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Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents

Department of Health and Human Services

 
Synopsis
       


The synopsis for this grant opportunity is detailed below, following this paragraph. This synopsis contains all of the updates to this document that have been posted as of 03/15/2012 . If updates have been made to the opportunity synopsis, update information is provided below the synopsis.

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Description of Modification

The Funding Opportunity Announcement (FOA) has been modified dated 4-30-12. Please check the amended FOA as well as the Summary of Changes document for specific changes.

Document Type: Modification to Previous  Grants Notice
Funding Opportunity Number: CMS-1E1-12-002
Opportunity Category: Discretionary
Posted Date: Mar 15, 2012
Creation Date: Apr 30, 2012
Original Closing Date for Applications: Jun 14, 2012    No Explanation
Current Closing Date for Applications: Jun 14, 2012    No Explanation
Archive Date: Jul 14, 2012
Funding Instrument Type: Cooperative Agreement
Category of Funding Activity: Health
Category Explanation:
Expected Number of Awards: 7
Estimated Total Program Funding: $128,000,000
Award Ceiling: $30,000,000
Award Floor: $5,000,000
CFDA Number(s): 93.621  --  Affordable Care Act Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents
Cost Sharing or Matching Requirement: No

Eligible Applicants

Others (see text field entitled "Additional Information on Eligibility" for clarification)
 

Additional Information on Eligibility:

CMS will consider applications from organizations (referred to as enhanced care & coordination providers) that demonstrate the capacity to adequately implement the types of initiatives described above. Enhanced care & coordination providers may include, but are not limited to: - Organizations that provide care coordination, case management, or related services; - Medical care providers, such as physician practices; - Health plans (although this Initiative will not be capitated managed care, and will not apply to beneficiaries enrolled in Medicare Advantage); - Public or not-for-profit organizations, such as Aging and Disability Resource Centers, Area Agencies on Aging, Behavioral Health Organizations, Centers for Independent Living, universities, or others; - Integrated delivery networks, if they extend their networks to include unaffiliated nursing facilities. Nursing facilities, entities controlled by nursing facilities, or entities for which the primary line of business is the delivery of nursing facility/skilled nursing facility services are excluded from serving as enhanced care & coordination providers under this cooperative agreement. Legal Status: To be eligible, an organization must be recognized as a single legal entity by the State where it is incorporated, and must have a unique Tax Identification Number (TIN) designated to receive payment. The organization must have a governing body capable of entering into a cooperative agreement with CMS on behalf of its members.

Agency Name

Centers for Medicare & Medicaid Services

Description

Under this Initiative, the Centers for Medicare & Medicaid Services (CMS) will select eligible organizations to test a series of evidence-based clinical interventions. The goal of these interventions is to improve the health and health care among nursing facility residents and ultimately reduce avoidable inpatient hospital admissions. Successful applicants will implement such interventions that will have the following objectives: 1) Reduce the frequency of avoidable hospital admissions and readmissions; 2) Improve resident health outcomes; 3) Improve the process of transitioning between inpatient hospitals and nursing facilities; and 4) Reduce overall health care spending without restricting access to care or choice of providers. The interventions shall primarily target long-stay Medicare-Medicaid enrollees in Medicare-Medicaid certified nursing facilities, rather than those likely to experience only a brief post-acute stay and then return home.

Link to Additional Information

Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents

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Synopsis Modification History

The following files represent the modifications to this synopsis with the changes noted within the documents. The list of files is arranged from newest to oldest with the newest file representing the current synopsis. Changed sections from the previous document are shown in a light grey background.

File Name Date
Modification #1 Mar 16, 2012
Original Synopsis Mar 15, 2012