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.
|Recipient||Amount||Start Date||End Date|
|Health Collaborative, The||$ 68,308||   ||2015-09-30||2017-09-29|
|Myhealth Access Network, Inc.||$ 354,563||   ||2015-09-30||2017-09-29|
|Rise Health, Inc.||$ 227,073||   ||2015-09-30||2017-09-29|
|$ 0||   |
|$ 0||   |
|$ 0||   |
|$ 0||   |
|$ 0||   |
|$ 0||   |
|$ 0||   |
Uses and Use Restrictions
All funds awarded should be expended only for carrying out approved projects in accordance with the intent of the cooperative agreement as stipulated in the notice of the award.
Specifically, funds should be used toward establishing or expanding an existing data aggregation system that supports the following duties: * Process and manipulate Medicare FFS administrative data, including claims files; * Aggregate Medicare data with data from regional payers; * Prepare reports, charts, and graphs that display healthcare data at the patient-level, with ability to group patients by payer, health care system, practice, care team, and provider.
Healthcare data may include but is not limited to utilization, cost, diagnoses, and prescription medications.
These reports should be available to all participating practices in the specified region, as well as to CMS and its contractor.
These reports should include: * Patient de-identified reports that can be shared with all participants; * Patient-identifiable reports for practices aggregated with that of regional payers, as consistent with HIPPA privacy rules; * Patient-identifiable reports on Medicare beneficiaries for Medicare consumption based on data aggregated with that of regional payers, as consistent with HIPPA privacy rules.
This project will ultimately benefit the primary care health professionals who participate in CPC and their patients.
The aggregated data will be used by the primary care health professionals to improve care coordination and population health management, and to decrease costs.
This project will also benefit payers and healthcare researchers, as well as the general public.
This project will ultimately benefit the primary care health professionals who participate in CPC and their patients. The aggregated data will be used by the primary care health professionals to improve care coordination and population health management, and to decrease costs. This project will also benefit payers and healthcare researchers, as well as the general public.
No Credentials or documentation are required. This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles.
Aplication and Award Process
Preapplication coordination is not applicable.
Environmental impact information is not required for this program.
This program is excluded from coverage under E.O.
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
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 FOA. Based on the advice of the review panel, the CMS selection official will approve the selected application and issue a Notice of Award. 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.
Contact the headquarters or regional office, as appropriate, for application deadlines.
Section 1115a of the Social Security Act, as added by Section 3021 of the Patient Protection and Affordable Care Act (ACA), authorizes the Centers for Medicare and Medicaid Innovation (CMMI or the Innovation Center) to test innovative payment and service delivery models to reduce spending under Medicare, Medicaid, or CHIP, while preserving or enhancing the quality of care furnished to beneficiaries under those programs.
Range of Approval/Disapproval Time
From 30 to 60 days.
From 15 to 30 days. We will allow 30 day rework time for applications not approved.
The budget and project period for each Cooperative Agreement will be 12 months from the date of award. The estimated budget and project period for the first round of awards is 12 months from the date of award with one non-competing continuation period.
Formula and Matching Requirements
This program has no statutory formula. Matching Requirements: Applicants must have secured commitments for matching funds from other sources. This program does not have MOE requirements.
Length and Time Phasing of Assistance
N/A. Method of awarding/releasing assistance: quarterly.
Post Assistance Requirements
As part of the activities funded by these awards, the awardee must make reports available to all participating CPC practices in the specified region, as well as to CMS and its contractors.
These reports should include: * Patient de-identified reports that can be shared with all participants; * Patient identifiable reports for practices based on data aggregated with that of regional payers, as consistent with HIPPA privacy rules; * Patient-identifiable reports on Medicare beneficiaries for Medicare consumption based on data aggregated with that of regional payers, as consistent with HIPPA privacy rules.
No cash reports are required.
CMS plans to continuously monitor awardees through quarterly reporting requirements in order to ensure that the data aggregation services are being performed in line with the stated goals.
Awardees must agree to cooperate with any Federal evaluation and monitoring of the activities funded by these cooperative agreements and provide quarterly and final (at the end of the cooperative agreement period) reports, as well as any additional reports required.
The awardee will be responsible for providing ongoing ad hoc status updates at the request of CMS program staff, as well as formal reports at regular intervals as described below: * Quarterly Progress reports: Quarterly reports should be brief, summarize progress toward the goals outlined in the implementation plan, and should be submitted within 30 calendar days of the end of each quarter.
The quarterly progress reports will include an overview of progress, analysis of challenges, discuss key lessons, and provide mitigation strategies for addressing barriers during implementation.
The report should also detail how cooperative agreement funds were used for the past three-month period.
This information shall be provided to CMS using the SF-424A form.
CMS will use this information to monitor operations.
* Final Report: No later than 90 calendar days after the end of the cooperative agreement, the awardee shall submit a final report to CMS.
The final report will summarize outcomes of the cooperative agreement, expenditures for all related activities, review key challenges and lessons learned, and discuss the future and sustainability of the data aggregation services built.
The program requires expenditure reports monthly from the start date of the award.
The expenditure report should include a narrative summary of all expenditures made using Federal funding.
Performance will be monitored through Quarterly Progress Reports as described in Question 4 above.
No audits are required for this program.
Awardees are required to maintain proper records ? including financial records, supporting documents, statistical records, and all other records pertinent to the program ? for the duration of the award, and retain these for a minimum of three years. If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the three years, the records should be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular three year period, whichever is later.
(Cooperative Agreements) FY 16 $0; FY 17 est $0; and FY 18 est $0
Range and Average of Financial Assistance
The anticipated total funding per award, per budget period is $200,000 - $450,000.
Regulations, Guidelines, and Literature
Regional or Local Office
See Regional Agency Offices.
Leah Hendrick 7205 Windsor Blvd, Windsor Mill, Maryland 21244 Email: firstname.lastname@example.org Phone: 410-786-7397
Criteria for Selecting Proposals
Applications must adhere to the format described in the FOA. The application must include: ? Project Abstract (not exceeding 1 page) ? Project Narrative (not exceeding 20 pages) ? Proposed Approach ? Organizational Capacity and Management ? Plan for Evaluation and Reporting ? Appendices The applications will be evaluated based on how well they have addressed the above components, with emphasis on the applicant?s capacity for conducting data aggregation duties required by the program. This includes: evidence of prior relationships with payers and practices in the region, a demonstrated understanding of the data aggregation needs of health insurers and primary care practices in the region, and a clear plan of action on achievable objectives within one year and subsequent award years.
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