The Affordable Care Act - Medicaid Adult Quality Grants


To support State Medicaid agencies in testing, collecting, and reporting the Initial Core Set of Health Care Quality Measures for Adults Enrolled in Medicaid to CMS. Additionally, the grant funding will also support States’ efforts to use thisthese data for improving the quality of care for adults covered by Medicaid.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Centers for Medicare and Medicaid Services
Type(s) of Assistance Offered
Project Grants
Program Accomplishments
Not Applicable.
The Patient Protection and Affordable Care Act (Pub. L. 111-148) Section 2701 Adult Health Quality Measures.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Grant applicants are limited to the 51 State Medicaid Agencies and the Medicaid Agencies in the US Territories.
Beneficiary Eligibility
No Credentials or documentation are required. This program is excluded from coverage under 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. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. The standard application form SF-424 and related forms must be used for this program. Applicants are encouraged to submit a non-binding Letter of Intent to Apply. Letters of Intent to Apply are not required and a state’s submission or failure to submit a letter has no bearing on the scoring of proposals received. Applicants should review the application and submission information in the funding opportunity announcement for specific instructions on applying for this grant program.
Award Procedure
CMS will make a decision for each application received. Each applicant will receive written notification of CMS’ decision. Applicants approved for a grant award must submit a letter of acceptance to CMS within 30 days of the date of award, agreeing to the terms and conditions of the award letter.
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
From 60 to 90 days.
Not Applicable.
Grantee can receive a second year of funding based on first year performance and progress towards meeting the grant project goals outlined in the application as well as in the terms and conditions.
How are proposals selected?
Refer to the Funding Opportunity Announcement for more information.
How may assistance be used?
Each participating State Medicaid grantee will be required to implement a grant project with the following three aims:
1.Testing and evaluating methods for collection and reporting of the Initial Core Set Measures in varying delivery care settings (e.g. managed care, fee-for-service, long term care settings such as nursing homes and intermediate care facilities). States are encouraged to demonstrate alignment with existing methods and infrastructures for collection and reporting [e.g., Health Information Technology for Economic and Clinical Health (HITECH), Medicaid Management Information Systems (MMIS)];
2.Developing staff capacity to report the data, analyze, and use the data for monitoring and improving access and the quality of care in Medicaid; and
3.Conducting at least two Medicaid quality improvement projects related to the Initial Core Set Measures. States are encouraged to consider alignment with CMS or other Federal quality improvement activities such as the National Quality Strategy, Strong Start Initiative, Partnership for Patients, Million Hearts Initiative, etc. States may not use funds as the State's share of the Medicaid program costs or as supplemental Disproportionate Share Hospital (DSH) payments.
What are the requirements after being awarded this opportunity?
Reports due are: two Semi-annual progress reports; one Annual progress report; performance measurement data submitted to CMS on least 15 Initial Core Measures; and one Final report addressing the entire two year grant. Applicants should review the individual funding opportunity announcement for information on programmatic and evaluation reporting requirements. Submit a quarterly electronic Federal Financial Report (FFR) via the Payment Management System. The quarterly report identifies cash transactions against the authorized funds for the grant. The FFR Cash Transaction Reports must be filed within 30 days of the end of each quarter. Failure to submit the report may result in the inability to access grant funds. Go to - for additional information. The final FFR, including both cash transactions and expenditures, must be submitted and received within 90 days of the end of the project period. Applicants should review the individual funding opportunity announcement for information on programmatic reporting requirements. Grantees must include expenditures on the annual FFR (submitted at the end of the budget period). The final FFR must be submitted within 90 days after the end of the project period end date and include both cash transactions and expenditures data. No performance monitoring is required.
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal 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. Non-Federal 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 2 CFR 200.503.
Recipients are required to maintain grant accounting records 3 years after the date the grant is officially closed. If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
Other 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
Grants agreements are funded on a 12-month basis, with support for the second year (final year) contingent upon acceptable evidence of satisfactory progress, continuing program relevance, and availability of funds. The maximum time period for funding is 24 months. See the following for information on how assistance is awarded/released: Successful applicants will receive a Notice of Award. Unsuccessful applicants will be notified by letter. Applicants should review the award administration information of the funding opportunity announcement issued under this CFDA program for more information.
Who do I contact about this opportunity?
Regional or Local Office
None. Michelle Feagins
Grants Management Officer
Centers for Medicare and Medicaid Services
Office of Acquisition and Grants Management
200 Independence Ave., S.W.
Room 733H-02
Washington, DC 20201

Health Insurance Specialist, Mark D. Smith
Centers for Medicare & Medicaid Services
7500 Security Boulevard
Baltimore, MD 21244-1850
Phone: 410-786-8015
Headquarters Office
Michelle T. Feagins 200 Independence Ave., SW
Room 733H-02, Washington, District of Columbia 20201 Email: Phone: 301-492-4312
Website Address
Financial Information
Account Identification
(Project Grants) FY 14 $23,295,546; FY 15 est $25,942,544; and FY 16 est $0
Range and Average of Financial Assistance
Grant awards up to $1 million for each 12-month budget period, with an estimated total of up to $2 million per Grantee over the two-year project period.
Regulations, Guidelines and Literature
Refer to the Funding Opportunity Announcement for more information.
Examples of Funded Projects
Not Applicable.


Federal Grants Resources