Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals
Program 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 in resolving problems and selecting appropriate health care coverage related to the Plans and providers.
Eligibility
Eligible Applicants
- State
States which have signed an MOU with CMS to implement one of the financial alignment demonstration models.
How to Apply
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.
Decision Timeline
- Approval: From 60 to 90 days
60-90 days
Program details & compliance
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.
Mission Categories
Primary: General Health and Medical
Use of Funds
Allowed Uses
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.
Required Documentation
A state must be pursuing a financial alignment model.
Reporting & Compliance
Applicable 2 CFR 200 Subparts
- Subpart B — General Provisions
- Subpart C — Pre-Federal Award Requirements
- Subpart D — Post-Federal Award Requirements
- Subpart E — Cost Principles
- Subpart F — Audit Requirements