93.634 (2025) Support for Beneficiary Counseling Programs for States Participating in the Medicare - Medicaid Financial Alignment Initiative - SHIP
CSFA Number: 402-06-2248
Agency Name
Department On Aging (402)
Agency Identification
618-40205-1900-0200 Grant# 1J1CMS331729
Agency Contact
Sandy Leith
217 900-0004
Sandy.Leith@Illinois.Gov
Short Description
The program ensures that the beneficiaries of the Financial Alignment Demonstration models, as well as their caregivers and representatives, have access to personal-centered assistance in resolving problems related to the plans and providers.
Federal Authorization
Section 1115A of the Social Security Act (the Act) as added by Section 3021 of the Patient Protection and Affordable Care Act (P.L. 111-148), authorizes the Innovation Center to test innovative payment and service delivery models to reduce expenditures under Medicare, Medicaid, and the Children's Health Insurance Program while preserving or enhancing the quality of all beneficiaries' care.
Illinois Statue Authorization
Cooperative Agreement with Centers for Medicare and Medicaid Services (CMS)
Illinois Administrative Rules 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).
Objective
CMS is presenting this Funding Opportunity Announcement (FOA) to ensure that the beneficiaries of the Financial Alignment Demonstration models as well as their caregivers and authorized representatives -- have access to person-centered assistance in resolving problems related to the Plans and providers.
Prime Recipient
Yes
UGA Program Terms
The purpose of this grant is to: 1. assist the SHIP with the CMS Financial Alignment Initiative (referred to as MMAI for this NOFO) for Medicare and Medicaid dually eligible beneficiaries (referred to as beneficiaries in this NOFO); 2. strengthen the SHIP network by adding Bi-lingual speaking counselors at existing sites, expanding coverage by developing new sites, and recruiting additional counselors to support the community as they perform personalized counseling, education, and outreach to help achieve the program mission; and 3. support the development of new innovative ideas and expand strategic awareness within the SHIP network to provide enhanced services to MMAI eligible individuals and produce better health outcomes for beneficiaries. Applicants of this funding opportunity shall demonstrate how the funds will be used to enhance the local SHIP network through outreach and education efforts, one-on-one counseling, and partnership building by issuing subawards to SHIP sites in the applicable PSA. Applicants of this funding opportunity shall also identify strategies to be used by current SHIP sites as they provide counseling, outreach, and education efforts to the low-income, non-native English-speaking communities, and disadvantaged populations. They shall also use the local SHIP network to collaborate with new partners within the PSA to better serve low-income, non-native English-speaking communities and disadvantaged populations.
Eligible Applicants
Nonprofit Organizations;
Applicant Eligibility
An eligible applicant must be a certified SHIP site for the State of Illinois and the site must be registered as an active site on SHIP Data Collection System for counseling and/or monitoring work performed. Applicants must be a SHIP Coordinator and/or SHIP Counselor(s) who is actively performing SHIP counseling and/or outreach and actively reports client contact and public and media activities in the SHIP Tracking and Reporting System (STARS).
Beneficiary Eligibility
Not a beneficiary grant.
Types of Assistance
Cooperative Agreements
Subject / Service Area
Human Services
Credentials / Documentation
Applicable costs and administrative procedures will be determined in accordance with Part 75 of Title 45 of the Code of Federal Regulations.
Preapplication Coordination
Successful applicants will receive a Notice of Award (NoA) signed and dated by the Grants Management Officer.
Application Procedures
Applications must be received at the Department via email by the due date and time listed in the NOFO in order to be considered for award. Applications received after that time shall not be considered eligible for award.
Criteria Selecting Proposals
A review panel of at least three individuals will evaluate applications that pass the screening and meet the responsiveness criteria. These reviewers are experts in their field and are drawn from the current Illinois Department on Aging staff. Based on the application review criteria the reviewers will comment on and score the applications, focusing their comments and scoring decisions on the identified criteria. Final award decisions will be made based upon a point system. In making these decisions, the SHIP Director will take into consideration recommendations of the review, of reviews from programmatic and grants management compliance, and the likelihood that the proposed project will result in the benefits expected.
Award Procedures
Successful applicants will receive a Notice of Award (NoA) signed and dated by the Grants Management Officer. A Uniform Grant Agreement will be sent to Grantee following the NOA.
Deadlines
11/7/2024 through 12/2/2024
Range of Approval or Disapproval Time
60 days
Appeals
Appeals are processed in accordance with the HHS regulations in 45 CFR Part 1321, and Section 2112 of Title 28, U.S.C.
Renewals
Annual renewals per grantee.
Formula Matching Requirements
N/A
Uses and Restrictions
An eligible applicant must be a certified SHIP site for the State of Illinois and the site must be registered as an active site in the SHIP Data Collection System for counseling and/or monitoring work performed. Funding shall be used exclusively for SHIP activities. Awarded grantees shall be responsible for ensuring funds are used for SHIP purposes only. SHIP related expenses shall include, but not be limited to, staffing costs, office space, materials, supplies, travel, equipment, training and consultant services. Expenses excluded include consultant services, research and development and construction as defined in the Uniform Budget Template. Any expenses associated with the application process, pre-award costs, or any work performed prior to period of performance in the Notice of State Award (NOSA) shall not be payable under the resulting grant.
Reports
The Grantee shall be responsible for ensuring all sites adhere to the standard requirements of SHIP, including reporting in the SHIP Data Tracking and Reporting System (STARS). All reports of the period are due by the 15th of the following month of the grant. (i.e., Reports for the month of October are due by November 15th). Information from the SHIP Reporting System shall be included in each monthly grant report. Grant reports shall be submitted using GATAs Periodic Performance Report and Periodic Financial Report, and SHIP MMAI Supplemental report. Reports are to be submitted via e-mail to the SHIP Grant Manager.
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. 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
Records must be kept available for 3 years after submission of the final expenditure report.
Account Identification
618-40206-1900-0200
Obligations
$600,000.00 over four (4) months
Range and Average of Financial Assistance
$25,000.00 - $128,837.81
Program Accomplishments
N/A
Regulations, Guidelines, and Literature
Not Applicable.
Regional or Local Assistance Location
N/A
Headquarters Office
U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, Office of Acquisition and Grants Management, 7500 Security Blvd., Mail Stop B3-30-03, Baltimore, MD 21244-1850
Program Website
http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialModelstoSupportStatesEffortsinCareCoordination.html
Example Projects
N/A
Published Date
11/7/2024
Funding By Fiscal Year
FY 2020 : $400,610
FY 2021 : $401,094
FY 2022 : $401,094
FY 2023 : $300,000
FY 2025 : $600,000
Federal Funding
Notice of Funding Opportunities
Agency IDAward RangeApplication Range