Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals
Active
- Assistance listing
- 93.634
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Grant awards
- 29 $44,088,924 in federal obligations
Program facts
- Also known as
- Support for Demonstration Ombudsman Programs Serving Beneficiaries of State Demonstrations to Integrate Care for Medicare-Medicaid
- Assistance type
-
- Cooperative Agreement
- Treasury account
-
- 75-0522-0-1-551
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Centers for Medicare and Medicaid Services (CMS) awarded its most recent grant under CFDA 93.634 on November 2, 2020; no grant opportunities are currently open under this program, and the last posted solicitation closed on August 17, 2020.
This program funds ombudsman and one-on-one beneficiary counseling services for states operating Financial Alignment Model Demonstrations—integrated care programs serving Medicare-Medicaid dual-eligible individuals. Funded activities include person-centered assistance to beneficiaries, caregivers, and authorized representatives in resolving insurance-related problems, selecting health plans, understanding consumer rights, and accessing benefits within the demonstration models. Recent awards supported ombudsman programs in Rhode Island, South Carolina, Massachusetts, and California, as well as counseling initiatives in Michigan and Massachusetts. Typical services span complaint investigation, outreach and education, linguistically and culturally competent support delivered via phone, email, website, and in-person contact, and advocacy regarding plan compliance and beneficiary protections.
The program portfolio consists entirely of 29 Cooperative Agreements totaling $44.1 million in federal dollars obligated over the past thirteen years, with recent activity concentrated between 2015 and 2020. CMS funded all awards; the portfolio shows a median award magnitude of approximately $1.5 million to $2 million per cooperative agreement. Award volume peaked in 2017 at seven awards; the most recent awards in August and November 2020 ranged from roughly $1.1 million to $2.9 million. Eligible applicants are limited to state agencies and entities designated by states that have signed memoranda of understanding with CMS to implement a Financial Alignment Model Demonstration. Project periods are 45 months, with funds released annually. Award recipients must maintain accounting and programmatic records for three years.
This program is not actively soliciting. The last funding opportunity closed in August 2020, and the source explicitly states there are no future deadlines. All awards to date have concluded or are nearing completion, with most final performance dates in 2023–2025. Organizations should monitor CMS announcements for potential future solicitations if their state operates an active Financial Alignment Model Demonstration.
Objective and description
- Objective
CMS is presenting this Funding Opportunity Announcement (FOA) to ensure that the beneficiaries of the Financial Alignment Demonstration models - as well as their caregivers and authorized representatives -- have access to person-centered assistance i
- Description
CMS is presenting this Funding Opportunity Announcement (FOA) to ensure that the beneficiaries of the Financial Alignment Demonstration models - as well as their caregivers and authorized representatives -- have access to person-centered assistance in resolving problems and selecting appropriate health care coverage related to the Plans and providers.
Eligibility
- Applicant eligibility
States which have signed an MOU with CMS to implement one of the financial alignment demonstration models.
- Beneficiary eligibility
States which have signed an MOU with CMS to implement one of the financial alignment demonstration models. Enrollees and caregivers in the Financial Alignment Demonstration,
- Uses of assistance
Through this cooperative agreement, CMS seeks to fund activities necessary to plan for, develop and implement Demonstration Ombudsman Program services and beneficiary counseling to beneficiaries and their families, as appropriate. Restrictions: Direct services already provided by Medicare or Medicaid.
- Length and time phasing of assistance
This program has one project period. There is a 45-month project period. Funds are released annually.
How to apply
- Criteria for selecting proposals
Applications will be scored with a total of 100 points if only applying for one program and 200 points if applying for both ombudsman and counseling funding.
- Award procedure
Awards will be made to state agencies or their designated entities to implement ombudsman and counseling programs to support the Financial Alignment Model Demonstration.
- Deadlines
Applications were due on 1st round: May 30, 2019, 2nd Round: May 1, 2020 and 3rd Round: August 17, 2020. There are no future deadlines for this program.
- Time to approval or disapproval
60-90 days
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals | Closed |
Grant awards
Latest 10 of 29 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | California Department Of Health Care Services | $10,289,811 | 23% |
| 2 | Michigan Department Of Health And Human Services | $5,585,782 | 13% |
| 3 | Department Of Aging California | $3,714,502 | 8% |
| 4 | Ohio Department Of Aging | $3,500,830 | 8% |
| 5 | Illinois Department On Aging | $3,499,506 | 8% |
| 6 | State Of South Carolina | $3,153,019 | 7% |
| 7 | Commonwealth Of Massachusetts Executive Office Of Health And Human Services | $3,001,644 | 7% |
| 8 | Rhode Island Office Of Healthy Aging | $2,663,880 | 6% |
| 9 | Massachusetts Executive Office Of Aging And Independence | $2,571,800 | 6% |
| 10 | The Commonwealth Of Massachusetts | $1,803,385 | 4% |
10 of 15 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | -$74,063 |
| FY2025 | -$60,347 |
| FY2024 | -$1,087,013 |
| FY2023 | $4,458,029 |
| FY2022 | $12,638,693 |
| FY2021 | $6,095,812 |
| FY2020 | $5,372,863 |
| FY2019 | $8,828,210 |
| FY2018 | $6,555,749 |
| FY2017 | $3,817,159 |
| FY2016 | $3,184,808 |
| FY2015 | $3,874,143 |
| FY2014 | $2,504,118 |
Show all 13
Quick answers
What is Assistance Listing 93.634?
Assistance Listing 93.634 is Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals, a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services).
What is the CFDA number for Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals?
Its CFDA number is 93.634: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.634 awarded?
29 grant awards under 93.634 have obligated $44,088,924 in federal funds to 15 recipients.
Who receives the most funding from 93.634?
The recipients obligated the most under Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals are California Department Of Health Care Services ($10,289,811), Michigan Department Of Health And Human Services ($5,585,782) and Department Of Aging California ($3,714,502).
How much did 93.634 obligate in fiscal year 2025?
Grants under 93.634 obligated -$60,347 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.634?
No opportunity listed under 93.634 is open now. The latest, Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals, was posted on April 1, 2019.
On GovTribe
See this program's full record
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