Opportunity Information: Apply for HHS 2023 ACL CIP NWCH 0036
The Department of Health and Human Services Administration for Community Living (ACL) is offering a discretionary cooperative agreement opportunity titled "Center of Excellence to Align Health and Social Care: Enhancing Community-Based Aging and Disability Organizations to Improve Access to Long-Term Services and Supports" (Funding Opportunity Number: HHS-2023-ACL-CIP-NWCH-0036; CFDA/Assistance Listing: 93.048). The core goal is to strengthen the connection between health care organizations and community-based aging and disability service systems by building and expanding Community Care Hubs (CCH). These hubs are meant to function as a central access and coordination backbone in a community, helping older adults and people with disabilities reach long-term services and supports (LTSS) and related social care in a more organized, reliable way.
ACL expects to fund roughly 10 grantees over a two-year project period to support the development and enhancement of CCHs. A key idea behind the program is that many community-based organizations (CBOs) can provide high-quality services but often cannot meet the scale, geographic reach, or volume that health sector partners increasingly want when they try to address social needs alongside medical care. As a result, CBOs are forming networks or participating in broader community-based systems, and the CCH model has emerged to coordinate those networks. At the center of each CCH is a community-based Lead Entity (LE), which is the organization positioned to organize participating CBOs, standardize processes, and act as the primary contracting and coordination point for outside partners.
The funding is intended to go directly to these Lead Entities, with an emphasis on supporting parts of the country that do not already have mature CCH infrastructure. The aim is to help LEs build "network maturity" so they can more effectively partner and contract with health care sector entities such as accountable care organizations, health plans, managed care organizations, hospitals, and health systems. In practical terms, the project focuses on building the operational capacity needed to work at health care speed and scale while maintaining person-centered, community-rooted service delivery.
Funded projects are expected to enhance the CCHs ability to provide key community access functions, including information and referral coordination, screening, care coordination, care transitions, eligibility and enrollment support, and person-centered planning. A major emphasis is on creating a single point of entry so individuals can access a menu of social service options without having to navigate multiple disconnected organizations. To guide capacity-building, participants will complete an Organizational Capacity Assessment, unless they have already completed one, to identify strengths and gaps in areas like contracting and payment coordination, quality assurance, information technology systems and data integration, and workforce development. The overall intent is to move CCHs toward a more standardized, scalable operating model that still reflects local community needs.
In addition to funding CCH Lead Entities, the notice indicates that ACL will identify up to five regional Centers for Excellence. These Centers for Excellence are designed to provide technical assistance and practical support, including mentoring and help facilitating partnerships between health payers and Lead Entities. This component is meant to speed learning across regions, reduce duplication of effort, and help newer or less-developed networks adopt proven approaches for contracting, data sharing, quality management, and operational performance.
The eligible applicant pool is broad and includes various levels of government (state, county, city/township, special districts), tribal governments and tribal organizations, public housing authorities, public and state-controlled institutions of higher education, private institutions of higher education, and nonprofit organizations (both 501(c)(3) and non-501(c)(3), excluding higher education institutions where relevant). The opportunity was posted April 25, 2023, with an original application deadline of June 26, 2023, and applications were required to be submitted electronically by 11:59 p.m. ET on the due date. The award ceiling listed is $12,700,000, and the notice describes the program as supporting multiple grantees while also establishing a small number of regional Centers for Excellence to drive technical assistance and cross-sector alignment.Apply for HHS 2023 ACL CIP NWCH 0036
- The Department of Health and Human Services, Administration for Community Living in the income security and social services sector is offering a public funding opportunity titled "Center of Excellence to Align Health and Social Care: Enhancing Community-Based Aging and Disability Organizations to Improve Access to Long-Term Services and Supports" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.048.
- This funding opportunity was created on Apr 25, 2023.
- Applicants must submit their applications by Jun 26, 2023 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $12,700,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education.
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Frequently Asked Questions (FAQs)
1. What is the title of this funding opportunity?
The opportunity is titled "Center of Excellence to Align Health and Social Care: Enhancing Community-Based Aging and Disability Organizations to Improve Access to Long-Term Services and Supports."
2. Which federal agency is offering this opportunity?
This opportunity is offered by the U.S. Department of Health and Human Services (HHS), Administration for Community Living (ACL).
3. What type of funding is being offered?
The notice describes this as a discretionary cooperative agreement opportunity.
4. What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is HHS-2023-ACL-CIP-NWCH-0036.
5. What is the CFDA/Assistance Listing number for this program?
The CFDA/Assistance Listing number is 93.048.
6. What is the main goal of the program?
The core goal is to strengthen connections between health care organizations and community-based aging and disability service systems by building and expanding Community Care Hubs (CCH), improving how older adults and people with disabilities access long-term services and supports (LTSS) and related social care.
7. What is a Community Care Hub (CCH) in this program?
A Community Care Hub (CCH) is intended to function as a central access and coordination backbone in a community. It helps coordinate networks of community-based organizations so services can be delivered more reliably and at a scale and geographic reach that health sector partners increasingly seek.
8. What problem is ACL trying to address with this funding?
The program is responding to the reality that many community-based organizations can deliver high-quality services but often cannot meet the volume, scale, or geographic reach that health care partners may require when addressing social needs alongside medical care. The CCH model is meant to coordinate networks and standardize operations so partnerships with the health sector are more feasible.
9. Who is expected to receive the funding directly?
The funding is intended to go directly to Community Care Hub Lead Entities (LEs), which are the organizations positioned to organize participating community-based organizations, standardize processes, and serve as the primary contracting and coordination point for outside partners.
10. What is a Lead Entity (LE) in the CCH model?
The Lead Entity (LE) is the community-based organization at the center of a CCH. The LE is responsible for organizing participating community-based organizations (CBOs), standardizing processes, and acting as the primary contracting and coordination point for external partners such as health care organizations.
11. Is there a geographic or infrastructure emphasis for funding?
Yes. The notice emphasizes supporting parts of the country that do not already have mature Community Care Hub infrastructure, with the intent of building network maturity in those areas.
12. What does "network maturity" mean in the context of this opportunity?
Based on the notice, network maturity refers to the operational readiness of a CCH and its Lead Entity to partner and contract effectively with health care sector organizations. This includes being able to operate at health care speed and scale while maintaining person-centered, community-rooted delivery.
13. Which health care sector partners are mentioned as potential collaborators?
The notice specifically mentions accountable care organizations, health plans, managed care organizations, hospitals, and health systems as examples of health care sector entities that CCH Lead Entities are expected to partner and contract with.
14. How long is the project period?
The expected project period is two years.
15. How many awards does ACL expect to make?
ACL expects to fund roughly 10 grantees over the two-year project period.
16. What is the award ceiling listed in the notice?
The award ceiling listed is $12,700,000.
17. What community access functions are funded projects expected to enhance?
Funded projects are expected to enhance the CCH ability to provide key community access functions, including:
- Information and referral coordination
- Screening
- Care coordination
- Care transitions
- Eligibility and enrollment support
- Person-centered planning
18. What does the program mean by a "single point of entry"?
The program emphasizes creating a single point of entry so individuals can access a menu of social service options without having to navigate multiple disconnected organizations.
19. Is an Organizational Capacity Assessment required?
Participants are expected to complete an Organizational Capacity Assessment unless they have already completed one.
20. What areas can the Organizational Capacity Assessment cover?
The notice indicates the assessment is used to identify strengths and gaps in areas such as:
- Contracting and payment coordination
- Quality assurance
- Information technology systems and data integration
- Workforce development
21. What is the intended outcome of the capacity-building work?
The overall intent is to move Community Care Hubs toward a more standardized, scalable operating model that still reflects local community needs.
22. What are the Centers for Excellence mentioned in the notice?
The notice indicates ACL will identify up to five regional Centers for Excellence designed to provide technical assistance and practical support to speed learning across regions and help align health and social care.
23. How many Centers for Excellence does ACL plan to identify?
ACL indicates it will identify up to five regional Centers for Excellence.
24. What kinds of support will the Centers for Excellence provide?
They are expected to provide technical assistance and practical support, including mentoring and help facilitating partnerships between health payers and Lead Entities. The notice also points to support for adopting proven approaches related to contracting, data sharing, quality management, and operational performance.
25. Why does the program include Centers for Excellence?
This component is intended to speed learning across regions, reduce duplication of effort, and help newer or less-developed networks adopt proven operational approaches.
26. Who is eligible to apply?
The eligible applicant pool is broad and includes:
- Various levels of government (state, county, city/township, special districts)
- Tribal governments and tribal organizations
- Public housing authorities
- Public and state-controlled institutions of higher education
- Private institutions of higher education
- Nonprofit organizations (501(c)(3) and non-501(c)(3), excluding higher education institutions where relevant)
27. When was the opportunity posted?
The opportunity was posted on April 25, 2023.
28. What was the original application deadline?
The original application deadline was June 26, 2023.
29. How were applications required to be submitted?
Applications were required to be submitted electronically.
30. What time were applications due on the deadline date?
Applications were required to be submitted electronically by 11:59 p.m. ET on the due date.
31. What populations are intended to benefit from this program?
The program is designed to improve access to long-term services and supports and related social care for older adults and people with disabilities.
32. How does this program connect health care and social care?
It seeks to strengthen the connection between health care organizations and community-based aging and disability service systems by building and expanding Community Care Hubs, with Lead Entities serving as the central contracting and coordination point and standardizing processes to operate at health care speed and scale.
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