Department of Health and Human Services Grant: Strengthening Business Capacity of Aging and Disability Networks for Managed Long-Term Services and Supports

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This grant aims to enhance the capabilities of aging and disability community-based networks in providing managed long-term services and supports. With the increasing shift towards capitated systems in Medicaid LTSS programs, states are seeking flexible benefits packages and improved care coordination. The grant addresses the challenges faced by Medicaid LTSS recipients, who contribute significantly to Medicaid spending. Through incentives provided by the Affordable Care Act, states are encouraged to develop innovative service delivery and payment models for dual eligible individuals. The grant opportunity aligns with national efforts to integrate care and lower costs, supporting states in driving improvements in care, population health, and cost containment. Closing date for applications is August 1, 2012.

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Opportunity ID: 180695

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General Information

Document Type:: Grants Notice
Funding Opportunity Number:: HHS-2012-ACL-BC-1217
Funding Opportunity Title:: Building the Business Capacity of Aging and Disability Community-Based Networks for Managed Long-Term Services and Supports
Opportunity Category:: Discretionary
Opportunity Category Explanation::
Funding Instrument Type::
Category of Funding Activity:: Income Security and Social Services
Category Explanation::
Expected Number of Awards:: 1
Assistance Listings Number(s):: 93.048 — Special Programs for the Aging_Title IV_and Title II_Discretionary Projects
Cost Sharing or Matching Requirement:: No
Version:: Synopsis 1
Posted Date:: Jun 29, 2012
Last Updated Date::
Original Closing Date for Applications:: Aug 01, 2012
Current Closing Date for Applications:: Aug 01, 2012
Archive Date:: Aug 31, 2012
Estimated Total Program Funding:: $ 250,000
Award Ceiling:: $250,000
Award Floor:: $0

Eligibility

Eligible Applicants:: Native American tribal organizations (other than Federally recognized tribal governments)
Additional Information on Eligibility:: Faith based organizations and community based organizations.

Additional Information

Agency Name:: Administration on Aging
Description:: The statutory authority for grants under this Program Announcement is contained in Title IV of the Older Americans Act (OAA) (42U.S.C. 3032), as amended by the Older Americans Act Amendments of 2006, P.L. 109-365. (Catalog of Federal Domestic Assistance 93.048, Title IV Discretionary Projects).

While managed care has long been part of many states Medicaid primary care programs, its presence in Medicaid long-term services and supports (LTSS) systems has been less pronounced. However, the past two years have seen a rapid expansion of interest in this area. A recent environmental scan of states managed long-term services and supports (MLTSS) undertaken for the Centers for Medicare & Medicaid Services (CMS) showed 16 states with MLTSS programs. In addition, a 2011 survey undertaken by the National Association of States United for Aging and Disabilities showed more than half of states either considering or operating Medicaid MLTSS in all or part of their state, many within the next two years.

A number of factors have accelerated this movement toward capitation in states Medicaid long-term services and supports programs. Capitated systems can offer more flexible benefits packages and other opportunities for integrating acute and long-term service and supports systems, and improving care coordination and community alignment. While states have struggled for years with Medicaid costs taking an ever-increasing share of their budgets, the Great Recession, its accompanying higher demand for Medicaid services, and the loss of temporary Medicaid federal stimulus funding provided under the American Recovery and Reinvestment Act have only exacerbated that strain. Although people receiving Medicaid LTSS represent only 6 percent of the Medicaid population, they account for a disproportionate share of Medicaid spending nearly half of Medicaid spending overall making them a logical target for states cost containment strategies.
In addition to the Medicaid expansion included in the Patient Protection and Affordable Care Act of 2010 (also known as the Affordable Care Act, or the ACA), the ACA has also provided incentives to states to develop new service delivery and payment models in order to achieve the three-part aim of improving care, improving population health and lowering costs, particularly for people dually enrolled in Medicare and Medicaid (also called dual eligibles). In April 2011, the CMS Medicare-Medicaid Coordination Office awarded design contracts to 15 states to develop models for integrating care for dually eligible individuals. In a related effort, in July 2011, CMS released a letter to State Medicaid Directors which discussed opportunities for integrating care and aligning financing for Medicare and Medicaid through capitated and/or managed fee-for-service models, including community-based and institutional long-term services and supports. As of June 2012, 26 states have submitted financial alignment proposals to CMS. Other states are using different CMS authorities, such as Medicaid Section 1115(a) demonstrations, to implement and finance managed care arrangements for integration of their acute and long-term care systems.

Link to Additional Information::
Grantor Contact Information:: If you have difficulty accessing the full announcement electronically, please contact:

Version History

Version Modification Description Updated Date
Synopsis 1

Package Status

Below are CLOSED Opportunity Package(s) no longer available for this Funding Opportunity:

Package No: 1

Assistance Listings: 93.048
Competition ID: HHS-2012-ACL-BC-1217
Competition Title: Building the Business Capacity of Aging and Disability Community-Based Networks for Managed Long-Term Services and Supports
Opportunity Package ID: PKG00129871
Opening Date: Jun 29, 2012
Closing Date: Aug 01, 2012
Agency Contact Information:: Sean Lewis
Who Can Apply:: Organization Applicants
mendatory_forms Application for Federal Assistance (SF-424) [V2.1]
Budget Information for Non-Construction Programs (SF-424A) [V1.0]
Assurances for Non-Construction Programs (SF-424B) [V1.1]
Project/Performance Site Location(s) [V1.4]
Project Narrative Attachment Form [V1.1]
Budget Narrative Attachment Form [V1.1]
Grants.gov Lobbying Form [V1.1]
optional_forms Other Attachments Form [V1.1]
Faith Based EEO Survey [V1.2]
Disclosure of Lobbying Activities (SF-LLL) [V1.1]

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Packages

Assistance Listings Competition ID Competition Title Opportunity Package ID Opening Date Closing Date Actions Who Can Apply:
93.048 HHS-2012-ACL-BC-1217 Building the Business Capacity of Aging and Disability Community-Based Networks for Managed Long-Term Services and Supports PKG00129871 Jun 29, 2012 Aug 01, 2012 View Sean Lewis Organization Applicants

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