93.634 (2020) Support for Beneficiary Counseling Programs for States Participating in the Medicare-Medicaid Financial Alignment Initiative - Ombudsman
MMAI Ombudsman (2020)
CSFA Number: 402-05-2249
STATE AGENCY INFORMATION
Agency Name
Department On Aging (402)
Agency Identification
618-40205-1900-0200 Grant# 1J1CMS331729
Agency Contact
PROGRAM INFORMATION
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
N/A
Illinois Statue Authorization
Adult Protective Services Act (320 ILSC 20)
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.
Eligible Applicants
Government Organizations;
Applicant 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.
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
Types of Assistance
Cooperative Agreements
Subject / Service Area
Human Services
Credentials / Documentation
A state must be pursuing a financial alignment model.
Preapplication Coordination
Awards will be made to state agencies to implement ombudsman and counseling programs to support the Financial Alignment Demonstration.
Application Procedures
Submissions via the State Of Illinois Grant Management System: https://www2.illinois.gov/sites/GATA/Grants/SitePages/CSFA.aspx or grants.illinois.gov
Criteria 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.
Award Procedures
Awards will be made to state agencies or their designated entities to implement ombudsman and counseling programs to support the Financial Alignment Model Demonstration.
Deadlines
Applications were due on 1st round: May 30, 2019, 2nd Round: May 1, 2020 and 3rd Round: August 17, 2020. There are no future deadlines for this program.
Range of Approval or Disapproval Time
60 - 90 days
Uses and Restrictions
Through this cooperative agreement, CMS seeks to fund activities necessary to plan for, develop and implement Demonstration Ombudsman Program services to beneficiaries and their families, as appropriate. Restrictions: Direct services already provided by Medicare or Medicaid.
Reports
This program has no statutory formula. This program has no matching requirements. This program does not have MOE requirements. Semi-Annual and 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. 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. Accounting and Programmatic records must be maintained for three years.
Records
Accounting and Programmatic records must be maintained for three years.
Account Identification
618-402-05-1900-0200
Obligations
(Cooperative Agreements) FY19: $7,168,035.00; FY20: est. $6,267,122.00; FY21: est. $6,276,094.00
Range and Average of Financial Assistance
Awards range from $149,000 - $1,494,476 per year.
Program Accomplishments
State agencies or their designated entitie implemented ombudsman and counseling programs to support the Financial Alignment Model Demonstration. This 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.
Regulations, Guidelines, and Literature
Not Applicable
Regional or Local Assistance Location
N/A
Headquarters Office
Kemuel Johnson 7500 Security Boulevard Baltimore, MD 21207 Email: kemuel.johnson@cms.hhs.gov Phone: 410-786-8200.
Program Website
http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialModelstoSupportStatesEffortsinCareCoordination.html
FUNDING INFORMATION
Federal Funding
Notice of Funding Opportunities
| Agency ID | Award Range | Application Range |
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