Demonstration to Maintain Independence and Employment

The summary for the Demonstration to Maintain Independence and Employment grant is detailed below. This summary states who is eligible for the grant, how much grant money will be awarded, current and past deadlines, Catalog of Federal Domestic Assistance (CFDA) numbers, 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 as the Grant Announcement Contact. If any section is incomplete, please visit the website for the Centers for Medicare and Medicaid Services, which is the U.S. government agency offering this grant.

Demonstration to Maintain Independence and Employment: The Centers for Medicare & Medicaid Services (CMS) is soliciting proposals from states to participate in the Demonstration to Maintain Independence and Employment. This demonstration, created by section 204 of the Ticket to Work and Work Incentives Improvement Act of 1999 (P.L. 106-170), allows states to provide benefits, equivalent to those provided by Medicaid, to the categorically needy, to workers who have physical or mental impairments that, without medical assistance, will likely result in disability. The demonstration was created to further the overall goals of the legislation by demonstrating the value of providing health care benefits and other services to support individuals with disabilities in employment and independence. Outcomes that the demonstration seeks to measure include: reliance on cash benefits, employment status, changes in health status, cost of health care, and quality of life. This demonstration grant provides an opportunity to investigate the question: can a program of medical assistance and other supports forestall or prevent the loss of employment and independence due to a potentially disabling and medically determinable physical or mental impairment? CMS, within the Department of Health and Human Services (DHHS), will approve a number of demonstration projects that meet the requirements specified in the grant solicitation. Funding for the Demonstration to Maintain Independence and Employment may be distributed through 2009, and $250 million in funding has been appropriated for the program. There is no minimum or maximum grant award per state or per project; however, CMS reserves the right to negotiate the size of any demonstration project proposed by a state. Medical assistance costs, as defined in sec. 1905(a) of the Social Security Act (the Act), will be reimbursed quarterly at a rate equal to the state's Federal medical assistance percentage (FMAP). All other necessary expenses associated with the demonstration will be paid quarterly with 100 percent Federal funds. For example, if the state can demonstrate that providing a non-medical assistance service constitutes reasonable and necessary administrative expenses, e.g., vocational counseling services, CMS can fully fund these services. There is no other match requirement associated with this demonstration. All states are eligible to participate in the Demonstration to Maintain Independence and Employment. For purposes of this program,