Well Told Grants

Federal grant programs / Department of Health and Human Services

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

Also known as Navigator Grants

Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges (Assistance Listing 93.332) is run by the Centers for Medicare and Medicaid Services, part of the Department of Health and Human Services. It awarded $373 million in 125 grants from fiscal 2021 to 2025, about $3.0 million per award on average. No funding opportunity is open on Grants.gov right now.

The typical award was $2.2 million. Half of the 125 awards fell between $517,592 and $3.6 million, and they ranged from $5,428 to $33.7 million.

Key findings

What the program funds

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).

From the federal Assistance Listing. Read the full listing on SAM.gov.

Open opportunities

No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.

Rules from the program listing

Who can apply

This funding opportunity is open to individuals, public and private entities, and consortia capable of carrying out the program requirements at https://www.ecfr.gov/current/title-45/section-155.210 and meeting the terms and conditions of the award that will be issued to awarded applicants. Examples of eligible entities include: • Community and consumer-focused nonprofit groups • Trade, industry, and professional associations • Institutions of higher education • Indian tribes and tribal organizations (American Indian/Alaskan Native) • State or local human service agencies Examples of eligible entities include: • Community and consumer-focused nonprofit groups • Trade, industry, and professional associations • Institutions of higher education • Indian tribes and tribal organizations (American Indian/Alaskan Native) • State or local human service agencies

What the money can and cannot pay for

The use of the cooperative funding allows awarded entities to have federally and, if applicable, state certified Navigators provide outreach, education, enrollment, and post-enrollment assistance to consumers in the federally-facilitated Marketplaces. The Funding Opportunity also includes a list of unallowable uses and costs under the grant. The following costs are not allowed: • Pre-award costs. • Meeting matching requirements for any other federal funds or local entities. • Services, equipment, or supports that are the legal responsibility of another party under federal, state, or tribal law, such as vocational rehabilitation or education services, or under any civil rights laws, such as modifying a workplace or providing accommodations that are obligations under law. • Goods or services not allocable to the project.• Supplanting existing state, local, tribal, or private funding of infrastructure or services, such as staff salaries, etc. • Construction. • Capital expenditures for improvements to land, buildings, or equipment that materially increase their value or useful life as a direct cost, except with our prior written approval. • The cost of independent research and development, including their proportionate share of indirect costs (see 45 C.F.R. 75.476). • Funds related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or executive order.

Continue reading on SAM.gov

Matching requirements

This program has no statutory formula. Matching requirements are not applicable to this assistance listing. This program has MOE requirements, see funding agency for further details. N/A

Deadlines

Contact the headquarters or regional location, as appropriate for application deadlines The deadline for applying and other related timelines are included in the Funding Opportunity that is anticipated to be posted on https://grants.gov/ around May 17, 2024.

Award range and average, in the agency's words

Current Fiscal Year: 2025 Projection: up to $100,000,000

Quoted from the program's federal Assistance Listing. The notice of funding opportunity is the official source for each competition's rules.

Funding history and past recipients

From fiscal 2021 to 2025, Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges (93.332) awarded$373 million across 125 grant awards, an average of $3.0 million per award.

Largest recipients, fiscal 2021 to 2025
RecipientStateAwardsAmount
University of South FloridaFlorida3$48.9 million
Legal Aid of North Carolina, Inc.North Carolina3$24.4 million
MHP SaludMichigan3$15.8 million
Family & Children's Svc.Tennessee3$13.2 million
Arizona Association of Community Health Centers, Inc.Arizona3$12.8 million
University of Wisconsin SystemWisconsin2$11.5 million
Legal Aid Services of Oklahoma, Inc.Oklahoma3$11.1 million
Illinois Primary Health Care AssociationIllinois1$11.0 million
Missouri Coalition for Primary Health CareMissouri2$10.8 million
AIDS Alabama IncAlabama2$10.3 million
Arab Community Center for Economic and Social Services (Access)Michigan3$10.3 million
Ohio Association of FoodbanksOhio2$9.7 million
United Way of Metropolitan Dallas, IncTexas2$9.4 million
First Choice Services, Inc.West Virginia3$8.9 million
South Plains Community Action Association IncTexas2$8.0 million
Oak Hill Regional Community Development CorpMississippi3$7.9 million
Civic Heart Community ServicesTexas3$7.9 million
Southwest Louisiana Area Health Education Center FoundationLouisiana3$7.8 million
Bexar County Community Health CollaborativeTexas2$7.6 million
Thrive Allen CountyKansas2$7.3 million

Top states: Texas ($53.3 million), Florida ($53.2 million), Michigan ($30.6 million), North Carolina ($24.4 million), Missouri ($17.6 million), Illinois ($14.5 million), Tennessee ($13.2 million), Arizona ($12.8 million), Kansas ($12.1 million), Oklahoma ($11.6 million).

Who usually wins

Nonprofits received 85% of the money, colleges and universities 15% and state and local governments 0.2%.

Recipient typeAwardsAmountShare
Nonprofits111$316 million85%
Colleges and universities5$54.6 million15%
Other7$812,4640.2%
State and local governments1$620,8380.2%
Businesses1$55,025less than 0.1%

By state

31 states have a page for this program: those that received at least $1 million or 10 awards.

Grants by recipient's state, fiscal 2021 to 2025
StateAwardsAmount
Texas18$53.3 million
Florida4$53.2 million
Michigan11$30.6 million
North Carolina3$24.4 million
Missouri9$17.6 million
Illinois4$14.5 million
Tennessee3$13.2 million
Arizona3$12.8 million
Kansas4$12.1 million
Oklahoma4$11.6 million
Wisconsin2$11.5 million
West Virginia4$11.5 million
Ohio6$11.3 million
Alabama2$10.3 million
Louisiana4$9.0 million
Mississippi3$7.9 million
Georgia4$7.1 million
Indiana4$7.0 million
South Dakota4$6.8 million
Alaska3$6.6 million
Wyoming3$5.6 million
Montana2$5.0 million
North Dakota3$4.8 million
New Hampshire2$4.5 million
Nebraska2$4.4 million
Utah2$3.4 million
South Carolina2$3.1 million
Delaware3$3.0 million
New York1$2.6 million
Minnesota3$1.8 million
Pennsylvania1$1.3 million
Hawaii2$934,174

Award amounts are federal obligations reported to USAspending.gov for fiscal 2021 to 2025; see how our data works.