Opportunity Information: Apply for CMS 1L1 16 001
Apply for CMS 1L1 16 001
- The HHS-CMS in the health sector is offering a public funding opportunity titled "Transforming Clinical Practice Initiative (TCPI) Support and Alignment Network (SAN) 2.0" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.639.
- This funding opportunity was created on Jun 10, 2016 and posted on Jun 10, 2016.
- Applicants must submit their applications by Jul 11, 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 $2,500,000.00 in funding.
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Opportunity Summary:
The Transforming Clinical Practice Initiative (TCPI) Support and Alignment Network (SAN) 2.0 funding opportunity (Funding Opportunity Number: CMS-1L1-16-001) was a discretionary federal grant program offered by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (HHS-CMS). Structured as a cooperative agreement, it was designed to strengthen and expand TCPI by adding a specialized, high-leverage technical assistance component that could help clinical practices transform more quickly and effectively. The opportunity sits within the health funding activity category (CFDA 93.639) and reflects CMS's broader push to modernize care delivery and payment approaches across the U.S. healthcare system.
At its core, SAN 2.0 was meant to take what was already being learned through primary and specialty care transformation work in the field and turn it into scalable, practical support for the wider TCPI community. Rather than focusing only on generating new ideas, SAN 2.0 emphasized spreading proven transformation knowledge and helping practices implement it. The intent was to build a network-level resource that could package lessons learned, provide hands-on guidance, and help standardize or align transformation strategies so they could be adopted quickly across many sites.
A major emphasis of the program was accelerating the adoption of Alternative Payment Models (APMs) at very large scale and at very low cost, with a particular urgency tied to the period before 2019. In practical terms, CMS was looking for awardees that could help practices move away from traditional fee-for-service reimbursement toward payment approaches that reward value, quality, and outcomes. The SAN 2.0 awardees were expected to act as a catalyst: using accelerated practice transformation strategies to lower barriers, shorten implementation timelines, and help participating practices make measurable progress toward readiness for APM participation.
SAN 2.0 was also positioned as a direct enhancement to the overall TCPI network's expertise and operational capability. It was intended to support TCPI's six goals (not listed in the provided excerpt, but referenced as central guiding aims), meaning awardees needed to contribute to the initiative in a way that reinforced TCPI's broader mission and helped unify improvement efforts across many different organizations and regions. The "support and alignment" concept highlights that this was not only about giving technical assistance in isolation, but also about ensuring that efforts across the network were coordinated, consistent, and mutually reinforcing.
Finally, the opportunity was explicitly framed as aligning with delivery system reform programs authorized under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). That matters because MACRA reshaped how Medicare pays clinicians and created strong incentives for participation in value-based payment and APM pathways. SAN 2.0 was therefore not just a standalone technical assistance project; it was part of CMS's strategy to prepare the healthcare delivery system for the policy and payment shifts introduced by MACRA, helping clinicians and practices adapt their workflows, measurement, reporting, and care models to succeed under evolving Medicare payment rules.
Key administrative details include an original and current application closing date of July 11, 2016, a maximum award amount (award ceiling) of $2,500,000, and eligibility listed broadly as "Others" with clarification to be provided in the announcement's additional eligibility text. The FOA was created and posted on June 10, 2016, indicating a relatively tight window for applications and reinforcing that CMS was seeking organizations able to mobilize quickly and operate at scale under a cooperative agreement relationship, where substantial federal involvement and coordination is typically expected compared to a standard grant.
FAQs: Transforming Clinical Practice Initiative (TCPI) Support and Alignment Network (SAN) 2.0 - CMS-1L1-16-001
What is this funding opportunity?
The Transforming Clinical Practice Initiative (TCPI) Support and Alignment Network (SAN) 2.0 is a discretionary federal grant program offered by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (HHS-CMS). The Funding Opportunity Number (FON) is CMS-1L1-16-001.
What type of award was SAN 2.0?
SAN 2.0 was structured as a cooperative agreement, meaning CMS expected a higher level of federal involvement and coordination than in a typical grant.
What was the main purpose of SAN 2.0?
The program was designed to strengthen and expand TCPI by adding a specialized, high-leverage technical assistance component to help clinical practices transform more quickly and effectively.
How did SAN 2.0 relate to TCPI overall?
SAN 2.0 was intended as a direct enhancement to the TCPI network's expertise and operational capability. It aimed to turn lessons learned from primary and specialty care transformation work into scalable, practical support that could be used broadly across the TCPI community.
Was SAN 2.0 focused on innovation or scaling what already works?
Based on the description provided, SAN 2.0 emphasized spreading proven transformation knowledge and helping practices implement it at scale, rather than focusing only on generating new ideas.
What does "Support and Alignment" mean in this program?
"Support and Alignment" indicates the program was not only about providing technical assistance to practices, but also about coordinating and standardizing transformation strategies across the TCPI network so efforts were consistent and mutually reinforcing.
What kinds of support were SAN 2.0 awardees expected to provide?
Awardees were expected to package lessons learned, provide hands-on guidance, and help standardize or align transformation strategies so they could be adopted quickly across many sites.
What was the emphasis on Alternative Payment Models (APMs)?
A major emphasis was accelerating adoption of Alternative Payment Models (APMs) at very large scale and at very low cost, with a stated urgency tied to the period before 2019.
What payment changes was CMS trying to encourage through SAN 2.0?
CMS was looking for support that could help practices move away from traditional fee-for-service reimbursement toward payment approaches that reward value, quality, and outcomes.
What outcomes or progress were practices expected to make with SAN 2.0 support?
The description indicates participating practices were expected to make measurable progress toward readiness for APM participation by lowering barriers, shortening implementation timelines, and using accelerated practice transformation strategies.
How did SAN 2.0 connect to MACRA?
SAN 2.0 was explicitly framed as aligning with delivery system reform programs authorized under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). It was part of CMS's strategy to prepare clinicians and practices for policy and payment shifts introduced by MACRA.
What kinds of practice changes were implied by the MACRA alignment?
The opportunity description indicates it was meant to help clinicians and practices adapt workflows, measurement, reporting, and care models to succeed under evolving Medicare payment rules.
What is the CFDA number and funding activity category for this opportunity?
The opportunity sits within the health funding activity category and is associated with CFDA 93.639.
When was the funding opportunity posted?
The Funding Opportunity Announcement (FOA) was created and posted on June 10, 2016.
What was the application deadline?
The original and current application closing date listed for this opportunity is July 11, 2016.
How much funding was available per award?
The maximum award amount (award ceiling) listed is $2,500,000.
Who was eligible to apply?
Eligibility was listed broadly as "Others," with clarification to be provided in the announcement's additional eligibility text.
What does the tight application window suggest about expectations for applicants?
Given the FOA posting date (June 10, 2016) and the closing date (July 11, 2016), the opportunity had a relatively tight window for applications. The description suggests CMS was seeking organizations able to mobilize quickly and operate at scale under a cooperative agreement relationship.
Was SAN 2.0 intended to operate at a small or large scale?
The description emphasizes very large-scale and low-cost acceleration of APM adoption, and it frames SAN 2.0 as a network-level resource meant to support the wider TCPI community.
How did SAN 2.0 aim to speed up practice transformation?
It aimed to speed up transformation by lowering barriers, shortening implementation timelines, and spreading practical, proven approaches through technical assistance and aligned strategies across the network.
What role were SAN 2.0 awardees expected to play in the TCPI ecosystem?
Awardees were expected to act as a catalyst for accelerated practice transformation and to strengthen coordination and consistency across TCPI improvement efforts.
What were TCPI's goals and did SAN 2.0 have to support them?
The description states SAN 2.0 was intended to support TCPI's six goals, but the six goals themselves are not listed in the provided information. Awardees were expected to contribute in a way that reinforced TCPI's broader mission.
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