Opportunity Information: Apply for CA CAP 14 001

  • The CMS Consumer Information Insurance Oversight in the health sector is offering a public funding opportunity titled "Limited Competition for Affordable Care Act Consumer Assistance Program Grants" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.519 Affordable Care Act (ACA) Consumer Assistance Program Grants.
  • This funding opportunity was created on Aug 13, 2014 and posted on Aug 13, 2014.
  • Applicants must submit their applications by Sep 15, 2014 See FOA. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $5,314,364.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $442,863.00 in funding.
  • The number of recipients for this funding is limited to 12 candidate(s).
  • Eligible applicants include: State governments.
Apply for CA CAP 14 001

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Opportunity Summary:

The "Limited Competition for Affordable Care Act Consumer Assistance Program Grants" opportunity (Funding Opportunity Number CA CAP 14 001) is a discretionary grant program run by the Centers for Medicare and Medicaid Services (CMS) within the HHS consumer information and insurance oversight function. It is aimed at strengthening Consumer Assistance Programs (CAPs) so they can help people make sense of health coverage changes under the Affordable Care Act, including new coverage options, new consumer protections, and the practical steps involved in enrolling and using health insurance in a way that is both affordable and appropriate for an individual's needs.

A central purpose of the grant is to ensure that consumers, especially those who are uninsured or having trouble navigating the system, can get direct help when they face questions, complaints, or problems related to health coverage. The announcement emphasizes that consumers will need support to understand new programs and protections and to compare coverage options effectively. It also highlights a key legal interpretation connected to Section 2793 of the Public Health Service (PHS) Act: HHS interprets this section to require CAP grantees to accept inquiries and address problems from uninsured consumers. In practical terms, the expectation is that CAPs serve as an accessible problem-solving and guidance resource, not only for people who already have coverage but also for those who are trying to get covered or who are currently uninsured and need help understanding their rights and options.

The scope of required assistance explicitly includes people enrolled in Qualified Health Plans (QHPs) offered through the Health Insurance Marketplace. Because QHPs are considered health insurance coverage, the statute is described as requiring CAPs to assist individuals enrolled in QHPs in addition to assisting consumers with other types of health insurance coverage. This means CAPs funded under this opportunity are expected to handle Marketplace-related questions and issues as part of their normal workload, helping consumers navigate plan selection, understand benefits and cost sharing, and resolve coverage or claims problems when they arise.

This was a limited competition, meaning eligibility was restricted. Eligible applicants were state governments, reflecting the program's structure as a state-based consumer assistance function. The opportunity anticipated up to 12 awards, with an estimated total funding amount of $5,314,364. Individual awards had an estimated ceiling of $442,863, and the listed award floor was $0, indicating that award sizes could vary and that the final amounts would depend on the specifics of the FOA and the applicant's approved project plan and budget. There was no cost sharing or matching requirement, so states were not required to contribute non-federal matching funds as a condition of receiving an award.

Key administrative details include an original and current closing date of September 15, 2014, with a posted and creation date of August 13, 2014, and an archive date of October 15, 2014. The CFDA number associated with the program is 93.519 (Affordable Care Act Consumer Assistance Program Grants). For access issues related to the full announcement, the listing directs applicants to the Grants.gov Contact Center (1-800-518-4726, support@grants.gov), which operates 24/7 except federal holidays.

Frequently Asked Questions (FAQs): Limited Competition for Affordable Care Act Consumer Assistance Program Grants (CA CAP 14 001)

1) What is the "Limited Competition for Affordable Care Act Consumer Assistance Program Grants" opportunity?

This is a discretionary grant opportunity administered by the Centers for Medicare and Medicaid Services (CMS) under HHS's consumer information and insurance oversight function. It is designed to strengthen Consumer Assistance Programs (CAPs) so they can help consumers understand and navigate health coverage changes under the Affordable Care Act (ACA).

2) What is the Funding Opportunity Number (FON) for this grant?

The Funding Opportunity Number is CA CAP 14 001.

3) Which federal agency runs this grant program?

The program is run by the Centers for Medicare and Medicaid Services (CMS), within HHS's consumer information and insurance oversight function.

4) What is the main purpose of these CAP grants?

The central purpose is to ensure consumers can get direct, practical help with questions, complaints, and problems related to health coverage. The grant focuses on strengthening CAPs so they can guide consumers through new coverage options, new consumer protections, and the steps involved in enrolling in and using health insurance in an affordable and appropriate way.

5) What types of consumer needs are these grants meant to address?

The announcement emphasizes assistance for consumers who are uninsured or who have difficulty navigating the health coverage system. It highlights the need for help understanding new programs and protections and for comparing coverage options effectively.

6) Are CAP grantees expected to help uninsured consumers?

Yes. The announcement highlights a key legal interpretation tied to Section 2793 of the Public Health Service (PHS) Act: HHS interprets that section to require CAP grantees to accept inquiries and address problems from uninsured consumers.

7) Does the required assistance include people enrolled in Marketplace Qualified Health Plans (QHPs)?

Yes. The scope of required assistance explicitly includes individuals enrolled in Qualified Health Plans (QHPs) offered through the Health Insurance Marketplace.

8) Why are QHP enrollees included within the scope of CAP assistance?

The opportunity explains that QHPs are considered health insurance coverage. Because of that, the statute is described as requiring CAPs to assist individuals enrolled in QHPs in addition to consumers with other types of health insurance coverage.

9) What kinds of Marketplace-related issues are CAPs expected to help with?

CAPs funded under this opportunity are expected to handle Marketplace-related questions and issues as part of their normal workload, including helping consumers navigate plan selection, understand benefits and cost sharing, and resolve coverage or claims problems when they arise.

10) What does "limited competition" mean for this funding opportunity?

"Limited competition" means eligibility was restricted rather than open to all applicant types.

11) Who was eligible to apply?

Eligible applicants were state governments.

12) How many awards were anticipated?

The opportunity anticipated up to 12 awards.

13) What was the estimated total funding amount?

The estimated total funding amount was $5,314,364.

14) What was the estimated maximum award amount (ceiling) per award?

The estimated award ceiling was $442,863.

15) What was the listed award minimum (floor), and what does it imply?

The listed award floor was $0. This indicates award sizes could vary and that final amounts would depend on the specifics of the funding opportunity and the applicant's approved project plan and budget.

16) Was there a cost sharing or matching requirement?

No. There was no cost sharing or matching requirement, meaning states were not required to contribute non-federal matching funds as a condition of receiving an award.

17) What was the application closing date?

The original and current closing date listed was September 15, 2014.

18) When was the opportunity posted and created?

The posted date and creation date were both August 13, 2014.

19) When was the opportunity archived?

The archive date was October 15, 2014.

20) What is the CFDA number for this program?

The CFDA number associated with the program is 93.519 (Affordable Care Act Consumer Assistance Program Grants).

21) What should applicants do if they have trouble accessing the full announcement or need Grants.gov support?

The listing directs applicants to contact the Grants.gov Contact Center at 1-800-518-4726 or support@grants.gov. The Contact Center operates 24/7 except federal holidays.

22) In plain terms, what role are CAPs expected to play under this grant?

CAPs are expected to serve as an accessible problem-solving and guidance resource for consumers. That includes people who already have coverage and people who are trying to get covered or are currently uninsured and need help understanding rights, options, and how to address coverage-related problems.

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