No Wrong Door System Governance: Improving Access to LTSS for Individuals and Family Caregivers

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No Wrong Door System Governance: Improving Access to LTSS for Individuals and Family Caregivers
Opportunity ID
Primary CFDA Number
Funding Opportunity Number
Funding Instrument Type
Cooperative Agreement
Expected Number of Awards Synopsis
Eligibility Category
State governments
Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled "Additional Information on Eligibility"
Additional Information on Eligibility
Foreign entities are not eligible to compete for, or receive, awards made under this announcement.
Funding Opportunity Description

No Wrong Door (NWD) Systems success hinges on the ability of the state to convene and establish an on-going governance structure. Currently, over half of states (28) have no fully functioning governing body for all populations.   The purpose of this Funding Opportunity Announcement (FoA) is to provide innovation and infrastructure grants to support 10-15 states for two years to develop and enhance a state governance and administration structure to coordinate, strengthen and streamline access to home and community-based services and supports.  In addition, explore opportunities to collaborate with state leaders across Medicaid, nutrition, housing, transportation, and employment to proactively and strategically align state resources to address social needs.  NWD Governance and Administration involves collaborative efforts among multiple state agencies (e.g., state Medicaid; State Unit on Aging; state agencies that serve or represent interest of individuals with physical, intellectual and developmental disabilities; and state authorities administering mental and behavioral health services); The goals of the visioning sessions process include:

1.Establishing a meaningful governing body for the state NWD System in line with NWD Key Elements; 

2.Identifying a lead agency; 

3.Developing a plan to improve (IT systems, PCC, streamlined access and public outreach);

4.Develop a Disparity Impact Statement to address gaps in populations served and/or key stakeholders missing and developing a plan for how to engage; 

5.Establishing performance standards and quality improvement strategies; 

6.Examining the current system for person-centered practices gaps 

7.Developing work plans for each NWD function 

Award Ceiling
Award Floor
Due Date for Applications

Last modified on 05/09/2022

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