State Grants for the Implementation, Enhancement, and Expansion of Medicaid and CHIP School-Based Services


The Bipartisan Safer Communities Act (BSCA) provided $50,000,000 to States for the purpose of implementing, enhancing, or expanding the provision of assistance through school-based entities under Medicaid or CHIP.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Centers For Medicare and Medicaid Services, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
GRANTS.—There is authorized to be appropriated $50,000,000 for fiscal year 2022 for the Secretary to award grants to States for the purpose of implementing, enhancing, or expanding the provision of assistance through school-based entities under Medicaid or CHIP. A State shall not use any grant funds to provide medical assistance, child health assistance, or other health services., Title Bipartisan Safer Communities Act, Part Division A, Part 1, Section Section 11003(b)
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
State governments, specifically State Medicaid Agencies.
Beneficiary Eligibility
Not applicable.
2 CFR 200, Subpart E- Cost Principles
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Interested applicants will submit their applications via
Award Procedure
CMS will review all applications to make sure they meet basic criteria described in the Notice of Funding Opportunity. All qualified applications are forwarded to a merit review committee. Qualified experts review the applications and advise the CMS approving official. After award decisions are made, a risk review is performed for each applicant. If an applicant is selected for award, CMS will send out an electronic Notice of Award (NoA). The NoA is the legal document authorizing the cooperative agreement.
Application deadline will be 60 calendar days after the NOFO is published on
Approval/Disapproval Decision Time
Application review period will take approximately 60 days
Not applicable.
Not applicable.
How are proposals selected?
All applicants are required to complete the activities listed within the "General Activities" section of the NOFO. In addition to the general criteria, applicants will also be scored on the activities which best describes their States need for and intended use of grant funding. These additional criteria include activities related to the initial implementation of SBS, the expansion of existing SBS and the enhancement of SBS. All elements of this criteria are used to assess a State's ability to effectively and appropriately utilize the funding.
How may assistance be used?
The Cooperative Agreement funding will support activities/strategies aimed at implementing, enhancing, and expanding the provision of assistance through school-based entities under Medicaid or CHIP.
What are the requirements after being awarded this opportunity?
Not applicable.
Recipients must comply with audit requirements outlined in HHS regulation 45 CFR Part 75 (implementing 2 CFR Part 200). See Subpart F - Audit Requirements.
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
The estimated period of performance is 3 years. The total award for each cooperative agreement will be 2.5 Million dollars. The method of awarding/releasing assistance: Recipients will drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web-based payment system for HHS awards. Year 1: $500,000 Year 2: $1,000,000 Year 3: $1,000,000 Method of awarding/releasing assistance: Quarterly.
Who do I contact about this opportunity?
Regional or Local Office
Centers for Medicare & Medicaid Services 7500 Security Blvd. Baltimore, MD 21244
Headquarters Office
Lydia Briggs
7500 Security Blvd.
Baltimore, MD 21244 USA
Phone: 667-290-8765

SBS Planning Grant Team
Windsor Mill, MD 21244 USA
Phone: N/A
Website Address
Financial Information
Account Identification
(Cooperative Agreements) FY 22 FY 23 FY 24 est $10,000,000.00; -
Range and Average of Financial Assistance
CMS will make a total of $50 million available to states participating in the School-Based Health Care Services Planning Grant. Funds will be disbursed to 20 Awardees over the course of 3 years. Year 1- $500,000, Year 2- $ 1 Million and Year 3- $1 Million.
Regulations, Guidelines and Literature
Additional information about Medicaid SBS may be found at Federal Funding Accountability and Transparency Act Reporting Requirements: Programmatic Questions:
Examples of Funded Projects
Not applicable.


Federal Grants Resources