Opportunity Information: Apply for CMS 3J3 23 001

The Health Home for Children with Medically Complex Conditions grant (Funding Opportunity Number: CMS 3J3 23 001) is a discretionary grant opportunity offered by the U.S. Department of Health and Human Services through the Centers for Medicare and Medicaid Services (CMS). It sits within the health funding activity category (CFDA 93.778) and is specifically designed as a planning grant, meaning the money is intended to support upfront design and development work rather than direct service expansion at full scale.

The central goal of the program is to help states plan for and develop a Medicaid Health Home model focused on children with medically complex conditions. In practical terms, the grant supports state-level activities needed to prepare a State Plan Amendment (SPA) under section 1945A of the Social Security Act. A SPA is the formal mechanism a state uses to modify its Medicaid program, and in this case the modification would establish or refine a targeted health home approach for a pediatric population with significant medical needs. The emphasis is on creating the structure, policy framework, and operational plan necessary to implement the model effectively within the state Medicaid program.

Eligibility is limited to state governments, reflecting that only states can submit SPAs and administer Medicaid state plan benefits. CMS anticipates making up to 50 awards, with a maximum (ceiling) award amount of $100,000 per award. Because this is planning-focused funding, the award size signals support for activities like program design, stakeholder engagement, needs assessments, development of care coordination standards, and drafting the SPA-related materials that would be required for CMS review and approval.

Applications were set up to be accepted on multiple dates throughout the year (January 4, April 1, July 1, and October 1), using a rolling approach. That rolling structure means the start date for the grant period and the timing of available funds can vary depending on when an application is submitted and awarded. The opportunity was initially posted with a creation date of September 30, 2022, and it listed an original closing date of January 4, 2023, while still noting the additional recurring submission dates that allow states to apply at different points.

Overall, this NOFO is best understood as CMS funding to help states do the preparatory work required to build a Medicaid health home framework tailored to children whose conditions are medically complex, with the end product being a well-developed SPA and an implementation-ready plan for that health home model.

  • The Department of Health and Human Services, Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Health Home for Children with Medically Complex Conditions" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.778.
  • This funding opportunity was created on Sep 30, 2022.
  • Applicants must submit their applications by Jan 04, 2023 Applications will be accepted January 4, April 1, July 1, and October 1. Due to grants beginning on a rolling basis, grant funding and grant period start dates will vary.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $100,000.00 in funding.
  • The number of recipients for this funding is limited to 50 candidate(s).
  • Eligible applicants include: State governments.
Apply for CMS 3J3 23 001

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