Opportunity Information: Apply for CDC RFA IP14 1411

  • The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Implementation of Strategic Plans for Billing for Immunization Services in Health Department Clinics" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.268 Immunization Cooperative Agreements.
  • This funding opportunity was created on Jul 9, 2014 and posted on Jul 9, 2014.
  • Applicants must submit their applications by Aug 8, 2014 1.Letter of Intent (LOI) Deadline n/a. 2.Application Deadline August 8, 2014, 1159 p.m. U.S. Eastern Standard Time, on www.grants.gov 3.Informational conference call for potential applicants July 24, 2014, 10am EST 1 866 873 4356 participant code 4924156. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $5,000,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $500,000.00 in funding.
  • The number of recipients for this funding is limited to 15 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • All awardees are eligible except for those who received funding under CDC RFA IP11 1107PPHF11 Part 4 Implement strategic plans for billing for immunization services in health department clinics. Justification for Less than Maximum Competition CDC previously awarded funds under CDC RFA IP11 1107PPHF11 to 14 immunization program awardees for the purpose of implementing billing systems to bill for immunization services rendered to insured individuals in local health departments. Under that same FOA, an additional 7 awardees were funded simultaneously to conduct planning that would allow them to also bill for immunization services. These 7 awardees have not implemented those plans as yet due to lack of funding. Also, 3 awardees were awarded funding with ARRA funds in 2009 but have not yet implemented. As a result of over three years of experience now in planning and implementing billing systems, the initial 14 implementation awardees have demonstrated that billing systems are a very expensive public health intervention to develop and use, however, after the initial investment is made, billing projects are considered to be a very effective management tool.
Apply for CDC RFA IP14 1411

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Opportunity Summary:

Implementation of Strategic Plans for Billing for Immunization Services in Health Department Clinics (CDC RFA IP14-1411) is a CDC discretionary cooperative agreement designed to help public health departments bill health insurance plans for immunization services delivered in health department clinics. The core aim is to allow health departments to capture immunization administration or service delivery fees from insured patients, improving program sustainability and strengthening the operational efficiency of immunization programs. The opportunity builds on prior federal investments and lessons learned from earlier work funded under the American Recovery and Reinvestment Act of 2009 (ARRA) and the Prevention and Public Health Fund (PPHF) created through the Affordable Care Act (ACA), reflecting an effort to move immunization clinics toward more routine, revenue-supported billing practices rather than relying solely on grant support.

The announcement supports two main pathways depending on where an applicant is starting. One option is for jurisdictions that already completed planning for an insurance billing project but have not yet implemented it, allowing them to move from planning into active use. The second option is for jurisdictions that want to develop and implement a new billing project, essentially starting or significantly expanding the capacity to bill insurers for immunization services. Because applicants may be at different stages of readiness, the eligibility criteria and expectations can vary based on an awardee's current or proposed billing processes, and applicants are instructed to rely on the specific eligibility language in the FOA.

This funding opportunity was structured as a cooperative agreement, meaning recipients would carry out project activities with substantial CDC involvement or collaboration typical of this mechanism. The program fell under CFDA 93.268 (Immunization Cooperative Agreements) and did not require cost sharing or matching. CDC anticipated making about 15 awards, with total estimated funding of $5,000,000. Individual awards were expected to range from $100,000 (floor) to $500,000 (ceiling), indicating support for both smaller-scale implementations and more resource-intensive system builds or expansions.

Eligibility was limited in a targeted way due to past CDC investments. The FOA notes that CDC had previously funded 14 immunization program awardees under CDC RFA IP11-1107 PPHF11 Part 4 to implement billing systems, and also funded 7 additional awardees to conduct planning for billing implementation but who had not been able to implement due to lack of funds. In addition, 3 awardees funded with ARRA dollars in 2009 had still not implemented. The announcement explains that billing systems require a significant upfront investment to develop and operate, but once established they can become an effective management tool that supports immunization program operations. As a result, the competition was justified as less than maximum competition, focusing on jurisdictions positioned to benefit from moving planned work into implementation or developing needed capacity based on demonstrated experience across earlier cohorts.

Key administrative details include a posted and created date of July 9, 2014, an application deadline of August 8, 2014 at 11:59 p.m. Eastern Time submitted through Grants.gov, and an informational conference call for potential applicants held July 24, 2014 at 10 a.m. Eastern. No letter of intent was required. The opportunity later archived on September 7, 2014. The sponsoring agency was the Centers for Disease Control and Prevention, and applicants needing help accessing the full announcement were directed to CDC's Procurement and Grants Office Technical Information Management Section (TIMS).

FAQs: Implementation of Strategic Plans for Billing for Immunization Services in Health Department Clinics (CDC RFA IP14-1411)

What is CDC RFA IP14-1411?

Implementation of Strategic Plans for Billing for Immunization Services in Health Department Clinics (CDC RFA IP14-1411) is a CDC discretionary cooperative agreement focused on helping public health departments bill health insurance plans for immunization services delivered in health department clinics.

What is the main goal of this funding opportunity?

The core aim is to enable health departments to capture immunization administration or service delivery fees from insured patients. This is intended to improve program sustainability and strengthen the operational efficiency of immunization programs by moving immunization clinics toward more routine, revenue-supported billing practices rather than relying only on grant support.

Why is CDC supporting billing for immunization services?

The opportunity reflects an effort to help immunization clinics adopt routine billing practices so programs can recover allowable fees from insured patients. The announcement also notes that billing systems typically require a significant upfront investment to develop and operate, but once established they can become an effective management tool supporting immunization program operations.

What prior investments does this program build on?

This funding opportunity builds on prior federal investments and lessons learned from earlier work funded under the American Recovery and Reinvestment Act of 2009 (ARRA) and the Prevention and Public Health Fund (PPHF) created through the Affordable Care Act (ACA).

What are the two main pathways supported by the announcement?

The announcement supports two main pathways depending on an applicant's starting point: (1) jurisdictions that already completed planning for an insurance billing project but have not implemented it yet, and (2) jurisdictions that want to develop and implement a new billing project or significantly expand capacity to bill insurers for immunization services.

If a jurisdiction already planned a billing project, what does this funding support them to do?

For jurisdictions that completed planning but have not yet implemented, this funding supports moving from planning into active use (implementation) of the billing approach.

If a jurisdiction has not planned a billing project, can they still apply?

The announcement describes a second option for jurisdictions that want to develop and implement a new billing project. However, eligibility is described as targeted and applicants are instructed to rely on the specific eligibility language in the FOA.

How does the FOA handle different levels of readiness across applicants?

Because applicants may be at different stages of readiness, the eligibility criteria and expectations can vary depending on an awardee's current or proposed billing processes. Applicants are instructed to rely on the specific eligibility language in the FOA.

What kind of award mechanism is this?

This opportunity was structured as a cooperative agreement, meaning recipients would carry out project activities with substantial CDC involvement or collaboration typical of this mechanism.

What is the CFDA number associated with this opportunity?

The program fell under CFDA 93.268 (Immunization Cooperative Agreements).

Is cost sharing or matching required?

No. The announcement states that cost sharing or matching was not required.

How many awards did CDC expect to make?

CDC anticipated making about 15 awards.

What was the estimated total funding available?

The total estimated funding was $5,000,000.

What was the expected award size (minimum and maximum)?

Individual awards were expected to range from $100,000 (floor) to $500,000 (ceiling), allowing support for both smaller-scale implementations and more resource-intensive system builds or expansions.

Why was eligibility limited or competition not open to all potential applicants?

Eligibility was limited in a targeted way due to past CDC investments. The FOA notes CDC had previously funded cohorts to implement billing systems and others to conduct planning but who had not implemented due to lack of funds. The competition was justified as less than maximum competition, focusing on jurisdictions positioned to benefit from moving planned work into implementation or developing needed capacity based on demonstrated experience across earlier cohorts.

Which prior CDC-funded groups are mentioned as relevant to eligibility targeting?

The FOA references: (1) 14 immunization program awardees previously funded under CDC RFA IP11-1107 PPHF11 Part 4 to implement billing systems, (2) 7 additional awardees funded to conduct planning for billing implementation but unable to implement due to lack of funds, and (3) 3 awardees funded with ARRA dollars in 2009 that still had not implemented.

When was the opportunity posted and created?

The posted and created date was July 9, 2014.

What was the application deadline?

The application deadline was August 8, 2014 at 11:59 p.m. Eastern Time.

How were applications submitted?

Applications were submitted through Grants.gov.

Was a letter of intent required?

No. The announcement states that no letter of intent was required.

Was there an informational call for potential applicants?

Yes. An informational conference call for potential applicants was held on July 24, 2014 at 10 a.m. Eastern.

When was the opportunity archived?

The opportunity was archived on September 7, 2014.

Which federal agency sponsored this opportunity?

The sponsoring agency was the Centers for Disease Control and Prevention (CDC).

Who should applicants contact if they need help accessing the full announcement?

Applicants needing help accessing the full announcement were directed to CDC's Procurement and Grants Office Technical Information Management Section (TIMS).

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