Opportunity CMS-1LI-11-001

The summary for the Opportunity CMS-1LI-11-001 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: Opportunity CMS-1LI-11-001
CFDA Number: 93.791
CFDA Description: Money Follows the Person Rebalancing Demonstration
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: CMS-1LI-11-001
Document Type: Modification to Previous Grants Notice
Funding Instrument Type: Grant
Posted Date: Jul 23, 2010
Creation Date: Sep 28, 2010
Original Closing Date for Applications: Jan 07, 2011 No Explanation
Current Closing Date for Applications: Jan 07, 2011 No Explanation
Archive Date: Feb 06, 2011
Expected Number of Awards: 20
Estimated Total Program Funding: Information not provided
Federal Grant Award Ceiling: $22,500,000
Federal Grant Award Floor: $22,500,000
Cost Sharing or Matching Requirement: No

Applicants Eligible for this Grant
State governments
Additional Information on Eligibility
Any single State Medicaid Agency not currently participating in the MFP Rebalancing Demonstration may apply. By ?State?, we refer to the definition provided under 45 CFR §74.2 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. Territories should note that any increased FMAP received, as part of the MFP demonstration program, will contribute to their total Medicaid allotment.
Grant Description
The MFP Rebalancing Demonstration Program was authorized by Congress in section 6071 of the Deficit Reduction Act of 2005 (DRA) and was designed to provide assistance to States to balance their long-term care systems and help Medicaid enrollees transition from institutions to the community. The MFP Demonstration Program reflects a growing consensus that long-term supports must be transformed from being institutionally-based and provider-driven to ?person-centered? consumer directed and community-based. Congress initially authorized up to $1.75 billion in Federal funds through fiscal year (FY) 2011 to: 1) Increase the use of HCBS and reduce the use of institutionally-based services; 2) Eliminate barriers and mechanisms in State law, State Medicaid plans, or State budgets that prevent or restrict the flexible use of Medicaid funds to enable Medicaid-eligible individuals to receive long-term care in the settings of their choice; 3) Strengthen the ability of Medicaid programs to assure continued provision of HCBS to those individuals who choose to transition from institutions; and, 4) Ensure that procedures are in place to provide quality assurance and continuous quality improvement of HCBS. Currently, twenty-nine States and the District of Columbia have implemented MFP Demonstration Programs. After a pre-implementation period, States began actively transitioning individuals into community settings in the spring of 2008. Since the beginning of calendar year 2009, the number of participants transitioning has increased as solutions to barriers were identified and significant technical assistance is continuing to be provided to help States meet transition benchmarks they set. As of December 2009, almost 6,000 individuals have returned to the community as a result of these demonstrations. Section 2403 of the ACA provides an opportunity for those States that are presently participating in the program to continue building and strengthening their MFP Demonstration Programs and for additional States to participate. The law amends section 6071 of the DRA to make the following changes: 1) Extends the MFP Demonstration Program through September 30, 2016, and appropriates an additional $450 million for each FY 2012-2016, totaling an additional $2.25 billion. Any remaining MFP appropriation at the end of each FY carries over to subsequent FYs and is available to make grant awards to current and new grantees until FY 2016. Grant awards shall be made available to the State for the FY in which the award was received and for additional FYs. As such, any unused portion of a State grant award made in 2016 would be available to the State until 2020. Under the Affordable Care Act, individuals that reside in an institution for more than 90 consecutive days are now eligible to participate in the demonstration. However, one exception applies in the expanded definition of eligibility: days that an individual was residing in the institution for the sole purpose of receiving short-term rehabilitation services that are reimbursed under Medicare are excluded and will not be counted toward the 90-day required period. 2) Additional funding is provided through 2016 for the National MFP Evaluation. The Affordable Care Act extends the DRA provision that a maximum of $1.1 million per year shall be available for research and evaluation purposes and is part of the $2.25 billion total noted above.
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