2024 CMS Navigator NOFO 06 03 02024.pdf
Posted: June 7, 2024
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Overview
Related Opportunity
Related Agency
Profiled People
Summary
Notice of Funding Opportunity (NOFO) for the 2024 CMS Navigator Program
The application due date for the 2024 CMS Navigator Program is July 8, 2024. The opportunity number is CMS-NAV-24-001, and it falls under the Federal Assistance Listing CFDA 93.332, with statutory authority from the Affordable Care Act (ACA), sections 1311(d)(4)(k), 1311(i), and 1321(c)(1). The purpose of this funding opportunity is to provide funding to organizations serving as navigators in states with a federally-facilitated exchange (FFE).
The funded organizations will operate as navigators year-round, conducting outreach and education to help uninsured consumers access health insurance through their state’s FFE. They are required to provide targeted assistance to underserved and vulnerable populations within their state’s FFE. The expected total funding for the program is $500 million over five years, with up to 120 awards and a funding range per FFE state of $6.25 million to $84 million over five years.
Eligible applicants include various types of organizations such as government organizations, education organizations, nonprofit organizations, for-profit businesses, small businesses, individuals, and other entities capable of meeting the program requirements. Consortium applicants are also allowed to apply under one application to reach a larger portion of priority populations within FFE states. However, certain entities such as health insurance issuers, subsidiaries of health insurance issuers, and associations lobbying on behalf of the insurance industry are ineligible for funding under this opportunity. There is no cost-sharing requirement for this program.
The document outlines the required navigator duties if an application is funded, including conducting public education activities, providing information in a fair and impartial manner, facilitating selection of a qualified health plan (QHP), providing referrals for enrollees with grievances or complaints regarding their health plan or coverage, complying with training and conflict of interest standards, obtaining authorization prior to accessing personally identifiable information (PII), and providing targeted assistance to priority populations. This targeted assistance is critical to improving access to health care coverage for communities that have been historically disenfranchised and disproportionately impacted by significant health disparities.
The application due date for the 2024 CMS Navigator Program is July 8, 2024. The opportunity number is CMS-NAV-24-001, and it falls under the Federal Assistance Listing CFDA 93.332, with statutory authority from the Affordable Care Act (ACA), sections 1311(d)(4)(k), 1311(i), and 1321(c)(1). The purpose of this funding opportunity is to provide funding to organizations serving as navigators in states with a federally-facilitated exchange (FFE).
The funded organizations will operate as navigators year-round, conducting outreach and education to help uninsured consumers access health insurance through their state’s FFE. They are required to provide targeted assistance to underserved and vulnerable populations within their state’s FFE. The expected total funding for the program is $500 million over five years, with up to 120 awards and a funding range per FFE state of $6.25 million to $84 million over five years.
Eligible applicants include various types of organizations such as government organizations, education organizations, nonprofit organizations, for-profit businesses, small businesses, individuals, and other entities capable of meeting the program requirements. Consortium applicants are also allowed to apply under one application to reach a larger portion of priority populations within FFE states. However, certain entities such as health insurance issuers, subsidiaries of health insurance issuers, and associations lobbying on behalf of the insurance industry are ineligible for funding under this opportunity. There is no cost-sharing requirement for this program.
The document outlines the required navigator duties if an application is funded, including conducting public education activities, providing information in a fair and impartial manner, facilitating selection of a qualified health plan (QHP), providing referrals for enrollees with grievances or complaints regarding their health plan or coverage, complying with training and conflict of interest standards, obtaining authorization prior to accessing personally identifiable information (PII), and providing targeted assistance to priority populations. This targeted assistance is critical to improving access to health care coverage for communities that have been historically disenfranchised and disproportionately impacted by significant health disparities.
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