Opportunity Information: Apply for HHS 2010 CMS MIG 0001

  • The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Medicaid Infrastructure Grant" and is now available to receive applicants.
  • This funding opportunity was created on Jun 3, 2009 and posted on Jun 3, 2009.
  • Applicants must submit their applications by Jul 20, 2009. (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 $750,000.00 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).
  • Either of the following may apply to administer the Medicaid Infrastructure Grant (a) the single State Medicaid agency or (b) any other agency or instrumentality of a State (as determined under State law) in partnership, agreement and active participation with the single State Medicaid Agency. A letter of commitment from the single State Medicaid agency must be included in the application if a non Medicaid State agency or instrumentality is applying for the Medicaid Infrastructure Grant. For purposes of this grant program, State is defined as each of the 50 States, the District of Columbia, Puerto Rico, Guam, the United States Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands.
Apply for HHS 2010 CMS MIG 0001

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Opportunity Summary:

The Medicaid Infrastructure Grant (MIG) is a discretionary grant program run by the Centers for Medicare and Medicaid Services (CMS) that funds state-led efforts to strengthen Medicaid systems in ways that make it easier for people with disabilities to enter and stay in competitive employment. The central idea is that employment can be blocked not only by the job market, but also by gaps in health coverage, fragmented services, and administrative rules that unintentionally discourage work. Through MIG, CMS invites states to propose targeted improvements to their Medicaid programs and/or build a broader, coordinated employment-support infrastructure that links Medicaid with other state service delivery systems. The intended result is sustainable, system-level change that reduces barriers and increases the number of people with disabilities working in competitive jobs.

This opportunity was created under Section 203 of the Ticket to Work and Work Incentives Improvement Act of 1999, which directed the Secretary of Health and Human Services to establish a grant program to help states better serve employed people with disabilities. CMS is the designated agency responsible for administering the program. The authorizing law set the program’s lifespan at 11 years, with $150 million appropriated for the first five years. Funding levels for fiscal years 2006 through 2011 were designed to rise based on increases (if any) in the Consumer Price Index for All Urban Consumers, reflecting an effort to keep grant capacity aligned with inflation.

Grants under this announcement are structured with a clear funding range and do not require cost sharing or matching. Awards are expected to be made to about 15 recipients. The minimum (floor) award is $500,000 per fiscal year, and the maximum (ceiling) award is $750,000. While states may apply again in consecutive fiscal years, the minimum award is still dependent on the limits of annual appropriations and the need to cover all eligible applicants. In practice, this means funding is competitive and constrained by how much Congress appropriates for the program in that year.

Eligible applicants are states and certain U.S. territories, defined broadly for this program to include the 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands. The grant may be administered either by the single state Medicaid agency or by another state agency or instrumentality, as allowed under state law, as long as it is done in partnership with and with active participation from the single state Medicaid agency. If a non-Medicaid state agency is the applicant, the application must include a letter of commitment from the single state Medicaid agency, ensuring Medicaid leadership is formally engaged.

CMS expects proposals to focus on removing employment barriers through systemic Medicaid changes and by bridging Medicaid with other programs. Applicants are encouraged to propose infrastructure development that leads to lasting improvements such as better access to adequate health coverage for workers with disabilities, stronger availability of personal assistance services and other employment-related supports, and reduction of other major policy or administrative obstacles that can interfere with working. The emphasis is not on short-term, isolated projects, but on building capacity and coordination that remain in place after grant funding ends, producing durable improvements in how the state supports employed people with disabilities.

Key administrative details from the announcement include the Funding Opportunity Number HHS-2010-CMS-MIG-0001, with the opportunity posted on June 3, 2009 and a closing date of July 20, 2009 (archived August 19, 2009). The activity category is Health, and the funding instrument is a Grant. For reference and examples of what states have done under MIG, CMS points applicants to summaries of current grantee activities on its Ticket to Work and Work Incentives Improvement Act webpage. For help accessing the full announcement, the listed contact is Nicole Nicholson, Grants Management Officer, at nicole.nicholson@cms.hhs.gov.

Medicaid Infrastructure Grant (MIG) FAQs

1) What is the Medicaid Infrastructure Grant (MIG)?

The Medicaid Infrastructure Grant (MIG) is a discretionary grant program administered by the Centers for Medicare and Medicaid Services (CMS). It funds state-led efforts to strengthen Medicaid systems in ways that make it easier for people with disabilities to enter and stay in competitive employment.

2) What problem is MIG intended to solve?

MIG is designed to address barriers to employment that are not strictly about the job market itself. These barriers can include gaps in health coverage, fragmented services, and administrative rules that unintentionally discourage work. The program focuses on system-level changes that reduce these barriers.

3) What is the main goal of MIG?

The intended result is sustainable, system-level change that reduces barriers and increases the number of people with disabilities working in competitive jobs. CMS emphasizes building lasting capacity and coordination rather than funding isolated, short-term projects.

4) What kinds of projects or activities does CMS expect MIG to support?

CMS expects proposals to focus on removing employment barriers through systemic Medicaid changes and by bridging Medicaid with other programs. Examples of targeted improvements described in the announcement include infrastructure development that supports:

  • Better access to adequate health coverage for workers with disabilities
  • Stronger availability of personal assistance services and other employment-related supports
  • Reduction of major policy or administrative obstacles that can interfere with working
  • Broader coordination linking Medicaid with other state service delivery systems

5) Is MIG focused on short-term services or long-term systems change?

The emphasis is on durable improvements and system-level change. CMS highlights that MIG is not intended for short-term, isolated projects; it is meant to build capacity and coordination that remain in place after grant funding ends.

6) Who is eligible to apply for MIG?

Eligible applicants are states and certain U.S. territories. For this program, that includes the 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands.

7) Can an agency other than the state Medicaid agency apply?

Yes. The grant may be administered by the single state Medicaid agency or by another state agency or instrumentality (as allowed under state law), as long as it is done in partnership with and with active participation from the single state Medicaid agency.

8) What is required if a non-Medicaid state agency submits the application?

If a non-Medicaid state agency is the applicant, the application must include a letter of commitment from the single state Medicaid agency. This letter is intended to ensure Medicaid leadership is formally engaged and actively participating.

9) What is the award amount for MIG?

Under this announcement, the minimum (floor) award is $500,000 per fiscal year and the maximum (ceiling) award is $750,000 per fiscal year.

10) How many awards does CMS expect to make?

Awards are expected to be made to about 15 recipients.

11) Does MIG require cost sharing or matching funds?

No. The announcement specifies that MIG does not require cost sharing or matching.

12) Can a state apply in consecutive fiscal years?

Yes. States may apply again in consecutive fiscal years. However, the minimum award remains dependent on the limits of annual appropriations and the need to cover all eligible applicants.

13) Is MIG funding guaranteed at the floor amount each year?

No. While the announcement provides a floor award amount, it also notes that awards depend on annual appropriations and the need to cover all eligible applicants. In practice, funding is competitive and constrained by the amount Congress appropriates for the program in a given year.

14) What law authorized the MIG program?

This opportunity was created under Section 203 of the Ticket to Work and Work Incentives Improvement Act of 1999, which directed the Secretary of Health and Human Services to establish a grant program to help states better serve employed people with disabilities. CMS is the designated agency responsible for administering the program.

15) How long was the MIG program authorized to run, and what funding levels were described?

The authorizing law set the program's lifespan at 11 years, with $150 million appropriated for the first five years. Funding levels for fiscal years 2006 through 2011 were designed to rise based on increases (if any) in the Consumer Price Index for All Urban Consumers, reflecting an effort to keep grant capacity aligned with inflation.

16) What is the Funding Opportunity Number (FON) for this announcement?

The Funding Opportunity Number listed is HHS-2010-CMS-MIG-0001.

17) When was this opportunity posted, and when did it close?

The opportunity was posted on June 3, 2009 and the closing date was July 20, 2009. It is noted as archived on August 19, 2009.

18) What is the activity category and funding instrument?

The activity category is Health, and the funding instrument is a Grant.

19) Where can applicants find examples of what states have done with MIG?

CMS points applicants to summaries of current grantee activities on its Ticket to Work and Work Incentives Improvement Act webpage as a reference for examples of state activities under MIG.

20) Who is the contact person for help accessing the full announcement?

The listed contact is Nicole Nicholson, Grants Management Officer, at nicole.nicholson@cms.hhs.gov.

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