The synopsis for this grant opportunity is detailed below, following
this paragraph. This synopsis contains all of the updates to this
document that have been posted as of
05/14/2009
. If
updates have been made to the opportunity synopsis, update information
is provided below the synopsis.
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Document Type:
Grants Notice
Funding Opportunity Number:
HHS-2009-CMS-HRP-0004
Opportunity Category:
Discretionary
Posted Date:
May 14, 2009
Creation Date:
May 14, 2009
Original Closing Date for Applications:
Jun 30, 2009
See link to full announcement for details.
Current Closing Date for Applications:
Jun 30, 2009
See link to full announcement for details.
Archive Date:
Jul 30, 2009
Funding Instrument Type:
Grant
Category of Funding Activity:
Health
Category Explanation:
Expected Number of Awards:
1
Estimated Total Program Funding:
$1,500,000
Award Ceiling:
$1,500,000
Award Floor:
$1,500,000
CFDA Number(s):
93.780
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Grants to States for Operation of Qualified High-Risk Pools
Cost Sharing or Matching Requirement:
No
Eligible Applicants
Others (see text field entitled "Additional Information on Eligibility" for clarification)
Additional Information on Eligibility:
This is a COMPETITIVE opportunity for State High Risk Pools that do not have an active CMS "Operational Losses" grant beyond March 31, 2009. A qualified high risk pool as defined in sections 2744(c)(2) and 2745(g) of the PHS Act is a risk pool that (a) provides to all eligible individuals health insurance coverage (or comparable coverage) that does not impose any preexisting condition exclusion with respect to such coverage for all eligible individuals, except that it may provide for enrollment of eligible individuals through an acceptable alternative mechanism (as defined for purposes of section 2744) that includes a high risk pool as a component, and (b) provides for premium rates and covered benefits for such coverage consistent with standards included in the NAIC Model Health Plan for Uninsurable Individuals Act that was in effect at the time of the enactment of the Health Insurance Portability and Accountability Act of 1996 (August 21, 1996). To be eligible for a grant, a state must have an established qualified high risk pool that has incurred losses and (1) restricts premium charged under the pool to no more than 200 percent of the premium for applicable standard risk rates; (2) offers a choice of two or more coverage options through the pool; and (3) has in effect a mechanism reasonably designed to ensure continued funding of losses incurred by the state in connection with operations of the pool after the end of the last fiscal year for which a grant is provided under this paragraph. The state must provide sufficient documentation of the losses incurred in the operations of the qualified high risk pool for the covered grant period.
Agency Name
Centers for Medicare & Medicaid Services
Description
The Centers for Medicare & Medicaid Services (CMS) will make grants available from the appropriations authorized under section 2745(d)(1)(B) of the Public Health Service Act (PHS Act) for the costs of operational losses for the operations of qualified high risk pools by States. This is a COMPETITIVE opportunity for State High Risk Pools that do not have an active CMS "Operational Losses" grant beyond March 31, 2009. Total Amount of Funding: up to $1,500,000
