Opportunity Information: Apply for CMS 1L1 15 002

  • The Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Transforming Clinical Practice Initiative (TCPI), Support and Alignment Network (SAN)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.639 ACA Transforming Clinical Practice Initiative Support and Alignment Networks (SANs).
  • This funding opportunity was created on Dec 5, 2014 and posted on Oct 23, 2014.
  • Applicants must submit their applications by Feb 5, 2015 Baltimore, Maryland. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $30,000,000.00 to eligible and selected applicants.
  • 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 30 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Organizations that serve as medical or professional associations and specialty societies, organizations involved in generating evidence based guidelines for clinical practice, and organizations promoting measurement and improvement through clinical registries and electronic health records.
Apply for CMS 1L1 15 002

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Opportunity Summary:

The Transforming Clinical Practice Initiative (TCPI), Support and Alignment Network (SAN) grant opportunity (Funding Opportunity Number CMS 1L1 15 002) is a discretionary funding program run by the Centers for Medicare and Medicaid Services (CMS) to accelerate broad-based clinical practice transformation across the U.S. health care system. It uses the cooperative agreement funding instrument, which means awardees are expected to work closely with CMS rather than operate entirely independently. The program is grounded in CMS Innovation Center authority under section 1115A of the Social Security Act, reflecting its focus on testing and spreading delivery-system improvements that can strengthen care quality and efficiency.

This FOA is specifically aimed at establishing and supporting Support and Alignment Networks (SANs). SAN awardees are intended to function as influential multipliers in the health care ecosystem by leveraging their existing national or large-scale infrastructure, credibility, and communication channels. The central idea is that SANs can speed adoption of proven transformation approaches in both primary care and specialty care by aligning clinicians, professional expectations, and improvement resources around TCPI goals. In practical terms, SANs are expected to help clinician practices move through the TCPI "5 Phases of Transformation," improving the operational efficiency of the overall initiative and helping practices progress in a structured, staged way toward targeted transformation outcomes.

A key feature of the SAN role is dissemination and alignment rather than direct on-the-ground coaching alone. SANs are expected to use the channels they already control and the relationships they already have to influence clinician behavior and practice operations at scale. The FOA highlights mechanisms such as peer-reviewed journals, clinical registries, accreditation and licensure refinement activities, continuing medical education (CME), maintenance of certification (MOC) programs, annual conferences, task forces, newsletters, and other established outreach and professional development pathways. Through these outlets, SANs would share lessons learned from the field, promote evidence-based practices, support measurement and improvement, and reinforce TCPI-related actions and results among clinicians, practices, and potentially consumers and other stakeholders.

The opportunity anticipates up to 30 awards with an estimated total funding amount of $30,000,000. Individual awards are expected to range from $1,000,000 (floor) to $3,000,000 (ceiling). The CFDA number listed is 93.639 (ACA Transforming Clinical Practice Initiative Support and Alignment Networks). There is no cost sharing or matching requirement, which lowers the financial barrier to participation for eligible organizations. The funding activity category is Health.

Eligibility is aimed at organizations positioned to influence clinical standards, professional practice, and quality improvement infrastructure. The FOA identifies eligible applicants as organizations such as medical or professional associations and specialty societies; organizations involved in generating evidence-based clinical practice guidelines; and organizations that promote measurement and improvement through clinical registries and electronic health records. The eligibility category in the listing is "Others" with further clarification provided in the full announcement, signaling that CMS is targeting a specific set of capable, field-connected entities rather than limiting the competition to only traditional government or academic institutions.

Timeline-wise, the opportunity was posted on October 23, 2014, with an original closing date of January 6, 2015, and a current closing date listed as February 5, 2015 (Baltimore, Maryland). The archive date is March 7, 2015, indicating this specific FOA is no longer open, but the summary reflects how CMS structured the SAN component of TCPI at the time. For applicants needing technical help accessing the announcement, the listing points to the Grants.gov Contact Center (1-800-518-4726, support@grants.gov), available 24/7 except federal holidays.

Overall, this FOA is best understood as CMS funding a set of nationally connected organizations to create alignment, reduce fragmentation, and rapidly spread practical transformation methods across many clinician practices. Instead of building new communication pipelines from scratch, CMS sought to harness the established reach of professional societies, guideline developers, and registry/EHR-centered improvement groups so that TCPI goals and the five-phase transformation pathway could be embedded into the normal machinery of clinical professional life (education, certification, conferences, publications, measurement programs, and standards).

Frequently Asked Questions (FAQs)

What is the Transforming Clinical Practice Initiative (TCPI) Support and Alignment Network (SAN) grant opportunity?

The TCPI Support and Alignment Network (SAN) grant opportunity is a discretionary funding program run by the Centers for Medicare and Medicaid Services (CMS) to accelerate broad-based clinical practice transformation across the U.S. health care system. This specific opportunity focuses on creating and supporting Support and Alignment Networks (SANs) that can help spread and align proven practice transformation approaches in both primary care and specialty care.

What is the Funding Opportunity Number (FON) for this announcement?

The Funding Opportunity Number is CMS 1L1 15 002.

Which federal agency administers this program?

The program is administered by the Centers for Medicare and Medicaid Services (CMS).

What type of funding instrument is used for this opportunity?

This opportunity uses a cooperative agreement. That means awardees are expected to work closely with CMS rather than operate entirely independently.

What legal authority is this program grounded in?

The program is grounded in CMS Innovation Center authority under section 1115A of the Social Security Act, reflecting a focus on testing and spreading delivery-system improvements that strengthen care quality and efficiency.

What is the purpose of a Support and Alignment Network (SAN) under this FOA?

SAN awardees are intended to act as influential multipliers in the health care ecosystem by leveraging existing national or large-scale infrastructure, credibility, and communication channels. The goal is to speed adoption of proven transformation approaches by aligning clinicians, professional expectations, and improvement resources around TCPI goals.

How are SANs expected to support clinical practice transformation in practical terms?

SANs are expected to help clinician practices move through the TCPI "5 Phases of Transformation." The FOA emphasizes that SANs can improve the operational efficiency of the overall initiative and help practices progress in a structured, staged way toward targeted transformation outcomes.

Is the SAN role mainly direct, on-the-ground coaching?

No. A key feature of the SAN role described in the FOA is dissemination and alignment rather than only direct on-the-ground coaching. SANs are expected to use existing channels and relationships to influence clinician behavior and practice operations at scale.

What kinds of dissemination and alignment mechanisms does the FOA highlight for SANs?

The FOA highlights mechanisms such as peer-reviewed journals, clinical registries, accreditation and licensure refinement activities, continuing medical education (CME), maintenance of certification (MOC) programs, annual conferences, task forces, newsletters, and other established outreach and professional development pathways.

What types of activities are SANs expected to carry out through these channels?

Through these outlets, SANs are expected to share lessons learned from the field, promote evidence-based practices, support measurement and improvement, and reinforce TCPI-related actions and results among clinicians, practices, and potentially consumers and other stakeholders.

How many awards does CMS anticipate making under this FOA?

The opportunity anticipates up to 30 awards.

What is the estimated total funding amount for the SAN opportunity?

The estimated total funding amount is $30,000,000.

What is the expected award size (minimum and maximum) for individual SAN awards?

Individual awards are expected to range from $1,000,000 (floor) to $3,000,000 (ceiling).

Is there a cost sharing or matching requirement?

No. The FOA states there is no cost sharing or matching requirement.

What is the CFDA number associated with this opportunity?

The CFDA number listed is 93.639 (ACA Transforming Clinical Practice Initiative Support and Alignment Networks).

What is the funding activity category for this opportunity?

The funding activity category is Health.

Who is eligible to apply for this SAN funding opportunity?

Eligibility is aimed at organizations positioned to influence clinical standards, professional practice, and quality improvement infrastructure. The FOA identifies eligible applicants as organizations such as medical or professional associations and specialty societies; organizations involved in generating evidence-based clinical practice guidelines; and organizations that promote measurement and improvement through clinical registries and electronic health records.

How is the eligibility category described in the listing?

The eligibility category in the listing is "Others," with further clarification provided in the full announcement. This signals CMS is targeting a specific set of capable, field-connected entities rather than limiting the competition to only traditional government or academic institutions.

When was this funding opportunity posted?

The opportunity was posted on October 23, 2014.

What were the closing dates for this FOA?

The FOA lists an original closing date of January 6, 2015, and a current closing date of February 5, 2015 (Baltimore, Maryland).

Is this FOA currently open for applications?

No. The archive date is March 7, 2015, which indicates this specific FOA is no longer open.

Where can applicants get technical help with accessing the announcement?

For technical help accessing the announcement, the listing points to the Grants.gov Contact Center at 1-800-518-4726 or support@grants.gov. The Contact Center is available 24/7 except federal holidays.

Why did CMS structure SANs to use existing professional channels rather than building new pipelines?

The FOA frames the SAN concept as a way to harness the established reach of professional societies, guideline developers, and registry/EHR-centered improvement groups. Rather than building new communication pipelines from scratch, CMS sought to embed TCPI goals and the five-phase transformation pathway into the normal machinery of clinical professional life, including education, certification, conferences, publications, measurement programs, and standards.

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