ACL Seeks Coordinated Systems

The Administration for Community Living (ACL) within HHS recently posted the Forecasted Grant Notice (HHS-2018-ACL-CIP-NWBC-0285) titled “No Wrong Door System Business Case Development” on February 12, 2018 with estimated funding expected to be $3,946,263.

The “No Wrong Door (NWD) System” represents a collaborative effort of ACL, CMS, and the Veterans Health Administration (VHA) to support state efforts to streamline access to services in the community for all populations.

The goal is to promote the collaboration of local service organizations to make service delivery more efficient and person-centered. States have successfully transformed their access systems with support from state governments, the public, and have streamlined eligibility and person-centered counseling.

Today, every state and territory to some degree has an access system to home and community-based services. However, the need for coordinated NWD systems continues to grow as the current population in need of Long Term Services and Supports (LTSS) is faced with duplicate eligibility plus enrollment systems that vary by different populations and funding streams.

Today, individuals, families, and caregivers have become dependent on public programs, Federal and State Medicaid budgets continue to grow, and resources have become scarce due to duplicative and inefficient processes. As a result, all access systems are not able to systematically track comprehensive data, which is leading to an inability to track core outcomes and return on investment.

This forecasted grant announcement would specifically fund up to seven state grantees to support business case development for high performing streamlined LTSS access systems or NWD to demonstrate the value of home and community-based services.

Grantees will be able to enhance or modify their existing LTSS delivery systems in order to implement innovative approaches to evaluating how the performance of streamlined access impacts multiple payers, multiple populations, healthcare utilization, and the return on investment at the State and Federal levels. Grant funds may also be used to develop an integrated data systems evaluate existing data elements, and/or implement a training protocol to support the intervention being tested.

The estimated data for the synopsis to be posted is April 2, 2018, the application estimated to be due on June 1, 2018, and the award date is estimated to be September 3, 2018. For additional information, email Ami

Go to to view the forecasted grant notice.

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