Medicaid Infrastructure Grants to Support the Competitive Employment of People with Disabilities

The Department of Health and Human Services Centers for Medicare and Medicaid Services funds Medicaid Infrastructure Grants to Support the Competitive Employment of People with Disabilities (CFDA 93.768), with the most recent grant award issued on January 1, 2011, more than fifteen years ago.

This program has not disbursed new grant awards since 2011. The portfolio spans 134 awards issued between 2003 and 2011, with peak activity in 2009 (19 awards) and a sharp decline thereafter (2 awards in 2011). Combined federal dollars obligated total $142.3 million. The program is effectively inactive from a current funding perspective and does not support active grant opportunities.

The program funded state-level Medicaid infrastructure development and competitive employment systems for people with disabilities. Representative awards included Wisconsin's initiative to increase and sustain competitive employment across the integrated workforce ($30.1 million), Massachusetts' Medicaid Infrastructure and Comprehensive Employment Opportunities program ($20.7 million), New York's Makes Work Pay program ($16.9 million), and Minnesota's Pathways to Employment multi-agency collaborative ($16.1 million). Smaller awards supported basic infrastructure development and employment support services in individual states, typically ranging from approximately $500 thousand to $3 million per award.

The portfolio is predominantly Project Grants (118 awards, 88 percent) with a smaller share of Block Grants (16 awards, 12 percent). All funding activity is concentrated within Centers for Medicare and Medicaid Services, which issued all 134 awards totaling $142.3 million in federal obligations.

No recent grant opportunities are posted. The program's last solicitation and award activity occurred in 2010–2011. Organizations should confirm current program status and funding intent directly with CMS before investing business development resources; the fifteen-year funding gap suggests the program may be inactive or superseded.