State Planning and Establishment Grants for the Affordable Care Act (ACA)?s Exchanges

To provide assistance for activities related to establishing a Health Insurance Exchange that facilitates the purchase of qualified health plans, provides for the establishment of a Small Business Health Options Program (SHOP Exchange), and meets the requirements set forth by the Secretary and the Affordable
Care Act.

Refer to specific Exchange program funding opportunity announcement (FOA) for additional information on objectives.

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.

Office - See Regional Agency Offices.

Michelle T.

Feagins, Office of Acquisition and Grants Management, Centers for Medicare and Medicaid Services, Department of Health and Human Services, 200 Independence Ave, SW, Washington DC 20201.



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Grant and cooperative agreement funds are to be used for activities related to setting up a health insurance Exchange.

Please see the specific funding opportunity announcement for more information on how funds can be used.

Eligibility Requirements

Applicant Eligibility

Eligible applicants for the FOA 'State Planning and Establishments Grants for the Affordable Care Act?s Exchanges' include the 50 States and the District of Columbia. Eligible applicants for the FOA 'Limited Competition for State Planning and Establishment Grants for the Affordable Care Act's Exchanges' include States which did not receive an award under the prior FOA 'State Planning and Establishment Grants for the Affordable Care Act's Exchanges' (i.e.

Alaska and Minnesota). Eligible applicants for the FOA 'Territory Cooperative Agreements for the Affordable Care Act's Exchanges' include Territories, i.e.

American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and the United States Virgin Islands. Eligible applicants for the FOA 'Cooperative Agreements to Support Innovative Exchange Information Technology Systems' include the 50 States, the District of Columbia, and consortia of States. Eligible applicants for the FOA 'Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges' include States, the District of Columbia, and consortia of States, previously awarded funding under the FOA 'State Planning and Establishment Grants for the Affordable Care Act?s Exchanges.' Eligible applicants for the FOA ?Cooperative Agreement to Support Establishment of the Affordable Care Act?s Health Insurance Exchange? include States, the District of Columbia, and consortia of States.

Beneficiary Eligibility

Projects will benefit States and Territories or entities authorized by the State or Territory that will set up Exchanges in States or Territories. .

Credentials/Documentation

Applicants should review the specific 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. OMB Circular No A-87 applies to this program. 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. Applications and required forms for each program can be obtained from Grants.gov. The Center for Consumer Information and Insurance Oversight (CCIIO) 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 comments of the objective review committee, the CCIIO 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

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Sections 1311 and 1323 of Patient Protection and Affordable Care Act, Public Law 111-148.

Range of Approval/Disapproval Time

From 30 to 60 days.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. This program has no matching requirements. This program does not have MOE requirements.

Length and Time Phasing of Assistance

Federal Fiscal Year 2010: Grants awarded to 48 States and DC for a one year project period to conduct planning activities related to establishment of their Exchanges. Federal Fiscal Year 2011: Grant funding for four funding opportunity announcements will be awarded in Federal Fiscal Year 2011 ranging from an up to one year project period to up to a four year project period, beginning on the date of award and up through December 31, 2014. Federal Fiscal Year 2012: Establishment cooperative agreement funds will be awarded in 2011 and 2012 and may also extend through December 31, 2014. Federal Fiscal Year 2013: Establishment cooperative agreement funds will be awarded in 2013 and may also extend through 2015. Federal Fiscal Year 2014: Establishment cooperative agreement funds will be awarded in 2014 and may also extend through 2016. Federal Fiscal Year 2015: Establishment cooperative agreement funds will be awarded in 2015 and may also extend through 2017. Federal Fiscal Year 2016: Establishment Cooperative Agreements funds awarded in 2014 and 2015 may extend through 2017. Federal Fiscal Year 2017: Establishment Cooperative Agreement funds awarded in 2014 and 2015 may extend through 2017. 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

No program reports are required.

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

The report identifies cash transactions against the authorized funds for the grant or cooperative agreement.

The FFR 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.

Quarterly Progress Reports- includes information on project status, implementation activities initiated, accomplishments, barriers, and lessons learned in order to ensure that funds are used for authorized purposes and instances of fraud, waste, error, and abuse are mitigated.

Also includes changes in work plan components and progress on milestones, goals, objectives, and activities.

Progress will be evaluated by the Project Officers and determinations regarding the approval of drawdowns will be based on the recipient's progress.

Final project reports are also required. Public Report - Recipients post information about the grants/cooperative agreements on their respective websites.

Please see the specific FOA to determine if this is applicable. Work Plan Updates - As necessary, recipients will provide CMS with documentation of substantive approved changes to their work plans.

Please see the specific FOA to determine if this is applicable.

Periodic Establishment Reviews - as described in the applicable funding opportunity announcement.

On an annual basis, the Federal Financial Report (FFR) must also include information on expenditures.

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

Performance Review ? as described in the applicable funding opportunity announcement.

On an annual basis, the Federal Financial Report (FFR) must also include information on expenditures.

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

Performance Review - as described in the applicable 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

Recipients 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

75-0115-0-1-551.

Obigations

(Project Grants) FY 16 $0; FY 17 est $0; and FY 18 est $0 - Fiscal Year 2012-2015 TBD.

Range and Average of Financial Assistance

No floor or ceiling for award. Amounts are provided based on the wide range and complexity of applications.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments. CCIIO 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/aboutog/ogpoe.html.

Information Contacts

Regional or Local Office

See Regional Agency Offices. Michelle T. Feagins, Office of Acquisition and Grants Management, Centers for Medicare and Medicaid Services, Department of Health and Human Services, 200 Independence Ave, SW, Washington DC 20201.

Headquarters Office

Michelle T. Feagins, 200 Independence Ave., SW. , Washington, District of Columbia 20201 Email: michelle.feagins@hhs.gov Phone: (301) 492-4312.

Criteria for Selecting Proposals

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



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