in oversight and collaboration during the project period, rather than simply providing funds with minimal interaction.

The opportunity focused on implementation-ready ideas rather than concepts that would take years to mature. Funded organizations were expected to launch their service delivery model at the beginning of the three-year cooperative agreement period, show measurable improvements in quality and cost within the first six months, and produce net savings to CMS within three years. In addition to running the service model, awardees were required to design and submit a fully developed Medicare, Medicaid, or CHIP payment model by the end of the three-year period. CMS also reserved the option, under Section 1115A of the Social Security Act, to further develop one or more of these models and potentially open them to broader participation later through a separate solicitation, essentially using this round as a pipeline for scalable national payment and delivery reforms.

Round Two was designed to attract a wide range of applicants and care settings, not just traditional health providers. Eligibility was intentionally broad to “engage with a wide variety of innovators,” including provider groups, health systems, payers and other private-sector entities, faith-based organizations, state and local governments, academic and research institutions, public-private partnerships, and for-profit organizations. Some applicants could apply as conveners, meaning organizations that assemble and coordinate coalitions of participants to implement a shared model. Unsuccessful applicants from previous CMS competitions were explicitly allowed to apply again. Technology developers were welcome, but the program emphasized real-world deployment rather than product development; any technology-centered proposal needed to demonstrate actual use as part of a broader service delivery or payment model. CMS also indicated a preference for open-source technology or software placed in the public domain.

In terms of scale and funding, CMS projected up to 100 awards with an estimated total funding amount of $900,000,000. Individual award amounts were expected to range from a $1,000,000 floor to a $30,000,000 ceiling, and there was no cost-sharing or matching requirement. The activity category was health, and the CFDA number associated with the program was 93.610 (Health Care Innovation Awards). The opportunity was posted May 15, 2013, with an application closing date of August 15, 2013, and it was later archived on September 14, 2013.

The application process required several specific supplemental documents beyond the standard Grants.gov package. Applicants had to submit four separate supplemental forms: a Financial Plan, an Operational Plan, an Actuarial Review (which required approval from the Authorizing Official and the Chief Financial Officer), and an Executive Overview. These materials had to be uploaded in the “Other Attachments” section within the Grants.gov application kit, and CMS asked that the forms be uploaded in their native formats (for example, Excel spreadsheets and Word documents). The Actuarial Review had an additional step: applicants needed to print the PDF version, complete and sign it, then scan and upload it as a PDF. CMS provided supporting resources such as an Application User Guide, a Preferred Measures List, and Aims and Drivers for Improvement guidance; these were meant to help applicants prepare strong submissions, but applicants were told not to upload the guides themselves into Grants.gov.

For support, CMS drew a clear line between technical submission help and program/content questions. The Grants.gov helpdesk was only responsible for assisting with the mechanics of using Grants.gov forms and submitting the application. Questions about the grant’s substance or the supplemental forms were directed to the CMMI program hotline via InnovationAwards@cms.hhs.gov, and CMS pointed applicants to its HCIA Round Two webpage for webinars and frequently asked questions. For applicants who could not access the full announcement online, the Grants.gov Contact Center was listed as the primary point of contact for access and submission issues (1-800-518-4726; support@grants.gov).

Taken together, HCIA Round Two was built for organizations that could move quickly from an operational delivery intervention to a credible alternative payment approach, with strong expectations for measurable early performance and demonstrable savings to CMS within a short time horizon. The emphasis was not only on improving care, but on proving that the innovation could be financed through a sustainable payment model that CMS could potentially refine and scale in the future.

Frequently Asked Questions (FAQs): Health Care Innovation Awards Round Two (CMS-1C1-14-001)

What is the Health Care Innovation Awards (HCIA) Round Two opportunity?

HCIA Round Two (Funding Opportunity Number CMS-1C1-14-001) was a Centers for Medicare and Medicaid Services (CMS) initiative run through the Center for Medicare and Medicaid Innovation (CMMI) to fund practical, near-term innovations in health care delivery and payment.

What was the main goal of HCIA Round Two?

The goal was to support applicants proposing new service delivery models tied to corresponding payment models that could achieve the “triple aim”: better health outcomes, better patient care, and lower costs for people enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

What type of funding mechanism was used for this opportunity?

The award mechanism was a cooperative agreement. This meant CMS expected an active role in oversight and collaboration during the project period, rather than providing funds with minimal interaction.

Was this opportunity focused on early-stage concepts or implementation-ready models?

It focused on implementation-ready ideas rather than concepts that would take years to mature. Funded organizations were expected to launch their service delivery model at the beginning of the three-year cooperative agreement period.

How quickly were awardees expected to show results?

Awardees were expected to show measurable improvements in quality and cost within the first six months of the three-year period.

What were the savings expectations for the program?

Projects were expected to produce net savings to CMS within three years.

What were awardees required to deliver by the end of the project period?

In addition to operating the service delivery model, awardees were required to design and submit a fully developed Medicare, Medicaid, or CHIP payment model by the end of the three-year cooperative agreement period.

Could CMS expand or scale models developed under HCIA Round Two?

Yes. CMS reserved the option under Section 1115A of the Social Security Act to further develop one or more of the models and potentially open them to broader participation later through a separate solicitation.

Who was eligible to apply?

Eligibility was intentionally broad to engage a wide variety of innovators, including provider groups, health systems, payers and other private-sector entities, faith-based organizations, state and local governments, academic and research institutions, public-private partnerships, and for-profit organizations.

Were non-traditional health care organizations allowed to apply?

Yes. The opportunity was designed to attract a wide range of applicants and care settings, not only traditional health providers.

Could an organization apply as a convener?

Yes. Some applicants could apply as conveners, meaning organizations that assemble and coordinate coalitions of participants to implement a shared model.

Could applicants who were unsuccessful in previous CMS competitions apply again?

Yes. Unsuccessful applicants from previous CMS competitions were explicitly allowed to apply again.

Were technology-focused proposals allowed?

Technology developers were welcome, but the program emphasized real-world deployment rather than product development. Technology-centered proposals needed to demonstrate actual use as part of a broader service delivery or payment model.

Did CMS express any preference regarding software licensing or availability?

Yes. CMS indicated a preference for open-source technology or software placed in the public domain.

How many awards were anticipated, and what was the total projected funding?

CMS projected up to 100 awards with an estimated total funding amount of $900,000,000.

What was the expected award size range?

Individual award amounts were expected to range from $1,000,000 (floor) to $30,000,000 (ceiling).

Was cost-sharing or a match required?

No. There was no cost-sharing or matching requirement.

What is the CFDA number associated with this program?

The CFDA number associated with the Health Care Innovation Awards program was 93.610.

What was the activity category for this opportunity?

The activity category was health.

When was the opportunity posted, and when did it close?

The opportunity was posted on May 15, 2013, and the application closing date was August 15, 2013.

Was the opportunity later archived?

Yes. It was archived on September 14, 2013.

What supplemental documents were required beyond the standard Grants.gov package?

Applicants had to submit four separate supplemental forms: a Financial Plan, an Operational Plan, an Actuarial Review (requiring approval from the Authorizing Official and the Chief Financial Officer), and an Executive Overview.

Where in Grants.gov were the supplemental documents uploaded?

The supplemental forms had to be uploaded in the “Other Attachments” section within the Grants.gov application kit.

In what file formats were applicants asked to upload the supplemental forms?

CMS asked that the forms be uploaded in their native formats, such as Excel spreadsheets and Word documents.

Did the Actuarial Review have any special signing or upload steps?

Yes. Applicants needed to print the PDF version of the Actuarial Review, complete and sign it, then scan and upload it as a PDF.

What supporting resources did CMS provide to help applicants?

CMS provided resources including an Application User Guide, a Preferred Measures List, and Aims and Drivers for Improvement guidance to help applicants prepare strong submissions.

Should applicants upload the CMS guidance documents into Grants.gov?

No. Applicants were told not to upload the guides themselves into Grants.gov.

Who handled technical help with Grants.gov submission mechanics?

The Grants.gov helpdesk was responsible only for assisting with the mechanics of using Grants.gov forms and submitting the application.

Where were program or content questions directed?

Questions about the grant’s substance or the supplemental forms were directed to the CMMI program hotline via InnovationAwards@cms.hhs.gov.

Where could applicants find webinars and additional FAQs?

CMS directed applicants to its HCIA Round Two webpage for webinars and frequently asked questions.

What contact information was provided for applicants who could not access the full announcement online or needed access/submission help?

The Grants.gov Contact Center was listed as the primary point of contact for access and submission issues: 1-800-518-4726 and support@grants.gov.

What kind of organizations was HCIA Round Two built for?

It was built for organizations that could move quickly from an operational delivery intervention to a credible alternative payment approach, with strong expectations for measurable early performance and demonstrable savings to CMS within a short time horizon.

What was the overall emphasis of the program beyond improving care?

The emphasis was on proving that the innovation could be financed through a sustainable payment model that CMS could potentially refine and scale in the future.

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