Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges (93.332)
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.
- Awarded, FY 2021 to 2025$373 million
- Grant awards125
- Typical award$2.2 million
- Awarded in FY 2025-$15.3 million
- Size rank443 of 1824
- Type of assistanceCooperative agreements
Key findings
- It is the 443rd largest of 1,824 federal grant programs by five-year awards.
- The 20 largest recipients received 68% of the money.
- Awards went to recipients in 32 states and territories.
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).
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.
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
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.
Who usually wins
Nonprofits received 85% of the money, colleges and universities 15% and state and local governments 0.2%.
| Recipient type | Awards | Amount | Share |
|---|---|---|---|
| Nonprofits | 111 | $316 million | 85% |
| Colleges and universities | 5 | $54.6 million | 15% |
| Other | 7 | $812,464 | 0.2% |
| State and local governments | 1 | $620,838 | 0.2% |
| Businesses | 1 | $55,025 | less than 0.1% |
By state
31 states have a page for this program: those that received at least $1 million or 10 awards.
| State | Awards | Amount |
|---|---|---|
| Texas | 18 | $53.3 million |
| Florida | 4 | $53.2 million |
| Michigan | 11 | $30.6 million |
| North Carolina | 3 | $24.4 million |
| Missouri | 9 | $17.6 million |
| Illinois | 4 | $14.5 million |
| Tennessee | 3 | $13.2 million |
| Arizona | 3 | $12.8 million |
| Kansas | 4 | $12.1 million |
| Oklahoma | 4 | $11.6 million |
| Wisconsin | 2 | $11.5 million |
| West Virginia | 4 | $11.5 million |
| Ohio | 6 | $11.3 million |
| Alabama | 2 | $10.3 million |
| Louisiana | 4 | $9.0 million |
| Mississippi | 3 | $7.9 million |
| Georgia | 4 | $7.1 million |
| Indiana | 4 | $7.0 million |
| South Dakota | 4 | $6.8 million |
| Alaska | 3 | $6.6 million |
| Wyoming | 3 | $5.6 million |
| Montana | 2 | $5.0 million |
| North Dakota | 3 | $4.8 million |
| New Hampshire | 2 | $4.5 million |
| Nebraska | 2 | $4.4 million |
| Utah | 2 | $3.4 million |
| South Carolina | 2 | $3.1 million |
| Delaware | 3 | $3.0 million |
| New York | 1 | $2.6 million |
| Minnesota | 3 | $1.8 million |
| Pennsylvania | 1 | $1.3 million |
| Hawaii | 2 | $934,174 |