618-40205-1900-0200 Grant# 1J1CMS331729

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.

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.

Cooperative Agreement with Centers for Medicare and Medicaid Services (CMS)

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).

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.

Yes

Applicants of this funding opportunity shall demonstrate how the funds will be used to enhance the SHIP local network through outreach efforts, one-on-one counseling, and partnership building by issuing subawards to SHIP sites in the applicable PSA. Funds are to be used to support locally accessible counseling services and efforts to meet the below identified SHIP objectives of this grant. Grantees shall: 1. Provide funding to eligible local SHIP sites within the applicable PSA. 2. Sub-grant to local SHIP sites to provide accurate, objective and comprehensive counseling and assistance to low income beneficiaries. 3. Support local SHIP sites as they: • compare Medicare plans and advise clients on the various types of Medicare coverage such as Medicare Advantage plans, Medicare Part D plans, and MMAI plans; • provide beneficiaries access to enrollment assistance through the locally based SHIP sites performing Medicare plan analysis and enrollment via Medicare.gov website tools or the client enrollment broker for www.enrollHFS.illinois.gov; • assist beneficiaries with enrollment in the Medicare Part D Extra Help/Low-Income Subsidy (LIS) program by using the on-line application through Social Security; • assist beneficiaries with the Medicare Savings Program application located on the Application for Benefit Eligibility website (ABE system) at https://abe.illinois.gov/abe/access/; and • assist beneficiaries in determining which forms of coverage best meet an individual’s coverage needs (for example, considerations relative to enrollment in a MMAI plan vs. traditional Medicare to save the beneficiary additional out-of-pocket expenses). 4. Provided technical support to SHIP sites regarding the NEW Medicare Coverage Tool that will replace the existing Medicare.gov Planfinder. 5. Be responsible for timely data reporting and for monitoring the STARS data of awarded subgrantees within their PSA(s).

Nonprofit Organizations;

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). A list of eligible sites may be obtained from the SHIP Director upon request.

Not a beneficiary grant.

Cooperative Agreements

Human Services

Applicable costs and administrative procedures will be determined in accordance with Part 75 of Title 45 of the Code of Federal Regulations.

Successful applicants will receive a Notice of Award (NoA) signed and dated by the Grants Management Officer.

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.

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.

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.

9/18/2018 through 10/30/2019

60 days

Appeals are processed in accordance with the HHS regulations in 45 CFR Part 1321, and Section 2112 of Title 28, U.S.C.

Annual renewals per grantee.

N/A

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.

2. Reporting. Grantees shall be required to submit financial and programmatic reports, minimally, for the following reporting periods: Year I 1) Final date of Execution – February 28, 2020 2) March 1, 2020 – May 31, 2020 3) June 1, 2020 – July 31, 2020 4) Final due September 4, 2020 Years 2 and 3 1) August 1 – October 31 2) November 1 – January 31 3) February 1 – April 31 4) May 1 through July 31 5) Final September 9th (2021 & 2022) Year 4 1) August 1 – October 31 2) November 1 – January 31 3) February 1 – April 30 4) Final – June 9, 2023 Information from the SHIP Reporting System shall be attached to the grant reports. Grant reports shall be submitted using GATAs Periodic Performance Report and Periodic Financial Report. Reports will be submitted via e-mail to the SHIP Director.

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 must be kept available for 3 years after submission of the final expenditure report

618-40205-1900-0200

$1,502,799.08 over a 45 month period

$46,666 - $201,789.74/year

N/A

Not Applicable.

N/A

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

http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialModelstoSupportStatesEffortsinCareCoordination.html

93.324 State Health Insurance Assistance Program (SHIP) Base Grant

N/A

10/4/2019

FY 2020 : $400,610
FY 2021 : $401,094
FY 2022 : $401,094
FY 2023 : $300,000