CMS Initiative: Reducing Avoidable Hospitalizations for Nursing Facility Residents

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The Centers for Medicare & Medicaid Services (CMS) are seeking eligible organizations for an initiative aimed at implementing evidence-based clinical interventions to enhance the health and healthcare services for nursing facility residents. The goal is to reduce avoidable inpatient hospital admissions by improving resident health outcomes, streamlining transitions between hospitals and nursing facilities, and cutting down healthcare spending. Targeting long-stay Medicare-Medicaid enrollees in certified nursing facilities, successful applicants will focus on reducing avoidable hospital admissions without limiting access to care or choice of providers. Closing date for applications is June 14, 2012.

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Opportunity ID: 153873

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General Information

Document Type:: Grants Notice
Funding Opportunity Number:: CMS-1E1-12-002
Funding Opportunity Title:: Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents
Opportunity Category:: Discretionary
Opportunity Category Explanation::
Funding Instrument Type::
Category of Funding Activity:: Health
Category Explanation::
Expected Number of Awards:: 7
Assistance Listings Number(s):: 93.621 — Affordable Care Act Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents
Cost Sharing or Matching Requirement:: No
Version:: Synopsis 3
Posted Date:: Mar 15, 2012
Last Updated Date:: Apr 30, 2012
Original Closing Date for Applications:: Jun 14, 2012
Current Closing Date for Applications:: Jun 14, 2012
Archive Date:: Jul 14, 2012
Estimated Total Program Funding:: $ 128,000,000
Award Ceiling:: $30,000,000
Award Floor:: $5,000,000

Eligibility

Eligible Applicants:: Others (see text field entitled “Additional Information on Eligibility” for clarification)
Additional Information on Eligibility:: CMS will consider applications from organizations (referred to as enhanced care & coordination providers) that demonstrate the capacity to adequately implement the types of initiatives described above. Enhanced care & coordination providers may include, but are not limited to:
– Organizations that provide care coordination, case management, or related services;
– Medical care providers, such as physician practices;
– Health plans (although this Initiative will not be capitated managed care, and will not apply to beneficiaries enrolled in Medicare Advantage);
– Public or not-for-profit organizations, such as Aging and Disability Resource Centers, Area Agencies on Aging, Behavioral Health Organizations, Centers for Independent Living, universities, or others;
– Integrated delivery networks, if they extend their networks to include unaffiliated nursing facilities.

Nursing facilities, entities controlled by nursing facilities, or entities for which the primary line of business is the delivery of nursing facility/skilled nursing facility services are excluded from serving as enhanced care & coordination providers under this cooperative agreement.

Legal Status: To be eligible, an organization must be recognized as a single legal entity by the State where it is incorporated, and must have a unique Tax Identification Number (TIN) designated to receive payment. The organization must have a governing body capable of entering into a cooperative agreement with CMS on behalf of its members.

Additional Information

Agency Name:: Centers for Medicare & Medicaid Services
Description:: Under this Initiative, the Centers for Medicare & Medicaid Services (CMS) will select eligible organizations to test a series of evidence-based clinical interventions. The goal of these interventions is to improve the health and health care among nursing facility residents and ultimately reduce avoidable inpatient hospital admissions. Successful applicants will implement such interventions that will have the following objectives: 1) Reduce the frequency of avoidable hospital admissions and readmissions; 2) Improve resident health outcomes; 3) Improve the process of transitioning between inpatient hospitals and nursing facilities; and 4) Reduce overall health care spending without restricting access to care or choice of providers. The interventions shall primarily target long-stay Medicare-Medicaid enrollees in Medicare-Medicaid certified nursing facilities, rather than those likely to experience only a brief post-acute stay and then return home.
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 3 The Funding Opportunity Announcement (FOA) has been modified dated 4-30-12. Please check the amended FOA as well as the Summary of Changes document for specific changes. Apr 30, 2012
Synopsis 2 Edited Eligibility and Funding Opportunity Description to take out question marks that appeared in the text.
Synopsis 1

Package Status

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

Package No: 1

Assistance Listings: 93.621
Competition ID: CMS-1E1-12-002-014033
Competition Title: Nursing Facility Initiative
Opportunity Package ID: PKG00106450
Opening Date: Mar 15, 2012
Closing Date: Jun 14, 2012
Agency Contact Information:: Mary Greene
Who Can Apply:: Organization Applicants
mendatory_forms Application for Federal Assistance (SF-424) [V2.1]
Other Attachments Form [V1.1]
Project/Performance Site Location(s) [V1.4]
Project Abstract Summary [V1.1]
Disclosure of Lobbying Activities (SF-LLL) [V1.1]
Project Narrative Attachment Form [V1.1]
Budget Narrative Attachment Form [V1.1]
Budget Information for Non-Construction Programs (SF-424A) [V1.0]
Assurances for Non-Construction Programs (SF-424B) [V1.1]
optional_forms

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Packages

Assistance Listings Competition ID Competition Title Opportunity Package ID Opening Date Closing Date Actions Who Can Apply:
93.621 CMS-1E1-12-002-014033 Nursing Facility Initiative PKG00106450 Mar 15, 2012 Jun 14, 2012 View Mary Greene Organization Applicants

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