Opportunity Information: Apply for HHS 2018 ACL CIP NWBC 0285
The No Wrong Door (NWD) System Business Case Development opportunity is a discretionary federal grant offered through the U.S. Department of Health and Human Services, Administration for Community Living (ACL), under a cooperative agreement structure (Funding Opportunity Number HHS 2018 ACL CIP NWBC 0285; CFDA 93.048). It is designed specifically for state governments and centers on strengthening and proving the value of streamlined access systems for long-term services and supports (LTSS), especially home and community-based services. The NWD model itself is a joint effort led by ACL in collaboration with the Centers for Medicare and Medicaid Services (CMS) and the Veterans Health Administration (VHA), with the broader purpose of helping states make it easier for people of all populations to find, understand, and enroll in the supports they need while reducing confusion, duplication, and administrative waste.
At its core, the opportunity responds to a long-standing problem in LTSS access: many states have multiple entry points, eligibility pathways, and enrollment processes that differ depending on population group (older adults, people with disabilities, veterans, etc.) and on the funding source behind the service. That fragmentation can force individuals, families, and caregivers to navigate overlapping or inconsistent systems, repeat the same steps multiple times, and face delays in getting help. At the same time, duplicative processes and poorly coordinated workflows contribute to rising pressure on state and federal budgets, particularly Medicaid, and can make service delivery less efficient and less person-centered. Another major challenge highlighted in the announcement is that many access systems do not consistently capture or integrate data in ways that let states measure key outcomes, compare performance, or demonstrate return on investment, which makes it harder to justify improvements or sustain reforms over time.
This FOA focuses on business case development for high-performing, streamlined LTSS access systems, meaning the funding is meant to help states build clear, evidence-backed arguments showing that coordinated NWD approaches improve efficiency and/or generate cost savings. Rather than funding direct service expansion, the emphasis is on strengthening the infrastructure, analytics, and evaluation methods needed to quantify the impact of streamlined access. The intent is to help states document how improved access pathways affect multiple payers and multiple populations, how they influence healthcare utilization patterns, and what the financial or operational return on investment looks like at both the state and federal levels. In practice, a state might use this support to demonstrate that better coordination reduces unnecessary institutional placements, avoids redundant assessments, improves timeliness of service connection, or reduces preventable healthcare use, and then translate those changes into credible cost and efficiency metrics.
Award funding may be used for several practical system-building activities tied to evaluation and performance measurement. The announcement specifically notes allowable uses such as developing an integrated data system, assessing and improving existing data elements, and implementing training protocols needed to support the intervention being tested. This points to projects that connect data across agencies or programs, clean up and standardize what is collected, and ensure frontline staff and partner organizations apply consistent practices that make performance measurable. The broader expectation is that participating states will enhance or modify their existing LTSS delivery and access systems and pair those changes with more sophisticated approaches to evaluating outcomes, so that the resulting business case is credible to policymakers, funders, and stakeholders.
Administratively, the grant was announced with a creation date of April 11, 2018, and an original closing date of June 11, 2018, with electronic submissions due by 11:59 p.m. Eastern Time on the deadline date. The award ceiling is listed as $600,000 per award, and the notice lists expected awards as 9, although the narrative description also references funding up to 7 state grantees, which suggests the final number of awards could depend on available funds, application quality, or program decisions. Overall, the opportunity is aimed at states that already have some level of LTSS access infrastructure and are ready to strengthen coordination and data capacity so they can clearly demonstrate, in measurable terms, the efficiency gains and cost impacts of a mature No Wrong Door system.Apply for HHS 2018 ACL CIP NWBC 0285
- The Department of Health and Human Services, Administration for Community Living in the income security and social services sector is offering a public funding opportunity titled "No Wrong Door System Business Case Development" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.048.
- This funding opportunity was created on Apr 11, 2018.
- Applicants must submit their applications by Jun 11, 2018 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (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 $600,000.00 in funding.
- The number of recipients for this funding is limited to 9 candidate(s).
- Eligible applicants include: State governments.
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| Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Implementation and Expansion Grants Apply for HHS 2018 ACF OCC TH 1365 Funding Number: HHS 2018 ACF OCC TH 1365 Agency: Department of Health and Human Services, Administration for Children and Families - OCC Category: Income Security and Social Services Funding Amount: $800,000 |
| Community Collaborations to Strengthen and Preserve Families Apply for HHS 2018 ACF ACYF CA 1351 Funding Number: HHS 2018 ACF ACYF CA 1351 Agency: Department of Health and Human Services, Administration for Children and Families - ACYF/CB Category: Income Security and Social Services Funding Amount: $550,000 |
| Strengthening Child Welfare Systems to Achieve Expected Child and Family Outcomes Apply for HHS 2018 ACF ACYF CO 1360 Funding Number: HHS 2018 ACF ACYF CO 1360 Agency: Department of Health and Human Services, Administration for Children and Families - ACYF/CB Category: Income Security and Social Services Funding Amount: $1,610,000 |
| Native American Elder Justice Initiative Apply for HHS 2018 ACL AOA IERC 0292 Funding Number: HHS 2018 ACL AOA IERC 0292 Agency: Department of Health and Human Services, Administration for Community Living Category: Income Security and Social Services Funding Amount: $250,000 |
| Minority Serving Institutions Partnership Implementation Grants Apply for HHS 2018 ACL AOD DDTI 0303 Funding Number: HHS 2018 ACL AOD DDTI 0303 Agency: Department of Health and Human Services, Administration for Community Living Category: Income Security and Social Services Funding Amount: $50,000 |
| Basic Center Program Apply for HHS 2018 ACF ACYF CY 1354 Funding Number: HHS 2018 ACF ACYF CY 1354 Agency: Department of Health and Human Services, Administration for Children Families - ACYF/FYSB Category: Income Security and Social Services Funding Amount: $200,000 |
| Sexual Risk Avoidance Education Program Apply for HHS 2018 ACF ACYF SR 1358 Funding Number: HHS 2018 ACF ACYF SR 1358 Agency: Department of Health and Human Services, Administration for Children Families - ACYF/FYSB Category: Income Security and Social Services Funding Amount: $450,000 |
| Direct Services for Survivors of Torture Apply for HHS 2018 ACF ORR ZT 1356 Funding Number: HHS 2018 ACF ORR ZT 1356 Agency: Department of Health and Human Services, Administration for Children and Families - ORR Category: Income Security and Social Services Funding Amount: $450,000 |
| National Alzheimer's Call Center Apply for HHS 2018 ACL AOA ADCC 0306 Funding Number: HHS 2018 ACL AOA ADCC 0306 Agency: Department of Health and Human Services, Administration for Community Living Category: Income Security and Social Services Funding Amount: $1,233,571 |
| Alzheimer's Disease Programs to States and Communities Apply for HHS 2018 ACL AOA ADPI 0307 Funding Number: HHS 2018 ACL AOA ADPI 0307 Agency: Department of Health and Human Services, Administration for Community Living Category: Income Security and Social Services Funding Amount: $1,000,000 |
| Technical Assistance to the Survivors of Torture Program Apply for HHS 2018 ACF ORR ZT 1357 Funding Number: HHS 2018 ACF ORR ZT 1357 Agency: Department of Health and Human Services, Administration for Children and Families - ORR Category: Income Security and Social Services Funding Amount: $500,000 |
| Innovations in Nutrition Programs and Services Apply for HHS 2018 ACL AOA INNU 0300 Funding Number: HHS 2018 ACL AOA INNU 0300 Agency: Department of Health and Human Services, Administration for Community Living Category: Income Security and Social Services Funding Amount: $250,000 |
| Using Digital Marketing to Increase Participation in the Child Support Program Apply for HHS 2018 ACF OCSE FD 1368 Funding Number: HHS 2018 ACF OCSE FD 1368 Agency: Department of Health and Human Services, Administration for Children and Families - OCSE Category: Income Security and Social Services Funding Amount: $170,000 |
| State of the States in Developmental Disabilities-On-going Data Collection and Information Dissemination Apply for HHS 2018 ACL AOD DNPA 0293 Funding Number: HHS 2018 ACL AOD DNPA 0293 Agency: Department of Health and Human Services, Administration for Community Living Category: Income Security and Social Services Funding Amount: $400,000 |
| Head Start and/or Early Head Start Grantee -- City of New Haven in New Haven County, Connecticut Apply for HHS 2018 ACF OHS CH R01 1381 Funding Number: HHS 2018 ACF OHS CH R01 1381 Agency: Department of Health and Human Services, Administration for Children and Families - OHS Category: Income Security and Social Services Funding Amount: $7,338,347 |
| Refugee Technical Assistance Program Apply for HHS 2018 ACF ORR RB 1361 Funding Number: HHS 2018 ACF ORR RB 1361 Agency: Department of Health and Human Services, Administration for Children and Families - ORR Category: Income Security and Social Services Funding Amount: $1,200,000 |
| Center for Research on Hispanic Children and Families Apply for HHS 2018 ACF OPRE PH 1378 Funding Number: HHS 2018 ACF OPRE PH 1378 Agency: Department of Health and Human Services, Administration for Children and Families - OPRE Category: Income Security and Social Services Funding Amount: $1,050,000 |
| Marriage Strengthening Research & Dissemination Center Apply for HHS 2018 ACF OPRE PR 1372 Funding Number: HHS 2018 ACF OPRE PR 1372 Agency: Department of Health and Human Services, Administration for Children and Families - OPRE Category: Income Security and Social Services Funding Amount: $1,000,000 |
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