Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals
CMS is presenting this Funding Opportunity Announcement (FOA) to ensure that the beneficiaries of the Financial Alignment Demonstration models ? as well as their caregivers and authorized representatives -- have access to person-centered assistance in resolving problems and selecting appropriate health care coverage related to the Plans and providers.
General information about this opportunity
Last Known Status
Centers For Medicare and Medicaid Services, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Statutory Authority: section 1115A of the Social Security Act (added by section 3021 of the Patient Protection and Affordable Care Act (P.L. 111-148).
Who is eligible to apply/benefit from this assistance?
States which have signed an MOU with CMS to implement one of the financial alignment demonstration models.
States which have signed an MOU with CMS to implement one of the financial alignment demonstration models. Enrollees and caregivers in the Financial Alignment Demonstration,
A state must be pursuing a financial alignment model.
What is the process for applying and being award this assistance?
Preapplication coordination is not applicable.
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
Awards will be made to state agencies or their designated entities to implement ombudsman and counseling programs to support the Financial Alignment Model Demonstration.
Applications are due on the following dates: 1st Round: May 30, 2019, 3:00 PM EST 2nd Round: May 1, 2020 and 3rd Round: August 17, 2020. Applications are due on the following dates: 1st Round: May 30, 2019, 3:00 PM EST 2nd Round: May 1, 2020 and 3rd Round: August 17, 2020. Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 60 to 90 days. 60-90 days
How are proposals selected?
Applications will be scored with a total of 100 points if only applying for one program and 200 points if applying for both ombudsman and counseling funding.
How may assistance be used?
Through this cooperative agreement, CMS seeks to fund activities necessary to plan for, develop and implement Demonstration Ombudsman Program services and beneficiary counseling to beneficiaries and their families, as appropriate. Restrictions: Direct services already provided by Medicare or Medicaid.
What are the requirements after being awarded this opportunity?
Accounting and Programmatic records must be maintained for three years.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.
Matching requirements are not applicable to this assistance listing.
MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
This program has two different project periods. There is a 24 month project period and a 45 month project period. Funds are released annually. Funds are released annually.
Who do I contact about this opportunity?
Regional or Local Office
7500 Security Boulevard
Baltimore, MD 21207
Baltimore, MD 21207 US
(Cooperative Agreements) FY 18$27,614,601.00; FY 19 est $28,092,794.00; FY 20 est $25,404,250.00; FY 17$6,136,831.00; -
Range and Average of Financial Assistance
Awards range from $149,000-$$1,494,476 per year.
Regulations, Guidelines and Literature
Examples of Funded Projects