Opportunity Information: Apply for CMS 1A1 13 002

  • The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Nationwide Program for National and State Background Checks for Direct Patient Access Employees of Long Term Care Facilities and Providers 9th Announcement" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.506 ACA Nationwide Program for National and State Background Checks for Direct Patient Access Employees of Long Term Care Fa.
  • This funding opportunity was created on Sep 3, 2013 and posted on Mar 14, 2013.
  • Applicants must submit their applications by Nov 30, 2017 Open until further notice. (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 $3,000,000.00 in funding.
  • The number of recipients for this funding is limited to 10 candidate(s).
  • Eligible applicants include: State governments.
Apply for CMS 1A1 13 002

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Opportunity Summary:

The Centers for Medicare and Medicaid Services (CMS) announced the ninth round of its Nationwide Program for National and State Background Checks for Direct Patient Access Employees of Long Term Care Facilities and Providers (Funding Opportunity Number CMS-1A1-13-002). This discretionary grant opportunity is aimed at state governments, including U.S. territories, that want to participate in a federally supported initiative to strengthen background check systems for individuals who have direct access to patients in long term care settings. The core purpose is to help states build or improve coordinated, reliable screening processes that can better prevent individuals with disqualifying histories from working in positions where they can harm vulnerable populations.

Funding is provided as a grant with a cost-sharing or matching requirement, meaning participating states must contribute according to the program rules while CMS provides federal matching funds. To qualify for these matching funds, applicants must meet the requirements laid out in Section 6201 of the Affordable Care Act (ACA). In addition to meeting statutory requirements, applications are competitively reviewed and must achieve a minimum score of 70.2 out of 101 possible points by a federal review panel to be eligible for inclusion in the program. CMS anticipated making about 10 awards under this announcement, with individual award amounts ranging from a floor of $1.5 million to a ceiling of $3 million.

The opportunity is categorized under health (CFDA 93.506), reflecting its focus on safeguarding patients and improving oversight within long term care employment pipelines. The program is national in scope but implemented at the state and territory level, with CMS using this announcement to spell out how states should apply, what policy issues they should consider when designing their systems, and what criteria reviewers will use to score and select applicants. Another key feature is external evaluation: the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) is responsible for evaluating the national program, which signals an emphasis on measurable outcomes, compliance, and accountability.

To support implementation, CMS also awarded a technical support contract specifically intended to assist the states that are selected. That support is meant to help participating states navigate operational challenges such as coordinating state and federal checks, aligning agencies and data systems, meeting program standards, and putting workable procedures in place for screening direct patient access employees in long term care environments. The overall structure of the program reflects a partnership model: CMS provides matching funds and technical assistance, states implement background check systems consistent with ACA requirements, and OIG evaluates performance and program integrity.

Key administrative details include the original posting date of March 14, 2013, with an original closing date of May 30, 2013. The announcement later reflected an extended/open submission period with a listed current closing date of November 30, 2017, described as "open until further notice," and an archive date of January 30, 2018. Eligible applicants were limited to state governments. For applicants unable to access the full announcement online, the contact point was the Grants.gov Contact Center (1-800-518-4726, support@grants.gov) during standard weekday hours, excluding federal holidays.

Frequently Asked Questions (FAQs)

What is this grant opportunity?

This is the ninth round of the Centers for Medicare and Medicaid Services (CMS) Nationwide Program for National and State Background Checks for Direct Patient Access Employees of Long Term Care Facilities and Providers (Funding Opportunity Number CMS-1A1-13-002). It is a discretionary grant program focused on strengthening background check systems for workers who have direct access to patients in long term care settings.

Who is the funding agency?

The funding agency is the Centers for Medicare and Medicaid Services (CMS).

What is the program trying to accomplish?

The purpose is to help states build or improve coordinated, reliable screening processes so individuals with disqualifying histories are less likely to work in roles where they could harm vulnerable populations in long term care environments.

Who is eligible to apply?

Eligible applicants are limited to state governments, including U.S. territories.

What types of employees does the program focus on?

The program focuses on individuals who have direct access to patients in long term care facilities and provider settings (described as "direct patient access employees").

Is this a national program or a state program?

It is national in scope but implemented at the state and territory level. CMS provides the funding framework and requirements, while states and territories implement the background check systems.

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is CMS-1A1-13-002.

What is the CFDA number and program category?

The opportunity is listed under health with CFDA 93.506.

What type of funding is offered?

Funding is provided as a grant with a cost-sharing or matching requirement. Participating states must contribute according to program rules, and CMS provides federal matching funds.

Are there statutory requirements tied to receiving matching funds?

Yes. To qualify for federal matching funds, applicants must meet the requirements laid out in Section 6201 of the Affordable Care Act (ACA).

How are applications reviewed and selected?

Applications are competitively reviewed by a federal review panel using scoring criteria described in the announcement.

Is there a minimum score required to be eligible?

Yes. Applications must achieve a minimum score of 70.2 out of 101 possible points to be eligible for inclusion in the program.

How many awards did CMS expect to make under this announcement?

CMS anticipated making about 10 awards under this announcement.

What is the expected award size?

Individual award amounts were expected to range from $1.5 million (floor) to $3 million (ceiling).

What kinds of systems or activities are states expected to build or improve?

States are expected to build or improve coordinated screening processes that support reliable background checks for direct patient access employees in long term care settings, consistent with ACA Section 6201 requirements and the program guidance described by CMS.

Does the program include technical assistance for awardees?

Yes. CMS awarded a technical support contract intended to assist the states selected under the program, including support for operational challenges such as coordinating state and federal checks, aligning agencies and data systems, meeting program standards, and implementing workable screening procedures.

Who evaluates the nationwide program?

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) is responsible for evaluating the national program.

What does OIG evaluation imply for participating states?

It signals an emphasis on measurable outcomes, compliance, and accountability as part of participation in the program.

When was the opportunity originally posted?

The original posting date was March 14, 2013.

What was the original closing date?

The original closing date was May 30, 2013.

Was the submission deadline extended?

Yes. The announcement later reflected an extended/open submission period with a listed current closing date of November 30, 2017, described as "open until further notice."

When was the opportunity archived?

The archive date was January 30, 2018.

Where could applicants get help if they could not access the full announcement online?

Applicants were directed to the Grants.gov Contact Center at 1-800-518-4726 or support@grants.gov during standard weekday hours, excluding federal holidays.

What is the overall program structure in plain terms?

The program is set up as a partnership model: CMS provides matching funds and technical assistance, states and territories implement background check systems consistent with ACA requirements, and the HHS OIG evaluates performance and program integrity.

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