The USDA Rural Development program provides funding to agricultural producers and rural small businesses for renewable energy systems or to make energy efficiency improvements. More flexible Inflation Reduction Act Changes. Contact your State Energy Coordinator.

Application Deadline: 6 quarterly Cycles

By: January Contreras, Assistant Secretary, Administration for Children and Families and CMS Administrator Chiquita Brooks-LaSure

The Medicaid “continuous enrollment” period is ending.  As trusted community voices, you can help millions of children and families stay connected to affordable, comprehensive care through Medicaid and the Children’s Health Insurance Program (CHIP), Medicare, the Health Insurance Marketplaces, or employer-sponsored coverage.

With your partnership, we can maximize our outreach and ensure people experience smooth coverage transitions.  This blog explains where we are now and what you can do to help.

Where We Are Now

During the COVID-19 pandemic, Medicaid served its core purpose of providing reliable health coverage to millions of individuals and families during unprecedented circumstances. Individuals could count on having stable health coverage during the pandemic, regardless of changes in income or other circumstances, because of a “continuous enrollment” provision. This continuous enrollment provision is now coming to an end, and states must return to normal eligibility and enrollment operations.

This means that states will redetermine eligibility for each person currently covered by Medicaid or CHIP – a total of 91 million people – between April 1, 2023 and July 31, 2024. You can find the anticipated timeline for each state at Medicaid.gov/unwinding.

The Biden-Harris Administration is committed to engaging with states and community partners throughout this process to support individuals’ and families’ access to coverage and care. States are working to simplify and streamline processes, connect people to the Health Insurance Marketplaces, and adopt other innovative approaches. But we need your help to reach every person who may be affected by this process and help them maintain their health coverage or enroll in a new plan.

What You Can Do

The Administration for Children and Families (ACF), the Centers for Medicare & Medicaid Services (CMS), and other federal agencies are working together to recruit partners like you to help people stay connected to health care coverage.  There are several ways to help.

First, it’s critical that state Medicaid programs have accurate contact information for the children, individuals, and families enrolled in Medicaid and CHIP.  We need your assistance to share key messages to help people stay covered. Families and individuals should:

• Update their contact information with their state Medicaid or CHIP office. You can find state-specific contact information at Medicaid.gov/renewals.
• Check their mail.  The state will mail a letter about coverage, which will let them know if they need to complete a renewal form to see if they still qualify for Medicaid or CHIP.
• Complete their renewal form (if they get one). Fill out the form and return it to their state right away to help avoid a gap in coverage.

You can find these messages available in English, Spanish, Chinese, Hindi, Korean, Tagalog, and  Vietnamese, at Medicaid.gov/unwinding.

Second, you can amplify our message and help people learn the actions they need to take to keep health care coverage.  Below are several strategies to consider:

• Ensure front-line staff are knowledgeable on steps families can take to renew their health care coverage.  For example, they can help patients understand the 90-day reconsideration period.
• Promote Medicaid and CHIP renewal awareness on your websites, social media channels, and in your physical offices.  You can use our Medicaid Unwinding Toolkit graphics (English and Spanish).
• Share key information on Medicaid and CHIP renewal as part of your application intake or renewal process for other programs.  You can also tell people about their other health care coverage options, like HealthCare.gov and Medicare.gov.

Your work will help people enrolled in Medicaid and CHIP take the necessary actions to stay connected to health care coverage.  We are counting on ACF and CMS partners to be a part of our nationwide effort to ensure no one is left behind when it comes to health care.

Thank you for your continued collaboration to promote the well-being of children, youth, families, and communities.

Other helpful resources:

• Unwinding Homepage: Where states and stakeholders can learn more about Unwinding and access resources to help plan and prepare.
• Unwinding Communications Toolkit: Provides key messages and materials for states and stakeholders to help families get ready to renew, including flyers, postcards, tear pads, conference cards, and rack cards.
• Renew Your Medicaid or CHIP Coverage: Includes contact information for each state and territory’s Medicaid enrollment office.
• 50-State Unwinding Tracker.
• Child Uninsured Rate Could Rise Sharply if States Don’t Proceed with Caution – Center For Children and Families (georgetown.edu).

Beyond the Basics released two sets of frequently asked questions (FAQ) on unwinding Medicaid continuous coverage. The first set explains how unwinding the Medicaid continuous coverage requirement will work, the challenges Medicaid beneficiaries may face during the process, and what enrollment assisters such as health centers can do to help. The second set offers outreach and enrollment tips to assist people to retain coverage.

In recognition of National Minority Health Month, CMS OMH released a report outlining the quality of care received by people enrolled in Medicare Advantage to further understand and address health disparities. The Disparities in Health Care by Race, Ethnicity, and Sex report details the racial, ethnic, and sex differences in health care experiences and clinical care received by Medicare Advantage enrollees based on data reported in 2022.

This report explores national-level race, ethnicity, and sex disparities in health care quality received by Medicare Advantage enrollees in 2022. The report found Black, Hispanic, and particularly American Indian and Alaskan Native enrollees experienced lower than average quality for clinical care across many measures examined in the report. In particular, significant disparities in flu vaccination rates, as compared to the national average, with Black, Hispanic, and Multiracial enrollees vaccinated for the flu at lower than average rates.

This report is based on an analysis of two sources of information, the Healthcare Effectiveness Data and Information Set (HEDIS) and the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. HEDIS collects information from medical records and administrative data on the quality of care that people enrolled in Medicare receive. The Medicare CAHPS survey is conducted annually by CMS and focuses on the health care experiences of people with Medicare across the nation.

Health care professionals, organizations, researchers, and hospital leaders can utilize this report along with other CMS tools and resources to help raise awareness of health disparities, develop health care interventions for racially and ethnically diverse populations, and implement quality improvement efforts that advance health equity.

CMS OMH welcomes your participation in promoting health observances such as National Minority Health Month, not only in April, but all year long to raise awareness about health issues affecting people across our nation.

Visit https://go.cms.gov/omh to learn more.

The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), is announcing a new opportunity for states to help increase care for individuals who are incarcerated in the period immediately prior to their release to help them succeed and thrive during reentry. The new Medicaid Reentry Section 1115 Demonstration Opportunity would allow state Medicaid programs to cover services that address various health concerns, including substance use disorders and other chronic health conditions.

“The Biden-Harris Administration has made expanding access to high-quality, affordable health care a top priority,” said HHS Secretary Xavier Becerra. “We are committed to ensuring all Americans have the peace of mind they deserve knowing they have access to life-saving health care, whether it is medication-assisted treatment for substance use disorders or prescription medication to treat other chronic health conditions. Through this historic new effort, we are working to ensure that people who were formerly incarcerated can transition successfully back into the community with the health care supports and services they need. This is an essential step for advancing health equity in our nation and we encourage all states to take advantage of this new opportunity.”

“Today, we reach a significant milestone in expanding access to health care in the Medicaid program,” said CMS Administrator Chiquita Brooks-LaSure. “This guidance outlines a pathway to implement historic changes for individuals who are incarcerated and eligible for Medicaid. By improving care and coordination prior to release from the justice system, we can help build a bridge back to the community and enhance individual and collective public health and public safety outcomes.”

The goal of this demonstration opportunity is to help Medicaid enrollees establish connections to community providers to better ensure their health care needs are met during their reentry process. In January, California became the first state to cover certain health care services for individuals transitioning back to the community. CMS’ action today builds on priorities established by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, and supports President Biden’s comprehensive, evidenced-based public safety strategy, the Safer America Plan, as well as the President’s Unity Agenda to address the mental health crisis and the opioid epidemic.

The Medicaid Reentry Section 1115 Demonstration Opportunity will allow states to cover a package of pre-release services for up to 90 days prior to the individual’s expected release date that could not otherwise be covered by Medicaid due to a longstanding statutory exclusion that prohibits Medicaid payment for most services provided to most people in the care of a state or county carceral facility.

According to the U.S. Department of Justice, from 2011 to 2012, approximately 37 percent of people in state/federal prisons and 44 percent of people who were incarcerated overall had a history of mental illness. The National Institute on Drug Abuse (NIDA) estimates that the rate of substance use disorders for people who are incarcerated may be as high as 65 percent. The NIDA report also says that, without treatment, individuals formerly incarcerated are at increased risk of overdose within the first few weeks of reentry.

The Medicaid Reentry Section 1115 Demonstration Opportunity focuses on covering high-quality services for individuals who are incarcerated, eligible for Medicaid, and returning home to their communities – a group of individuals who have been historically underserved and adversely affected by persistent poverty and inequality. Improving health care transitions and addressing social determinants of health – from case management to medication-assisted treatment – for individuals after they have been released from carceral settings increases the likelihood that they may continue to receive crucial substance-use disorder, mental health, and other health care treatment during this vital period. It also holds promise for reducing emergency department visits, inpatient hospital admissions, overdose, and overdose-related issues, including death, and improving health outcomes overall. Moreover, addressing people’s underlying health needs enhances their ability to succeed and thrive during reentry, thereby lowering the risk of recidivism, helping make our communities healthier and safer.

In addition to increased health and well-being and saving lives, the demonstration aims to accomplish several other essential goals, including improving coordination and communication between correctional systems, Medicaid systems, managed care plans, and community-based providers, as well as increasing investments in health care and related services.

To learn more, read the complete State Medicaid Direct Letter on Medicaid.gov.

The U.S. Department of Agriculture (USDA) today announced the availability of $20 million to deliver broadband technical assistance resources for rural communities, and to support the development and expansion of broadband cooperatives.

USDA is offering the funding under the new Broadband Technical Assistance Program. The program supports technical assistance projects such as conducting feasibility studies, completing network designs and developing broadband financial assistance applications. Funding is also available to help organizations access federal resources, and to conduct data collection and reporting.

“USDA is committed to making sure that people, no matter where they live, have access to high-speed internet. That’s how you grow the economy – not just in rural communities, but across the nation,” said USDA Under Secretary for Rural Development Xochitl Torres Small. “USDA is partnering with small towns, local utilities and cooperatives, and private companies to increase access to this critical service which in turn boosts opportunity and helps build bright futures.”

To learn more, read the full news release.

The Pennsylvania Department of Labor & Industry (L&I) today announced the availability of $800,000 in funding to support broadband expansion across the Commonwealth through registered apprenticeship programs that can train a workforce with the skills needed to build high-speed internet infrastructure. From day one, a top priority for Governor Josh Shapiro has been extending and expanding access to broadband across the Commonwealth and making connections more reliable and affordable.

L&I is soliciting applications for grants from registered apprenticeship programs with plans to reach underrepresented populations — including women, minorities, individuals with disabilities, and veterans – for training in broadband-related occupations. According to the Pennsylvania Broadband Development Authority’s (PBDA) master plan, at least 2.6 million Pennsylvanians living in 1.3 million households do not have access to internet or the skills to use technology.

“In the 21^st Century, individuals, families and businesses without access to reliable internet service are at a serious economic disadvantage. It’s time we close the digital divide for citizens across Pennsylvania,” L&I Acting Secretary Nancy Walker said. “These funds will build a workforce that can tear down barriers to economic opportunity, especially in the rural areas of Pennsylvania. Investment in these workers is an investment in Pennsylvania’s future.”

In his 2023-2024 budget, Governor Shapiro is proposing $23.8 million for workforce training and apprenticeship programs, including ones aimed directly at improving Pennsylvania’s broadband network.

The Biden Administration’s $1.2 trillion Infrastructure Investment and Jobs Act (IIJA) was signed into law in November 2021. L&I designed this grant opportunity in anticipation of increased employment opportunities for infrastructure projects related to broadband expansion. Under the IIJA, Pennsylvania is expected to receive at least $100 million in funding to help provide broadband coverage across the state.

Last week, Sen. Bob Casey announced an allocation of $200 million to Pennsylvania from the American Rescue Plan for high-speed internet expansion to 44,000 homes and businesses.

Applications must be submitted by 5 p.m. on Monday, June 12, 2023. More information on the Supporting Broadband Infrastructure through Registered Apprenticeships and Pre-Apprenticeships Grant Program and related materials are available on L&I’s website.

For more information on the Pennsylvania Department of Labor & Industry, please visit the website or follow L&I on Facebook, Twitter and LinkedIn.

The federal funding will help Pennsylvania expand broadband in unserved/underserved areas

Pennsylvania Broadband Development Authority (Authority) Executive Director Brandon Carson announced the approval of grant guidelines for the Pennsylvania Broadband Infrastructure Program, which will provide $200 million in funding to businesses, non-profits, local government, and economic development organizations. The guidelines will be posted on the Authority’s website on Monday, April 10, 2023 and the application process for this program will open on May 10, 2023.

Too many communities lack access to high-speed internet, and many more cannot afford it. This creates a divide between those who have internet access and those who do not. From day one, Governor Josh Shapiro has said extending and expanding access to broadband across the commonwealth and making connection more reliable and affordable is a top priority of the Shapiro Administration.

The Pennsylvania Broadband Infrastructure Program, funded through the Capital Projects Fund, will fund line extension and development projects, as well as large-scale regional infrastructure projects. Upon completion, projects must deliver service that meets or exceeds symmetrical download and upload speeds of 100 Megabits per second, with prioritization being given to fiber-optic deployment. Projects must include a viable sustainability strategy to maintain, repair, and upgrade networks to ensure their continued operation.

“The Authority is pleased to provide this funding to achieve last-mile connections and increase speed for underserved and unserved regions in Pennsylvania,” said Executive Director Carson. “This is the first grant program the Authority is offering, and we look forward to seeing the impact it makes as we work to close the Commonwealth’s digital divide.”

Key Program requirements include:

• 25-percent match: Federal, state, or local funding received by the applicant is eligible towards the match requirement.
• Grant amounts: The minimum request considered will be $500,000 and the maximum may not exceed $10 million.
• Universal coverage: Applicants are required to ensure that all projects either achieve or are part of a plan to achieve universal broadband for the locality or region.
• Affordability: Applicants must participate in the Affordable Connectivity Program and will be asked to describe and document their digital equity efforts to ensure low- to moderate-income households in the proposed project area will have sustained and affordable access.
• Labor: The Pennsylvania Prevailing Wage Act may apply to projects funded under this program. Prevailing Wage requirements are generally applicable to grants for construction, demolition, reconstruction, alteration, repair work, renovations, build-out and installation of machinery and equipment more than $25,000.

The application period will begin May 10, 2023, and will close July 10, 2023, at 11:59 PM. The Authority expects to award grants prior to the end of 2023. Funded projects must reach substantial completion ― defined as services being delivered to end users ― by December 31, 2026. The program will be administered in accordance with U.S. Treasury guidelines and Act 96 of 2021.

For more information about the Pennsylvania Broadband Development Authority, visit the Authority’s website.

The Appalachian Regional Commission (ARC) is now accepting applications for the fifth class of the Appalachian Leadership Institute (ALI)!

ALI is a free, nine-month leadership and economic development training program that helps prepare the next generation of Appalachia’s public, private, and nonprofit leaders to build a stronger future for the region.

We’re looking for 40 Fellows from all 13 Appalachian states — and all walks of life — for the Class of 2023-2024.

Learn more and apply by June 1 at arc.gov/leadership.