Maternal Opioid Misuse Model
The Centers for Medicare & Medicaid Services (CMS), through its Center for Medicare and Medicaid Innovation (Innovation Center), seeks applications to the Maternal Opioid Misuse (MOM) model. The MOM model is the next step in CMS? multi-pronged strategy to combat the nation?s opioid crisis. The model aims to address fragmentation in the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder through state-driven transformation of the delivery system surrounding this vulnerable population. By supporting the coordination of clinical care and the integration of other services critical for health, wellbeing, and recovery, the MOM model has the potential to improve quality of care and reduce costs for mothers and infants
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
A - Formula Grants
Section 1115A of the Social Security Act (42 U.S.C. 1315a), establishes the Center for Medicare and Medicaid Innovation (Innovation Center) and authorizes the Innovation Center to test innovative payment and service delivery models to reduce Medicare, Medicaid, or CHIP expenditures, while preserving or enhancing the quality of beneficiaries’ care., Title Social Security Act
42 U.S.C. 1315a
Section 1115A of the Social Security Act (42 U.S.C. 1315a), establishes the Center for Medicare and Medicaid Innovation (Innovation Center) and authorizes the Innovation Center to test innovative payment and service delivery models to reduce Medicare, Medicaid, or CHIP expenditures, while preserving or enhancing the quality of beneficiaries’ care.
Who is eligible to apply/benefit from this assistance?
State Medicaid agencies are eligible to apply for MOM model funding.
State Medicaid Agencies may apply for MOM model assistance.
All applicants under this announcement must have: o An Employer Identification Number (EIN), otherwise known as a Taxpayer Identification Number (TIN), to apply. o All applicants must have a Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS) number. o The applicant must also register in the System for Award Management (SAM) database in order to be able to submit the application.
What is the process for applying and being award this assistance?
Preapplication coordination is required. N/A
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Each state Medicaid agency that applies for the MOM model must respond to the Program Requirements set out in the NOFO. The awardee will be responsible for determining the budget allocations for staff time and infrastructure costs consistent with the terms of the cooperative agreement, and demonstrating how the applicant and its care-delivery partner(s) will use funds to accomplish their respective roles in model implementation as part of their application. The application procedure is as follows: Application materials will be available for download at http://www.grants.gov. Please note that HHS requires applications for all announcements to be submitted electronically through http://www.grants.gov. For assistance with http://www.grants.gov, contact firstname.lastname@example.org or 1-800-518-4726. At Grants.gov, applicants will be able to download a copy of the application packet, complete it off-line, and then upload and submit the application via the Grants.gov website. Specific instructions for applications submitted via http://www.grants.gov: o You may access the electronic application for this project at http://www.grants.gov. You must search the downloadable application page by the CFDA number. o At the http://www.grants.gov website, you will find information about submitting an application electronically through the site, including the hours of operation. HHS strongly recommends that you do not wait until the application due date to begin the application process through http://www.grants.gov because of the time needed to complete the required registration steps. o The applicant must be registered in the System for Award Management (SAM) database in order to be able to submit the application. Applicants are encouraged to register early, and must have their DUNS and EIN/TIN numbers in order to do so. o Authorized Organizational Representative: The Authorized Organizational Representative (AOR) who will officially submit an application on behalf of the organization must register with grants.gov for a username and password. AORs must complete a profile with Grants.gov using their organization's DUNS Number to obtain their username and password at http://grants.gov/applicants/get_registered.jsp. AORs must wait one business day after successful registration in SAM before entering their profiles in Grants.gov. Applicants should complete this process as soon as possible after successful registration in SAM to ensure this step is completed in time to apply before application deadlines. o When an AOR registers with Grants.gov to submit applications on behalf of an organization, that organization's E-Biz POC will receive an email notification. The email address provided in the profile will be the email used to send the notification from Grants.gov to the E-Biz POC with the AOR copied on the correspondence. o The E-Biz POC must then login to Grants.gov (using the organization's DUNS number for the username and the special password called "M-PIN") and approve the AOR, thereby providing permission to submit applications. o Any files uploaded or attached to the Grants.gov application must be PDF file format and must contain a valid file format extension in the filename. Even though Grants.gov allows applicants to attach any file formats as part of their application, CMS restricts this practice and only accepts PDF file formats. Any file submitted as part of the Grants.gov application that is not in a PDF file format, or contains password protection, will not be accepted for processing and will be excluded from the application during the review process. In addition, the use of compressed file formats such as ZIP, RAR, or Adobe Portfolio will not be accepted. The application must be submitted in a file format that can easily be copied and read by reviewers. It is recommended that scanned copies not be submitted through Grants.gov unless the applicant confirms the clarity of the documents. Pages cannot be reduced in size, resulting in multiple pages on a single sheet, to avoid exceeding the page limitation. All documents that do not conform to the above specifications will be excluded from the application materials during the review process. o After you electronically submit your application, you will receive an acknowledgement from http://www.grants.gov that contains a Grants.gov tracking number. HHS will retrieve your application package from Grants.gov. Please note, applicants may incur a time delay before they receive acknowledgement that the application has been accepted by the Grants.gov system. Applicants should not wait until the application deadline to apply because notification by Grants.gov that the application is incomplete may not be received until close to or after the application deadline, eliminating the opportunity to correct errors and resubmit the application. Applications submitted after the deadline, as a result of errors on the part of the applicant, will not be reviewed. o After HHS retrieves your application package from Grants.gov, a return receipt will be emailed to the applicant contact. This will be in addition to the validation number provided by Grants.gov. Applications cannot be accepted through any email address. Full applications can only be accepted through http://www.grants.gov. Full applications cannot be received via paper mail, courier, or delivery service. All grant applications must be submitted electronically and be received through http://www.grants.gov by 3:00 pm Eastern Daylight Time on the applicable due date. Applications not successfully submitted to Grants.gov by the due date and time will not be eligible for review. All applications will receive an automatic time stamp upon submission and applicants will receive an email reply acknowledging the application's receipt. Please be aware of the following: 1) Search for the application package in Grants.gov by entering the CFDA number. This number is shown on the cover page of this announcement. 2) If you experience technical challenges while submitting your application electronically, please contact Grants.gov Support directly at: www.grants.gov/customersupport or (800) 518-4726. Customer Support is available to address questions 24 hours a day, 7 days a week (except on Federal holidays). 3) Upon contacting Grants.gov, obtain a tracking number as proof of contact. The tracking number is helpful if there are technical issues that cannot be resolved. To be considered timely, applications must be received by the published deadline date. However, a general extension of a published application deadline that affects all State applicants or only those in a defined geographical area may be authorized by circumstances that affect the public at large, such as natural disasters (e.g., floods or hurricanes) or disruptions of electronic (e.g., application receipt services) or other services, such as a prolonged blackout. This statement does not apply to an individual entity having internet service problems. In order for there to be any consideration there must be an effect on the public at large. Grants.gov complies with Section 508 of the Rehabilitation Act of 1973. If an individual uses assistive technology and is unable to access any material on the site including forms contained
1. Successful applicants will receive a Notice of Award (NoA) signed and dated by the CMS Grants Management Officer that will set forth the amount of the award and other pertinent information. The award will also include standard Terms and Conditions. Applicant should be aware that special requirements could apply to cooperative agreement awards based on the particular circumstances of the effort to be supported and/or deficiencies identified by the review panel. 2. Award funds will be distributed through the Payment Management System.
The MOM NOFO is pending release in early 2019 and application deadlines are not finalized. Points of contact for the MOM model are included below and can provide updated information when it is available.
Approval/Disapproval Decision Time
How are proposals selected?
Applications will be forwarded to a review panel. The review panel will evaluate the proposals based on how well they address the evaluation criteria outlined in the NOFO. Successful applicants will receive a Notice of Award (NoA) signed and dated by the CMS Grants Management Officer that will set forth the amount of the award and other pertinent information. The award will also include standard Terms and Conditions. Applicants should be aware that special requirements could apply to cooperative agreement awards based on the particular circumstances of the effort to be supported and/or deficiencies identified by the review panel.
How may assistance be used?
The MOM model provides three distinct funding opportunities for awardees:
• Implementation Funding will be available annually during each year of the model to support infrastructure and capacity-building.
• Transition Funding will be available only during the Transition Period and only to support intake, assessment, and creation of a treatment plan (payment available once per pregnancy per beneficiary) and coordination, engagement, and referral activities (payment available on a monthly basis for up to 12 months for each beneficiary who receives these services) not otherwise covered by the State Plan. Model funds may not be used to supplant or duplicate existing funding sources. The state must take over these costs in alignment with its Coverage and Payment Strategy by Year 3 of the model. Transition Funding is restricted and not guaranteed.
• Milestone Funding will be available during the Full Implementation Period based on an awardee’s demonstrated performance on pre-determined quality milestones. Milestone Funding is restricted and not guaranteed.
Applicants must describe in detail how they will use Implementation Funding and Transition Funding to implement the model. In addition to the detailed justifications for use of Implementation Funding and Transition Funding, each applicant should provide a plan for how Milestone Funding, if unrestricted, would be used to support the goals of the MOM model.
What are the requirements after being awarded this opportunity?
Awardees are required report of their progress on a set of program milestones that cover operational aspects of model implementation as well as performance on specific measures of beneficiary impact. These milestones are detailed in the NOFO. These reports will be submitted as part of the quarterly and annual progress reports.
Awardees are required to maintain a record of all identifiable source data used to generate the values reported for program monitoring and milestones and must make this data available to CMS for program monitoring, auditing, and evaluation purposes upon request.
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
MOM model funding will be available on an annual basis to awardees for five years. The model will start in FY 2020 and end in FY 2024. Cooperative Agreement
Who do I contact about this opportunity?
Regional or Local Office
None. The MOM model is being developed and will be managed by the CMS Innovation Center. See below for Contact Information.
MOM Model Mailbox
7500 Security Blvd
Baltimore, MD 21244 USA
(Formula Grants (Cooperative Agreements)) FY 18 FY 19 FY 20 est $9,000,000.00; -
Range and Average of Financial Assistance
The MOM model will award up to $64.56 million in cooperative agreement funds across up to 12 awardees during the five-year performance period.
Regulations, Guidelines and Literature
Published information pertinent to the MOM model is available at https://innovation.cms.gov/initiatives/maternal-opioid-misuse-model/
Examples of Funded Projects