Opportunity Information: Apply for HHS 2022 ACL CIP NWGV 0067

The grant opportunity "No Wrong Door System Governance: Improving Access to LTSS for Individuals and Family Caregivers" (HHS 2022 ACL CIP NWGV 0067) is a discretionary cooperative agreement offered by the U.S. Department of Health and Human Services, Administration for Community Living (ACL), under CFDA 93.048. It is designed to help states build or strengthen the governance and administrative backbone needed to make a No Wrong Door (NWD) system actually work across populations. The central problem the funding is trying to solve is that many states lack a fully functioning, ongoing governing body that can consistently coordinate long-term services and supports (LTSS) access across agencies and disability and aging populations; the announcement notes that 28 states did not have such a fully functioning governing body at the time.

The purpose of the funding is to provide innovation and infrastructure support for approximately 10 to 15 states over a two-year period. The intent is not simply to run a program, but to develop and enhance a durable state-level governance and administration structure that can coordinate, strengthen, and streamline the way people find and access home and community-based services and supports (HCBS). In practice, that means improving the state"s ability to convene partners, define decision-making roles, and maintain a shared agenda over time so that individuals, older adults, people with disabilities, and family caregivers can get information and assistance without being bounced between disconnected systems.

A key feature of the opportunity is its emphasis on cross-agency collaboration. The NWD governance model described here depends on multiple state entities working together, such as Medicaid, the State Unit on Aging, agencies serving individuals with physical disabilities, intellectual and developmental disabilities, and agencies overseeing mental and behavioral health services. Beyond the traditional LTSS network, the announcement also pushes states to explore structured collaboration with leaders in related systems like nutrition, housing, transportation, and employment. The idea is to align state resources more strategically around social needs that directly affect a person"s ability to live independently in the community, rather than treating those needs as separate from LTSS.

The work supported by the grant is framed around a "visioning sessions" process with specific deliverables and outcomes. First, states are expected to establish a meaningful governing body for the statewide NWD system that aligns with NWD Key Elements, meaning governance is not symbolic but capable of guiding policy, setting priorities, and sustaining coordination. Second, states must identify a lead agency to anchor the NWD system, clarifying accountability and reducing fragmentation. Third, grantees are expected to develop a concrete plan for system improvements in areas such as IT systems, person-centered counseling (PCC), streamlined access pathways, and public outreach, all of which affect whether people can easily find and use services.

Equity and inclusion are also built into the required planning. Applicants are expected to develop a Disparity Impact Statement that identifies gaps in the populations being served and/or missing stakeholders at the table, along with a plan for how the state will engage those communities and partners going forward. In addition, states are expected to establish performance standards and quality improvement strategies so that the NWD system is managed with measurable expectations rather than informal coordination alone. The opportunity also calls for examining current practices to identify gaps in person-centered approaches, reinforcing that access improvements should be paired with how well the system respects individual preferences, goals, and circumstances. Finally, grantees must develop work plans for each NWD function, translating the governance structure into operational steps that agencies and partners can follow.

Eligibility is limited to state governments (with eligibility described as unrestricted within that category, subject to any clarifications in the full announcement). The award ceiling is $450,000, and the original application deadline listed was July 5, 2022, with electronic submissions due by 11:59 p.m. Eastern Time on the due date. Overall, the opportunity is best understood as a capacity-building and systems-integration effort: it funds states to put the governance, leadership, planning, equity review, performance management, and cross-sector coordination in place so that LTSS access becomes more consistent, navigable, and person-centered for individuals and family caregivers.

  • 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 Governance: Improving Access to LTSS for Individuals and Family Caregivers" 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 May 06, 2022.
  • Applicants must submit their applications by Jul 05, 2022 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 $450,000.00 in funding.
  • The number of recipients for this funding is limited to 10 candidate(s).
  • Eligible applicants include: State governments, Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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