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ACA Support for Ombudsman and Beneficiary Counseling Programs for States Participating in the Medicare-Medicaid Financial Alignment Initiative
- Support for Beneficiary Counseling Programs for States Participating in the Medicare- Medicaid Financial Alignment Initiative
- Support for Demonstration Ombudsman Programs Serving Beneficiaries of Financial Alignment Models for Medicare-Medicaid Enrollees
- Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals
The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.
Program Accomplishments
Not Applicable.
Uses and Use Restrictions
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.
Restrictions: Direct services already provided by Medicare or Medicaid.
Eligibility Requirements
Applicant Eligibility
States which have signed an MOU with CMS to implement one of the financial alignment demonstration models.
Beneficiary Eligibility
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,.
Credentials/Documentation
A state must be pursuing a financial alignment model. 2 CFR 200, Subpart E - Cost Principles applies to this program.
Aplication and Award Process
Preapplication Coordination
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 Procedures
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program.
Award Procedures
Awards will be made to state agencies to implement ombudsman and counseling programs to support the Financial Alignment Demonstration.
Deadlines
Nov 01, 2016 to Sep 30, 2016: Applications will be due 45 days after posting. Applications are due on the following dates: 1st Round: November 1, 2016, 3:00 PM EST 2nd Round: January 9, 2017 3rd Round: June 1, 2017 Fourth Round: September 5, 2017 Fifth Round: May 1, 2018.
Authorization
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).
Range of Approval/Disapproval Time
45 to 60 days.
Appeals
Not Applicable.
Renewals
Not Applicable.
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
Yes, 2 years. Method of awarding/releasing assistance: quarterly.
Post Assistance Requirements
Reports
Monthly and quarterly data reports.
Quarterly reporting will be required.
Semi-Annual progress reports will be required.
Quarterly expenditure reports will be required.
Performance monitoring is not applicable.
Audits
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.
Records
Accounting and Programmatic records must be maintained for three years.
Financial Information
Account Identification
75-0522-0-1-551.
Obigations
(Cooperative Agreements) FY 17 $6,136,831; FY 18 est $7,449,731; and FY 19 Estimate Not Available
Range and Average of Financial Assistance
Awards range from $149,000-$$1,494,476 per year.
Regulations, Guidelines, and Literature
Not Applicable.
Information Contacts
Regional or Local Office
None.
Headquarters Office
Kemuel Johnson 7500 Security Boulevard Baltimore, MD 21207, Baltimore, Maryland 21207 Email: kemuel.johnson@cms.hhs.gov Phone: 4107868200
Criteria for Selecting Proposals
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.
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