State Exchange Modernization Grant Program

Agency: Center for Medicare and Medicaid Services

93.525 -- State Planning and Establishment Grants for the Affordable Care Act (ACA)’s Exchanges

Archived opportunityLast Updated: May 13, 2026

Description

The American Rescue Plan Act of 2021 (P.L. 117-2) (ARPA) created a new grant program for Exchanges established by states under section 1311(b) of the Affordable Care Act (42 U.S.C. 18031(b)). The program directs the Secretary to award $20 million to State Exchanges for purposes of enabling such Exchange to modernize or update any system, program, or technology utilized by such Exchange to ensure such Exchange is compliant with all applicable requirements. Applicable requirements include implementation of provisions of the ARPA, which increase financial assistance amounts available to certain taxpayers for Plan Years (PY) 2021 and 2022 who enroll in a qualified health plan through an Exchange.

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This is a Limited Competition Notice of Funding Opportunity (NOFO) that is open only to eligible applicants. Eligible applicants are State Exchanges that, at the time of the application due date, have received approval or conditional approval from the U.S. Department of Health and Human Services (HHS) under 42 CFR §§ 155.105 and 155.106. An eligible State Exchange includes an Exchange that operates its own eligibility and enrollment platform or an Exchange provided for at 42 CFR § 155.106(c) that utilizes the Federal platform.

The Centers for Medicare & Medicaid Services (CMS) will award up to 21 cooperative agreements, totaling $20,000,000, to State Exchanges that submit a complete and successful application. CMS expects to award up to $1,333,333 per successful applicant, pending funding availability. The period of performance for this grant program will be from the date of award through September 9, 2022.

Eligibility

Eligible applicants

Miscellaneous

Other

Additional information

This funding opportunity is a limited competition open to only approved State Exchanges that, at the time of the application due date, have received approval or conditional approval from HHS, in the manner described at 42 CFR §§ 155.105 and 155.106. An eligible State Exchange includes an Exchange that operates its own eligibility and enrollment platform or an Exchange provided for at 42 CFR § 155.106(c) that utilizes the Federal platform. The ARPA excludes an Exchange operated in a state by HHS under section 1321(c) of the ACA. The eligible applicants are State Exchanges in the following states: Arkansas, California, Colorado, Connecticut, District of Columbia, Idaho, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Oregon, Pennsylvania, Rhode Island, Vermont, Virginia, and Washington.

Grantor contact information

Description

Please refer to the Notice of Funding Opportunity

Email

Please refer to the Notice of Funding Opportunity

Documents

File name	Description	Last updated
State_Exchange_Modernization_Grant_Notice_of_Funding_Opportunity_-_FINAL_6.21.2021.pdf	State Exchange Modernization Grant Program	Jun 21, 2021 07:55 PM UTC

Link to additional information

Archived: August 19, 2021

Application process

This site is a work in progress. Go to www.grants.gov to apply, track application status, and subscribe to updates.

Award

$20,000,000

Program Funding

Expected awards

$--

Award Minimum

$1,333,333

Award Maximum

Funding opportunity number:

IE-HBE-21-001

Cost sharing or matching requirement:

Funding instrument type:

Cooperative agreement

Opportunity Category:

Discretionary

Opportunity Category Explanation:

Category of Funding Activity:

Affordable care act

Category Explanation:

The American Rescue Plan Act of 2021 (P.L. 117-2) (ARPA)

History

Version:

Posted date:

June 21, 2021

Archive date:

August 19, 2021