Opportunity Information: Apply for CMS 1A1 12 003
Apply for CMS 1A1 12 003
- 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 Aug 14, 2012 and posted on Jul 24, 2012.
- Applicants must submit their applications by Oct 31, 2012 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.
- The number of recipients for this funding is limited to 3 candidate(s).
- Eligible applicants include: State governments.
- 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 may apply for funding under this grant opportunity. Any previously awarded State that received less than the maximum permitted may at any time request an increase up to the maximum allowed by law provided that (a) the State submits a proposed modification to their plan that details and justifies the increase, (b) the State provides the requisite matching funds from acceptabl e sources, (c) CMS will evaluate the proposals on a flow basis and (d) CMS reserves the right to fund less than requested.
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Opportunity Summary:
The Centers for Medicare and Medicaid Services (CMS) announced this discretionary grant opportunity (Funding Opportunity Number CMS 1A1 12 003; CFDA 93.506) to support a nationwide program focused on improving how long term care (LTC) employers conduct background checks for job candidates who will have direct access to patients or residents. The central aim is practical and operational: identify procedures that are efficient (workable at scale and not overly burdensome), effective (meaningful for protecting patients and residents), and economical (cost-conscious for both states and providers) when performing both national and state background checks as part of hiring for direct patient/resident access roles.
The program is designed to cover a broad set of long term care settings where vulnerable populations may be at heightened risk if hiring safeguards are weak. CMS lists a wide range of eligible facilities and provider types that would ultimately benefit from the program, including 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 intellectual disabilities (ICFs/MR, terminology used in the notice), and other long term care service entities as defined by each participating state. In other words, while CMS provides an explicit baseline list, each state can further specify additional long term care entities within its own implementation scope.
Eligibility to apply is limited to state governments and certain state-level offices or agencies. Specifically, a State Office of the Governor, the State Medicaid Agency, or the State Survey Agency may submit an application. CMS defines “state” broadly to include not only the several U.S. states but also the District of Columbia, the Commonwealth of Puerto Rico, and U.S. territories and possessions (Guam, the U.S. Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands), consistent with the definition referenced in 45 CFR 74.2. Local governments are excluded under this definition, meaning the applicant must be a state-level entity or instrumentality rather than a county or city agency.
A key administrative feature of this opportunity is that CMS will accept only one application per state or territory. Because multiple state entities could reasonably be involved in background check policy (for example, Medicaid, licensing/survey, public safety, workforce agencies, or the governor’s office), CMS encourages internal coordination so that the state submits a single, unified application packet. If more than one application is submitted from the same state, CMS reserves the right to decide which submission it will consider or select, reinforcing the expectation that states resolve leadership and partnership roles before applying.
Funding is awarded as grants within a discretionary health activity category, with an expected three awards. The published award range indicates a floor of $1,500,000 and a ceiling of $3,000,000 per award, and the opportunity includes a cost-sharing or matching requirement, meaning states must contribute matching funds from allowable sources as part of the total project financing. The notice also indicates that previously awarded states that received less than the maximum permitted may request an increase up to the maximum allowed by law, as long as they submit a justified plan modification, provide the required matching funds, and CMS approves the request through its review process; CMS also retains discretion to award less than the amount requested.
In terms of timing and lifecycle, the opportunity was posted July 24, 2012, with an original (and current) closing date of October 31, 2012, and an archive date of November 30, 2012. While these dates reflect the historical grant cycle for this specific announcement, the summarized structure of the program is clear: CMS uses these state-led grants to build and evaluate workable, scalable background check processes that long term care employers can use when hiring staff who will have direct access to patients and residents, with the broader goal of strengthening safety and oversight across the long term care sector.
Frequently Asked Questions (FAQs)
What is this CMS grant opportunity about?
This is a discretionary grant opportunity from the Centers for Medicare and Medicaid Services (CMS) (Funding Opportunity Number CMS 1A1 12 003; CFDA 93.506) to support a nationwide program focused on improving how long term care (LTC) employers conduct background checks for job candidates. The focus is on candidates who will have direct access to patients or residents.
What is the main goal of the program?
The central aim is practical and operational: to identify background check procedures that are efficient (workable at scale and not overly burdensome), effective (meaningful for protecting patients and residents), and economical (cost-conscious for both states and providers). This includes improving how employers perform both national and state background checks as part of hiring for roles with direct patient/resident access.
What kinds of background checks does the program address?
The opportunity specifically emphasizes improving the process for conducting both national and state background checks for job candidates in long term care positions with direct access to patients or residents.
Who is this program ultimately intended to benefit?
The program is designed to strengthen safety and oversight across the long term care sector by improving hiring safeguards in settings serving vulnerable populations. While state governments (or certain state offices/agencies) are the applicants, the improved procedures are intended to be used by long term care employers.
What long term care settings are included?
CMS lists a wide range of eligible facilities and provider types that would benefit, including:
- 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 intellectual disabilities (ICFs/MR, terminology used in the notice)
- Other long term care service entities as defined by each participating state
Can states include additional long term care provider types beyond the CMS list?
Yes. CMS provides an explicit baseline list, but each participating state may further specify additional long term care service entities within its own implementation scope.
Who is eligible to apply?
Eligibility is limited to state governments and certain state-level offices/agencies. Specifically, the following may submit an application:
- A State Office of the Governor
- The State Medicaid Agency
- The State Survey Agency
How does CMS define "state" for this opportunity?
CMS defines "state" broadly to include the several U.S. states, the District of Columbia, the Commonwealth of Puerto Rico, and U.S. territories and possessions (Guam, the U.S. Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands), consistent with the definition referenced in 45 CFR 74.2.
Are local governments eligible to apply?
No. Local governments are excluded under the definition used in the notice. The applicant must be a state-level entity or instrumentality rather than a county or city agency.
How many applications can be submitted per state or territory?
CMS will accept only one application per state or territory. States are encouraged to coordinate internally so they submit a single, unified application packet.
What happens if more than one application is submitted from the same state?
If more than one application is submitted from the same state, CMS reserves the right to decide which submission it will consider or select. This reinforces the expectation that states resolve leadership and partnership roles before applying.
Why is internal coordination within a state emphasized?
Multiple state entities may be involved in background check policy and implementation (for example, Medicaid, licensing/survey, public safety, workforce agencies, or the governor's office). CMS encourages coordination so the state submits one unified application that reflects agreed roles and partnerships.
What type of funding is being awarded?
Funding is awarded as grants within a discretionary health activity category.
How many awards does CMS expect to make?
The notice indicates an expectation of three awards.
What is the award amount range?
The published award range indicates a minimum (floor) of $1,500,000 and a maximum (ceiling) of $3,000,000 per award.
Is there a matching or cost-sharing requirement?
Yes. The opportunity includes a cost-sharing or matching requirement, meaning states must contribute matching funds from allowable sources as part of the total project financing.
Can a state request an award increase up to the maximum allowed?
Yes. The notice indicates that previously awarded states that received less than the maximum permitted may request an increase up to the maximum allowed by law if they submit a justified plan modification, provide the required matching funds, and CMS approves the request through its review process.
Does CMS have to award the full amount a state requests?
No. CMS retains discretion to award less than the amount requested.
What are the key dates for this opportunity?
The opportunity was posted on July 24, 2012. The closing date is October 31, 2012. The archive date is November 30, 2012.
What is the program trying to improve in long term care hiring?
It is focused on improving how background checks are conducted for job candidates who will have direct access to patients or residents, with an emphasis on processes that are workable at scale, not overly burdensome, meaningful for protecting vulnerable individuals, and cost-conscious for states and providers.
What is the broader long term care impact described in the notice?
The broader goal is strengthening safety and oversight across the long term care sector by supporting state-led efforts to build and evaluate scalable background check processes that LTC employers can use for direct access roles.
What identifiers are associated with this grant announcement?
The notice identifies Funding Opportunity Number CMS 1A1 12 003 and CFDA 93.506.
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