Opportunity Information: Apply for CMS 1Y1 19 001
Healthy Kids 2019 is a federal grant opportunity from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), offered through the Connecting Kids to Coverage outreach and enrollment program. It is a discretionary funding opportunity that uses a cooperative agreement structure, meaning CMS is expected to have an active role with awardees during the project period (for example, through collaboration, guidance, and performance expectations), rather than simply issuing funds with minimal federal involvement. The overall purpose is to help communities and states close the gap for children who qualify for Medicaid or the Children’s Health Insurance Program (CHIP) but are not enrolled, and to strengthen retention so children who are enrolled do not lose coverage unnecessarily.
The core problem this program targets is the so-called “eligible but not enrolled” population, along with the administrative and practical barriers that cause coverage “churn” (children cycling on and off coverage even though they remain eligible). Funded efforts are intended to support outreach, enrollment assistance, and retention strategies that make it easier for families to understand eligibility, apply successfully, complete renewals, respond to verification requests, and maintain continuous coverage where permitted. While the opportunity summary does not list specific required activities, the program title and description signal a focus on hands-on, community-facing enrollment support and systems-level approaches that remove barriers to participation in Medicaid and CHIP.
The opportunity is identified as “Healthy Kids 2019” with Funding Opportunity Number CMS 1Y1 19 001, and it falls under the health funding activity category with CFDA (now commonly referred to as Assistance Listing) number 93.767. CMS anticipated making about 35 awards, with a maximum award amount (award ceiling) of $1,500,000 per award. The notice was created on November 30, 2018, and the original application deadline was January 28, 2019.
Eligibility is broad and designed to allow a range of organizations that can reach children and families effectively. Eligible applicants include state, county, and city or township governments; independent school districts; federally recognized Native American tribal governments; other tribal organizations; and nonprofit organizations with 501(c)(3) status (excluding institutions of higher education). The listing also includes an “others” category, indicating CMS allowed additional applicant types as clarified in the full eligibility instructions. This spread of eligible entities reflects the reality that enrollment and retention work often happens through multiple community channels such as schools, local government programs, tribal communities, and nonprofit outreach networks.
The legal authority for the program comes from Section 2113 of the Social Security Act, with amendments and extensions enacted through two pieces of legislation. First is the Helping Ensure Access for Little Ones, Toddlers and Hopeful Youth by Keeping Insurance Delivery Stable Act (the HEALTHY KIDS Act), included in Public Law 115-120, which updated the statutory basis for these outreach and enrollment cooperative agreements. Second is the Advancing Chronic Care, Extenders, and Social Services Act (the ACCESS Act), included in Public Law 115-123, which further supported and extended related authorities. In practical terms, these laws underpin CMS’s ability to fund outreach, enrollment, and renewal support efforts aimed specifically at children’s coverage in Medicaid and CHIP.
In summary, Healthy Kids 2019 is a CMS cooperative agreement funding opportunity intended to reduce the number of uninsured children who are actually eligible for Medicaid or CHIP and to help enrolled children stay covered. It offers up to $1.5 million per award across an expected 35 awards and is open to a wide mix of government, tribal, school district, and nonprofit applicants positioned to deliver effective community outreach and enrollment and retention assistance.Apply for CMS 1Y1 19 001
- The Department of Health and Human Services, Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "Healthy Kids 2019" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.767.
- This funding opportunity was created on Nov 30, 2018.
- Applicants must submit their applications by Jan 28, 2019 No Explanation. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $1,500,000.00 in funding.
- The number of recipients for this funding is limited to 35 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
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Healthy Kids 2019 (CMS 1Y1 19 001) - Frequently Asked Questions
What is the Healthy Kids 2019 grant opportunity?
Healthy Kids 2019 is a federal discretionary grant opportunity from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS). It is offered through the Connecting Kids to Coverage outreach and enrollment program and is intended to help increase children's enrollment in Medicaid and the Children’s Health Insurance Program (CHIP), and to improve retention so eligible children do not lose coverage unnecessarily.
What problem is this program trying to solve?
The program targets children who are eligible for Medicaid or CHIP but are not enrolled (often described as the "eligible but not enrolled" population). It also aims to reduce coverage "churn," where children cycle on and off coverage due to administrative or practical barriers even when they remain eligible.
What is the main purpose of the funding?
The purpose is to help communities and states close enrollment gaps for eligible children and strengthen retention. Funded efforts are intended to support outreach, enrollment assistance, and retention strategies that make it easier for families to understand eligibility, apply, respond to requests for information or verification, complete renewals, and maintain coverage where permitted.
What kind of funding mechanism is used (grant vs cooperative agreement)?
This opportunity uses a cooperative agreement structure. That means CMS is expected to play an active role during the project period (such as collaboration, guidance, and performance expectations), rather than only issuing funds with minimal federal involvement.
Who is the federal sponsor for Healthy Kids 2019?
The sponsor is the U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS).
What program is this offered under?
It is offered through the Connecting Kids to Coverage outreach and enrollment program.
What is the Funding Opportunity Number?
The Funding Opportunity Number is CMS 1Y1 19 001.
What is the Assistance Listing (CFDA) number for this opportunity?
The CFDA (now commonly referred to as the Assistance Listing) number is 93.767.
How many awards did CMS expect to make?
CMS anticipated making about 35 awards.
What is the maximum award amount?
The award ceiling (maximum award amount) is $1,500,000 per award.
When was the notice created?
The notice was created on November 30, 2018.
What was the original application deadline?
The original application deadline was January 28, 2019.
What types of organizations are eligible to apply?
Eligibility is broad and includes:
- State governments
- County governments
- City or township governments
- Independent school districts
- Federally recognized Native American tribal governments
- Other tribal organizations
- Nonprofit organizations with 501(c)(3) status (excluding institutions of higher education)
- An "others" category, meaning additional applicant types may be allowed as clarified in the full eligibility instructions
Are institutions of higher education eligible if they are nonprofits?
The eligibility list specifies nonprofit organizations with 501(c)(3) status, excluding institutions of higher education. Based on the provided description, institutions of higher education are excluded under that nonprofit category.
Why are school districts included as eligible applicants?
The eligibility list includes independent school districts, reflecting that outreach, enrollment assistance, and retention efforts often occur through schools and other community channels that routinely interact with children and families.
What kinds of activities are expected to be supported?
The summary does not list specific required activities. However, the program title and description indicate a focus on hands-on, community-facing enrollment support and systems-level approaches that remove barriers to participating in Medicaid and CHIP. This includes practical assistance that helps families apply, renew, and keep coverage.
Does this grant focus more on enrollment, retention, or both?
Both. It aims to enroll eligible children who are not yet enrolled and to strengthen retention so enrolled children do not lose coverage unnecessarily.
What does "coverage churn" mean in this context?
Coverage churn refers to children cycling on and off Medicaid or CHIP coverage due to administrative or practical barriers, even when they remain eligible. The program is intended to address the barriers that cause this churn.
What kinds of barriers does the opportunity description highlight?
The description points to administrative and practical barriers that make it harder for families to successfully enroll and stay enrolled, such as difficulties understanding eligibility, completing applications, responding to verification requests, and completing renewals.
What legal authority supports the Healthy Kids 2019 opportunity?
The legal authority comes from Section 2113 of the Social Security Act, with amendments and extensions enacted through the HEALTHY KIDS Act (Public Law 115-120) and the ACCESS Act (Public Law 115-123).
What is the HEALTHY KIDS Act mentioned in the notice?
The Helping Ensure Access for Little Ones, Toddlers and Hopeful Youth by Keeping Insurance Delivery Stable Act (the HEALTHY KIDS Act), included in Public Law 115-120, updated the statutory basis for these outreach and enrollment cooperative agreements.
What is the ACCESS Act mentioned in the notice?
The Advancing Chronic Care, Extenders, and Social Services Act (the ACCESS Act), included in Public Law 115-123, further supported and extended related authorities for these efforts.
Is this opportunity specifically about children's coverage?
Yes. The purpose is centered on children who qualify for Medicaid or CHIP and on strategies to increase enrollment and maintain continuous coverage for children where permitted.
What does it mean that this is a discretionary funding opportunity?
It means the funding is awarded competitively at the agency's discretion, rather than being an entitlement or formula-based award automatically provided to eligible entities.
Does CMS plan to be involved after an award is made?
Yes. Because it is a cooperative agreement, CMS is expected to have an active role with awardees during the project period through collaboration, guidance, and performance expectations.
Is the opportunity limited to states, or can local organizations apply?
It is not limited to states. The eligibility list includes local governments (county, city, township), independent school districts, tribal governments and tribal organizations, and qualifying nonprofits, among others as specified in the full eligibility instructions.
What is the overall intended outcome of Healthy Kids 2019?
The intended outcome is fewer uninsured children who are actually eligible for Medicaid or CHIP, along with improved retention so children who are enrolled do not lose coverage unnecessarily.
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