Money Follows the Person Rebalancing Demonstration

The summary for the Money Follows the Person Rebalancing Demonstration Federal Grant is detailed below. It contains information such as the Catalog of Federal Domestic Assistance (CFDA) number, who is eligible for the grant, how much grant money will be awarded, important deadlines, and a sampling of similar government grants. Verify the accuracy of the data FederalGrants.com provides by visiting the webpage noted in the Link to Full Announcement section or by contacting the appropriate person listed in the Grant Announcement Contact section. If these sections are incomplete, please visit the website of the government agency that is offering this grant.


Federal Grant Title: Money Follows the Person Rebalancing Demonstration
CFDA Number: 93.779
CFDA Description: Centers for Medicare and Medicaid Services (CMS) Research, Demonstrations and Evaluations
Federal Agency Name: Centers for Medicare and Medicaid Services
Category of Funding Activity: Health
Category Explanation: Information not provided
Opportunity Category: Discretionary
Funding Opportunity Number: HHS-2007-CMS-RCMFTP-0003
Document Type: Grants Notice
Funding Instrument Type: Grant
Posted Date: Jul 26, 2006
Creation Date: Jul 26, 2006
Original Closing Date for Applications: Nov 01, 2006 See link to full announcement for details.
Current Closing Date for Applications: Information not provided
Archive Date: Dec 01, 2006
Expected Number of Awards: 50
Estimated Total Program Funding: $1,750,000,000
Federal Grant Award Ceiling: $0
Federal Grant Award Floor: $0
Cost Sharing or Matching Requirement: Yes

Applicants Eligible for this Grant
Others (see text field entitled "Additional Information on Eligibility" for clarification)
Additional Information on Eligibility
Any single State Medicaid Agency may apply for the Money Follows the Person Rebalancing Demonstration. By "State" we refer to the definition provided under 45 CFR %90174.2 as "any of the several States of the United States, the District of Columbia, the Commonwealth of Puerto Rico, any territory or possession of the United States, or any agency or instrumentality of a State exclusive of local governments." By "territory or possession" we mean Guam, the U. S. Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands. Only one application can be submitted for a given State.
Grant Description
Prior to 1980, long-term care services in the United States were delivered almost exclusively in institutional settings. In 1981, President Ronald Reagan signed into law Public Law 97-35. Section 2176 of PL 97-35 established section 1915(c) of the Social Security Act, the Medicaid Home and Community-Based Services (HCBS) Waiver program. Prior to the passage of this legislation, Medicaid long-term care benefits were limited to home health, personal care services, and to institutional facilities: hospitals, nursing facilities (NF), and Intermediate Care Facilities for Persons with Mental Retardation (ICFs/MR). For the first time, the HCBS legislation provided a vehicle for States to offer additional services not otherwise available through their Medicaid programs to serve people in their own homes and communities. HCBS waivers afford States the flexibility to develop and implement creative alternatives to placing Medicaid-eligible individuals in hospitals, nursing facilities or intermediate care facilities for persons with mental retardation. The HCBS waiver program recognizes that many individuals at risk of being placed in these facilities can be served in their homes and communities, preserving their independence and ties to family and friends at a cost no higher than that of institutional care. Over the past 25 years, many States have created long-term care systems that enable people with disabilities or long-term illnesses to live in their own homes or other non-institutional settings. However, while expenditures on home and community services have increased, in most States, expenditures on nursing facilities still account for the majority of Medicaid LTC spending. In fiscal year 2005, spending for HCBS waiver programs, personal care, and home health services accounted for just over one-third (37%) of all Medicaid long-term care expenditures. Despite an increasing use of home and community services long-term care systems, the organization, financing, and delivery of Medicaid-funded long-term care services remains biased towards institutional care. Recognizing the challenges that States face in rebalancing their LTC systems, Congress provided funds for the Real Choice Systems Change (RCSC) Grants program. The RCSC grants are designed to assist States and others in building infrastructure that will result in effective and enduring improvements in long-term support systems. These system changes are designed to enable children and adults of any age, with any payer source, who have a disability or long-term illness to: -- Live in the most integrated community setting appropriate to their individual support requirements and preferences; -- Exercise meaningful choices about their living environment, the providers of services they receive, the types of supports they use, and the manner by which services are provided; and -- Obtain quality services in a manner as consistent as possible with their community living preferences and priorities.
Link to Full Grant Announcement
http://www.cms.hhs.gov/NewFreedomInitiative/02_WhatsNew.asp http://www.cms.hhs.gov/NewFreedomInitiative/02_WhatsNew.asp
Grant Announcement Contact
Nicole Nicholson
Nicole.Nicholson@cms.hhs.gov
Nicole.Nicholson@cms.hhs.gov Nicole Nicholson
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