Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review

A program to assist States in a) in reviewing and, if appropriate under State law, approving premium increases for health insurance coverage; b) in providing information and certain data requirements to the HHS Secretary on premium increase patterns, and c) establishing and enhancing data centers that
will compile and publish fee schedule information.

Refer to funding opportunity announcement for additional information.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.




Selected Recipients for this Program


RecipientAmount Start DateEnd Date
New Mexico Office Of Superintendent Of Insurance $ 3,204,929   2013-10-012019-03-31
Business And Industry, Nevada Department Of $ 3,959,972   2011-10-012019-03-31
Insurance, Arizona Dept Of $ 702,842   2014-09-192019-03-31
Consumer Affairs And Business Regulation, Massachusetts Office Of $ 3,394,884   2013-10-012019-03-31
Insurance, Pennsylvania Department Of $ 2,298,625   2011-10-012019-03-31
State Of Hawaii Office Of Information Management And Technology $ 2,877,329   2014-10-232019-03-31
Insurance Department, Arkansas $ 1,154,986   2014-09-192019-03-31
Health Research, Inc. $ 4,528,747   2013-10-012019-03-31
Financial Management, Washington State Office Of $ 3,407,553   2013-10-012019-03-31
State Of Hawaii Office Of Information Management And Technology $ 1,111,494   2014-10-232019-03-31



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Grant funds are to be used as outlined in Section 1003 of the Affordable Care Act (ACA).

Grant funds that are not fully obligated under this, or subsequent grant programs authorized under Section 1003 of the ACA, by FY 2014 can remain available to the Secretary for grants to States for planning and implementing the insurance reforms and consumer protections outlined in Section 1003 of the ACA.

Eligibility Requirements

Applicant Eligibility

Grants to States' (including the District of Columbia) and Territories for premium review.

and Data Centers enhancing pricing transparency.

Applicants should review the CMS funding opportunity announcement documents for further eligibility requirements.

Beneficiary Eligibility

Grants to States' (including the District of Columbia) and Territories for premium review. and Data Centers.

Credentials/Documentation

Applicants should review the CMS funding opportunity announcement documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Grant applications and required forms for this program can be obtained from Grants.gov. CMS requires all applicants to apply electronically through Grants. gov.

Award Procedures

All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the CMS program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Grant Award.

Deadlines

Jul 17, 2013 to Aug 01, 2013 A Letter of Intent is mandatory and must be submitted by 4:00 pm Eastern Daylight Time on June 17, 2013. All grant applications must be submitted electronically and be received through http://www.grants.gov by 4:00 pm Eastern Daylight Time on August 1, 2013.

Authorization

Patient Protection and Affordability Care Act, Section 1003.

Range of Approval/Disapproval Time

From 30 to 60 days.

Appeals

Not Applicable.

Renewals

Section 1003 of the ACA provides for funding to be awarded between Fiscal Year 2010 and Fiscal Year 2014. Refer to funding opportunity announcement for additional information on subsequent grants awarded for premium review authorized under Section 1003 of ACA.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching requirements are not applicable to this program. This program has MOE requirements, see funding agency for further details.

Length and Time Phasing of Assistance

Grant funding for this funding opportunity announcement will be available for the remainder of Fiscal Year 2013. through Fiscal Year 2015. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Quarterly, Annual and Final programmatic reports are required in the funding opportunity announcement.

Submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System.

The report identifies cash expenditures against the authorized funds for the grant.

The FFR Cash Transaction Reports must be filed within 30 days of the end of each quarter.

Failure to submit the report may result in the inability to access grant funds.

Go to www.dpm.psc.gov for additional information.

Annual financial reports and annual narrative progress reports are required.

Submit a Financial Status Report (FSR or SF-269) directly to OS.

The report identifies cash expenditures against the authorized funds for the grant.

The Financial Status Report must be filed semi-annually or annually depending on the terms and conditions of award.

Failure to submit the report may result in the inability to access grant funds.

As described in the funding opportunity announcement.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.

Records

Grantees are required to maintain grant accounting records 3 years after the date they submit the final Federal Financial Report. If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification

75-0112-0-1-551.

Obigations

(Project Grants) FY 16 $0; FY 17 est $0; and FY 18 est $0

Range and Average of Financial Assistance

Grantees receive between $1,000,000 and $4,999,999 per grant year.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments or 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. CMS awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://dhhs.gov/asfr/ogapa/grantinformation/hhsgps107.pdf

Information Contacts

Regional or Local Office

None.

Headquarters Office

Sarah Norman Department of Health and Human Services, 200 Independence Avenue, SW, Hubert H. Humphrey Building , Washington DC, District of Columbia 20201 Email: sarah.norman@cms.hhs.gov Phone: 301-492-4185

Criteria for Selecting Proposals

Approval of an application will be based on an analysis of the factors set forth in Section V--Application Review in the funding opportunity announcement.



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