Opportunity Information: Apply for CMS 1LI 14 001
Apply for CMS 1LI 14 001
- The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Money Follows the Person Rebalancing Demonstration Grant Tribal Initiative" 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 Jul 22, 2013 and posted on Jul 22, 2013.
- Applicants must submit their applications by Oct 17, 2013 No Explanation. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $44,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $1,000,000.00 in funding.
- The number of recipients for this funding is limited to 50 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Only states already participating in the MFP grant program may apply for this funding. The Grantee must also have an active partnership with the participating T/TO within the state for purposes of this initiative.
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Opportunity Summary:
The Money Follows the Person (MFP) Rebalancing Demonstration Grant Tribal Initiative is a discretionary grant opportunity from the Centers for Medicare and Medicaid Services (CMS) designed to help existing MFP state grantees work in active partnership with Tribes or Tribal organizations to strengthen long-term services and supports in Indian country. The core idea behind the Tribal Initiative is to expand access to sustainable community-based long-term services and supports (CB LTSS) for American Indians and Alaska Natives (AI/AN), with a specific emphasis on building the practical infrastructure needed to offer real alternatives to institutional care. All funding awarded under this initiative must follow the established terms and conditions of the broader MFP program.
The initiative focuses on planning and development work that helps states and tribal partners stand up or improve Medicaid-supported community-based LTSS tailored to AI/AN individuals who are currently receiving services in institutions. In other words, the funding is meant to help create pathways for people to transition out of institutional settings and receive appropriate supports in community settings, while also ensuring that the services are designed in a way that fits the needs, realities, and governance structures present in Indian country. CMS indicates that states and tribal partners can use one Medicaid authority or a mix of applicable Medicaid authorities to build these CB LTSS options, giving applicants flexibility in how they structure services within Medicaid rules.
A second major purpose of the funding is to develop a service delivery structure where certain administrative functions are delegated by the state Medicaid agency to Tribes or Tribal organizations (T/TOs). This is important because it explicitly supports tribal involvement not only in shaping the benefit design, but also in day-to-day operational responsibilities that make programs work in practice. Examples described in the announcement include enabling tribes to design an effective LTSS program or benefit package and to operate ongoing functions related to those LTSS programs. Overall, the grant is meant to move beyond short-term projects and toward systems that can be maintained over time, with tribal partners taking meaningful roles in administration and delivery.
From a funding and award perspective, CMS anticipated up to 50 awards with an estimated total funding amount of $44,000,000. Individual awards were expected to range from $100,000 (floor) to $1,000,000 (ceiling). There was no cost sharing or matching requirement, which can lower barriers for participation and allow applicants to focus resources on program development rather than meeting match obligations. The funding instrument type is a grant, and the activity category is health. The opportunity is associated with CFDA number 93.791 (Money Follows the Person Rebalancing Demonstration).
Eligibility is limited and targeted. Only states already participating in the MFP grant program are eligible to apply, and the state grantee must have an active partnership with the participating Tribe or Tribal organization within the state specifically for purposes of this initiative. That structure reinforces that this is not a stand-alone tribal grant program; it is an add-on or companion effort within the existing MFP state framework, centered on joint planning and implementation with tribal entities.
Key administrative details from the original posting include Funding Opportunity Number CMS-1LI-14-001 and a posting date of July 22, 2013, with an original and final closing date of October 17, 2013, and an archive date of November 16, 2013. For technical issues accessing the announcement, the listing directs applicants to the Grants.gov Contact Center (1-800-518-4726, support@grants.gov), available 24/7 except federal holidays.
Frequently Asked Questions (FAQs)
What is the Money Follows the Person (MFP) Rebalancing Demonstration Grant Tribal Initiative?
The MFP Rebalancing Demonstration Grant Tribal Initiative is a discretionary grant opportunity from the Centers for Medicare and Medicaid Services (CMS). It is designed to help existing MFP state grantees work in active partnership with Tribes or Tribal organizations to strengthen long-term services and supports in Indian country.
What is the main goal of this Tribal Initiative?
The main goal is to expand access to sustainable community-based long-term services and supports (CB LTSS) for American Indians and Alaska Natives (AI/AN), with an emphasis on building practical infrastructure that provides real alternatives to institutional care.
Who is this initiative intended to benefit?
The initiative is intended to support AI/AN individuals, specifically emphasizing those currently receiving services in institutional settings and who may transition to community-based supports.
What kinds of activities can the grant funding support?
The funding focuses on planning and development activities that help states and tribal partners stand up or improve Medicaid-supported community-based LTSS tailored to AI/AN individuals in institutions. This includes work to create pathways for transitions from institutional settings to community settings and to ensure services fit the needs, realities, and governance structures in Indian country.
Is the funding meant for short-term projects or long-term systems?
The grant is meant to move beyond short-term projects and toward systems that can be maintained over time, with tribal partners taking meaningful roles in administration and delivery.
Do awarded funds need to follow any specific program rules?
Yes. All funding awarded under this initiative must follow the established terms and conditions of the broader Money Follows the Person (MFP) program.
Can applicants use Medicaid authorities to build community-based LTSS options?
Yes. CMS indicates states and tribal partners can use one Medicaid authority or a mix of applicable Medicaid authorities to build CB LTSS options, providing flexibility in how services are structured within Medicaid rules.
What is the initiative's focus related to state and tribal administrative roles?
A major purpose of the funding is to develop a service delivery structure where certain administrative functions are delegated by the state Medicaid agency to Tribes or Tribal organizations (T/TOs). This supports tribal involvement in both benefit design and day-to-day operational responsibilities.
What are examples of tribal roles supported by this initiative?
Examples described include enabling tribes to design an effective LTSS program or benefit package and to operate ongoing functions related to those LTSS programs.
How much total funding did CMS anticipate awarding under this initiative?
CMS anticipated an estimated total funding amount of $44,000,000 for this initiative.
How many awards were anticipated?
CMS anticipated up to 50 awards.
What was the expected award size range?
Individual awards were expected to range from $100,000 (floor) to $1,000,000 (ceiling).
Is cost sharing or matching required?
No. There was no cost sharing or matching requirement listed for this opportunity.
What type of funding instrument is this?
The funding instrument type is a grant.
What is the activity category for this opportunity?
The activity category is health.
What is the CFDA number associated with this opportunity?
The opportunity is associated with CFDA number 93.791 (Money Follows the Person Rebalancing Demonstration).
Who is eligible to apply?
Eligibility is limited to states already participating in the MFP grant program. The eligible applicant is the state MFP grantee, and the state grantee must have an active partnership with a participating Tribe or Tribal organization within the state for purposes of this initiative.
Is this a stand-alone tribal grant program?
No. This is not described as a stand-alone tribal grant program. It is an add-on or companion effort within the existing MFP state framework, centered on joint planning and implementation with tribal entities.
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is CMS-1LI-14-001.
When was this opportunity posted?
The posting date listed is July 22, 2013.
What were the application closing dates?
The original and final closing date listed is October 17, 2013.
When was the opportunity archived?
The archive date listed is November 16, 2013.
Where can applicants get help with technical issues accessing the announcement?
For technical issues accessing the announcement, applicants were directed to the Grants.gov Contact Center at 1-800-518-4726 or support@grants.gov. The Contact Center is available 24/7 except federal holidays.
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