Opportunity Information: Apply for HHS 2013 ACL AOA MI 0051

  • The Administration for Community Living in the community development sector is offering a public funding opportunity titled "Medicare Improvements for Patients and Providers Act Medicare Savings Program, Low Income Subsidy Prescription Drug Enrollment Assistance through the Aging Network, State Health Insurance Assistance Program and Aging Disability Resource Centers." and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.071 Medicare Enrollment Assistance Program.
  • This funding opportunity was created on May 22, 2013 and posted on May 22, 2013.
  • Applicants must submit their applications by Jun 20, 2013 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $18,980,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $3,148,818.00 in funding.
  • The number of recipients for this funding is limited to 56 candidate(s).
  • Eligible applicants include: State governments.
  • Funding will be available to a single state agency in three priority areas Priority Area 1 ndash SHIP Grants to State Health Insurance Assistance Programs to provide enhanced outreach to eligible Medicare beneficiaries regarding their benefits and enhanced outreach to individuals who may be eligible for the LIS or for the MSP. Priority Area 2 ndash AAAs Grants to State Agencies on Aging for AAAs to provide enhanced outreach to eligible Medicare beneficiaries regarding their benefits and enhanced outreach to individuals who may be eligible for the LIS, MSP, Medicare Part D and Part D in rural areas. Priority Area 3 ndash ADRC Funding is available for Aging and Disability Resource Centers to provide outreach to individuals regarding the benefits available under Medicare Part D and under the MSP. Individuals, foreign entities, and sole proprietorship organizations are not eligible to compete for, or receive, awards made under this announcement.
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Opportunity Summary:

This grant opportunity, issued by the Administration for Community Living (ACL) under Funding Opportunity Number HHS-2013-ACL-AOA-MI-0051, supports statewide efforts to help Medicare beneficiaries understand, enroll in, and make effective use of key Medicare-related assistance programs. The core purpose is to strengthen and coordinate outreach and enrollment assistance for three major benefit areas: the Medicare Savings Program (MSP), which helps eligible people with Medicare premiums and sometimes cost sharing; the Low Income Subsidy (LIS, also called "Extra Help"), which lowers Medicare Part D prescription drug costs; and Medicare Part D plan enrollment and related education. The emphasis is on reaching people with limited incomes, people who may be eligible but are not yet enrolled, and communities that are typically harder to serve, including rural areas.

The opportunity is grounded in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), which originally invested in beneficiary outreach through trusted community-based systems. It was later expanded by the Affordable Care Act (ACA) through Section 3306 to add funding and to broaden the focus of outreach activities, and then reauthorized again through the American Taxpayer Relief Act (ATRA) with a total of $25 million for FY 2013. In practice, this 2013 grant announcement reflects that legislative history by encouraging states to build on earlier MIPPA-funded work from 2009 and 2010, show what has worked, and update their approach to expand and improve outreach and enrollment help.

A defining feature of this program is that ACL and the Centers for Medicare and Medicaid Services (CMS) jointly administer the funds through a single, coordinated announcement and a shared implementation and monitoring approach. The intent is to model strong federal-state-local collaboration and to push states toward a unified strategy rather than fragmented efforts. Applicants are asked to submit one coordinated State Plan describing how the state will use MIPPA resources across multiple partners to deliver a more consistent, statewide outreach and enrollment assistance system.

Eligible applicants are limited to state governments, with funding available to a single state agency in each state across three priority areas that align with the main components of the aging and disability assistance infrastructure. Priority Area 1 supports State Health Insurance Assistance Programs (SHIPs) to provide enhanced Medicare benefits outreach, including targeted assistance to people who may qualify for LIS or MSP. Priority Area 2 supports State Agencies on Aging working through Area Agencies on Aging (AAAs) to expand Medicare outreach and enrollment help for LIS, MSP, and Part D, with specific attention to Part D assistance in rural areas. Priority Area 3 supports Aging and Disability Resource Centers (ADRCs) to conduct outreach on Part D and MSP benefits. Individuals, foreign entities, and sole proprietorships are explicitly not eligible.

The program is fundamentally about intensified outreach and coalition-building. States are expected to describe how they will coordinate SHIPs, AAAs, and ADRCs so beneficiaries receive streamlined information and hands-on help, rather than being bounced between programs. That coordination includes statewide planning as well as local collaboration, often through coalitions that can include community organizations, health providers, pharmacies, benefits counselors, social service agencies, and others who regularly interact with older adults and people with disabilities. The goal is not just general education, but practical assistance that results in successful applications and enrollments for MSP and LIS, and better understanding and selection of Medicare Part D prescription drug coverage.

In addition to enrollment in MSP and LIS and general Part D assistance, the announcement calls for outreach that reflects changes and improvements in Medicare and Part D under the ACA, as well as outreach related to Medicare prevention and wellness benefits. In other words, states are encouraged to broaden what beneficiaries learn and act on, beyond enrollment alone, so people can better use covered preventive services and understand evolving Part D features and protections.

Funding details indicate this is a discretionary cooperative agreement (meaning recipients should expect active federal involvement and oversight consistent with cooperative agreements). The CFDA number listed is 93.071 (Medicare Enrollment Assistance Program). The estimated total funding for this specific announcement is $18,980,000, with an award ceiling of $3,148,818 and an award floor of $63,410, and an expected 56 awards. There is no cost sharing or matching requirement. The posting date was May 22, 2013, with an application deadline of June 20, 2013 (electronically submitted applications due by 11:59 p.m. Eastern Time), and the archive date is July 22, 2013.

Overall, this opportunity is best understood as a federal investment in the "last mile" of Medicare access for low-income beneficiaries: building state-led, community-anchored systems that identify eligible people, explain benefits in plain terms, and provide direct, one-on-one help to complete enrollment steps for MSP, LIS, and Part D. The strongest applications would typically be expected to show a unified statewide plan, clear division of roles among SHIP/AAA/ADRC partners, strategies for reaching underserved and rural populations, and a plan to build on prior MIPPA efforts with measurable improvements in outreach reach and successful enrollments.

Frequently Asked Questions (FAQs)

What is this grant opportunity?

This is a federal grant opportunity issued by the Administration for Community Living (ACL) under Funding Opportunity Number (FON) HHS-2013-ACL-AOA-MI-0051. It supports statewide efforts to help Medicare beneficiaries understand, enroll in, and effectively use key Medicare-related assistance programs, with a strong focus on low-income individuals and harder-to-serve communities (including rural areas).

What is the main purpose of the funding?

The core purpose is to strengthen and coordinate outreach and enrollment assistance statewide for three major benefit areas: the Medicare Savings Program (MSP), the Low Income Subsidy (LIS, also called "Extra Help"), and Medicare Part D plan enrollment and related education. The program emphasizes practical, hands-on assistance that leads to successful applications and enrollments, not just general awareness.

Which Medicare-related programs are the focus of the outreach and enrollment work?

The opportunity centers on:

  • Medicare Savings Program (MSP) - helps eligible people with Medicare premiums and sometimes cost sharing.
  • Low Income Subsidy (LIS/Extra Help) - lowers Medicare Part D prescription drug costs.
  • Medicare Part D - plan enrollment support and education related to prescription drug coverage.

Who is this program intended to help?

The outreach is intended to reach Medicare beneficiaries, especially people with limited incomes, people who may be eligible but are not yet enrolled in MSP or LIS, and populations that are typically harder to serve, including rural communities.

What does "statewide efforts" mean in the context of this grant?

This funding is designed to support a unified, statewide approach rather than fragmented local or program-specific efforts. Applicants are asked to submit one coordinated State Plan describing how the state will use MIPPA resources across multiple partners to deliver a consistent statewide outreach and enrollment assistance system.

Which federal agencies are involved in administering this program?

ACL and the Centers for Medicare and Medicaid Services (CMS) jointly administer the funds through a single coordinated announcement and a shared implementation and monitoring approach. This joint administration is intended to promote strong federal-state-local collaboration and coordinated statewide delivery.

What is the legislative basis for this grant?

The opportunity is grounded in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), which invested in beneficiary outreach through trusted community-based systems. It was expanded by the Affordable Care Act (ACA) through Section 3306 to add funding and broaden outreach activities, and later reauthorized through the American Taxpayer Relief Act (ATRA) with a total of $25 million for FY 2013.

How does this 2013 opportunity relate to earlier MIPPA outreach work?

The announcement encourages states to build on earlier MIPPA-funded work from 2009 and 2010 by showing what has worked and updating approaches to expand and improve outreach and enrollment assistance statewide.

Who is eligible to apply?

Eligible applicants are limited to state governments. Funding is available to a single state agency in each state across the three priority areas described in the announcement.

Who is not eligible to apply?

Individuals, foreign entities, and sole proprietorships are explicitly not eligible to apply under this opportunity.

What are the priority areas under this funding opportunity?

The opportunity is organized into three priority areas aligned with the aging and disability assistance infrastructure:

  • Priority Area 1: State Health Insurance Assistance Programs (SHIPs) - enhanced Medicare benefits outreach, including targeted assistance for people who may qualify for LIS or MSP.
  • Priority Area 2: State Agencies on Aging working through Area Agencies on Aging (AAAs) - expand outreach and enrollment help for LIS, MSP, and Part D, with specific attention to Part D assistance in rural areas.
  • Priority Area 3: Aging and Disability Resource Centers (ADRCs) - outreach on Part D and MSP benefits.

What is a "coordinated State Plan" and why is it required?

A coordinated State Plan is a single statewide plan that describes how the state will use MIPPA resources across multiple partners (such as SHIPs, AAAs, and ADRCs) to deliver streamlined outreach and enrollment assistance. The goal is to ensure beneficiaries receive consistent information and hands-on help without being bounced between programs or agencies.

What kinds of partners or coalitions are states expected to coordinate?

States are expected to coordinate across SHIPs, AAAs, and ADRCs and may also build coalitions that include community organizations, health providers, pharmacies, benefits counselors, social service agencies, and others that regularly interact with older adults and people with disabilities.

Is the focus only on enrolling people in MSP and LIS?

No. While enrollment in MSP and LIS and Medicare Part D plan assistance are central goals, the announcement also calls for outreach reflecting changes and improvements under the ACA, as well as outreach related to Medicare prevention and wellness benefits. The intent is to help beneficiaries not only enroll, but also better understand and use Medicare coverage and services.

What is meant by "Medicare prevention and wellness benefits" outreach in this announcement?

The announcement encourages outreach that helps beneficiaries understand and act on Medicare prevention and wellness benefits. This is part of a broader approach to improving effective use of Medicare, beyond enrollment alone.

What type of award is this?

This funding is offered as a discretionary cooperative agreement. That means recipients should expect active federal involvement and oversight consistent with cooperative agreement administration.

What is the CFDA number for this program?

The CFDA number listed is 93.071, identified as the Medicare Enrollment Assistance Program.

How much total funding is estimated for this announcement?

The estimated total funding for this specific announcement is $18,980,000.

What are the minimum and maximum award amounts?

The award ceiling is $3,148,818 and the award floor is $63,410.

How many awards are expected?

The announcement indicates an expected 56 awards.

Is there a matching or cost-sharing requirement?

No. The announcement states there is no cost sharing or matching requirement.

What are the key dates for this opportunity?

  • Posting date: May 22, 2013
  • Application deadline: June 20, 2013 (electronically submitted applications due by 11:59 p.m. Eastern Time)
  • Archive date: July 22, 2013

What does the deadline mean by "electronically submitted applications due by 11:59 p.m. Eastern Time"?

It means the complete application must be submitted electronically by 11:59 p.m. ET on June 20, 2013, according to the announcement.

What does the program mean by "last mile" of Medicare access?

In this context, "last mile" refers to the practical, on-the-ground work of identifying potentially eligible low-income Medicare beneficiaries, explaining benefits in plain terms, and providing direct one-on-one help to complete enrollment steps for MSP, LIS, and Medicare Part D.

What kinds of outcomes does the opportunity emphasize?

The announcement emphasizes measurable improvements in outreach reach and successful enrollments, stronger statewide coordination among key partner programs, and improved delivery of consistent, streamlined enrollment assistance for MSP, LIS, and Part D.

What types of communities does the grant specifically emphasize reaching?

The opportunity emphasizes reaching underserved and harder-to-serve communities, including rural areas, and focusing on people with limited incomes who may be eligible but are not currently enrolled in MSP or LIS.

How does this grant address rural Medicare Part D assistance?

Priority Area 2 specifically calls for State Agencies on Aging working through AAAs to expand outreach and enrollment help for LIS, MSP, and Part D, with specific attention to Part D assistance in rural areas.

What is the overall intent behind coordinating SHIPs, AAAs, and ADRCs?

The intent is to reduce fragmentation and create a unified strategy so beneficiaries receive streamlined information and hands-on help. Coordination is meant to prevent beneficiaries from being referred repeatedly across programs and instead provide clear pathways to application and enrollment support.

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