Opportunity Information: Apply for HHS 2016 ACL CIP MP 0183
Apply for HHS 2016 ACL CIP MP 0183
- The HHS-ACL in the income security and social services sector is offering a public funding opportunity titled "Senior Medicare Patrol Projects - Empowering Seniors to Prevent Health Care Fraud" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.048.
- This funding opportunity was created on May 18, 2016 and posted on May 18, 2016.
- Applicants must submit their applications by Jul 20, 2016. (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 $282,950.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education.
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Opportunity Summary:
The Senior Medicare Patrol Projects - Empowering Seniors to Prevent Health Care Fraud funding opportunity (HHS 2016 ACL CIP MP 0183) is a discretionary cooperative agreement offered by the U.S. Department of Health and Human Services, Administration for Community Living (HHS-ACL). It supports the Senior Medicare Patrol (SMP) Program, a nationwide network of 53 projects operating across every state as well as the District of Columbia, Puerto Rico, and Guam. The central purpose of the SMP Program is to reduce Medicare and Medicaid fraud, waste, and abuse by educating and mobilizing older adults and the people who support them, while also helping beneficiaries respond when they suspect billing errors or fraudulent activity.
At the core of the SMP model is volunteer recruitment and training. Projects train volunteers to recognize common Medicare errors, deceptive billing practices, and outright fraud schemes, then deploy those volunteers to work directly with Medicare beneficiaries, their families, and caregivers. The work is practical and community-facing: volunteers and staff provide outreach, one-on-one counseling, and educational presentations designed to help people prevent problems before they start, detect suspicious charges or communications early, and report issues to the appropriate authorities. The opportunity description emphasizes that SMP projects do not only teach broad fraud-prevention tips; they also assist beneficiaries with more complex, higher-risk situations, including cases where a Medicare number may have been compromised.
SMP projects are expected to widely disseminate fraud prevention and identification information through multiple channels. This includes media engagement, organized outreach campaigns, and participation in community events, along with direct casework for individuals who contact the project with concerns. As a result of these activities, projects serve as a local resource for inquiries and complaints not only related to Medicare, but also often involving Medicaid and other health care or related consumer issues. The overall approach is preventative and empowering: helping beneficiaries understand their coverage, review statements, spot red flags, and take appropriate action when something does not look right.
For this specific announcement, ACL anticipated making one new award to ensure SMP coverage in the state of Wisconsin. The expected number of awards is one, with an award ceiling of $282,950. The project period could be up to 21 months, and the award was explicitly contingent on the availability of federal funds. Because the instrument is a cooperative agreement rather than a standard grant, applicants should generally expect more substantial federal involvement in overseeing or guiding the project compared to a typical discretionary grant (for example, closer coordination, shared responsibilities, or more active programmatic collaboration).
Eligibility is broad and includes various public and private entities: state, county, and city/township governments; special district governments; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized tribal governments and other tribal organizations; and nonprofit organizations with or without 501(c)(3) status (excluding institutions of higher education where specified). The funding opportunity is listed under CFDA 93.048, and the activity category is Income Security and Social Services, reflecting the program's consumer protection and beneficiary assistance focus.
Key dates included a posting and creation date of May 18, 2016, with an application deadline of July 20, 2016 (the original and current closing date were the same). ACL also scheduled an informational teleconference for prospective applicants on Friday, June 10, 2016 at 3:00 pm Eastern Time, providing a call-in number (800-369-2122) and passcode (3584373) to help stakeholders better understand the opportunity and expectations.
Frequently Asked Questions (FAQs)
What is the name of this funding opportunity?
The opportunity is titled Senior Medicare Patrol Projects - Empowering Seniors to Prevent Health Care Fraud, identified as HHS 2016 ACL CIP MP 0183.
Which federal agency is offering this award?
This is a discretionary cooperative agreement offered by the U.S. Department of Health and Human Services (HHS), Administration for Community Living (ACL).
What program does this funding support?
The award supports the Senior Medicare Patrol (SMP) Program, a nationwide network of projects focused on reducing Medicare and Medicaid fraud, waste, and abuse through education, outreach, and beneficiary assistance.
What is the main purpose of the SMP Program?
The central purpose is to help reduce Medicare and Medicaid fraud, waste, and abuse by educating and mobilizing older adults and the people who support them, and by helping beneficiaries respond when they suspect billing errors or fraudulent activity.
How many SMP projects exist nationwide?
The SMP Program includes a nationwide network of 53 projects.
Where do SMP projects operate?
SMP projects operate across every state as well as the District of Columbia, Puerto Rico, and Guam.
What kinds of activities are SMP projects expected to carry out?
Projects are expected to educate and assist beneficiaries through activities such as volunteer recruitment and training, community outreach, educational presentations, one-on-one counseling, and assisting individuals who suspect billing errors or fraud.
Why is volunteer recruitment and training emphasized?
Volunteer recruitment and training is described as core to the SMP model. Projects train volunteers to recognize common Medicare errors, deceptive billing practices, and fraud schemes, then deploy them to work directly with beneficiaries, families, and caregivers.
What kinds of issues do SMP volunteers and staff help people identify?
They help identify common Medicare errors, deceptive billing practices, and outright fraud schemes, and they help beneficiaries spot suspicious charges or communications early.
Do SMP projects only provide general fraud-prevention education?
No. The description emphasizes that SMP projects also help beneficiaries with more complex, higher-risk situations, including cases where a Medicare number may have been compromised.
How do SMP projects share fraud prevention information with the public?
Projects are expected to disseminate fraud prevention and identification information through multiple channels, including media engagement, organized outreach campaigns, community events, and direct casework for individuals who contact the project.
Who does the SMP Program aim to serve?
The focus is on older adults, Medicare beneficiaries, and the people who support them (such as family members and caregivers).
What happens when a beneficiary suspects a billing error or fraud?
SMP projects help beneficiaries respond when something does not look right, including providing support and helping direct reports or issues to the appropriate authorities.
Is the SMP project a local resource for issues beyond Medicare?
Yes. The opportunity notes that projects often serve as a local resource for inquiries and complaints not only related to Medicare, but also often involving Medicaid and other health care or related consumer issues.
What is the overall approach of the SMP Program?
The approach is preventative and empowering: helping beneficiaries understand coverage, review statements, spot red flags, and take appropriate action when something appears suspicious.
How many awards did ACL anticipate making under this specific announcement?
ACL anticipated making one new award under this announcement.
What state was this specific award intended to cover?
This announcement was intended to ensure SMP coverage in the state of Wisconsin.
What is the maximum (ceiling) award amount?
The award ceiling listed is $282,950.
How long could the project period last?
The project period could be up to 21 months.
Is the award guaranteed?
No. The award was explicitly contingent on the availability of federal funds.
What type of funding instrument is this?
This opportunity uses a cooperative agreement rather than a standard grant.
What does it mean that this is a cooperative agreement?
The description indicates that, as a cooperative agreement, applicants should generally expect more substantial federal involvement than with a typical discretionary grant, such as closer coordination, shared responsibilities, or more active programmatic collaboration.
Who is eligible to apply?
Eligibility includes a broad range of public and private entities, including state, county, and city/township governments; special district governments; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized tribal governments and other tribal organizations; and nonprofit organizations (with or without 501(c)(3) status, excluding institutions of higher education where specified).
What is the CFDA number for this opportunity?
The funding opportunity is listed under CFDA 93.048.
What is the activity category for this opportunity?
The activity category is Income Security and Social Services, reflecting a consumer protection and beneficiary assistance focus.
When was the opportunity posted?
The posting and creation date provided is May 18, 2016.
What was the application deadline?
The application deadline was July 20, 2016 (the original and current closing date were the same).
Was there an informational teleconference for applicants?
Yes. ACL scheduled an informational teleconference for prospective applicants.
When was the informational teleconference scheduled?
It was scheduled for Friday, June 10, 2016 at 3:00 pm Eastern Time.
What were the call-in details for the informational teleconference?
The call-in number was 800-369-2122 and the passcode was 3584373.
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