Opportunity Information: Apply for CA NAV 13 001
Apply for CA NAV 13 001
- The CMS Consumer Information Insurance Oversight in the health sector is offering a public funding opportunity titled "PPHF 2013 Cooperative Agreement to Support Navigators in Federally facilitated and State Partnership Exchanges" and is now available to receive applicants.
- This funding opportunity was created on Apr 9, 2013 and posted on Apr 9, 2013.
- Applicants must submit their applications by Jun 7, 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 $54,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 100 candidate(s).
- Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
- This cooperative agreement funding opportunity is open to self employed individuals and private and public entities. The regulation implementing Affordable Care Act Section 1311(i), 45 C.F.R. 155.210, requires that at least two types of entities serve as Navigators in each Exchange, and that at least one Navigator be a community and consumer focused nonprofit. Other entities may include, but are not limited to, trade, industry and professional associations commercial fishing industry organizations ranching and farming organizations chambers of commerce unions resource partners of the Small Business Administration licensed insurance agents and brokers Indian Tribes, tribal organizations, and urban Indian organizations State or local human services agencies and other public or private entities. We also note that during their term as Navigators, individuals and entities are not permitted to receive any direct or indirect consideration fro m a health insurance issuer connected to the enrollment of individuals into QHPs or non QHPs.
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Opportunity Summary:
The PPHF 2013 Cooperative Agreement to Support Navigators in Federally facilitated and State Partnership Exchanges (Funding Opportunity Number CA NAV 13 001) was a discretionary federal grant program run by the Centers for Medicare and Medicaid Services (CMS), under the Consumer Information and Insurance Oversight area. It was created to fund organizations and individuals to serve as "Exchange Navigators" for the Affordable Care Act (ACA) health insurance marketplaces in places where the federal government, rather than the state, would operate the Exchange for the 2014 benefit year. In practical terms, the funding was aimed at helping people understand their coverage options, move through the enrollment process, and successfully sign up for qualified health plans (QHPs) through a Federally facilitated Exchange (FFE) or a State Partnership Exchange (where a state worked with the federal Exchange on consumer assistance and/or plan management functions).
The opportunity was structured as a cooperative agreement, which generally signals a more hands-on federal role in oversight and coordination than a standard grant. CMS anticipated making about 100 awards, with an estimated total funding amount of $54,000,000. There was no cost sharing or matching requirement, meaning awardees were not required to contribute their own funds as a condition of receiving federal support. The announcement was posted and created on April 9, 2013, with an application deadline (original and final) of June 7, 2013, and it was archived on July 7, 2013.
Eligibility was intentionally broad: it was open to self-employed individuals as well as private and public entities, with no categorical restriction beyond the specific requirements described in the program rules. The announcement emphasized that the ACA navigator regulation at 45 C.F.R. 155.210 requires each Exchange to be supported by at least two different types of Navigator entities, and that at least one of those must be a community- and consumer-focused nonprofit organization. Beyond that minimum mix, CMS indicated a wide range of potential Navigator entity types that could apply, including trade and professional associations, chambers of commerce, unions, organizations tied to ranching, farming, or commercial fishing industries, Small Business Administration resource partners, licensed insurance agents and brokers, Indian Tribes and tribal organizations (including urban Indian organizations), state or local human services agencies, and other public or private organizations.
A major integrity safeguard in the program was the conflict-of-interest restriction tied to enrollment compensation. The announcement specifically noted that while serving as Navigators, individuals and entities were prohibited from receiving direct or indirect consideration from a health insurance issuer that is connected to enrolling individuals into qualified health plans or non-qualified health plans. In other words, Navigators were meant to provide unbiased help rather than operate like commission-based sales channels for insurers.
The geographic focus of the funding was states that, for the 2014 benefit year, would not run their own state-based Exchange and would instead rely on an FFE or participate in a State Partnership Exchange arrangement. The full announcement referenced a "State Reference List" (Section VIII.3) that identified which states fell into these categories at the time, reflecting the rapidly evolving Exchange landscape leading into the first open enrollment period under the ACA.
For access and support, the listing directed applicants who had trouble obtaining the announcement electronically to the Grants.gov Contact Center (1-800-518-4726, available 24/7 except federal holidays) and the email address support@grants.gov.
FAQs: PPHF 2013 Cooperative Agreement to Support Navigators in Federally Facilitated and State Partnership Exchanges (CA NAV 13 001)
What is this funding opportunity?
This was a discretionary federal grant program run by the Centers for Medicare and Medicaid Services (CMS) under the Consumer Information and Insurance Oversight area. It funded organizations and individuals to serve as Exchange Navigators for Affordable Care Act (ACA) health insurance marketplaces in locations served by a Federally facilitated Exchange (FFE) or a State Partnership Exchange for the 2014 benefit year.
What is the official funding opportunity number?
The Funding Opportunity Number was CA NAV 13 001.
What type of award was offered (grant vs. cooperative agreement)?
The opportunity was structured as a cooperative agreement. That structure generally indicates a more hands-on federal role in oversight and coordination compared to a standard grant.
What was the purpose of funding Exchange Navigators?
The funding was intended to support Navigators who would help people understand their health coverage options, work through the enrollment process, and successfully enroll in qualified health plans (QHPs) through an FFE or a State Partnership Exchange.
Who administered the program?
The program was run by CMS (Centers for Medicare and Medicaid Services), within the Consumer Information and Insurance Oversight area.
How many awards were expected?
CMS anticipated making about 100 awards.
What was the estimated total funding amount?
The estimated total funding amount was $54,000,000.
Was there a cost-sharing or matching requirement?
No. There was no cost sharing or matching requirement, meaning awardees were not required to contribute their own funds as a condition of receiving federal support.
When was the opportunity posted?
The announcement was posted (and created) on April 9, 2013.
What was the application deadline?
The application deadline (original and final) was June 7, 2013.
Is this opportunity still open?
No. The opportunity was archived on July 7, 2013.
Who was eligible to apply?
Eligibility was intentionally broad. It was open to self-employed individuals as well as private and public entities, subject to the specific requirements described in the program rules.
Did the program require a mix of different Navigator entity types?
Yes. The announcement referenced ACA navigator regulation at 45 C.F.R. 155.210, which requires each Exchange to be supported by at least two different types of Navigator entities. At least one of those must be a community- and consumer-focused nonprofit organization.
What kinds of organizations were identified as potential Navigator entities?
The announcement described a wide range of potential applicants, including trade and professional associations, chambers of commerce, unions, organizations connected to ranching, farming, or commercial fishing industries, Small Business Administration resource partners, licensed insurance agents and brokers, Indian Tribes and tribal organizations (including urban Indian organizations), state or local human services agencies, and other public or private organizations.
Could individuals apply, or was it limited to organizations?
Individuals could apply. The opportunity was open to self-employed individuals as well as organizations.
What geographic areas were targeted by this funding?
The geographic focus was states that, for the 2014 benefit year, would not operate their own state-based Exchange and instead would rely on a Federally facilitated Exchange (FFE) or participate in a State Partnership Exchange arrangement.
How could an applicant confirm whether a specific state was included?
The full announcement referenced a "State Reference List" (Section VIII.3) identifying which states were in these categories at the time, reflecting the evolving Exchange landscape leading into the first ACA open enrollment period.
What conflict-of-interest rules applied to Navigators?
The program included a conflict-of-interest restriction related to enrollment compensation. While serving as Navigators, individuals and entities were prohibited from receiving direct or indirect consideration from a health insurance issuer connected to enrolling individuals into qualified health plans or non-qualified health plans. The goal was to ensure unbiased assistance rather than insurer-compensated enrollment activity.
Does the restriction apply only to qualified health plans (QHPs)?
No. The restriction was described as applying to consideration connected to enrolling individuals into both qualified health plans and non-qualified health plans.
Where were consumers expected to enroll with Navigator assistance?
Navigator assistance was tied to enrollment through a Federally facilitated Exchange (FFE) or a State Partnership Exchange for the 2014 benefit year.
What support was available if someone could not access the announcement electronically?
Applicants having trouble obtaining the announcement electronically were directed to the Grants.gov Contact Center at 1-800-518-4726 (available 24/7 except federal holidays) and to email support@grants.gov.
What is a State Partnership Exchange in this context?
In this listing, a State Partnership Exchange referred to an arrangement where a state worked with the federal Exchange on consumer assistance and/or plan management functions, rather than operating a fully state-based Exchange.
What does "Federally facilitated Exchange (FFE)" mean in this opportunity?
In this opportunity, an FFE referred to an ACA health insurance marketplace operated by the federal government (instead of the state) for the 2014 benefit year.
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