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This department is offering grants to states to establish independent offices of health insurance consumer assistance or ombudsman programs. The grants aim to assist consumers with complaints, appeals, enrollment, and understanding their rights regarding health coverage. The program requires data collection on consumer inquiries to improve marketplace enforcement. Assistance includes helping consumers access premium tax credits and resolving grievances. The goal is to help individuals navigate new health programs and find affordable coverage. Closing date for applications is May 21, 2012.
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Opportunity ID: 166256
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General Information
| Document Type:: | Grants Notice |
| Funding Opportunity Number:: | CA-CAP-12-001 |
| Funding Opportunity Title:: | Limited Competition for Affordable Care Act Consumer Assistance Program Grants |
| Opportunity Category:: | Discretionary |
| Opportunity Category Explanation:: | |
| Funding Instrument Type:: | |
| Category of Funding Activity:: | Health |
| Category Explanation:: | |
| Expected Number of Awards:: | 38 |
| Assistance Listings Number(s):: | 93.519 — Affordable Care Act (ACA) – Consumer Assistance Program Grants |
| Cost Sharing or Matching Requirement:: | No |
| Version:: | Synopsis 2 |
| Posted Date:: | Apr 20, 2012 |
| Last Updated Date:: | Apr 20, 2012 |
| Original Closing Date for Applications:: | May 21, 2012 |
| Current Closing Date for Applications:: | May 21, 2012 |
| Archive Date:: | Jun 20, 2012 |
| Estimated Total Program Funding:: | |
| Award Ceiling:: | $127,967 |
| Award Floor:: | $0 |
Eligibility
| Eligible Applicants:: | State governments |
| Additional Information on Eligibility:: |
Additional Information
| Agency Name:: | CMS-Consumer Information & Insurance Oversight |
| Description:: | On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act. On March 30, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act (ACA) includes a wide variety of provisions designed to promote 5 accountability, affordability, quality, and accessibility in the health care system. The Affordable Care Act also includes significant grant funding for States to work with the Federal government to implement health reform.
Section 1002 of the ACA added section 2793 of the PHS Act, which provides for federal grants to States1 to establish, expand, or provide support for the establishment of independent offices of health insurance consumer assistance or ombudsman programs. Section 2793 of the PHS Act requires that, as a condition of receiving grant funds, consumer assistance or ombudsman programs must: assist consumers with filing complaints and appeals, assist consumers with enrollment into health coverage, and educate consumers on their rights and responsibilities with respect to group health plan and health insurance coverage. In addition, these programs must collect data on consumer inquiries and complaints to help the Secretary identify problems in the marketplace and strengthen enforcement. Starting in 2014, programs must also help resolve problems with obtaining premium tax credits for coverage through a State Exchange established under section 1311 of the ACA, and receive referrals from entities that serve as navigators for enrollees with a grievance, complaint, or question regarding their health plan, coverage, or a determination under such plan or coverage. |
| 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 2 | Apr 20, 2012 | |
| Synopsis 1 |
Package Status
Below are CLOSED Opportunity Package(s) no longer available for this Funding Opportunity:
Package No: 1
| Assistance Listings: | 93.519 |
| Competition ID: | CA-CAP-12-001-014341 |
| Competition Title: | Limited Competition for Affordable Care Act Consumer Assistance Program Grants |
| Opportunity Package ID: | PKG00118050 |
| Opening Date: | Apr 20, 2012 |
| Closing Date: | May 21, 2012 |
| Agency Contact Information:: | GABRIEL W. NAH, Jr. |
| 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 Narrative Attachment Form [V1.1] Budget Narrative Attachment Form [V1.1] Other Attachments Form [V1.1] Disclosure of Lobbying Activities (SF-LLL) [V1.1] Project Abstract Summary [V1.1] Project/Performance Site Location(s) [V1.4] |
| optional_forms |
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Packages
| Assistance Listings | Competition ID | Competition Title | Opportunity Package ID | Opening Date | Closing Date | Actions | Who Can Apply: | |
|---|---|---|---|---|---|---|---|---|
| 93.519 | CA-CAP-12-001-014341 | Limited Competition for Affordable Care Act Consumer Assistance Program Grants | PKG00118050 | Apr 20, 2012 | May 21, 2012 | View | GABRIEL W. NAH, Jr. | Organization Applicants |
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