Opportunity Information: Apply for CMS 1A1 10 001
Apply for CMS 1A1 10 001
- 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" 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 Jun 4, 2010 and posted on Jun 4, 2010.
- Applicants must submit their applications by Aug 9, 2010 No Explanation. (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.
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- States may apply for funding under this grant opportunity. By State we refer to the definition provided under 45 CFR 74.2 as any of the several States of the United States, the District of Columbia, the Commonwealth of Puerto Rico, any territory or possession of the United States, or any agency or instrumentality of a State exclusive of local governments. By territory or possession we mean Guam, the U.S. Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands. A States Office of the Governor, State Medicaid Agency, or State Survey Agency (SA) may apply for funding under this grant opportunity.
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Opportunity Summary:
The Nationwide Program for National and State Background Checks for Direct Patient Access Employees of Long Term Care Facilities and Providers is a discretionary grant opportunity administered by the Centers for Medicare and Medicaid Services (CMS) under authority created by the Affordable Care Act. Specifically, Section 6201 of the ACA directs the Secretary of Health and Human Services (HHS) to set up a nationwide program that helps long term care facilities and providers develop and use background check procedures that are efficient, effective, and economical. The core aim is to strengthen patient safety by improving how states screen people who will have direct access to patients in long term care settings, with a focus on creating statewide systems rather than leaving screening practices fragmented across individual employers.
Under this program, CMS invited proposals from all U.S. states and U.S. territories for participation in what CMS referred to as the National Background Check Program, operating through 2013. The intent was not just to fund background checks in general, but to identify and demonstrate workable statewide approaches that long term care providers can use when evaluating prospective direct patient access employees. In practice, the program is designed to support states in building or improving centralized processes and procedures that long term care employers can rely on when hiring staff who may work closely with vulnerable populations.
Funding is provided as federal matching funds, meaning participating states and territories must meet cost-sharing or matching requirements and comply with the specific conditions set out in ACA Section 6201. Applications were reviewed and scored by a federal technical panel, and only applicants receiving a score of 69.5 points or higher could qualify for funding. Awards under this announcement were substantial, with an estimated award floor of $1.5 million and an award ceiling of $3 million per award, reflecting the expectation that states would be building or significantly enhancing statewide background check infrastructure and processes rather than running small pilot efforts.
Eligibility was limited to states as defined in federal grants regulations (45 CFR 74.2), which includes the several U.S. states, the District of Columbia, the Commonwealth of Puerto Rico, and U.S. territories and possessions such as Guam, the U.S. Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands. Within a state or territory, eligible applicants included the Office of the Governor, the State Medicaid Agency, or the State Survey Agency. Local governments were not treated as eligible applicants under this definition, emphasizing that CMS wanted statewide leadership and implementation capacity.
The program also included a federal evaluation component. The HHS Office of Inspector General (OIG) was tasked with evaluating the national program, indicating that outcomes, implementation effectiveness, and potentially cost and operational impacts were expected to be measured and reported. In addition, CMS planned to award a separate technical support contract to assist the states selected for participation, which signals that CMS anticipated complex implementation challenges and wanted a structured way to provide expert guidance, shared tools, and other forms of support across participating jurisdictions.
Key administrative details from the announcement include the funding opportunity number (CMS-1A1-10-001) and the CFDA listing (93.506). The opportunity was posted June 4, 2010, with an application closing date of August 9, 2010, and an archive date of September 8, 2010. For applicants who could not access the full announcement through Grants.gov, the notice directed them to the Grants.gov Contact Center for technical assistance.
Frequently Asked Questions (FAQs)
What is the Nationwide Program for National and State Background Checks for Direct Patient Access Employees of Long Term Care Facilities and Providers?
It is a discretionary grant opportunity administered by the Centers for Medicare and Medicaid Services (CMS) under authority created by the Affordable Care Act (ACA). The program supports states and territories in developing and using background check procedures for individuals who will have direct access to patients in long term care settings.
What is the legal authority for this grant program?
The program is authorized by the Affordable Care Act, specifically Section 6201, which directs the Secretary of Health and Human Services (HHS) to establish a nationwide program to help long term care facilities and providers implement background check procedures that are efficient, effective, and economical.
What is the main purpose of the program?
The core aim is to strengthen patient safety by improving how states screen people who will have direct access to patients in long term care settings. A major emphasis is creating statewide systems rather than relying on fragmented screening practices across individual employers.
Is this funding meant to pay for background checks in general?
The intent was not simply to fund background checks broadly. CMS aimed to identify and demonstrate workable statewide approaches that long term care providers can use when evaluating prospective direct patient access employees, supported by centralized processes and procedures that employers can rely on.
Who was eligible to apply?
Eligibility was limited to states as defined in federal grants regulations (45 CFR 74.2). This includes the several U.S. states, the District of Columbia, the Commonwealth of Puerto Rico, and U.S. territories and possessions such as Guam, the U.S. Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands.
Which entities within a state or territory could submit an application?
Eligible applicants within a state or territory included the Office of the Governor, the State Medicaid Agency, or the State Survey Agency.
Are local governments eligible to apply?
No. Local governments were not treated as eligible applicants under the definition used in this opportunity, reflecting CMS's emphasis on statewide leadership and implementation capacity.
How was the funding structured (grant vs. match)?
Funding was provided as federal matching funds. Participating states and territories had to meet cost-sharing or matching requirements and comply with the specific conditions set out in ACA Section 6201.
How were applications reviewed and selected for funding?
Applications were reviewed and scored by a federal technical panel. Only applicants receiving a score of 69.5 points or higher could qualify for funding.
What was the estimated award size?
The estimated award floor was $1.5 million and the estimated award ceiling was $3 million per award.
Why were the award amounts relatively large?
The award range reflected the expectation that states and territories would be building or significantly enhancing statewide background check infrastructure and processes, rather than conducting small pilot efforts.
What time period did CMS describe for the National Background Check Program?
CMS invited proposals for participation in what it referred to as the National Background Check Program, operating through 2013.
Was there a federal evaluation of the program?
Yes. The HHS Office of Inspector General (OIG) was tasked with evaluating the national program, indicating that implementation and outcomes were expected to be assessed and reported.
Did CMS provide any implementation support to participating states or territories?
CMS planned to award a separate technical support contract to assist the states selected for participation, signaling that CMS anticipated complex implementation and wanted to provide structured assistance and guidance.
What is the funding opportunity number for this announcement?
The funding opportunity number is CMS-1A1-10-001.
What CFDA number is associated with this opportunity?
The CFDA listing is 93.506.
When was this funding opportunity posted?
The opportunity was posted on June 4, 2010.
What was the application closing date?
The application closing date was August 9, 2010.
When was the opportunity archived?
The archive date was September 8, 2010.
Where could applicants get help if they could not access the full announcement on Grants.gov?
The notice directed applicants to the Grants.gov Contact Center for technical assistance if they could not access the full announcement through Grants.gov.
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