Federal grant programs / Department of Health and Human Services

Analyses, Research and Studies to Address the Impact of CMS’ Programs on American Indian/Alaska Native (AI/AN) Beneficiaries and the Health Care System Serving these Beneficiaries (93.341)

• Awarded, FY 2021 to 2025$5.2 million
• Grant awards2
• Typical award$2.6 million
• Awarded in FY 2025$1.5 million
• Size rank1,614 of 1,823
• Type of assistanceCooperative agreements

Key findings

• Annual funding rose from $500,000 in fiscal 2021 to $1.5 million in fiscal 2025.
• It is the 1614th largest of 1,823 federal grant programs by five-year awards.
• Awards went to recipients in 1 states and territories.

What the program funds

To further CMS’ mission and goals related to providing high quality health care to the American Indian/Alaska Native (AI/AN) community by providing research and analysis to increase the understanding of, access to, and impact of CMS’ programs in Indian Country. Congress authorized AI/ANs to have access to Medicare and Medicaid services when provided through Indian Health Service (IHS) facilities located in tribal communities and amended titles XVIII and XIX of the Social Security Act to permit IHS facilities to bill Medicare and Medicaid for services provided to eligible AI/ANs. This authority was later extended to tribal facilities. Congress has also provided authority for Indian health care programs and beneficiaries to participate in the Children’s Health Insurance program and the Health Insurance Marketplace. These changes have created a direct relationship between CMS and the Indian Health Service, The research conducted under this cooperative agreement is needed to help improve administration of CMS’ programs given that CMS and IHS programs operate under different and sometimes competing authorities for CMS’ programs, the Social Security Act and for IHS’ programs, the Indian Health Care Improvement Act and the Indian Self Determination Education and Assistance Act, P.L. 93-638. To make CMS’ programs work with Indian health program authorities, a crucial first is step is for CMS to understand the impact of its policies on Indian health care providers and tribal members so that the agency can provide the AI/AN community greater access to CMS’ programs in an effective and efficient manner. The authority at Section 1110 of the Social Security Act permits CMS to enter into grants andcooperative arrangements with organizations and certain other entities in order to aid in improving administration and effectiveness of programs administered by the agency. To this end, the work conducted under this cooperative agreement will address the potential and actual impacts of CMS’ programs on AI/ANs and the health care system serving these beneficiaries. CMS’ understanding of the impact of its policies is vital to improving greater AI/AN access to and participation in CMS’ programs; improving and ensuring that appropriate health care payments and resources are provided to IHS tribal, and urban Indian Health program providers; and contributing to overall improved health outcomes for Indian people. The information and activities produced or provided under the cooperative agreement will be used to develop culturally appropriate activities and strategies to improve how CMS’ program operate and are administered in Indian country.

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

Eligibility is limited to the National indian Health Board, and this single source award was approved by the Chief Grants Management Officer. NIHB meets the definition of “tribal organization”under the Indian Health Care Improvement Act (IHCIA) 25 USC Section 1603(26), with significant historical experience in providing outreach and education and the provision of health care information for Indian Tribes and Tribal Organizations. NIHB is a legally established organization controlled and governed by Indians and includes the maximum participation of Indians in all phases if its activities. NIHB has 100 percent appointed or elected officers that comprise the Board of Directors. NIHB acts in a supportive role to ensure the dissemination of health care education and information to tribes. NIHB must submit a copy of the 501(c) (3) Non-profit Certifion as proof of non-profit status. Applicant must have an Employer Identification Number (EIN), otherwise known as a Taxpayer Identification Number (TIN), to apply. Applicant must have a Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS) number. The DUNS number is a nine-digit identification number that uniquely identifies business entities. To obtain a DUNS number, access the following website: http://www.dnb.com/ or call -866-705-5711. This number should be entered in the block 8c (on the Form SF-424, Application for Federal Assistance).

Continue reading on SAM.gov

What the money can and cannot pay for

In recent years a number of statutory changes have been made to CMS’ programs and regulations have been developing to implement those changes. The assistance provided under this cooperative agreement will be used to: a) assess the ongoing impact of CMS’ programs through an analysis of CMS regulations and CMS initiatives that have a potential impact or effect on IHS, Tribal and Urban Indian providers and AI/AN beneficiaries and use this information to monitor AI/AN participation in the CMS regulatory process to assess whether such participation contributes to the understanding of how CMS-related provisions in the Patient Protection and Affordable Care Act (ACA) impact the financing and delivery of health care in the Indian health care system; b) refine the inventory of AI/AN demographic, enrollment, and utilization data in order to develop strategies that make CMS data systems capable of reporting AI/AN enrollments, service utilization, health status and payment data from the Medicare, Medicaid and CHIP programs to facilitate program planning and evaluation, performance measurement, health status monitoring, and target enrollment efforts, identify gaps in data collection, propose and analyze approaches necessary to change and augment data collection systems and other information needed to support all reporting requirements under ACA, CHIPRA and ARRA, and propose reporting mechanisms and protocols for such reporting; c) update and revise the CMS Tribal Technical Advisory...

Continue reading on SAM.gov

Matching requirements

This program has no statutory formula. Section 1110 of the Social Security Act requires cost sharing by the applicant. To comply with this requirement, CMS requires that the applicant provide cost sharing equal to at least one percent (1%) of the amount of the award. This cost sharing requirement may be satisfied through in-kind contributionsMOE requirements are not applicable to this assistance listing.

Deadlines

Contact the headquarters or regional location, as appropriate for application deadlines

Award range and average, in the agency's words

FY 2014 - $635,000 FY 2015 - $635,000 FY 2016 - $860,000 Approximate average award -- $800,000.

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

Who usually wins

Almost all of the money went to nonprofits.

By state

Each state below has its own page for this program, with its recipients and yearly totals.

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