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Accountable Health Communities: Track 1 – Awareness

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Catalog of Federal Domestic Assistance Number: 93.650
Centers for Medicare and Medicaid Services
Nov 3, 2016

Programmatic Questions
Susan Anthony

Administrative Questions
Louise M Amburgey


This funding opportunity is for the Track 1 - Awareness track only of Accountable Health Communities. The Accountable Health Communities model tests whether identifying and addressing the health-related social needs of Medicare and Medicaid beneficiaries will impact their healthcare costs and utilization. Track 1 - Awareness specifically includes the elements of (1) screening of community-dwelling beneficiaries to identify certain unmet health-related social needs and 2) referral of community-dwelling beneficiaries to increase awareness of community services.

Question Being Tested

Will increasing community-dwelling beneficiaries' awareness of available community services through information dissemination and referral impact total health care costs and inpatient and outpatient health care utilization?


Interventions funded should include the following elements:
  • Inventory of local community services responsive to community needs assessment
  • Universal screening of all community-dwelling beneficiaries who seek care from participating clinical delivery sites
  • Referral to community services of community-dwelling beneficiaries with certain identified unmet health-related needs in intervention group, with community-dwelling beneficiaries responsible for completing referrals

Funds are available for: start-up costs, screening and referral, and program administration.


Community-based organizations, health care practices, hospitals and health systems, institutions of higher education, local government entities, tribal organizations, and for-profit and non-for-profit local and national entities with the capacity to develop and maintain relationships with clinical delivery sites and community service providers.

New and previous applicants are eligible to apply to this FOA. For the purpose of this FOA, 'previous applicant'   applies to entities who submitted an application to FON CMS-1P1-17-001.

Geographic coverage
Nationwide and U.S. Territories
Amount of funding

Award ceiling: $1.17 Million
Number of awards: Up to 12
Project period: 5 years
Total funding available: Up to $14,000,000

Application process

Links to the application and full announcement are available through

Tagged as
Housing and homelessness · Human services · Medicaid · Medicare · Population health · Service delivery models

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