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Support for Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals

Award Number: 1J1CMS331731
ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS
OPDIV: CMS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: OTHER
PERIOD OF PERFORMANCE START DATE: 08/01/2019
PERIOD OF PERFORMANCE END DATE: 04/30/2025

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Support for Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals - The Massachusetts Executive Office of Elder Affairs (EOEA), in partnership with the Massachusetts Executive Office of Health and Human Services (EOHHS) Office of Disability Programs and Policy, the Massachusetts Office of Medicaid (MassHealth) and the Massachusetts Rehabilitation Commission (MRC), seeks from the U.S. Centers for Medicare and Medicaid Services (CMS) and Administration for Community Living (ACL) to finance Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals. The project will continue the Massachusetts Financial Alignment Model approved in 2012, which uses combined Medicaid and Medicare funding to contract with Integrated Care Organizations (ICOs), known in Massachusetts as One Care, to provide integrated, comprehensive care for dually eligible adults ages 21 to 64 years old. The One Care plans arrange the delivery and management of all covered medical, behavioral health care and long-term services and supports (LTSS). Massachusetts respectfully requests total funding of $1,300,000 from CMS and ACL for the 45 months of the project that will leverage the capacity of the SHINE program (Serving the Health Insurance Needs of Everyone - the State Health Insurance Assistance Program in Massachusetts), and its work with Aging and Disability Resource Consortia (ADRC) partners as well as disability, recovery, mental health, homeless and health advocacy organizations to best serve the needs of individuals seeking unbiased, objective information and counseling regarding the One Care plan services and options. EOEA expects to achieve the following outcomes: 1. A sustainable corps of up to 650 volunteer and in-kind agency staff SHINE counselors to provide education and counseling surrounding the One Care plans; 2. A centralized 800 number and website for consumers to contact SHINE counselors, first directed to the regional office then to the local site in the consumer’s town; 3. Seamless referral and coordination system between SHINE counselors, consumers, My Ombudsman, MassHealth, One Care plans, stakeholders and disability organizations; 4. Increased numbers of consumers counseled, increased number of presentations and numbers of consumers/caregivers at presentations 5. Enhanced and additional counseling services for limited English-speaking and deaf/blind, rural and tribal duals beneficiaries 6. Improved communication to duals beneficiaries and caregivers through social media, cable TV, video telephone, computer based webinars and training


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = -$700 )
2026	2023	Massachusetts Executive Office of Aging and Independence	1 Ashburton Pl Rm 517	Boston	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	03	4	3/5/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$700
2026	2022	Massachusetts Executive Office of Aging and Independence	1 Ashburton Pl Rm 517	Boston	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	03	4	3/5/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2021	Massachusetts Executive Office of Aging and Independence	1 Ashburton Pl Rm 517	Boston	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	03	4	3/5/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2020	Massachusetts Executive Office of Aging and Independence	1 Ashburton Pl Rm 517	Boston	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	03	4	3/5/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2019	Massachusetts Executive Office of Aging and Independence	1 Ashburton Pl Rm 517	Boston	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	03	4	3/5/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$700

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	MASSACHUSETTS EXECUTIVE OFFICE OF ELDER AFFAIRS	1 ASHBURTON PL RM 517	BOSTON	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	02	4	7/22/2024	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $288,750 )
2023	2023	MASSACHUSETTS EXECUTIVE OFFICE OF ELDER AFFAIRS	1 ASHBURTON PL	BOSTON	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	01	4	5/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$288,750
														Subtotal = $288,750

Issue Date FY: 2022 ( Subtotal = $236,250 )
2022	2022	ELDER AFFAIRS, MASSACHUSETTS EXECUTIVE OFFICE OF	1 ASHBURTON PL 5TH FL	BOSTON	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	00	4	8/1/2022	NON-COMPETING CONTINUATION	$236,250
														Subtotal = $236,250

Issue Date FY: 2021 ( Subtotal = $315,000 )
2021	2021	ELDER AFFAIRS, MASSACHUSETTS EXECUTIVE OFFICE OF	1 ASHBURTON PL 5TH FL	BOSTON	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	00	3	7/30/2021	NON-COMPETING CONTINUATION	$315,000
														Subtotal = $315,000

Issue Date FY: 2020 ( Subtotal = $315,000 )
2020	2020	ELDER AFFAIRS, MASSACHUSETTS EXECUTIVE OFFICE OF	1 ASHBURTON PL 5TH FL	BOSTON	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	00	2	7/30/2020	NON-COMPETING CONTINUATION	$315,000
														Subtotal = $315,000

Issue Date FY: 2019 ( Subtotal = $315,000 )
2019	2019	ELDER AFFAIRS, MASSACHUSETTS EXECUTIVE OFFICE OF	1 Ashburton Pl 5th Fl	Boston	MA	02108	SUFFOLK	USA	Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals	00	1	8/1/2019	NEW	$315,000
														Subtotal = $315,000

Grand Total All Awards = $1,469,300

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Support for Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals

Award Number: 1J1CMS331731

ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS

OPDIV: CMS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: OTHER

PERIOD OF PERFORMANCE START DATE: 08/01/2019

PERIOD OF PERFORMANCE END DATE: 04/30/2025

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