Opportunity Information: Apply for CMS 1E0 11 001
Apply for CMS 1E0 11 001
- 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 Feb 4, 2011 and posted on Nov 30, 2010.
- Applicants must submit their applications by Feb 18, 2011 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: State governments.
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Opportunity Summary:
The Centers for Medicare and Medicaid Services (CMS) offered this discretionary grant opportunity to support a nationwide program focused on improving how long term care employers run background checks on job applicants who will have direct access to patients or residents. The core purpose was to help states identify and put into practice background check procedures that are efficient (workable and timely), effective (actually improve safety and screening quality), and economical (cost-conscious and scalable). By funding state-led efforts, CMS aimed to standardize and strengthen screening practices across a wide range of long term care settings, ultimately reducing the risk of abuse, neglect, or exploitation of vulnerable individuals by ensuring better screening of the workforce.
The program targeted prospective employees in roles described as "direct patient/resident access" positions, meaning jobs where staff would have hands-on contact with patients or residents or otherwise be in a position of trust. The long term care facilities and providers covered were broad and included skilled nursing facilities and nursing facilities, home health agencies, hospice providers, long term care hospitals, personal care service providers, adult day care providers, residential care providers, assisted living facilities, and intermediate care facilities for individuals with mental retardation (ICFs/MR), along with other long term care entities as determined by each participating state. This structure gave states flexibility to define the full set of provider types involved while still aligning with the overall federal goal of improving screening for patient-access roles.
Only state governments were eligible to apply, reflecting that statewide background check systems typically require coordination across multiple agencies and data sources. The grant mechanism was a standard grant (Funding Instrument Type: Grant) under the health category, and it carried a cost-sharing or matching requirement, meaning states needed to contribute non-federal resources alongside the federal funds. The CFDA number associated with the opportunity was 93.506, identifying it within the federal assistance catalog as part of the Affordable Care Act-related background check initiative.
Funding levels were substantial, with awards ranging from a floor of $1,500,000 to a ceiling of $3,000,000 per award, indicating CMS expected applicants to build or enhance statewide systems rather than run small pilot projects. Key dates show it was posted on November 30, 2010, had an original closing date of February 4, 2011, and a revised closing date of February 18, 2011, and it was later archived on March 20, 2011. The opportunity number was CMS-1E0-11-001.
In practical terms, the grant was designed to help states develop or refine end-to-end background check processes that combine national and state-level checks, streamline how long term care employers request and receive results, and establish procedures that are workable for a large and diverse provider community. While the summary does not list every operational requirement, the stated emphasis on national and state checks and on identifying "efficient, effective and economical procedures" suggests CMS was looking for approaches that reduce duplication, speed up hiring decisions without sacrificing rigor, and create consistent rules for when checks are required and how findings are handled, all while protecting patients and residents.
For access issues with the full announcement, the contact listed was the Grants.gov Contact Center (1-800-518-4726, Monday through Friday, 7:00 a.m. to 9:00 p.m. Eastern) and support@grants.gov.
Frequently Asked Questions (FAQs)
What is the main goal of this CMS grant opportunity?
The grant was designed to support a nationwide effort to improve how long term care employers conduct background checks for job applicants who will have direct access to patients or residents. The focus was on helping states identify and implement procedures that are efficient (workable and timely), effective (improve safety and screening quality), and economical (cost-conscious and scalable).
What problem was CMS trying to address through this program?
CMS aimed to reduce the risk of abuse, neglect, or exploitation of vulnerable individuals by strengthening and standardizing screening practices for the long term care workforce, especially for roles that involve direct patient or resident access or positions of trust.
Who was eligible to apply for this grant?
Only state governments were eligible to apply. The opportunity was structured this way because statewide background check programs typically require coordination across multiple agencies and data sources.
What is meant by "direct patient/resident access" positions?
These are jobs in which staff have hands-on contact with patients or residents or are otherwise in a position of trust. The program targeted prospective employees applying for these kinds of roles.
Which long term care settings and provider types were included?
The covered long term care facilities and providers were broad and included:
- Skilled nursing facilities and nursing facilities
- Home health agencies
- Hospice providers
- Long term care hospitals
- Personal care service providers
- Adult day care providers
- Residential care providers
- Assisted living facilities
- Intermediate care facilities for individuals with mental retardation (ICFs/MR)
- Other long term care entities as determined by each participating state
Did states have flexibility in deciding which provider types to include?
Yes. While the program outlined a broad set of long term care provider categories, each participating state could determine additional long term care entities to include, as long as the approach aligned with the federal goal of improving screening for patient-access roles.
What type of funding instrument was used?
The opportunity used a standard grant (Funding Instrument Type: Grant) and was in the health category.
Was cost sharing or matching required?
Yes. The grant included a cost-sharing or matching requirement, meaning states were expected to contribute non-federal resources alongside the federal award.
What was the CFDA number for this grant?
The CFDA number was 93.506, identifying it in the federal assistance catalog as part of the Affordable Care Act-related background check initiative.
How much funding was available per award?
Awards ranged from $1,500,000 (floor) to $3,000,000 (ceiling) per award, indicating CMS expected applicants to build or enhance statewide systems rather than run small pilot projects.
What was the opportunity number?
The opportunity number was CMS-1E0-11-001.
When was the opportunity posted, and what were the deadlines?
The opportunity was posted on November 30, 2010. The original closing date was February 4, 2011, and the revised closing date was February 18, 2011.
Was this opportunity later archived?
Yes. It was archived on March 20, 2011.
What kinds of improvements to background check processes was the grant intended to support?
The grant was intended to help states develop or refine end-to-end background check processes that combine national and state-level checks, streamline how long term care employers request and receive results, and establish procedures that are workable for a large and diverse provider community.
Did the summary specify all operational requirements for state background checks?
No. The summary did not list every operational requirement. However, it emphasized national and state checks and the goal of implementing procedures that are efficient, effective, and economical. This suggests CMS was looking for approaches that reduce duplication, speed up hiring decisions without sacrificing rigor, and create consistent rules for when checks are required and how findings are handled.
What overall outcome did CMS intend by funding state-led efforts?
By funding state-led efforts, CMS aimed to standardize and strengthen screening practices across many long term care settings and ultimately reduce the risk of harm to vulnerable individuals through better workforce screening.
Who should applicants contact for access issues with the full announcement?
For access issues, the listed contact was the Grants.gov Contact Center at 1-800-518-4726 (Monday through Friday, 7:00 a.m. to 9:00 p.m. Eastern) or by email at support@grants.gov.
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