State Health Insurance Assistance Program

 

To provide information, counseling, and assistance relating to obtaining adequate and appropriate health insurance coverage to individuals eligible to receive benefits under the Medicare program.

General information about this opportunity
Last Known Status
Active
Program Number
93.324
Federal Agency/Office
Administration For Community Living (Acl), Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
Authorization
Consolidated Appropriations Act of 2014 (Public Law 113-76) Section 4360 of Public Law 101-508 (42 USC 1995b-4) 42 CFR Ch. IV Subpart E – Beneficiary Counseling and Assistance Grants, Public Law 113-76., Public Law 113-76
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Grants or cooperative agreements may be made to States and U.S. Territories with approved State regulatory programs under section 1882 of the Social Security Act.
Beneficiary Eligibility
Individuals eligible for Medicare benefits, including Part D drug benefits, and older persons eligible for benefits and services provided under Medicare, their families, and caregivers.
Credentials/Documentation
Applicants must submit a signed commitment from the State to carry out the health insurance information, counseling, and assistance program as described in the funding announcement. Applicants should present written evidence of other agencies' willingness to cooperate when the project involves collaborative efforts of the utilization of non-ACL facilities or services.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
Award Procedure
Application forms are submitted through a centralized depository and received by the awarding agency Administration for Community Living. Applicants generally apply under a program announcement indicating all the necessary application procedures to be followed.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 60 to 90 days.
Appeals
Not applicable.
Renewals
If a grant/cooperative agreement application is recommended for approval for 2 or more years, the awarded may be requested to annually submit a formal request for continuation accompanied by progress report which will be evaluated prior to a recommendation of continuation.
How are proposals selected?
The review process for grants/cooperative agreements consists of initially screening applications for completeness and relevancy to ACL priority areas. If the application is not relevant to ACL priority areas, it will be returned to the applicant. If accepted as submitted it will be reviewed and evaluated. The review will be conducted by a panel of not less than three experts. ACL Project officer or designee will coordinate the panel's review , but will not vote. This individual or supervisor will also prepare the panel's recommendation to the ACL Administrator. The panel's recommendations will contain numerical ratings, rankings of applications, and a written assessment of each application. The recommendations will be based on published criteria as stated in the program announcement. The review process is also stated in the program announcement.
How may assistance be used?
A State shall submit a plan for a State-wide SHIP program. Such program shall – A) Establish or improve upon a health insurance information, counseling, and assistance program that provides counseling and assistance to eligible individuals in need of health insurance information, including: i) Information that may assist individuals in obtaining benefits and filing claims under titles XVIII and XIX of the Social Security Act; ii) Policy comparison information for Medicare supplemental policies (as described in section 1882(g)(1) of the Social Security Act) and information that may assist individuals in filing claims under Medicare supplemental policies; iii) Information regarding long-term care insurance; and iv) Information regarding other types of health insurance benefits that the Secretary determines to be appropriate; B) In conjunction with the health insurance information, counseling, and assistance program described in subparagraph (A), establish a system of referral to appropriate Federal or State departments or agencies for assistance with problems related to health insurance coverage (including legal problems), as determined by the Secretary; C) Provide for a sufficient number of staff positions (including volunteer positions) necessary to provide the services of the health insurance information, counseling, and assistance program; D) Provide assurances that staff members (including volunteer staff members) of the health insurance information, counseling, and assistance program have no conflict of interest in providing the counseling described in subparagraph (A); E) Provide for the collection and dissemination of timely and accurate health care information to staff members; F) Provide for training programs for staff members (including volunteer staff members); G) Provide for the coordination of the exchange of health insurance information between the staff of departments and agencies of the State government and the staff of the health insurance information, counseling, and assistance program; H) Make recommendations concerning consumer issues and complaints related to the provision of health care to agencies and departments of the State government and the Federal Government responsible for providing or regulating health insurance; I) Establish an outreach program to provide the health insurance information and counseling described in subparagraph (A) and the referrals described in subparagraph (B) to eligible individuals; and J) Demonstrate to the satisfaction of the Secretary, an ability to provide the counseling and assistance required under this section.
What are the requirements after being awarded this opportunity?
Reporting
Performance Reports: Grantees will be expected to develop a quality assurance plan including performance indicators and a process for ongoing performance monitoring.
Auditing
In accordance with the provisions of Subpart F-Audit Requirements, under 45 CFR Part 75.500, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year. Except as noted in 45 CFR Part 75.500.
Records
Proper accounting records, identifiable by project number and including all receipts and expenditures, must be maintained for 3 years from the submission date of the final FFR document. Subsequent to audit, they must be maintained until all questions are resolved.
Other Assistance Considerations
Formula and Matching Requirements
Statutory Formula: Title 42 CFR Chapter IV Subpart E Public Law 403.505

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
Grants/cooperative agreements are generally funded on a 12 month basis, with support beyond the first year contingent upon acceptable evidence of satisfactory progress, continuing program relevance, and availability of funds. Method of awarding/releasing assistance: Letter.
Who do I contact about this opportunity?
Regional or Local Office
Rebecca Kinney Rebecca.Kinney@acl.hhs.gov 202-795-7375
Headquarters Office
Rebecca Kinney
330 C Street SW

Washington, DC 20201 US
Rebecca.Kinney@acl.hhs.gov
Phone: 202-795-7375
Website Address
http://www.acl.hhs.gov
Financial Information
Account Identification
75-0142-0-1-506
Obligations
(Cooperative Agreements (Discretionary Grants)) FY 17$52,115,000.00; FY 18 est $49,115,000.00; FY 19 est $49,115,000.00; FY 16$52,115,000.00; - The SHIP program was formerly funded under CFDA 93.779 and migrated to the Administration for Community Living FY14.
Range and Average of Financial Assistance
FY 17: 54 awards that range from $50,000 to $5,003,012 per budget period
Regulations, Guidelines and Literature
All grantees must comply with statutory requirements and policies outlined in the Health and Human Grants Policy statement.
Examples of Funded Projects
Not applicable.

 


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