Opportunity Information: Apply for CMS 2I2 21 001
The American Rescue Plan Act (ARP) of 2021 Section 9813 State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services is a federal funding opportunity from the U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS). It was designed to help state Medicaid agencies plan and prepare to add or expand a Medicaid benefit focused on community-based mobile crisis intervention for people experiencing a mental health and/or substance use disorder (MH/SUD) crisis. In plain terms, CMS offered states targeted planning money so they could build the policy, operational, and program groundwork needed to deliver crisis services in the community, rather than relying primarily on emergency departments, inpatient settings, or law enforcement responses.
The core purpose of the Notice of Funding Opportunity (NOFO) is to solicit applications for planning grants that support development of Medicaid authorities needed to cover these services. States can use the funding to design and draft the required Medicaid approaches, including State Plan Amendments (SPAs), Section 1115 demonstration requests, and/or Section 1915(b) and 1915(c) waiver requests or amendments. The emphasis on multiple Medicaid pathways matters because states are organized differently and may need different legal and program vehicles to implement a mobile crisis benefit that meets local needs while still complying with federal Medicaid rules. The grant is specifically about planning and development work that enables implementation, not simply general behavioral health programming.
The services at the center of the opportunity are "qualifying community-based mobile crisis intervention services" for Medicaid recipients who are experiencing an MH/SUD crisis in community settings. The intent is to support crisis response capacity that can meet people where they are, using mobile teams and community-based interventions. This reflects a broader policy goal of improving timely crisis access, stabilizing individuals in less restrictive settings when appropriate, and strengthening the continuum of behavioral health crisis care. The planning work supported under this NOFO would typically involve defining the service model, outlining provider requirements and staffing expectations, determining eligibility and access routes, establishing reimbursement methodologies, coordinating with managed care plans where applicable, and ensuring linkages with other crisis system components (for example, call centers, dispatch, stabilization services, and follow-up care).
Eligibility is limited to State Medicaid Agencies (state governments), which aligns with the fact that only state Medicaid agencies can submit and implement SPAs and waivers for Medicaid coverage. The opportunity is categorized as discretionary funding and uses a cooperative agreement funding instrument, meaning CMS would have a more engaged partnership role than in a standard grant structure. The funding activity category is Health, and the CFDA number associated with the opportunity is 93.639.
Administratively, the opportunity is identified as CMS-2I2-21-001. The NOFO was created on July 13, 2021, with an original application closing date of August 13, 2021. CMS anticipated making about 20 awards, with an award ceiling of up to $1,000,000 per award. In practice, that ceiling indicates CMS expected states to use the funds for concentrated planning tasks such as policy development, actuarial and rate considerations, stakeholder engagement, implementation planning, data and evaluation planning, and Medicaid documentation preparation rather than long-term service delivery costs.
Overall, this ARP Section 9813 planning grant opportunity was built to accelerate state readiness to implement a Medicaid-covered mobile crisis intervention benefit for MH/SUD crises, by paying for the upfront work required to develop the necessary Medicaid authorities and operational plans. The end goal is a more responsive, community-based crisis system for Medicaid beneficiaries, grounded in Medicaid policy mechanisms that can sustain the service beyond the initial planning period.Apply for CMS 2I2 21 001
- The Department of Health and Human Services, Centers for Medicare Medicaid Services in the health sector is offering a public funding opportunity titled "American Rescue Plan Act (ARP) of 2021: Section 9813 State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.639.
- This funding opportunity was created on Jul 13, 2021.
- Applicants must submit their applications by Aug 13, 2021. (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 $1,000,000.00 in funding.
- The number of recipients for this funding is limited to 20 candidate(s).
- Eligible applicants include: State governments, Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is this funding opportunity?
This opportunity is the American Rescue Plan Act (ARP) of 2021, Section 9813 State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services. It is a federal funding opportunity from the U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), designed to fund state-level planning work related to Medicaid coverage for community-based mobile crisis intervention services.
What is the main goal of the NOFO?
The Notice of Funding Opportunity (NOFO) aims to solicit applications for planning grants that help states develop the Medicaid authorities needed to add or expand a Medicaid benefit for qualifying community-based mobile crisis intervention services. The focus is on building the policy, operational, and program groundwork required to implement a sustainable Medicaid-covered mobile crisis service.
Who is eligible to apply?
Eligibility is limited to State Medicaid Agencies (state governments). This is because State Medicaid Agencies are the entities that can submit and implement Medicaid State Plan Amendments (SPAs) and Medicaid waivers.
Are local governments, providers, nonprofits, or universities eligible to apply directly?
No. Based on the information provided, only State Medicaid Agencies are eligible applicants. Other organizations may still be involved through state-led planning, stakeholder engagement, or coordination activities, but they are not identified as eligible applicants under this opportunity.
What services are the focus of this grant?
The grant centers on "qualifying community-based mobile crisis intervention services" for Medicaid recipients experiencing a mental health and/or substance use disorder (MH/SUD) crisis in community settings. The intent is to support crisis response that meets people where they are through mobile teams and community-based interventions.
What does "community-based mobile crisis intervention" mean in this context?
In this context, it refers to crisis services delivered in community settings (rather than relying primarily on emergency departments, inpatient care, or law enforcement responses), using mobile crisis teams and community-based interventions to respond to MH/SUD crises for Medicaid beneficiaries.
Is the grant intended to pay for direct service delivery?
No. The opportunity is specifically described as being about planning and development work that enables implementation of a Medicaid-covered mobile crisis benefit. It is not described as general behavioral health programming or ongoing service delivery funding.
What kinds of activities can states use the planning funds for?
The funds can be used for planning tasks needed to develop and support Medicaid coverage approaches for these services. Examples described include policy development, stakeholder engagement, implementation planning, data and evaluation planning, actuarial and rate considerations, and preparation of Medicaid documentation.
What Medicaid authorities can states develop with this funding?
States can use the funding to design and draft Medicaid approaches such as:
- State Plan Amendments (SPAs)
- Section 1115 demonstration requests
- Section 1915(b) waiver requests or amendments
- Section 1915(c) waiver requests or amendments
Why does the NOFO mention multiple Medicaid pathways (SPAs, 1115, 1915 waivers)?
Because states are organized differently and may require different legal and program vehicles to implement a mobile crisis benefit that fits local needs while complying with federal Medicaid rules. The NOFO emphasizes flexibility in how states can establish Medicaid coverage authority.
What types of planning details might a state need to define for a mobile crisis benefit?
The NOFO description indicates planning may include defining the service model, outlining provider requirements and staffing expectations, determining eligibility and access routes, establishing reimbursement methodologies, coordinating with managed care plans (where applicable), and ensuring linkages with other crisis system components such as call centers, dispatch, stabilization services, and follow-up care.
What is the intended impact of this grant program?
The stated policy intent is to improve timely crisis access, stabilize individuals in less restrictive community settings when appropriate, and strengthen the continuum of behavioral health crisis care for Medicaid beneficiaries by accelerating state readiness to implement Medicaid-covered mobile crisis intervention services.
Which federal agencies are involved?
The opportunity is offered by the U.S. Department of Health and Human Services (HHS), specifically the Centers for Medicare and Medicaid Services (CMS).
What is the funding instrument type?
The funding instrument is a cooperative agreement. This indicates CMS would have a more engaged partnership role than under a standard grant structure.
Is this mandatory or discretionary funding?
It is categorized as discretionary funding.
What is the funding activity category?
The funding activity category is Health.
What is the CFDA number for this opportunity?
The CFDA number associated with the opportunity is 93.639.
What is the opportunity number or identifier?
The opportunity is identified as CMS-2I2-21-001.
When was the NOFO created and when did it close?
The NOFO was created on July 13, 2021, and the original application closing date was August 13, 2021.
How many awards did CMS anticipate making?
CMS anticipated making about 20 awards.
What was the maximum award amount?
The award ceiling was up to $1,000,000 per award.
What does the $1,000,000 award ceiling suggest about the scope of work?
Based on the description, the ceiling suggests the funding was intended for concentrated, time-limited planning tasks (such as policy development, rate considerations, stakeholder engagement, implementation planning, evaluation planning, and Medicaid documentation preparation) rather than long-term operational costs or ongoing service delivery.
Who are the intended service recipients of the planned benefit?
The planned Medicaid benefit focuses on Medicaid recipients experiencing a mental health and/or substance use disorder (MH/SUD) crisis in community settings.
How does this grant relate to emergency departments, inpatient care, or law enforcement?
The program description indicates the planning grant is meant to support crisis services delivered in the community, with the broader goal of reducing reliance primarily on emergency departments, inpatient settings, or law enforcement responses when community-based crisis stabilization is appropriate.
What is the long-term objective beyond the planning period?
The long-term objective is to enable a more responsive, community-based crisis system for Medicaid beneficiaries, supported by Medicaid policy mechanisms that can sustain the mobile crisis benefit beyond the initial planning period.
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