Opportunity Information: Apply for HHS 2009 CMS RCMFTP 0002

  • The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Money Follows the Person Quality Grant The National HCBS Quality Enterprise Assisting States to Achieve Enhanced Quality in a Rebalanced Environment" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.791 Money Follows the Person Rebalancing Demonstration.
  • This funding opportunity was created on Aug 12, 2008 and posted on Aug 7, 2008.
  • Applicants must submit their applications by Oct 6, 2008 See link to full announcement for details.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $3,900,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $864,197.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • CMS will award one National HCBS Quality Enterprise grant to a qualifying organization to improve quality in a rebalanced long term support system. CMS will accept one proposal from each applicant to participate in the grant. The organization must propose a total demonstration period of no greater than 4.5 years, with three funding periods, Fiscal Years 2009 and 2010 consisting of 12 months each, and Fiscal Year 2011 consisting of 30 months. This grant opportunity is open to any organization with demonstrated experience working with States on quality in Medicaid home and community based services programs. This experience is further defined as an organization that can demonstrate all of the following Method of Technical Assistance Recipient(s) of Technical Assistance Focus of HCBS Authorities Medicaid authorities Focus of Technical Assistance Provision Publication of HCBS Quality Manuscripts Partner in the Development and Testing of HCBS Measures Please see the solicitation for a description of each of the above. CMS expects to issue a grant award to a non government entity for quality technical assistance activities. Faith based and community organizations are eligible to apply.
Apply for HHS 2009 CMS RCMFTP 0002

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Opportunity Summary:

The Money Follows the Person (MFP) Quality Grant, titled "The National HCBS Quality Enterprise Assisting States to Achieve Enhanced Quality in a Rebalanced Environment," is a competitive discretionary grant opportunity from the Centers for Medicare and Medicaid Services (CMS). Its purpose is to strengthen the quality of Medicaid home and community-based services (HCBS) as states shift long-term services and supports away from institutional settings and toward community-based care through the MFP Rebalancing Demonstration Project. In practical terms, CMS is looking for a single national organization to serve as a quality-focused technical assistance hub that can help states build a more consistent, strategic, and outcomes-oriented approach to HCBS quality as they design and carry out their rebalancing initiatives.

CMS planned to make one award under this opportunity, with an estimated total funding amount of $3,900,000 spread across a demonstration period of up to 4.5 years. The project is structured into three funding periods: two 12-month periods (Federal Fiscal Years 2009 and 2010) followed by a 30-month period (Federal Fiscal Year 2011). The posted award ceiling and floor in the notice are both $864,197, reflecting a fixed annual amount for at least part of the funding structure as presented in the summary. There is no cost sharing or matching requirement, which means applicants are not required to provide non-federal funds to participate.

Eligibility is intentionally broad but highly experience-driven. The opportunity is open to organizations that can demonstrate a strong track record working with states on quality within Medicaid HCBS programs, and CMS expected to fund a non-government entity to deliver these quality technical assistance activities. Faith-based and community organizations are explicitly eligible, as long as they can meet the capability expectations. CMS limited applicants to one proposal per organization.

The grant emphasizes technical assistance that helps states improve quality across HCBS authorities and Medicaid authorities, rather than focusing on a single program type. Applicants are expected to show they can provide structured technical assistance methods, demonstrate who they have supported as recipients of technical assistance (for example, state Medicaid agencies and their partners), and show depth across HCBS policy pathways and operational realities. The eligibility criteria also signal that CMS wants an organization that contributes to the broader field of HCBS quality improvement: publishing HCBS quality manuscripts, partnering in the development and testing of HCBS measures, and supporting states in adopting or refining measurement and quality management strategies.

Administratively, the opportunity is identified as Funding Opportunity Number HHS-2009-CMS-RCMFTP-0002 under CFDA 93.791 (Money Follows the Person Rebalancing Demonstration). It was posted on August 7, 2008, with an original and current closing date of October 6, 2008, and an archive date of November 5, 2008. The activity category is Health, and the funding instrument is a Grant. For applicants who had trouble accessing the full announcement, the notice provided a point of contact at CMS: Anita Yuskauskas (Anita.Yuskauskas@cms.hhs.gov).

Overall, this funding opportunity is best understood as CMS investing in one national-quality "enterprise" to help states make rebalancing work well, not just work faster. The intent is to ensure that as states transition people from institutions into community settings under MFP, they also strengthen quality oversight, measurement, and continuous improvement across the full HCBS landscape so that community-based systems are safe, effective, person-centered, and accountable for outcomes.

Frequently Asked Questions (FAQs)

What is the name of this grant opportunity?

The opportunity is the Money Follows the Person (MFP) Quality Grant titled "The National HCBS Quality Enterprise Assisting States to Achieve Enhanced Quality in a Rebalanced Environment."

Which federal agency is offering this grant?

The grant is offered by the Centers for Medicare and Medicaid Services (CMS).

Is this a competitive grant?

Yes. It is described as a competitive discretionary grant opportunity.

What is the main purpose of the grant?

The purpose is to strengthen the quality of Medicaid home and community-based services (HCBS) as states shift long-term services and supports away from institutional settings and toward community-based care through the MFP Rebalancing Demonstration Project.

What problem is CMS trying to solve with this funding?

CMS is aiming to ensure that as states rebalance long-term services and supports toward community settings under MFP, they also improve quality oversight, measurement, and continuous improvement so HCBS systems are safe, effective, person-centered, and accountable for outcomes.

Who is CMS looking to fund under this opportunity?

CMS is looking to fund a single national organization to serve as a quality-focused technical assistance hub to support states in improving HCBS quality.

How many awards does CMS plan to make?

CMS planned to make one award under this opportunity.

What is the total estimated funding amount?

The estimated total funding amount is $3,900,000 across the full demonstration period.

How long is the project period?

The demonstration period is up to 4.5 years.

How is the project structured across funding periods?

The project is structured into three funding periods: two 12-month periods (Federal Fiscal Years 2009 and 2010) followed by a 30-month period (Federal Fiscal Year 2011).

What are the award ceiling and floor listed in the notice?

The posted award ceiling and floor are both $864,197, reflecting a fixed annual amount for at least part of the funding structure as presented in the summary.

Is cost sharing or matching required?

No. There is no cost sharing or matching requirement, so applicants are not required to provide non-federal funds to participate.

What types of organizations are eligible to apply?

Eligibility is broad but experience-driven. Organizations that can demonstrate a strong track record working with states on quality within Medicaid HCBS programs are eligible. CMS expected to fund a non-government entity to deliver these quality technical assistance activities.

Are faith-based organizations eligible to apply?

Yes. Faith-based organizations are explicitly eligible, as long as they can meet the capability expectations described in the opportunity.

Are community organizations eligible to apply?

Yes. Community organizations are explicitly eligible, provided they can meet the capability expectations.

Can an organization submit more than one application?

No. CMS limited applicants to one proposal per organization.

What kind of work is the grantee expected to perform?

The grantee is expected to operate as a quality-focused technical assistance hub that helps states build a more consistent, strategic, and outcomes-oriented approach to HCBS quality as they design and implement rebalancing initiatives under MFP.

Is the technical assistance expected to focus on one specific HCBS program?

No. The grant emphasizes technical assistance that helps states improve quality across HCBS authorities and Medicaid authorities, rather than focusing on a single program type.

What capabilities should applicants demonstrate related to technical assistance?

Applicants are expected to show they can provide structured technical assistance methods and demonstrate who they have supported as recipients of technical assistance (for example, state Medicaid agencies and their partners).

What kind of HCBS knowledge and experience does CMS appear to be seeking?

CMS is signaling it wants depth across HCBS policy pathways and operational realities, along with experience supporting states in adopting or refining measurement and quality management strategies.

Does the opportunity emphasize contributions to the broader HCBS quality field?

Yes. The eligibility criteria indicate CMS values organizations that contribute to HCBS quality improvement more broadly, including publishing HCBS quality manuscripts, partnering in the development and testing of HCBS measures, and helping states strengthen measurement and quality management approaches.

What is the Funding Opportunity Number for this grant?

The Funding Opportunity Number is HHS-2009-CMS-RCMFTP-0002.

What is the CFDA number associated with this opportunity?

The opportunity is under CFDA 93.791, Money Follows the Person Rebalancing Demonstration.

What is the activity category for this funding opportunity?

The activity category is Health.

What type of funding instrument is this?

The funding instrument is a Grant.

When was the opportunity posted?

The opportunity was posted on August 7, 2008.

What was the application closing date?

The original and current closing date listed is October 6, 2008.

When was the opportunity archived?

The archive date listed is November 5, 2008.

Who is the point of contact if an applicant could not access the full announcement?

The notice provided a CMS point of contact: Anita Yuskauskas (Anita.Yuskauskas@cms.hhs.gov).

In practical terms, what does CMS mean by a national HCBS quality "enterprise"?

Based on the description provided, CMS is using the term to describe one national organization that functions as a quality technical assistance center or hub for states, helping them improve HCBS quality as they carry out MFP rebalancing efforts.

How does this grant relate to the Money Follows the Person (MFP) Rebalancing Demonstration Project?

This grant supports the MFP Rebalancing Demonstration Project by focusing on quality improvement and technical assistance, so that transitions from institutional to community settings are paired with stronger quality systems and better outcomes across the HCBS landscape.

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