Demonstration to Maintain Independence and Employment (93.769)
Program
93.769 Demonstration to Maintain Independence and Employment
Federal Agency
Agency: Department of Health and Human Services
Office: Centers For Medicare And Medicaid Services
Authorization
Ticket to Work and Work Incentives Improvement Act of 1999; Public Law 106-170.
Program Number
93.769
Last Known Status
Active
Objectives
To prevent the loss of employment and reliance on cash assistance by individuals at risk for disability. To provide benefits equivalent to those provided by Medicaid, to the categorically needy and to workers who have physical or mental impairments that, without medical assistance, will result in a disability.
Types of Assistance
PROJECT GRANTS
Uses and Use Restrictions
These demonstration grants will enable States to assist working individuals by providing the necessary benefits and services required for people to manage the progression of their conditions and remain employed. Federal funds paid to the States under this demonstration must be used to supplement, but not supplant, State funds expended for workers with potentially severe disabilities at the time the demonstration project is approved.
Eligibility Requirements
Applicant Eligibility
All States are eligible to apply.
Beneficiary Eligibility
Eligible beneficiaries are workers with potentially severe disabilities who are: (a) At least 16 but less than 65 years of age, (b) have specific physical or mental impairments identified by the State that are reasonably expected to lead to blindness or disability (as defined under Section 1614(a) of the Social security Act, and (c) are employed.
Credentials/Documentation
Federal funds must go to a designated State Medicaid Agency or its partner agencies. Individuals must meet State requirements. Administrative costs will be determined in Accordance with OMB Circular No. A-87, "Cost Principles for State and Local Government.". OMB Circular No. A-87 applies to this program.
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. The standard application form SF-424 and related forms, as furnished by CMS, must be used for this program. Application forms are submitted to the Acquisition and Grants Group, CMS, C2-21-15 Central Building, 7500 Security Boulevard, Baltimore, MD 21244-1850. This program is subject to the provisions of OMB Circular No. A-102.
Award Procedure
Official notice of approved applications is made through issuance of a Grant Award.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Range of Approval/Disapproval Time
From 100 to 150 days.
Appeals
There are formal appeals procedures. If an application is disapproved, the reasons for disapproval will be fully stated.
Renewals
Extensions and continuations of projects are available if formally applied for and approved. If a grant application is recommended for approval for 2 or more years, the awardee must annually submit a formal request for continuation accompanied by a progress report that will be evaluated prior to a recommendation of continuation.
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
While there are no restrictions precluding States from proposing demonstrations that operate for less than the total length of the demonstration, scoring preference will be given to States that propose to participate for the duration of the demonstration. Funding for the demonstration is available from fiscal year 2001 through fiscal year 2006. If any Federal funding remains available after 2006, payments may be made to the States until funding is depleted or through fiscal year 2009. Method of awarding/releasing assistance: quarterly.
Post Assistance Requirements
Reports
No program reports are required. No cash reports are required. Reports of progress and expenditures are required on all projects. Reports of progress and expenditures are required on all projects. No performance monitoring is required.
Audits
This program is excluded from coverage under OMB Circular No. A-133. All fiscal transactions identifiable to Federal financial assistance are subject to audit by DHHS audit agency.
Records
Proper accounting records, identifiable by project number and including all receipts and expenditures, must be maintained for 3 years. Subsequent to audit, they must be maintained until all questions are resolved.
Program Accomplishments
Fiscal Year 2008: Under the section 204 grant program, seven States (Rhode Island, Texas, Mississippi, Louisiana, Kansas, Hawaii and Minnesota) and the District of Columbia have been awarded Demonstration to Maintain Independence and Employment grant funding since the program's inception. States implementing demonstration grant programs will provide Medicaid-equivalent services to targeted populations of working individuals with disabilities. The demonstration projects will be used to evaluate the impact of providing Medicaid benefits to a working person with a potentially severe disability. The State demonstration projects cover individuals with all types of disabilities including HIV/AIDS, and various mental illnesses. In FY 2006, a total of almost $73 million was obligated for the section 204 program. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available
Financial Information
Account Identification
75-0516-0-1-551.
Obligations
(Formula Grants (Apportionments)) FY 08 $4,257,179; FY 09 est $0; FY 10 est $0
Range and Average of Financial Assistance
$284,253 to $3,980,308; $2,132,280.
Regulations, Guidelines and Literature
Grants Administration policies (45 CFR 74 and 92) application kits may be obtained from the Office of Acquisition and Grants Group, Centers for Medicare and Medicaid Services, Room C2-21-15, Central Building, 7500 Security Boulevard, Baltimore, MD 21244-1850. Grant application forms are also available on the CMS website at http://www.cms.hhs.gov/twwiia/424forms.pdf.
Related Programs
93.768 Medicaid Infrastructure Grants To Support the Competitive Employment of People with Disabilities; 93.778 Medical Assistance Program; 93.779 Centers for Medicare and Medicaid Services (CMS) Research, Demonstrations and Evaluations
Information Contacts
Regional or Local Office
See Regional Agency Offices. Contact the appropriate CMS Regional Administrator. (See Appendix IV for Regional Offices).
Headquarters Office
Adrienne Delozier 7500 Security Boulevard, Baltimore, Maryland 21244 Email: Adrienne.Delozier@cms.hhs.gov Phone: 410-786-0278
Web Site Address
http://www.cms.hhs.gov/contracts/.
Examples of Funded Projects
Fiscal Year 2008: Projects approved so far will cover the HIV/AIDS, multiple sclerosis, and bi Polar/schizophrenia populations. People enrolled in these demonstration programs will receive Medicaid equivalent services and will participate in an evaluation to determine if the provision of medical services delay the onset of disability and extends the duration for which a person can work. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available
Criteria for Selecting Proposals
The major elements in evaluating proposals include: the applicant's proposed strategy to achieve each of the outcomes identified by the applicant, including capability to identify a study population, conduct outreach and enroll individuals; whether the particular Medicaid equivalent benefits and services will be advantageous if provided to demonstration participants; the methodology for evaluation of its demonstration project that adequately measures its effectiveness; the adequacy of measures of the demonstration outcomes; and compliance with all reporting requirements.
