Alternate Non-emergency Service Providers Or Networks (93.790)

Program

93.790 Alternate Non-emergency Service Providers Or Networks

Federal Agency

Agency: Department of Health and Human Services
Office: Centers for Medicare and Medicaid Services

Authorization

Section 6043, Emergency Room Co-payments for Non-Emergency Care, Deficit Reduction Act of 2005, Public Law 109-171, enacted February 8, 2006.

Program Number

93.790

Last Known Status

Active

Objectives

To provide Federal payments to States for the establishment of alternate non-emergency service providers, or networks of such providers to provide non-emergency care.

Types of Assistance

PROJECT GRANTS

Uses and Use Restrictions

Funds from this program may be used for the establishment of alternate non-emergency service providers, or networks of such providers to provide non-emergency care. States may not use funds as the State's share of the Medicaid program costs or as supplemental Disproportionate Share Hospital (DSH) payments.

Eligibility Requirements

Applicant Eligibility

Grant applicants are limited to the 51 State Medicaid Agencies and the Medicaid Agencies in the Federal Territories.

Beneficiary Eligibility

Grant applicants are limited to the 51 State Medicaid Agencies and the Medicaid Agencies in the Federal Territories.

Credentials/Documentation

Federal funds will be directed to the State Medicaid Agency with the grant award amount identified in the award approval letter. Permissible administrative costs will be determined in accordance with the Office of Management and Budget (OMB) circular No. 87 "Cost Principals for States and Local Governments". This program is excluded from coverage under OMB Circular No. A-87.

Application and Award Process

Preapplication Coordination

Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.

Application Procedure

This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. A State may submit only one application. Applications must be submitted electronically to CMS via E-mail: Matransgrant@cms.hhs.gov .

Award Procedure

CMS will make a decision for each application received. Each applicant will receive written notification of CMS' decision. Applicants approved for a grant award must submit a letter of acceptance to CMS within 30 days of the date of the award, agreeing to the terms and conditions of the award letter.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Range of Approval/Disapproval Time

From 60 to 90 days. 60 to 90 days.

Appeals

Not Applicable.

Renewals

None.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

Project Period: Under this legislation, a total of $50,000,000 over 4 years (FY 2006-2009) has been made available for the establishment of alternate non-emergency service providers or networks of such providers to provide non-emergency care. CMS will have two separate competitive grant solicitations as follows: 1st FFY 2006 and 2007; 2nd FFY 2008 and 2009. Budget Period: FY 2006, 2007, 2008, and 2009. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

States will be required to submit quarterly reports to CMS related to program status and financial reports as identified in the terms and conditions post award. States will be required to submit quarterly reports to CMS related to program status and financial reports as identified in the terms and conditions post award. States will be required to submit quarterly reports to CMS related to program status and financial reports as identified in the terms and conditions post award. No expenditure reports are required. No performance monitoring is required.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

Financial records, supporting documents and progress/annual reports and all other records pertinent to this program shall be retained three years.

Program Accomplishments

Fiscal Year 2009: 24020801. Fiscal Year 2010: No Current Data Available Fiscal Year 2011: No Current Data Available

Financial Information

Account Identification

75-0516-0-1-551.

Obligations

(Formula Grants) FY 09 $24,020,801; FY 10 est $0; FY 11 est $0

Range and Average of Financial Assistance

Grant funds will be allocated based on the number of States that apply and meet grant criteria.

Regulations, Guidelines and Literature

CMS will provide application guidance in the form of a State Medicaid Director letter. The letter may be located at www.cms.hhs.gov/GrantsAlternaNonEmergServ/.

Related Programs

Not Applicable.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Barbara Dailey, 7500 Security Boulevard, Baltimore, Maryland 21244 Email: Barbara.Dailey@cms.hhs.gov Phone: (410) 786-9012.

Web Site Address

www.cms.hhs.gov/GrantsAlternaNonEmergServ/ .

Examples of Funded Projects

Not Applicable.

Criteria for Selecting Proposals

Each application will be reviewed by a team of CMS staff. The applicant selection criteria will consist of the following but will not be limited to only these factors: the project abstract, project narrative and budget.