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Policy Areas

The Centers for Medicare & Medicaid Services (CMS) announced the availability of $500 million in grants over the next five years to increase the number of organizations who help people enroll in health coverage through the Federally-Facilitated Marketplace (FFM) on HealthCare’s website. This is the largest funding allocation CMS has made available for Navigator grants to date. With the additional funding, CMS encourages eligible entities and individuals to apply, especially those that focus on education, outreach, and enrollment efforts to underserved and diverse communities.

Please read the the full announcement details and guidance below. If you have questions, please contact RCPA COO and Policy Director Jim Sharp.


What’s new for this year’s Navigator Notice of Funding Opportunity (NOFO)?

  • Focuses on increased participation of smaller, community-based organizations as part of CMS efforts to reach people where they are.
  • Provides longer multi-year grant funding.
  • Shorter and easier to understand application.

Who can apply?
Eligible organizations may include but are not limited to community and consumer-focused nonprofit groups; trade, industry, and professional associations; commercial fishing industry organizations; ranching and farming organizations; chambers of commerce; unions; resource partners of the Small Business Administration; and non-healthcare licensed insurance agents and brokers. Such other entities may include but are not limited to Indian tribes, tribal organizations, urban Indian organizations, and state or local human service agencies.

How much funding is available through this funding opportunity?
CMS expects to award $500 million total over the five-year period of performance, provided in five budget periods of 12 months each; $100 million is available for the first 12-month budget period.

Will there be technical assistance available for applicants?
CMS will hold two technical assistance sessions for potential applicants. These sessions will provide applicants with an overview of this project, relay budget guidance, and review the instructions for applying outlined in the 2024 Navigator funding opportunity. Applicants are encouraged to submit questions in advance of each session to CMS via email.

Technical Assistance Session #1

Technical Assistance Session #2

What is the deadline to submit an application for the NOFO?

Applications must be submitted by July 8, 2024 at 11:59pm ET. You must submit your application through the Grants website. Grants.gov creates a date and time record when it receives the application. If you submit the same application more than once, we will accept the last on-time submission.

For instructions on how to submit in Grants.gov, see the Quick Start Guide for Applicants.

Can my organization help promote the NOFO?

CMS encourages partners to share this listserv with your networks and to use the below social media and attached graphics on your social accounts.

  • CMS has announced $500 million in grants over the next 5 years for Navigator programs, as part of the continued efforts to connect people to the ACA Marketplace and other health coverage options. Learn more.
  • CMS has announced $500 million in grants over the next 5 years for Navigator programs, as part of the continued efforts to connect people to the ACA Marketplace and other health coverage options. These awards mark the first time the grants have been awarded for a period of more than three years of funding, allowing grantees to better retain and add more staff who are trained to help consumers find affordable, comprehensive health coverage.

For more information about the Navigator NOFO, visit the links below:

Today, June 12, the Office of Developmental Programs (ODP) held the third of four Provider Preparedness Summits for Residential providers. Additional discussion on specific performance standards for Performance-Based Contracting took place.

The PowerPoint is now available, and a recording of the session will be posted shortly on the MyODP website. On page 60 of the PowerPoint, a check mark should be included under Clinically Enhanced.

ODP staff answered many questions submitted by providers and will take questions/comments into consideration for change. The discussion was primarily focused on an overview of the performance standards, including Risk Management, the Health Risk Screening Tool, Quality Improvement, and Complex Needs/Dual Diagnosis.

HRS data should be completed on all individuals. The HRS Protocol can be found here.

Many attestation questions will be required. ODP will be compiling the required attestations and incorporate them into one form for providers’ signatures.

The last and fourth summit will be held next Thursday, June 20. Providers are encouraged to attend all four sessions as well as watch a pre-recorded webinar. All of these recordings and resources can be found on the MyODP website.

Do you know an artist or storyteller? Encourage them to share their talents at PATC!

Call for Personal Stories: Calling all self-advocates with autism! Share your story at the 2024 PA Autism Training Conference. Choose from one of our featured prompts and let your voice be heard! Stories will be displayed virtually during the conference and beyond. Must be 14 or older to participate.
View the flyer to learn more! Submissions due August 2, 2024.

Call for Artists: We’d like to invite artists with autism to exhibit their work virtually during the 2024 Pennsylvania Autism Training Conference. The art show will consist of images links of artwork supplied by the artists, as well as to their website or email addresses for further information for attendees.
View the flyer to learn more. Submissions due September 6, 2024.

July 11, 2024
1:00 pm – 2:00 pm
Register Here

Join RCPA to learn about enabling technology to support independent living and how SimplyHome aligns with performance-based contracting. SimplyHome designs and installs innovative and affordable technology solutions that transform how we care for individuals with disabilities, aging adults, and veterans. Their technology empowers individuals to live their own self-determined lifestyle while addressing the concerns of caregivers.

We will hear from Kristie Ondisco, PA/OH Representative, and Matt Wright, Enterprise Director of Sales.

Register here for this informative session. If you have any questions, contact Carol Ferenz.

Image by Werner Moser from Pixabay

ANCOR has shared that the first step to revise the Standard Occupational Classification process has begun. Today the Office of Management and Budget (OMB), on behalf of the Standard Occupational Classification Policy Committee (SOCPC) — which is the committee that makes recommendations to OMB for potential revisions — announced it is beginning the review of the 2018 Standard Occupational Classification (SOC) Manual for revisions to be made for 2028, and that it is soliciting public comment.

This is an opportunity to write comments in support of revisions to the SOC, in particular for the creation of a code for direct support professionals. In its notice for comments, OMB specifically notes that it “solicits and welcomes comments related to any aspect of occupational classification, especially comments concerning . . . whether to consider the addition of new detailed occupations or occupational groups, including specifically care workers.”

The public comment period is open until August 12, 2024. ANCOR will be submitting comments and providing additional guidance and tools to submit comments in the coming weeks.

For more information, the notice is available on the Federal Register website.

The Information Sharing and Advisory Committee (ISAC) met today, June 11, 2024. Deputy Secretary Ahrens presented an update regarding Performance-Based Contracting. The office received comments from approximately 100 commentators, resulting in over 700 separate comments regarding the proposed Selective Contracting Waiver.

The Office of Developmental Programs (ODP) has released several tools for providers to utilize and has scheduled four summits to delve deeper into the specifics for the performance measures. Providers who do not meet all standards for the Primary category but are not in the conditional status will be placed in the Primary category with a corrective action plan required. Residential provider agreements will not need to be returned to ODP until the end of July, rather than June, as previously stated.

There are several federal rules that have been finalized recently, and Deputy Secretary Ahrens gave an overview of these.

Candi Walton reported on Recommendation #4: Support Families Throughout the Lifespan.

StationMD presented an overview of their services. Geoff Musti can be reached via email for more information.

Lauren House presented information on Recommendation #10: Expanding Housing Options and the ODP Housing Pilot Update.

Dr. Greg Cherpes provided an update on Recommendation #5: Promote Health, Wellness, and Safety & Recommendation, and Recommendation #6: Support People with Complex Need. Note that both recommendations are included in the same document.

For any questions, contact Carol Ferenz.

The meeting documents from the June 5, 2024, Long-Term Services and Supports (LTSS) Subcommittee meeting are now available. These documents include the transcript and PowerPoint presentations. You can view the documents below:

The next LTSS Subcommittee meeting is scheduled for July 2, 2024, from 10:00 am – 1:00 pm, in the PA Department of Education’s Honors Suite at 333 Market St. in Harrisburg, PA. The option to participate via webinar is also available.

To participate in the meeting via webinar, please register here. After registering, you will receive a confirmation email containing information about joining the webinar. If you plan to participate via phone, the dial-in number is: (562) 247-8422; PIN: 919 715 035#. Comments and questions may be sent electronically.