Basic Health Program (Affordable Care Act)
Active
- Assistance listing
- 93.640
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Grant awards
- Not on record
Program facts
- Also known as
- (BHP)
- Treasury account
-
- 20-0949-0-1-551
- More information
Program details come from SAM.gov Assistance Listings. Updated .
About this program
The Department of Health and Human Services Centers for Medicare and Medicaid Services administers the Basic Health Program (93.640), which funds state-operated health benefits coverage programs for low-income individuals earning up to 200 percent of the federal poverty level who do not qualify for Medicaid, under authority of Section 1331 of the Affordable Care Act.
This program does not operate as a traditional federal grant with periodic solicitations and discrete awards. Instead, states opt into the program by submitting a Basic Health Program Blueprint to the Secretary for certification. The Blueprint describes the state's program design, benefit package, enrollment and disenrollment policies, verification procedures, and integration with other insurance affordability programs. States must resubmit revised Blueprints when making significant operational changes, with submission at least six weeks before the requested effective date. The Secretary certifies Blueprints that demonstrate compliance with Section 1331 of the Affordable Care Act and 42 CFR Part 600, adequate planning for coordinated integration with Medicaid and Marketplace programs, and complete description of program operations without reserved decisions.
States that operate a certified BHP establish and maintain a BHP trust fund. Recipients must maintain accounting systems and fiscal records compliant with OMB Circulars A-87 and A-133, obtain annual certification from BHP trustees or the state's chief financial officer that trust funds are not used as non-federal match for other federally-funded programs and are expended in accordance with federal requirements, conduct independent audits of trust fund expenditures over three-year periods to verify allowability, and publish annual reports on fund use including a separate line item tracking premium and cost-sharing reductions or additional benefits within ten days of trustee approval.
The source provides no information on recent award activity, typical federal funding magnitudes, the number of states currently participating, or the total federal dollars obligated under the program. No application deadlines or currently open opportunities are indicated in the source material.
Objective and description
- Objective
Section 1331 of the Affordable Care Act gives states the option of creating a Basic Health Program (BHP), a health benefits coverage program for low-income residents who would otherwise be eligible to purchase coverage through the Health Insurance Ma
- Description
Section 1331 of the Affordable Care Act gives states the option of creating a Basic Health Program (BHP), a health benefits coverage program for low-income residents who would otherwise be eligible to purchase coverage through the Health Insurance Marketplace. The program is for specified individuals who do not qualify for Medicaid but whose income does not exceed 200 percent of the federal poverty level (FPL).
Eligibility
- Applicant eligibility
Any State that submits a BHP Blueprint may be considered for certification by the Secretary of HHS.
- Beneficiary eligibility
The program is for specified individuals who do not qualify for Medicaid but whose income does not exceed 200 percent of the federal poverty level (FPL).
- Uses of assistance
The federal BHP payment is made to a state trust fund for BHP. Funds in the state trust fund may not be used for any purposes other than paying BHP benefits and reducing premiums and cost-sharing for eligible individuals enrolled in BHP standard health plans. BHP Trust funds may not be expended for any purpose other than those specified above. In addition, BHP trust funds may not be used for purposes including bu t not limited to: (1) determining the amount of non-federal funds for the purposes of meeting matching or expenditure for federal funding; (2) program administration of BHP or any other program; (3) payment to providers not associated with BHP services or requirements; or (4) coverage for individuals not eligible for BHP.
How to apply
- Award procedure
The Secretary will certify a BHP Blueprint provided it meets all of the following standards: (1) The Blueprint contains sufficient information for the Secretary to determine that the BHP will comply with the requirements of section 1331 of the Affordable Care Act and Part 600 of 42 CFR; (2) The BHP Blueprint demonstrates adequate planning for the integration of BHP with other insurance affordability programs in a manner that will permit a seamless, coordinated experience for a potentially eligible individual; (3) The Blueprint is a complete and comprehensive description of the BHP and its operations, demonstrating thorough planning and a concrete program design, without reserved decisions on operational features.
- Time to approval or disapproval
The Blueprint should be submitted with enrollment data and premium information at least 6 weeks prior to effective date requested.
- Renewals
In the event that a State seeks to make significant changes that alter program operations, the BHP benefit package, enrollment, disenrollment and verification policies described in the certified BHP Blueprint, the state must submit a revised Blueprint to the Secretary for review and certification. The State is responsible for continuing to operate under the terms of the existing certified Blueprint until and unless a revised Blueprint is certified.
Quick answers
What is Assistance Listing 93.640?
Assistance Listing 93.640 is Basic Health Program (Affordable Care Act), a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services).
What is the CFDA number for Basic Health Program (Affordable Care Act)?
Its CFDA number is 93.640: Assistance Listing numbers were called CFDA numbers before 2018.
On GovTribe
See this program's full record
- Every grant award and opportunity under it
- Funding by recipient, agency and assistance type
- Alerts for new opportunities
- Ask GovTribe AI about this program