MEDICAID PROGRAM: REAL CHOICE SYSTEMS CHANGE GRANTS - Systems Transformation

The summary for the MEDICAID PROGRAM: REAL CHOICE SYSTEMS CHANGE GRANTS - Systems Transformation 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.
MEDICAID PROGRAM: REAL CHOICE SYSTEMS CHANGE GRANTS - Systems Transformation: Since fiscal year (FY) 2001, Congress has appropriated over $245 million for the Real Choice Systems Change (RCSC) Grants for Community Living. In implementing the RCSC program, the Centers for Medicare & Medicaid Services (CMS) has awarded over 297 grants to all 50 states, the District of Columbia (DC), and two territories totaling approximately $238 million. In FY2006, during the consolidated appropriations process, Congress appropriated an additional $25 million (with a 1% across the board rescission leaving approximately $24,750,000) to fund a new round of RCSC grants. (see H.R Conference Report 109-337[1]) With this funding, CMS will be awarding several states and non-profit agencies with small supplemental grants. States and other eligible organizations, in partnership with their disability and aging communities, may submit proposals to design and construct systems infrastructure that will result in effective and enduring improvements in community long-term support systems. These system changes are designed to enable children and adults of any age 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. With this solicitation, CMS invites proposals for grants totaling approximately $20 million of the total FY2006 RCSC funds, to be allocated for Systems Transformation grants. This year's offering for the Systems Transformation grants represents a continuation of the successful Systems Transformation grants offering from FY2005. A detailed description of this grant category may be found in, Section I.C. Its main characteristics can be summarized as follows: Intent: The System Transformation grants are designed to implement broader changes in states' systems infrastructure to support continued development of quality community based service options. Funding: Applicants may request up to $3 million to support development and implementation of a Systems Transformation grant. Grant Types: With the grant funds, successful applicants are required to address at least three (3) of the six (6) transformation goals CMS has designated as critical to successful systems transformation. Applicants have flexibility as to how the grant funds will be targeted within their state and across the selected transformation goals. However, the application must demonstrate how the selected goals are integrated and together will assist the applicant to advance towards a more coherent system of long-term care supports. These goals are: Improved Access to Long-Term Support Services: Development of One-Stop System Increased Choice and Control: Development/Enhancement of Self-Directed Service Delivery System Comprehensive Quality Management System Transformation of Information Technology to Support Systems Change Creation of a System that More Effectively Manages the Funding for Long-term Supports that Promote Community Living Options Long-Term Supports Coordinated with Affordable and Accessible Housing -- Grant Phases: 1. Application: Applicants are expected to conduct a "Systems Readiness Assessment" that articulates the applicant's progress towards the six (6) goals of "successful systems transformation". This analysis should provide justification for the primary components of the Systems Transformation application: applicant selection into a level of systems transformation (advanced; mid-range; or preliminary); which component(s) of the long-term care system the applicant has elected to target with the Systems Transformation funds (i.e., statewide and/or across multiple target populations, or a particular geographic area and/or target population; etc); which of the six (6)--but no less than three (3)--systems transformation goals the applicant will elect to implement with the Systems Transformation funds; a preliminary plan for how those goals may be achieved; and a description of how the grantee will embark on the development of a strategic plan. 2. Planning Phase: Successful applicants, upon notification of award, will be allocated up to ten (10) percent of the total grant award and granted up to nine (9) months to develop a vision and strategic plan for the component(s) of their long-term care system they have elected to address and the Systems Transformation goals [at least three (3)] they intend to implement. Upon grant award, CMS will provide a template and instructions for development and submittal of the strategic plan. Implementation Phase: Once the strategic plan has been approved by CMS, grantees will be permitted access to the remaining 90% of the grant funds and can begin the implementation phase of the Systems Transformation grant. Grantees will have up to sixty (60) months from the date of initial grant award to conduct the implementation phase of the grant. Grantees must demonstrate meaningful inclusion of key stakeholders, including consumers and advocacy groups, in both Planning and Implementation phases of the grant. -- Technical Assistance: Applicants will be expected to utilize grant funds from their individual awards to acquire any technical assistance and/or support. In order to accomplish the goals and objectives proposed by the applicant, grant funds can be used, as noted, to purchase technical assistance. The funding for this type of technical assistance is part of the grantee's awarded grant budget and cannot exceed 20% of the proposed budget without CMS approval. -- Evaluation: The applicant is required to develop and implement a systems and impact-based evaluation. Funding for the evaluation can not exceed 15% of the total grant award. CMS will, additionally, provide the assistance of a national evaluator who will furnish guidance to the grantee regarding development of a strategic plan and the evaluation plan.
Federal Grant Title: MEDICAID PROGRAM: REAL CHOICE SYSTEMS CHANGE GRANTS - Systems Transformation
Federal Agency Name: Centers for Medicare and Medicaid Services
Grant Categories: Health
Type of Opportunity: Discretionary
Funding Opportunity Number: HHS-2006-CMS-RCSTG-0007
Type of Funding: Grant
CFDA Numbers: 93.779
CFDA Descriptions: Centers for Medicare and Medicaid Services (CMS) Research, Demonstrations and Evaluations
Current Application Deadline: No deadline provided
Original Application Deadline: Jun 15, 2006 All grant applications are due by Ju
Posted Date: Apr 13, 2006
Creation Date: Jun 11, 2007
Archive Date: Jun 11, 2007
Total Program Funding: $20,000,000
Maximum Federal Grant Award: $3,000,000
Minimum Federal Grant Award: $2,000,000
Expected Number of Awards: 7
Cost Sharing or Matching: Yes
Applicants Eligible for this Grant
Others (see text field entitled "Additional Information on Eligibility" for clarification)
Additional Information on Eligibility
The single state Medicaid Agency, state Mental Health Agency, state Mental Retardation or Developmental Disability Agency or instrumentality of a state (as defined under state law) may apply for the Systems Transformation Grants. 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." "Territory or possession" is defined as Guam, the United States Virgin Islands, American Samoa, and the Commonwealth of the Northern Mariana Islands. All applications for System Transformation grants must include a letter of endorsement from the Governor of the State. If an application is from an applicant that is not the single state Medicaid Agency, a letter of endorsement from the State Medicaid Director is required. States that received a Comprehensive Systems Reform Grant in FY2004 or a Systems Transformation grant in FY2005 are not eligible for an STG in FY2006.
Link to Full Grant Announcement
Information not provided
Grant Announcement Contact
Nicole Nicholson
nnicholson@cms.hhs.gov
nnicholson@cms.hhs.gov nnicholson@cms.hhs.gov
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