# Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges (93.332)

Source: https://welltoldgrants.com/programs/93-332-cooperative-agreement-to-support-navigators-in-federally/  
Publisher: Well Told Grants. Data: USAspending.gov and Grants.gov, updated November 7, 2026.

Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges is run by Department of Health and Human Services. From fiscal 2021 to 2025 it awarded $373 million in 125 grants, about $3.0 million per award.

## Objectives

Each year, the Centers for Medicare & Medicaid Services (CMS) awards funding to organizations who serve as Navigators in states with a Federally-facilitated Exchange (FFE). This posting reflects a 5-year funding opportunity, which began August 27, 2024 and runs through August 26, 2029. Funded projects are expected to operate as Navigators year-round, using the funding from CMS to conduct outreach and education in their communities—raising awareness among the remaining uninsured about the coverage options available to them, help consumers find affordable coverage that meets their needs primarily in the Health Insurance Marketplace, and to assist consumers beyond the enrollment process—ensuring they're equipped with the tools and resources needed to utilize and maintain their health coverage all year. Navigators are required to provide targeted assistance to underserved and vulnerable populations within their FFE service area (state).

## Funding by fiscal year

| Year | Amount | Awards |
|---|---|---|
| 2021 | $82.0 million | 84 |
| 2022 | $108 million | 59 |
| 2023 | $98.4 million | 57 |
| 2024 | $99.9 million | 44 |
| 2025 | -$15.3 million | 39 |

## Largest recipients

| Recipient | State | Amount |
|---|---|---|
| University of South Florida | Florida | $48.9 million |
| Legal Aid of North Carolina, Inc. | North Carolina | $24.4 million |
| MHP Salud | Michigan | $15.8 million |
| Family & Children's Svc. | Tennessee | $13.2 million |
| Arizona Association of Community Health Centers, Inc. | Arizona | $12.8 million |
| University of Wisconsin System | Wisconsin | $11.5 million |
| Legal Aid Services of Oklahoma, Inc. | Oklahoma | $11.1 million |
| Illinois Primary Health Care Association | Illinois | $11.0 million |
| Missouri Coalition for Primary Health Care | Missouri | $10.8 million |
| AIDS Alabama Inc | Alabama | $10.3 million |
| Arab Community Center for Economic and Social Services (Access) | Michigan | $10.3 million |
| Ohio Association of Foodbanks | Ohio | $9.7 million |
| United Way of Metropolitan Dallas, Inc | Texas | $9.4 million |
| First Choice Services, Inc. | West Virginia | $8.9 million |
| South Plains Community Action Association Inc | Texas | $8.0 million |
| Oak Hill Regional Community Development Corp | Mississippi | $7.9 million |
| Civic Heart Community Services | Texas | $7.9 million |
| Southwest Louisiana Area Health Education Center Foundation | Louisiana | $7.8 million |
| Bexar County Community Health Collaborative | Texas | $7.6 million |
| Thrive Allen County | Kansas | $7.3 million |