The first in a series of Accountable Health Communities Model webinars was held on Thursday, January 21, 2016 from 2:00 – 3:30pm EST. The webinar focused on an overview of the model and application requirements. A repeat of the webinar covering the same topic was held Wednesday, January 27, 2016 from 3:00– 4:30pm EST.
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CMS Innovation Center
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This Accountable Health Communities Model webinar was held on Wednesday, February 10, 2016 from 3:00 – 4:00pm EST. The webinar focused on the anticipated role of state Medicaid agencies in the model.
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CMS Innovation Center
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The webinar introduced the Comprehensive Primary Care initiative to the primary care provider community and covered the service delivery model, including the 5 Comprehensive Primary Care functions, and the milestones participating practices will need to achieve in the first year. The process for applying was also discussed, including information about the application itself.
More at: http://innovations.cms.gov/resources/CPCi-Webinar-for-PCPs.html
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CMS Innovation Center
http://innovation.cms.gov
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The Maternal Opioid Misuse (MOM) Model team presented a notice of funding opportunity and application review webinar on Thursday, February 21 from 2:00 p.m. to 3:15 p.m. EST.
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CMS Innovation Center
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In this Thursday, July 12, 2012 webinar, presentations focused on learning more about program requirements, preferences, and other keys to success from CMS Innovation Center staff and communities currently participating in the CCTP program. The final CCTP review panel for 2012 convened on September 20, 2012. Applications must have been received by September 3rd to be considered for this review. Future panels may be announced as funding permits.
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The Accountable Health Communities Model team hosted a webinar to provide an overview of the new funding opportunity and application requirements for Track 1 on Wednesday, September 14, 2016 from 2:00p.m. – 3:00p.m. EDT.
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CMS Innovation Center
http://innovation.cms.gov
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The Center for Medicare and Medicaid Innovation released a Request for Information (RFI) in late 2013 entitled the “Evolution of ACO Initiatives at CMS.” These are the first of two batches of responses received by the Center for Medicare and Medicaid Innovation to the RFI.
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CMS Innovation Center
http://innovation.cms.gov
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The Center for Medicare & Medicaid Services (CMS) recently announced 23 additional participants for the Community-based Care Transitions Program (CCTP). These participants will join seven other community-based organizations already working with local hospitals and other health care and social service providers to support high-risk Medicare patients in maintaining the healing process as they transition from hospital stays to home, a nursing home, or other care setting.
This webinar will allow stakeholders to hear directly from some of the newly selected sites. CMS Innovation Center staff will provide additional information about the program and will be available to answer questions.
More at: http://innovations.cms.gov/resources/CCTP-RdcReadmiss.html
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The Center for Medicare and Medicaid Innovation hosted a webinar on Thursday, October 8, 2015. The webinar provided an opportunity to learn more about efforts to solicit public comment on a variety of alternative payment pathways to increase value over volume.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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This Accountable Health Communities Model webinar was held on Wednesday, February 10, 2016 from 3:00 – 4:00pm EST. The webinar focused on the anticipated role of state Medicaid agencies in the model.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
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The webinar introduced the Comprehensive Primary Care initiative to the primary care provider community and covered the service delivery model, including the 5 Comprehensive Primary Care functions, and the milestones participating practices will need to achieve in the first year. The process for applying was also discussed, including information about the application itself.
More at: http://innovations.cms.gov/resources/CPCi-Webinar-for-PCPs.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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The Maternal Opioid Misuse (MOM) Model team presented a notice of funding opportunity and application review webinar on Thursday, February 21 from 2:00 p.m. to 3:15 p.m. EST.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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In this Thursday, July 12, 2012 webinar, presentations focused on learning more about program requirements, preferences, and other keys to success from CMS Innovation Center staff and communities currently participating in the CCTP program. The final CCTP review panel for 2012 convened on September 20, 2012. Applications must have been received by September 3rd to be considered for this review. Future panels may be announced as funding permits.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
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The Accountable Health Communities Model team hosted a webinar to provide an overview of the new funding opportunity and application requirements for Track 1 on Wednesday, September 14, 2016 from 2:00p.m. – 3:00p.m. EDT.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare and Medicaid Innovation released a Request for Information (RFI) in late 2013 entitled the “Evolution of ACO Initiatives at CMS.” These are the first of two batches of responses received by the Center for Medicare and Medicaid Innovation to the RFI.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Services (CMS) recently announced 23 additional participants for the Community-based Care Transitions Program (CCTP). These participants will join seven other community-based organizations already working with local hospitals and other health care and social service providers to support high-risk Medicare patients in maintaining the healing process as they transition from hospital stays to home, a nursing home, or other care setting.
This webinar will allow stakeholders to hear directly from some of the newly selected sites. CMS Innovation Center staff will provide additional information about the program and will be available to answer questions.
More at: http://innovations.cms.gov/resources/CCTP-RdcReadmiss.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare and Medicaid Innovation hosted a webinar on Thursday, October 8, 2015. The webinar provided an opportunity to learn more about efforts to solicit public comment on a variety of alternative payment pathways to increase value over volume.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Wednesday, April 27, 2016. During this webinar Model team members provided an overview of the model specifically for interested payers.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
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The CMS Innovation Center held the second in a series of webinars for potential applicants to Health Care Innovation Awards Round Two. The webinar held Wednesday, June 12, 2013 1:30pm – 3:00pm EDT, focused specifically on the first two of the four innovation categories.
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CMS Innovations
http://innovations.cms.gov
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February 9, 2012
These slides are designed for Post-Acute Care (PAC) providers seeking additional information about how Model 3 works and a better understanding of the opportunities for PAC providers within the Bundled Payment for Care Improvement (BPCI) initiative to achieve better care, better health and lower costs for their patients through care redesign.
More at: http://innovations.cms.gov/resources/Bundled-Payments-Model-3-Deep-Dive.html
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CMS Innovation Center
http://innovation.cms.gov
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CMS Innovation Center, Center for Medicaid and CHIP Services staff will be hosting a webinar that will discuss how applicants can work with States and the role of States in the Strong Start funding opportunity. A series of follow up webinars will provide more in-depth information about other aspects of this initiative.
More at: http://innovations.cms.gov/resources/Strong-Start-Webinar-State-Partnerships.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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Staff from the CMS Innovation Center and the Center for Medicare and CHIP Services hosted a webinar that provided an overview of the Strong Start initiative and the application process and requirements for the Medicaid funding opportunity.
More at: http://innovations.cms.gov/resources/StrongStart_overview.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is an initiative designed to improve care for people living in nursing facilities who are enrolled in Medicare and Medicaid.
Through this initiative, CMS will partner with independent organizations to improve care for long-stay nursing facility residents. These organizations will collaborate with nursing facilities and States to provide coordinated, person-centered care with the goal of reducing avoidable hospital stays.
In this webinar, staff from the Medicare-Medicaid Coordination Office (MMCO) and the CMS Innovation Center will provide an overview of the initiative, and offer information about how to apply.
More at: http://innovations.cms.gov/resources/Duals_rahnfr_apply.html
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CMS Innovation
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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The Next Generation ACO Model team hosted an open door forum on Tuesday, March 28, 2017. The Next Generation Model features three payment rule waivers, referred to as benefit enhancements. This open door forum provided an overview of the Model’s three benefit enhancements.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
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The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted a webinar to discuss various aspects of the Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Incentive Payment Model; and changes to the Comprehensive Care for Joint Replacement Model final rule on Wednesday, February 22, 2017, from 12:00 p.m. – 1:00 p.m. EST. The final rule was displayed at the Federal Register on December 20, 2016 and is effective on February 18, 2017.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Thursday, January 30, 2020 to provide information and answer questions about the hospice benefit component recently added to the Value Based Insurance Design (VBID) Model. The Centers for Medicare & Medicaid Services announced in January 2019 that beginning in calendar year 2021, the VBID Model will test including the Medicare hospice benefit in Medicare Advantage.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
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CMMI, in partnership with Million Hearts® at the Centers for Disease Control and Prevention (CDC), will sponsor a webinar entitled Value-Based Insurance Design, Opportunities to Improve Medication Adherence for Cardiovascular Disease Prevention on October 21, 2021 from 3:00-4:00 PM ET. The webinar will present evidence-based high impact strategies for MAOs to improve care and outcomes for beneficiaries with cardiovascular disease (CVD), including underserved populations.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Thursday, April 21, 2016. During this webinar Model team members provided an overview of the model specifically for health IT vendors.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Maternal Opioid Misuse (MOM) Model team held the first of two overview webinars on Thursday, November 8 from 12:00 p.m. - 1:00 p.m. EST. During this webinar, MOM Model team members presented a variety of information about the model.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare and Medicaid Innovation (CMS Innovation Center) hosted an introduction webinar about the Oncology Care Model (OCM) on Thursday, February 19, 2015 from 12:00pm – 1:00pm EST. The webinar focused on introducing core concepts of OCM and application instructions. Advance registration was not required.
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CMS Innovation Center
http://innovation.cms.gov
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The Part D Enhanced Medication Management (MTM) Model team hosted a webinar on Wednesday, October 21, 2015. Attendees received an introduction to the model and related details.
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CMS Innovation Center
http://innovation.cms.gov
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The Primary Care First Model Options team hosted a payment webinar on Wednesday, July 24, 2019 from 12:00 p.m. - 1:00 p.m. EDT. Topics discussed included how eligible practices can participate in the SIP payment model option of Primary Care First, eligibility requirements, quality measures, and payment.
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CMS Innovation Center
http://innovation.cms.gov
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The CMS Innovation Center hosted a webinar on Wednesday April 9, 2014 to provide an overview of the Medicare Care Choices Model and the application process. Subject matter experts from the CMS Innovation Center provided details and answered questions.
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CMS Innovation Center
http://innovation.cms.gov
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The CMS Innovation Center held the sixth in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Thursday, July 11, 2013 from 1:00–2:00pm EDT, focused on developing payment models.
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CMS Innovations
http://innovations.cms.gov
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During this event, the Primary Care First, Direct Contracting, and Kidney Care Choices model teams discussed areas such as model aim, timeline, participant eligibility, and more. Attendees had the opportunity to submit questions during a live Q&A portion.
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CMS Innovation Center
http://innovation.cms.gov
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This webinar is designed to ensure that all applicants to Models 2-4 of BPCI have a clear understanding of the three different roles an applicant must choose from when applying to this initiative. The applicant roles are linked to the applicant's partner types, as well as to how the applicant decides to partner with these Bundled Payment participating organizations.
More at: http://innovations.cms.gov/resources/Bundled-Payments-Applicant-Roles.html
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CMS Innovations
http://innovations.cms.gov
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The CMS Innovation Center held a Medicare Diabetes Prevention Program webinar on August 9, 2016 from 12:00 – 1:00p.m. EDT. This webinar provided an overview of the proposal in calendar year 2017 Medicare Physician Fee Schedule.
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CMS Innovation Center
http://innovation.cms.gov
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The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Wednesday, April 27, 2016. During this webinar Model team members provided an overview of the model specifically for interested payers.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The CMS Innovation Center held the second in a series of webinars for potential applicants to Health Care Innovation Awards Round Two. The webinar held Wednesday, June 12, 2013 1:30pm – 3:00pm EDT, focused specifically on the first two of the four innovation categories.
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CMS Innovations
http://innovations.cms.gov
We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
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February 9, 2012
These slides are designed for Post-Acute Care (PAC) providers seeking additional information about how Model 3 works and a better understanding of the opportunities for PAC providers within the Bundled Payment for Care Improvement (BPCI) initiative to achieve better care, better health and lower costs for their patients through care redesign.
More at: http://innovations.cms.gov/resources/Bundled-Payments-Model-3-Deep-Dive.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMS Innovation Center, Center for Medicaid and CHIP Services staff will be hosting a webinar that will discuss how applicants can work with States and the role of States in the Strong Start funding opportunity. A series of follow up webinars will provide more in-depth information about other aspects of this initiative.
More at: http://innovations.cms.gov/resources/Strong-Start-Webinar-State-Partnerships.html
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Staff from the CMS Innovation Center and the Center for Medicare and CHIP Services hosted a webinar that provided an overview of the Strong Start initiative and the application process and requirements for the Medicaid funding opportunity.
More at: http://innovations.cms.gov/resources/StrongStart_overview.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
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The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is an initiative designed to improve care for people living in nursing facilities who are enrolled in Medicare and Medicaid.
Through this initiative, CMS will partner with independent organizations to improve care for long-stay nursing facility residents. These organizations will collaborate with nursing facilities and States to provide coordinated, person-centered care with the goal of reducing avoidable hospital stays.
In this webinar, staff from the Medicare-Medicaid Coordination Office (MMCO) and the CMS Innovation Center will provide an overview of the initiative, and offer information about how to apply.
More at: http://innovations.cms.gov/resources/Duals_rahnfr_apply.html
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CMS Innovation
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Next Generation ACO Model team hosted an open door forum on Tuesday, March 28, 2017. The Next Generation Model features three payment rule waivers, referred to as benefit enhancements. This open door forum provided an overview of the Model’s three benefit enhancements.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted a webinar to discuss various aspects of the Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Incentive Payment Model; and changes to the Comprehensive Care for Joint Replacement Model final rule on Wednesday, February 22, 2017, from 12:00 p.m. – 1:00 p.m. EST. The final rule was displayed at the Federal Register on December 20, 2016 and is effective on February 18, 2017.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Thursday, January 30, 2020 to provide information and answer questions about the hospice benefit component recently added to the Value Based Insurance Design (VBID) Model. The Centers for Medicare & Medicaid Services announced in January 2019 that beginning in calendar year 2021, the VBID Model will test including the Medicare hospice benefit in Medicare Advantage.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMMI, in partnership with Million Hearts® at the Centers for Disease Control and Prevention (CDC), will sponsor a webinar entitled Value-Based Insurance Design, Opportunities to Improve Medication Adherence for Cardiovascular Disease Prevention on October 21, 2021 from 3:00-4:00 PM ET. The webinar will present evidence-based high impact strategies for MAOs to improve care and outcomes for beneficiaries with cardiovascular disease (CVD), including underserved populations.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Thursday, April 21, 2016. During this webinar Model team members provided an overview of the model specifically for health IT vendors.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Maternal Opioid Misuse (MOM) Model team held the first of two overview webinars on Thursday, November 8 from 12:00 p.m. - 1:00 p.m. EST. During this webinar, MOM Model team members presented a variety of information about the model.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
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The Center for Medicare and Medicaid Innovation (CMS Innovation Center) hosted an introduction webinar about the Oncology Care Model (OCM) on Thursday, February 19, 2015 from 12:00pm – 1:00pm EST. The webinar focused on introducing core concepts of OCM and application instructions. Advance registration was not required.
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The Part D Enhanced Medication Management (MTM) Model team hosted a webinar on Wednesday, October 21, 2015. Attendees received an introduction to the model and related details.
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The Primary Care First Model Options team hosted a payment webinar on Wednesday, July 24, 2019 from 12:00 p.m. - 1:00 p.m. EDT. Topics discussed included how eligible practices can participate in the SIP payment model option of Primary Care First, eligibility requirements, quality measures, and payment.
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The CMS Innovation Center hosted a webinar on Wednesday April 9, 2014 to provide an overview of the Medicare Care Choices Model and the application process. Subject matter experts from the CMS Innovation Center provided details and answered questions.
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The CMS Innovation Center held the sixth in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Thursday, July 11, 2013 from 1:00–2:00pm EDT, focused on developing payment models.
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During this event, the Primary Care First, Direct Contracting, and Kidney Care Choices model teams discussed areas such as model aim, timeline, participant eligibility, and more. Attendees had the opportunity to submit questions during a live Q&A portion.
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This webinar is designed to ensure that all applicants to Models 2-4 of BPCI have a clear understanding of the three different roles an applicant must choose from when applying to this initiative. The applicant roles are linked to the applicant's partner types, as well as to how the applicant decides to partner with these Bundled Payment participating organizations.
More at: http://innovations.cms.gov/resources/Bundled-Payments-Applicant-Roles.html
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The CMS Innovation Center held a Medicare Diabetes Prevention Program webinar on August 9, 2016 from 12:00 – 1:00p.m. EDT. This webinar provided an overview of the proposal in calendar year 2017 Medicare Physician Fee Schedule.
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The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
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The CMS Innovation Center held the third in a series of webinar events for the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model on Thursday, June 16, 2016 from 12:00p.m. – 1:00p.m. EDT. This webinar provided a technical presentation and demonstration of the application process and online application in detail.
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This recorded Accountable Health Communities Model webinar provides an overview of the learning system and implementation plan guide.
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The Center for Medicare & Medicaid Innovation (CMS Innovation Center) hosted the first of two webinars on November 19 to describe the final rule and respond to questions about the Comprehensive Care for Joint Replacement Model.
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The Accountable Health Communities Model team hosted a webinar to provide an overview of the roles of state Medicaid agency partners for Track 1 on Monday, September 12, 2016 from 2:00p.m. – 3:00p.m. EDT.
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The Beneficiary Engagement and Incentives: Direct Decision Support (DDS) Model team hosted a webinar on Thursday, February 9, 2017. During this webinar Model team members provided an overview of the application, application sections, cost worksheet and provided technical guidance followed by a question-and-answer (Q&A) segment.
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Massimo Sarmi: Poste Italiane sigla accordo con MicrosoftPosteItaliane
Poste Italiane e Microsoft Italia siglano un accordo per fornire servizi integrati innovativi rivolti a professionisti, Pmi e Pubblica Amministrazione. L’intesa mira a sostenere il processo di digitalizzazione del Paese con il lancio di soluzioni tecnologicamente avanzate nel campo della comunicazione digitale. Massimo Sarmi, AD di Poste Italiane: “L’accordo con Microsoft conferma il forte orientamento all’innovazione che caratterizza Poste Italiane e ne guida lo sviluppo”. Integrati i servizi Poste (PEC, Firma Digitale, Conservazione Sostitutiva) con Office 365.
http://petrafisher.com Donderdag 14 juni 2012 vond in De Balie Amsterdam "LinkedIn LIVE" plaats. Een event met training in het strategisch inzetten van LinkedIn, Tips, Gastsprekers en een uitgebreide netwerk borrel.
The Accountable Health Communities Model team hosted a webinar to provide an overview of the new funding opportunity and application requirements for Track 1 on Wednesday, September 14, 2016 from 2:00p.m. – 3:00p.m. EDT.
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The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Advancing Team-Based Care:Dissolving the Walls: Clinic Community ConnectionsCHC Connecticut
This final webinar of the Transforming Teams series addressed the ways innovative practices keep connected to their communities by offering non-medical services that benefit patients, linking to quality community resources, and acting as advocates in their communities for resources and programs that may be needed.
This webinar was presented Jun 2, 2016 3:00 PM Eastern Time
The cost of healthcare continues to rise without corresponding increase in patient outcomes. Find out how to change that with community care coordination.
How do medicaid waivers expand the possibilities of whole person care 032117Jennifer D.
With the changing landscape in healthcare right now it's important to know how Medicaid Waivers and Whole Person Care can help secure positive outcomes.
In this August 15, 2012 webinar CMS Innovation Center staff provided additional information for states that are interested in applying for a Model Testing award. Governors' offices were strongly encouraged to onvite their health care innovation team, key stakeholders and appropriate State officials such as State health department directors, Medicaid directors, and insurance commissioners.
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Supercharge Crisis Services - Gabriella Guerra (Natcon15)David Covington
As health care continues to focus on accountability for improved clinical outcomes, usage of lower cost services, improved public safety and a demand for positive client experiences, the importance of crisis services grows. With increasing attention to the value of crisis services, how do we support excellence? Financing, collaborative partnerships, standard operating procedures, current research, use of data and innovative technology are cornerstones of effective intervention delivery for hotlines, mobile teams and crisis stabilization. Come take an in-depth look into the tools and solutions available to quickly build the clinical, administration and financial supports to keep track with the new national focus.
Similar to Webinar: Accountable Health Comunities Model - Overview & Application Requirements (20)
The Medicare Advantage Value-Based Insurance Design (VBID) Model team at the Center for Medicare and Medicaid Innovation (CMMI) and national leaders participated in a discussion around pathways for addressing food and nutritional insecurity at webinar event of our Health Equity Incubation Program on Thursday, March 31, 2022, from 3:00-4:30 PM ET.
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The CMS Innovation Center hosted an office hours session on Tuesday, April 5, 2022 from 3:00-4:00 PM ET to discuss the Medicare Advantage Value-Based Insurance Design (VBID) Model and its Hospice Benefit Component. Attendees received an overview of the Model and the CY 2023 application process, and had an opportunity for questions and answers with the Model team.
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The ACO REACH Model Team will hosted a health equity webinar on Tuesday, April 5, 2022 from 4:00 - 5:00 p.m. EDT. The ACO REACH Model team highlighted Health Equity provisions added to the ACO REACH Model.
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This webinar focuses on the new financial policies featured in the ACO REACH webinar. For more information on the financial methodology for the ACO REACH Model that will be transitioned from the Global and Professional Direct Contracting (GPDC) Model, please refer to prior released financial webinars available on the GPDC Model webpage.
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During this webinar, a high-level overview of the ACO REACH Model was provided including information on the participation and eligibility requirements, Accountable Care Organization (ACO) types, payment mechanisms, and beneficiary alignment methodology.
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The CMS Innovation Center will host a webinar on Thursday, March 10, 2022 from 3:00-4:00 PM ET. During this webinar, presenters will provide a brief review of the recently released Calendar Year (CY) 2023 Requests for Applications (RFAs) for the VBID Model and the Hospice Benefit Component as well as the payment design related to the Hospice Benefit Component of the VBID Model. This session will also offer attendees an opportunity to ask follow-up questions.
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This webinar provided an overview of the Model and the Part D Sponsor application process, as well as included a Q&A session for interested Part D sponsors.
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The CMS Innovation Center hosted a webinar on Wednesday, March 2, 2022 at 3pm – 4pm ET, during which presenters shared updates on the Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model, the Kidney Care Choices (KCC) Model, and the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. This event was available to the first 1,000 registrants. Presentation materials will be available on the respective model webpages following the session.
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The Medicare Advantage Value-Based Insurance Design (VBID) Model Team hosted an office hours session on Thursday February 3rd, 2022 on the Hospice Benefit Component to provide technical and operational support to interested stakeholders. During this office hours session, presenters answered questions submitted in advance to the VBID Mailbox and offered attendees an opportunity to ask additional questions.
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Has your organization prioritized addressing health inequities? How can a Center for Medicare and Medicaid Innovation (CMMI) Model factor into your organization’s health equity strategy? How can you structure your plan’s benefits to have the greatest impact on underserved communities? What partnership opportunities are available with CMMI?
These are important questions CMMI plans to answer in a new webinar series focused on health equity! CMMI is sponsoring a series of webinars for current and potential Medicare Advantage Organization (MAO) participants in the Value-Based Insurance Design (VBID) Model.
The first webinar in the series provided an overview of the Model’s Health Equity Incubation Sessions effort, articulated a business case for MAOs to leverage VBID Model Components to address health inequities in their member populations, and provided specific guidance and clarification on the full extent of health equity focused flexibilities that fall under the Model’s waiver authority.
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As part of a broader partnership, CMMI, the Office of the Assistant Secretary for Health (OASH) and the Administration for Community Living (ACL) are jointly sponsoring a webinar titled, Unleashing the Capabilities of MAOs to Deliver Health Innovation for Older Adults in Underserved Settings on October 7 from 2:30-4:00 PM ET to highlight the emerging, numerous opportunities for MAOs to support beneficiaries in more fully meeting their care needs and goals through novel approaches and services enabled by technology.
The webinar will provide an overview of the data supporting these opportunities and will include a panel of three speakers from payer organizations, each of whom will provide an overview of their experience and results in innovating in the use of technology to address unmet enrollee health needs. Panelists include Mona Siddiqui MD, MPH, Senior Vice President for Enterprise Clinical Strategy and Quality at Humana, who will discuss Humana’s approach to the use of data and predictive modeling to proactively engage and provide care for the highest risk and most vulnerable populations; John Wiecha, Medical Director, Senior Products Division at Point32Health, representing the newly combined organizations of Harvard Pilgrim Health Care and Tufts Health Plan will provide an overview of a recent pilot project to improve dementia care through a digital caregiver support program; and Caesar A. DeLeo, MD, MHSA Vice President & Executive Medical Director Strategic Initiatives, Highmark Health Enterprise Clinical Organization, Highmark BCBS who will discuss Highmark’s experience with telemedicine to approach substance use disorders during the pandemic and results from a five-year data driven program addressing appropriate opiate prescribing through profiling and academic detailing.
The webinar offers attendees the opportunity to gain a better understanding of the evidence and potential of several technology-enabled services in improving access, quality and outcomes of care, including, importantly, for underserved populations and will provide MAOs with insights more broadly on the challenges and solutions in design, implementation and evaluation of innovative and technology-enabled service. MAOs that are considering such innovations who may wish to target the use of technology-enabled and/or other services based on chronic illness and/or Low-Income Subsidy (LIS) status through the VBID Model are encouraged to attend.
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The ET3 Model and Medicaid: Opportunities for Alignment webinar provided background on the ET3 Model, discussed the benefits for states of aligning coverage and payment policies with ET3, and explored considerations for states seeking to implement new Medicaid services that align with the ET3 Model. This webinar was intended for state Medicaid agencies, ET3 Model Participants, and other stakeholders interested in learning more about optional Medicaid alignment with the ET3 Model.
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CMS announced an Office Hour event for potential applicants to ask questions ahead of the PCF application deadline.
The PCF Model Team was available to answer questions on key topics including eligibility, payment design and attribution, and more.
You may also refer to the materials from the two PCF webinars held in March: Introduction to PCF and Ready, Set, Apply.
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In order to help ETC Model Participants prepare for the ETC Model, CMS conducted an introductory webinar on Wednesday, December 9, 2020 from 1 p.m. to 2 p.m. The webinar provided an overview of the ETC Model, including:
Participant selection
The Home Dialysis Payment Adjustment
The Performance Payment Adjustment
The ETC Model timeline, including the timing of payment adjustments
Information about how to communicate with CMS about the ETC Model
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The Value-Based Insurance Design (VBID) Model team hosted a webinar on January 28, 2021 from 4:00-5:00 PM EST. During this webinar, presenters provided a brief review of the recently released Calendar Year (CY) 2022 Requests for Applications (RFAs) for the VBID Model and the Hospice Benefit Component. This session also offered attendees an opportunity to ask follow-up questions.
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The Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar on Wednesday, March 17, 2021 from 4:00 - 5:00 PM EDT. During this webinar, presenters provided a preview of the Calendar Year 2022 payment design related to the Hospice Benefit Component of the VBID Model. The session also offered attendees an opportunity to ask follow-up questions.
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The Part D Senior Savings Model and Part D Payment Modernization Model teams hosted a webinar on Tuesday, March 23, 2021 from 1:00 to 2:00 PM EDT. During this webinar, presenters provided an overview of the two Models and the Calendar Year (CY) 2022 application process. The session also offered attendees an opportunity to ask follow-up questions.
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CMS hosted a virtual office hour session on April 13, 2021 from 4:00-5:00 PM EDT. During this office hour, presenters provided a review of the Calendar Year 2022 payment design and payment rates related to the Hospice Benefit Component of the Value-Based Insurance Design (VBID) Model. This session also offered attendees an opportunity to ask follow-up questions.
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The Emergency Triage, Treat, and Transport (ET3) Model Medical Triage Line Notice of Funding Opportunity (NOFO) webinar provided an overview of the application process and NOFO requirements for implementing 911 medical triage lines. This webinar was intended for those interested in learning more about the ET3 Model’s Notice of Funding Opportunity, which was released March 12.
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The Primary Care First Model (PCF) Options team provided an overview of the PCF payer partnership. Participants were able to learn about current PCF Model participants, benefits to payer partnership, the framework against which payer proposal alignment will be evaluated, and the payer solicitation process and timeline.
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More from Centers for Medicare & Medicaid Services (CMS) (20)
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Canadian Immigration Tracker March 2024 - Key SlidesAndrew Griffith
Highlights
Permanent Residents decrease along with percentage of TR2PR decline to 52 percent of all Permanent Residents.
March asylum claim data not issued as of May 27 (unusually late). Irregular arrivals remain very small.
Study permit applications experiencing sharp decrease as a result of announced caps over 50 percent compared to February.
Citizenship numbers remain stable.
Slide 3 has the overall numbers and change.
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
Webinar: Accountable Health Comunities Model - Overview & Application Requirements
1. Accountable Health Communities
Model Overview
and Requirements
Presenters
Chisara N. Asomugha, MD,
MSPH, FAAP
Susan Jackson, DrPH, MPH, CHES
Louise Amburgey
2. Agenda
• Accountable Health Communities (AHC)
Model Design
– Overview
– Model Structure
– Model Requirements
• Application Process
– Eligibility Criteria
– Application Requirements
– Selection Criteria
• Grants Management Process
3. CMS Aims
3
Better Care: We have an opportunity to realign the
practice of medicine with the ideals of the profession—
keeping the focus on patient health and the best
care possible.
Smarter Spending: Health care costs consume a
significant portion of state, federal, family, and business
budgets, and we can find ways to spend those dollars
more wisely.
Healthier People: Giving providers the opportunity
to focus on patient-centered care and to be accountable
for quality and cost means keeping people healthier
for longer.
4. CMS Quality Strategy – Goal 5
Successful efforts to improve social determinants of health
and access to appropriate healthcare rely on deploying
evidence-based interventions through strong partnerships
between local healthcare providers, public health
professionals, community and social service agencies,
and individuals.*
- CMS Quality Strategy, 2015
* https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-
Instruments/QualityInitiativesGenInfo/CMS-Quality-Strategy.html
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6. Accountable Health Communities
Model Dates
6
Milestone Date
Funding Opportunity Announcement
Posting Date:
January 5, 2016
Letter of Intent to Apply Due: February 8, 2016
Electronic Cooperative Agreement
Application Due:
March 31, 2016
(1 PM Eastern Time)
Anticipated Issuance of Notices of Award: December 2016
Anticipated Start of Cooperative
Agreement Period of Performance:
January 2017
7. Why the Accountable Health
Communities Model?
• Many of the largest drivers of health care costs fall outside the
clinical care environment.
• Social and economic determinants, health behaviors and the
physical environment significantly drive utilization and costs.
• There is emerging evidence that addressing health-related social
needs through enhanced clinical-community linkages can
improve health outcomes and impact costs.
• The AHC model seeks to address current gaps between health
care delivery and community services.
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8. The Vision for Enhanced Clinical and
Community Linkages
Care Process Today’s Care Future Care
Identification of
health-related social
need
Ad hoc, depending on whether
patient raises concern in clinical
encounter
Systematic screening of all
Medicare and Medicaid
beneficiaries
Provider response to
health-related social
need
Ad hoc, depending on whether
provider is aware of resources in
the community
Systematic connection to
community services through
referral or community service
navigation
Availability of support
to help patient resolve
health-related social
need
Ad hoc, depending on whether
case manager is available and
has capacity given case load and
care coordination
responsibilities
Community service navigation
designed to help high-risk
beneficiaries overcome barriers to
accessing services
Availability of
community services to
address health-related
social needs
Dependent on fragmented
community service system not
aligned with beneficiary needs,
often resulting in wait lists or
difficulty accessing services
Aligned community services,
data-driven continuous quality
improvement and community
collaborations to assess and build
service capacity
9. What Does the Accountable Health
Communities Model Test?
The Accountable Health Communities Model
is a 5-year model that tests whether
systematically identifying and addressing the
health-related social needs of community-
dwelling Medicare and Medicaid beneficiaries
impacts health care quality, utilization
and costs.
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10. Key Innovations
• Systematic screening of all Medicare and Medicaid
beneficiaries to identify unmet health-related social needs
• Testing the effectiveness of referrals to increase beneficiary
awareness of community services using a rigorous mixed
method evaluative approach
• Testing the effectiveness of community services navigation
to provide assistance to beneficiaries in accessing services using
a rigorous mixed-method evaluative approach
• Partner alignment at the community level and
implementation of a quality improvement approach to address
beneficiary needs
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11. Key Definitions for Purposes of
AHC Model
• Community-Dwelling Beneficiary – a Medicare
or Medicaid beneficiary, regardless of age,
functional status, and cultural or linguistic diversity,
who is not residing in a correctional facility or long-
term care institution (e.g., nursing facility) when
accessing care at a participating clinical delivery site
• Community Services – a range of public health
and social service supports that aim to address
health-related social needs, and include many home
and community-based services
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12. Key Definitions for Purposes of
AHC Model
• Health-Related Social Need – refers to
community services need that can be linked to
health care, including the cost of care and
inpatient and outpatient utilization
of care
• Usual Care – describes the routinely provided
clinical care received by patients for the
prevention or treatment of disease
or injury
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13. Health-Related Social Needs
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Core Needs *Supplemental Needs
Housing Instability
Utility Needs
Food Insecurity
Interpersonal Violence
Transportation
Family & Social Supports
Education
Employment & Income
Health Behaviors
* This list is not inclusive
15. Model Structure
• The AHC model will fund awardees, called bridge organizations,
to serve as “hubs”
• These bridge organizations will be responsible for coordinating
AHC efforts to:
– Identify and partner with clinical delivery sites
– Conduct systematic health-related social needs screenings and
make referrals
– Coordinate and connect community-dwelling beneficiaries who
screen positive for certain unmet health-related social needs to
community service providers that might be able to address
those needs
– Align model partners to optimize community capacity to address
health-related social needs
17. Accountable Health Communities Model
Intervention Approaches:
Summary of the Three Tracks
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• Track 1: Awareness – Increase beneficiary awareness of available community
services through information dissemination and referral
• Track 2: Assistance – Provide community service navigation services to assist
high-risk beneficiaries with accessing services
• Track 3: Alignment – Encourage partner alignment to ensure
that community services are available and responsive to the needs
of beneficiaries
18. Track 1 – Awareness
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Target Population Question Being Asked Partners
Community-dwelling
Medicare and Medicaid
beneficiaries with
unmet health-related
social need(s)
Will increasing
beneficiary awareness of
available community
services, through
information
dissemination and
referral, impact total
health care costs,
inpatient and outpatient
health care utilization
and quality of care?
• State Medicaid
Agencies
• Clinical delivery
sites
• Community service
providers
22. Track 2 – Assistance
22
Target Population Question Asked Partners
Community-dwelling
Medicare and
Medicaid
beneficiaries with
unmet health-related
social need(s)
Will providing
community service
navigation to assist high-
risk beneficiaries with
accessing community
services to address
certain identified
health-related social
needs impact their total
health care costs,
inpatient and outpatient
health care utilization
and quality of care?
• State Medicaid
Agencies
• Clinical delivery sites
• Community service
providers
25. Track 3 – Alignment
Target Population Question Asked Partners
Community-dwelling
Medicare and
Medicaid
beneficiaries with
unmet health-related
social need(s)
Will a combination of
community service
navigation (at the
individual beneficiary
level) and partner
alignment at the
community level
impact total health care
costs, inpatient and
outpatient health care
utilization and quality
of care?
• State Medicaid
Agencies
• Clinical delivery sites
• Community service
providers
• Local government
• Local payers, such as
Medicare Advantage
(MA) plans and
Medicaid Managed
Care Organizations
(MCO)
28. Model Performance Metrics
• Healthcare utilization: emergency
department visits, inpatient admissions,
readmissions and utilization of outpatient
services
• Total cost of care
• Provider and beneficiary experience
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30. Model Participants
• Bridge organization
• At least one state Medicaid agency
• Community service providers that have the capacity to address
the core health-related social needs
• Clinical delivery sites, including at least one of each of the
following types:
– Hospital
– Provider of primary care services
– Provider of behavioral health services
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31. Bridge Organizations and
Model Participant Requirements
Bridge organizations collaborate with model participants to:
• Develop their application proposals
• Identify existing community resource inventories
• Design and implement an intervention that supports the community
service and clinical communities’ commitment to achieving
Accountable Health Communities goals
• Provide a streamlined navigation process that includes navigation
services and tracking of navigation outcomes
(Tracks 2 and 3)
• Develop a gap analysis and action plans that promote synergy between
the community service and clinical communities (Track 3)
32. State Medicaid Agency Requirements
As consortium members, state Medicaid agencies
dedicate staff time for Accountable Health
Communities-related activities, including:
• Data collection and reporting
• Sustainability planning
• An annual intervention review (to ensure that AHC services
are not duplicative)
• Participation on the Advisory Board (Track 3 only)
• An annual review of the Accountable Health Communities
Intervention and a Letter of Support
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33. State Medicaid Agency
MOU Requirements
• Statement of status toward meeting ongoing T-MSIS milestones
• Summary of state laws and policies regulating the release of Medicaid claims
data for beneficiaries in the model to CMS, and an overview of the process and
timeline for obtaining Medicaid claims data
• Supplemental statement outlining a plan for coordinating with CMS to
provide required AHC data in the absence of timely T-MSIS data
• Description of roles and responsibilities for the respective tracks
• Commitment of key personnel
• Summary or list of state-run initiatives with the potential for overlap or
duplicative services that are operating in the target area
• Verification from state Medicaid agency on clinical delivery sites’ estimates of
Medicaid beneficiary ED utilization in the previous 12 months
• Commitment to working with bridge organization to establish a consortium
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34. Clinical Delivery Sites
Bridge Organizations must:
• Include contracts, MOUs or MOU equivalents with clinical
delivery sites in their application for participating hospitals,
primary care provider or practice, and provider of behavioral
health services
• Ensure that their consortium, through their participating
clinical delivery sites, will be able to present opportunities
to screen at least 75,000 community-dwelling beneficiaries
per year
• Must also be capable of reaching 51 percent of community-
dwelling beneficiaries in the geographic target area (Track 3)
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35. Clinical Delivery Sites
MOU Requirements
• The description of the community-dwelling beneficiary population who have
received clinical services in the previous 12 months at the clinical delivery site
(specifically address the number of each)
• Where possible, the number of community-dwelling beneficiaries who
utilized the ED two or more times in the previous 12 months
• The NPI, TIN and any other relevant provider identifiers for providers who will
participate in the model
• Commitments to have the bridge organization screen all community-dwelling
beneficiaries seeking health care services at their site. Commitment to submit
required AHC data to the bridge organization and CMS
• Description of planned protocols for allowing screening of community-
dwelling beneficiaries
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36. Community Service Providers
A community service provider is defined as any independent, for-
profit, non-profit, state, territorial, or local agency capable of
addressing core or supplemental health-related social needs
identified through the screening tool
• In Tracks 1 & 2, community service providers will receive
referrals
• In Track 3, community service providers both receive the
referrals and actively participate in service alignment
• A contract, MOU or MOU equivalent from each intended
community service provider is required in Track 3, and
recommended in Tracks 1 & 2
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37. Screening Tool
Bridge organizations will:
• Use the screening questions provided by CMS to screen for core
health-related social needs
• Choose an appropriate method to administer the screening tool
• Systematically submit all information, including beneficiary
identifiers, received through this screening tool to CMS or
its contractors
• Make the tool available to all beneficiaries regardless of
language, literacy level, or disability status
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38. Community Resource Inventory
Bridge organizations will:
• Create a Community Resource Inventory of available
community services and community service providers to address
each of the domains included in the screening tool
• Update this inventory every six (6) months
The inventory will include:
• Contact information, addresses, hours of operation, and other
relevant information that a beneficiary would need to access the
resources of an organization
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39. AHC Navigation
Tracks 2 & 3
Bridge organizations will:
• Provide navigation services to assist high-risk beneficiaries with
accessing community services to address certain identified health-
related social needs
• Provide community service navigation that is culturally and
linguistically appropriate
AHC Navigation services will include:
• Initial and follow-up assessments
• A patient-centered action plan
• Collect Data and document each navigation encounter
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40. Alignment
Track 3
Bridge organizations will:
• Function as an integrator and partner with community
stakeholders to realign community services to ensure
availability and responsiveness to beneficiary needs, including:
– Advisory board representing all partners
– Data sharing between partners
– Gap analysis comparing community service capacity to needs
– Quality Improvement Plan to improve community capacity to
meet social service needs of the target population
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41. Learning System
The learning system will:
• Support shared learning and continuous
quality improvement between bridge
organizations, their partners and CMS
• Facilitate movement of timely, accurate, and
relevant information to allow bridge
organizations and partners to share promising
practices and learn from their peers about
Accountable Health Communities activities
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42. Learning System
Bridge organizations and their model partners will work with the
learning system to:
• Create a driver diagram as a framework to guide and align intervention
design and implementation activities
• Provide data and feedback to CMS at regular intervals on quality
improvement efforts, activities, and measures
• Align data-driven decisions with the successful outcomes sought by
the model
• Participate in learning system events in person and virtually
(i.e., web series, online seminars, and teleconferences)
• Engage state Medicaid agencies as necessary to achieve model goals
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44. Eligible Applicants
Eligible applicants include:
• Community-based organizations
• Individual and group provider practices
• Hospitals and health systems
• Institutions of higher education
• Local government entities
• Tribal organizations
Applicants from all 50 states, U.S. territories, and the District of
Columbia will be accepted.
46. Application Package Components
All standard forms are required and must be
submitted with the application:
• Project Abstract Summary
• SF424: Official Application for Federal Assistance
• SF424A: Budget Information Non-Construction
• SF424B: Assurances – Non-Construction Programs
• SF LLL: Disclosure of Lobbying Activities
• Project/Performance Site Location(s) Form
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47. Application Package Components
• Project Narrative
– Intervention Design – Core Elements
– Bridge Organization
– Stakeholder Engagement
– Community Integrator (Track 3 only)
• Implementation Plan
– Health Resource Equity Statement
– Assessment of Program Duplication
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48. Application Package
Additional Documents
Applicants must also submit:
• Memoranda of Understanding (MOU) with:
– State Medicaid Agency(ies)
– Clinical Delivery Sites (hospital, primary care provider, behavioral
health treatment facility)
– Community Service Providers (Track 3)
• Budget Narrative
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49. Application Content Requirements
Applicants must provide within their project narrative:
• Intervention Design to include:
– Background
– Geographic Target Area
– Systematic Screenings for Health-Related Social Needs
– Risk Stratification
– Tailored Community Resource Inventory and Referrals Summary
– Navigation Services (Track 2 & 3)
• Bridge Organization
– Description of capacity to carry out core elements and a description of
he process for data collection and reporting for internal quality control
and CMS monitoring and evaluation
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50. Application Content Requirements
• Stakeholder Engagement
– State Medicaid Agency Consortium
– Clinical Delivery Sites
– Community Service Providers
• Community Integrator (Track 3)
– Advisory Board
– Data Sharing
– Gap Analysis (quality improvement)
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51. Ineligibility Criteria
• Funds will not pay directly or indirectly for provision of community services
• State Medicaid Agencies are ineligible as lead applicant
• Only one bridge organization will be funded for a given geographic area
• An applicant can only be funded to implement one AHC track
• Funds shall not be used to build or purchase health information technology that exceeds
more than 15 percent of the total costs of the applicant’s proposed budget.
• Medicare Advantage plans and Program of All-Inclusive Care for the Elderly (PACE)
organizations are ineligible to apply
• CMS will not review applications that merely restate the text within the FOA.
• CMS will not fund proposals that do not submit a contract, MOU or MOU equivalent
from the appropriate state Medicaid agencies
• CMS may deny selection based on information found during a program integrity review
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53. Selection Criteria
The selection criteria for applications will be based on the
prospective bridge organization’s ability to:
• Meet eligibility and application requirements for the track
chosen by the applicant organization
• Demonstrate commitment, collaboration, and engagement of
community stakeholders
• Provide required social needs data and Medicare and
Medicaid claims data on beneficiaries in the model to CMS and
its contractors
• Demonstrate readiness to implement the intervention
56. Funding Mechanism
What is a grant or cooperative agreement?
• Grants and cooperative agreements are defined as a transfer of
money, property, services, or anything of value to a
recipient in order to accomplish a public purpose through
support or stimulation that is authorized by federal
statute in 45 CFR Part 75.
• Simply: A grant or cooperative agreement is used when the
principal purpose of the award is to provide assistance for
the benefit of the public.
AHC=Cooperative Agreement
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57. What does “substantial involvement”
in a cooperative agreement mean?
Some examples of substantial involvement by CMS include:
• the ability to halt an activity immediately if detailed performance specifications are not met
• requiring the recipient to meet or adhere to specific procedural requirements before subsequent stages of a
grant project may continue
• CMS specifying direction or redirection of scope of work due to the Interrelationships with other projects
• CMS collaborating with the recipient by working jointly with a recipient scientist or technician in carrying
out the scope of work, by training recipient personnel, or detailing federal personnel to work on the project
• by CMS limiting recipient discretion with respect to scope of work, organizational structure, staffing, mode of
operations, and other management processes, coupled with close monitoring or operational involvement
during performance.
The following actions do not represent substantial involvement:
• exercising normal stewardship responsibilities during the project to ensure compliance with regulations,
statutory requirements, and the award terms and conditions
• becoming involved in a project solely to correct deficiencies in project or financial performance
• performing a pre-award survey and requiring corrective action to enable the recipient to account for federal
funds
• following normal procedures set forth by regulation concerning federal review of grantee procurement
standards and sole source procurement.
57
58. Roles and Responsibilities
Grants Management Officer (federal)
Grants Management Specialist (federal)*
Program Authorizing Official (federal)
Project or Program Officer (federal)*
Authorized Organizational Representative
(non-federal)
Principal Investigator/Project Director
(non-federal)
58
59. Grant Policy
– Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for HHS Awards 2 CFR 200
– 45 CFR Subpart 75—UNIFORM ADMINISTRATIVE
REQUIREMENTS, COST PRINCIPLES, AND AUDIT
REQUIREMENTS FOR HHS AWARDS
– HHS Grant Policy Statement (2007)
– SAM.gov
• EPLS
• CCR (Central Contractor Registration)
– FAPIIS (initiated in January 2016)
60. Application and
Submission Procedures
• All applicants must have a valid Employer Identification
Number (EIN)/Taxpayer Identification Number (TIN).
• All applicants must have a Dun and Bradstreet (D&B) Data
Universal Numbering System (DUNS) number to apply.
• All applicants must register in the System for Award
Management (SAM) database to be able to submit an
application. DO THIS IMMEDIATELY!
• The Authorized Organizational Representative (AOR) who will
officially submit an application on behalf of the organization
must register with Grants.gov for a username and password.
60
61. Grants Management
GrantSolutions
The Grants Center of Excellence (grantsolutions.gov)
• Official Grant File in electronic file format
• Accessible to OAGM/CMMI/Applicant
– Issue NoA’s
– Grant Notes (internal and correspondence)
– Amendments (budget reallocations, carryovers, etc.)
– FFR Reporting module
– Closeout
61
62. Application and
Submission Procedures
62
• All pages of the project and budget narratives must be paginated in a single sequence.
• Font size must be at least 12-point with an average of 14 characters per inch (CPI).
• The Project Narrative must be double-spaced.
• The Budget Narrative must be single-spaced.
• Tables included within any portion of the application must have a font size of at least
12-point with a 14 CPI and may be single spaced. Tables are counted towards the
applicable page limits mentioned in Section 4. Eligibility Information of this funding
opportunity announcement.
• The project abstract is restricted to a one-page summary which may be single-spaced.
• The following required application documents are excluded from the page limitations
described in Section 4. Eligibility Information of this funding opportunity
announcement: Standard Forms, applicant’s copy of its Letter of Intent for the AHC
model (if previously submitted) and the Project Abstract.
Format Requirements
63. Application and
Submission Procedures
63
Standard Mandatory Forms
• SF 424: Official Application for Federal Assistance
• SF 424A: Budget Information Non-Construction
• SF 424B: Assurances – Non-Construction Programs
• SF LLL: Disclosure of Lobbying Activities
Budget Narrative
• 15 Page Limit
• Refer to Appendix: Sample Budget and Narrative Justifications in
FOA for detailed cost tables and breakdown for each SF 424A line
item. Locate Budget Narrative Form in the Grants Application
Package
www.Grants.gov
64. Funding Restrictions
Direct Costs
• Cooperative agreement funds may not be used to provide individuals
with services that are already funded through any other source,
including but not limited to Medicare, Medicaid, and CHIP.
• Funds shall not be used to build or purchase health information
technology that exceeds more than 15 percent of the total costs of the
applicant’s proposed budget.
Reimbursement of Pre-Award Costs
• No cooperative agreement funds awarded under this solicitation may
be used to reimburse pre-award costs.
64
65. Funding Restrictions
Prohibited Uses of Cooperative Agreement Funds
Use of cooperative agreement funds in the following ways will result in termination of the applicant’s
funding to implement the AHC model:
– To match any other Federal funds.
– To fund the provision of social services.
– To provide services, equipment, or supports that are the legal responsibility of another party under Federal,
State, or Tribal law (e.g., vocational rehabilitation or education services) or under any civil rights laws. Such
legal responsibilities include, but are not limited to, modifications of a workplace or other reasonable
accommodations that are a specific obligation of the employer or other party.
– To provide goods or services not allocable to the approved project.
– To supplant existing State, local, Tribal or private funding of infrastructure or services, such as staff salaries, etc.
– To be used by local entities to satisfy state matching requirements.
– To pay for construction.
– To pay for capital expenditures for improvements to land, buildings, or equipment which materially increase
their value or useful life as a direct cost, except with the prior written approval of the Federal awarding agency.
– To pay for the cost of independent research and development, including their proportionate share of indirect
costs (unallowable in accordance with 45 CFR 75.476).
– To use as profit to any award recipient even if the award recipient is a commercial organization, (unallowable in
accordance with 45 CFR 75.215(b)), except for grants awarded under the Small Business Innovative Research
(SBIR) and Small Business Technology Transfer Research (STTR) programs (15 U.S.C. 638). Profit is any amount
in excess of allowable direct and indirect costs.
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66. Application Process, Review,
and Award
• Letter of Intent to Apply – due date is February 8, 2016.
• Go to Grants.gov to view the full funding opportunity announcement
and application kit.
• Submit application at Grants.gov no later than 1pm, March 31, 2016.
• Applications downloaded from Grants.gov into GrantSolutions.
• Applicant review process begins.
• Program produces decision memo recommending selected applicants.
• CMS begins budget negotiations with selected applicants based on the
submitted SF 424A, budget tables, and narratives.
• Anticipated Issuance of Notices of Award: December 2016.
• Anticipated Period of Performance Start Date: January 2017.
67. Application and
Submission Procedures
67
Applications
• Search by the CFDA number: 93.650
• Application must be submitted in the required
electronic-PDF format at http://www.grants.gov, no
later than the established deadline date: March 31, 2016.
• Application deadline: Applications not received
electronically through www.grants.gov by the
application deadline March 31, 2016 will not be
reviewed.
• Specific instructions for applications can be found
at Grants.gov.
68. Contact Information
68
For administrative
questions about this
cooperative agreement
please contact:
For programmatic questions
about this cooperative agreement
please contact:
Louise M Amburgey
U.S. Department of Health and
Human Services
Centers for Medicare & Medicaid
Services
E-mail: OAGM-AHC@cms.hhs.gov
Susan Jackson
U.S. Department of Health and Human
Services
Centers for Medicare & Medicaid Services
E-mail:
accountablehealthcommunities@cms.hhs.gov
Responses will be posted weekly as part of
FAQs at
https://innovation.cms.gov/initiatives/ahcm
69. Important Accountable Health
Community Model Web Links
For important updates and more information on
the Accountable Health Communities Model visit:
https://innovation.cms.gov/initiatives/ahcm
For assistance with www.grants.gov,
contact support@grants.gov or 1-800-518-4726
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