93.518 Affordable Care Act Medicare Improvements for Patients and Providers

To provide outreach to eligible Medicare beneficiaries regarding the benefits available under title XVIII of the Social Security Act, including the Medicare prescription drug benefit under Part D of title XVIII of the Social Security Act and under the Medicare Savings Program, and to coordinate efforts
to inform older Americans about benefits available under Federal and state programs.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

As a condition for receiving funding, States are required to submit one plan for Sections 1 through 3.

States should describe how the SHIP, AAA and ADRC efforts will be coordinated to provide outreach to beneficiaries with limited incomes statewide, for general Part D outreach and assistance to beneficiaries in rural areas, and for outreach aimed at preventing disease and promoting wellness.

Outreach efforts of the SHIP will be coordinated with the related outreach efforts of, AAAs and ADRCs to provide assistance to beneficiaries with limited income for LIS and MSP, and provide general Part D outreach and assistance on Medicare benefits.

Specifically, States should expand their efforts to reach beneficiaries through coordinated efforts.

Eligibility Requirements

Applicant Eligibility

Not Applicable.

Beneficiary Eligibility

Not Applicable.


As a condition for receiving funding, all State agencies participating in this announcement will submit one joint plan that will be signed by each participating State agency. OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.


Application Procedures

OMB Circular No. A-102 applies to this program. This program is excluded from coverage under OMB Circular No. A-110. AoA released a PA on June 2, 2010 and it is posted on grants.gov. States were also notified through a press release and AoA/CMS communications channels.

Award Procedures

States will submit a single state plan that is due to AoA by July 30, 2010. The plan is reviewed and evaluated by the Federal Agency for compliance with the announcement and statute. Notice of Awards issued by the Agency upon approval of the plan.


Contact the headquarters or regional office, as appropriate, for application deadlines.


Act: Patient Protection and Affordable Care Act - Part: Part III, Title III: Improving the Quality and Efficiency of Health Care, Executive Order Improving the Quality and Efficiency of Health Care, Public Law 111-111-148 , III Stat. , 1395w U.S.C 23(f).

Range of Approval/Disapproval Time

From 60 to 90 days. Not Applicable.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements. Not Applicable.
This program does not have MOE requirements. Not Applicable.

Length and Time Phasing of Assistance

Project perod will be 24 months. See the following for information on how assistance is awarded/released: Payment Management System.

Post Assistance Requirements


9 month program report and a 24 month project report.

SF272 - prepared at PMS.

Progress reports are not applicable.

Annual SF-269 reports.

Site visits and standard project monitoring requirements apply.


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.


Grantees are required to maintain grant accounting records 3 years after the date they submit the Financial Status Report (FSR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification



(Salaries) FY 09 $0; FY 10 est $30,000,000; FY 11 est $0

Range and Average of Financial Assistance

Formula Based range for awards.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. AoA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.aoa.gov/AoARoot/Grants/Terms/index.aspx

Information Contacts

Regional or Local Office


Headquarters Office

Greg Case, One Massachsusetts Ave., Washington, District of Columbia 20001 Email: Greg.Case@aoa.hhs.gov Phone: (202) 357-3442 Fax: (202) 357-3467.

Criteria for Selecting Proposals

States are expected to establish and meet measurable performance goals for the various MIPPA funding opportunities. Plans for funding formula under MIPPA under the Affordable Care Act will be reviewed by AoA and CMS based on the requirements of the Program Announcement. AoA and CMS will contact applicants to negotiate any questions or concerns before issuing a Notice of Award.

The Social Incubator North, a £2 million incubator fund spearheaded by Sheffield-based Key Fund in collaboration with the four Northern Social Enterprise Partnerships and Locality, is providing 0% interest loans to North of England’s social entrepreneurs.

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Edited by: Michael Saunders

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