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Cooperative Agreements to USA Tribes and Tribal Organizations to Benefit the Health of Children

Connecting Kids to Coverage (CKC) HEALTHY KIDS American Indian/Alaska Native (AI/AN) 2023 Outreach and Enrollment Cooperative Agreements

GrantWatch ID# 206342
Agency: Federal

Funding Source
U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, Center for Medicare and CHIP Services
CFDA Number: 93.767
Funding or PIN Number: CMS-2D2-23-001
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Geographic Focus

Important Dates
Conference Date: 11/17/22
Deadline: 12/20/22 3:00 PM Eastern Standard Time

Grant Description
Cooperative agreements to USA Tribes and tribal organizations to benefit the health of children. Applicants are advised that required registrations may take several weeks to finalize. Funding is intended to increase the number of children enrolled in federal healthcare programs.

The Connecting Kids to Coverage (CKC) HEALTHY KIDS American Indian/Alaska Native (AI/AN) 2023 Outreach and Enrollment Cooperative Agreement program provides funding opportunities to reduce the number of children who are eligible for, but not enrolled in, Medicaid and the Children’s Health Insurance Program (CHIP), and to improve retention of eligible children who are enrolled in the programs. 

This funding will support innovative outreach strategies aimed at:

  • Increasing the enrollment and retention of eligible AI/AN children, parents, and pregnant individuals in Medicaid and CHIP,
  • Emphasizing activities tailored to communities where AI/AN children and families reside, and
  • Enlisting tribal and other community leaders and tribal health and social services programs that serve eligible AI/AN children and families.

These HEALTHY KIDS AI/AN 2023 Cooperative Agreements will support outreach strategies similar to those conducted in previous CKC grant cycles, such as activities designed to help families understand application procedures and health coverage opportunities in Medicaid and CHIP. All funded projects should incorporate both initial application and renewal assistance into their proposed activities. Based on past experiences of successful enrollment of AI/AN families, applications should also incorporate providing one-on-one assistance to families seeking to enroll their children in health coverage or linking families with groups or individuals in the community who are trained to provide such direct application assistance. As with previous rounds of cooperative agreements, recipients will be required to participate in key outreach initiatives coordinated by the CKC National Campaign (the NationalCampaign). The National Campaign, led by CMS, provides outreach training and support for recipients as well as other partners who are working to help enroll eligible children in Medicaid and CHIP. 

Project Activities can be found on page 17 of the NOFO. See Attached Files, below.

Eligible costs can be found on page 34 of the NOFO.


  • Native American tribal governments (Federally recognized)
  • Native American tribal organizations (other than Federally funded tribal governments)
  • Others (see text field entitled "Additional Eligibility Criteria" for clarification)

Additional Criteria for Eligibility
This cooperative agreement opportunity is open to the following eligible entities, or collaboratives of eligible entities:
a. Indian Health Service (IHS) Providers;
b. Tribes and Tribal organizations operating a health program under a contract or compact with the Indian Health Service under the Indian Self-Determination and Education Act (ISDEAA) (P.L. 93-638, as amended); and
c. Urban Indian organizations operating a health program under the Indian Health Care Improvement Act (IHCIA) (P.L. 94-437, as amended.

Applicants that had previous CKC grants may apply for a CKC HEALTHY KIDS AI/AN 2023 cooperative agreement if their proposal meets one of the following: New and distinct activities: A previous CKC grant recipient may submit a proposal for activities that are new and distinct from those previously funded, OR Continuation of successful activities: A previous CKC grant recipient that wishes to continue activities it is currently or previously conducted, may submit a proposal for a HEALTHY KIDS AI/AN 2023 grant, but must present data demonstrating that the activities it wishes to continue have proved successful in enrolling and/or retaining eligible children in Medicaid and CHIP and warrants further funding.

Foreign and International Organizations and for-profit entities are not eligible to apply. Applicants must be public and/or not-for-profit entities.

Prohibited Uses of Award Funds can be found on page 34 of the NOFO. See Attached Files, below.

Pre-Proposal Conference
Prior to the application deadline, CMS will host two webinars to provide details about the HEALTHY KIDS AI/AN 2023 program to answer questions from potential applicants regarding thisfunding opportunity. Information about the webinars will be posted on the InsureKidsNow website at

Pre-Application Information
Applicable Dates:
- Electronic Application Due Date: December 20, 2022, 3:00 pm Eastern Standard Time
- Anticipated Issuance Notice(s) of Award: April 1, 2023
- Anticipated Period of Performance: April 1, 2023 – March 31, 2026

Cost sharing or matching is not required.

In order to apply, all applicants are required to have a valid Employer Identification Number (EIN), otherwise known as a Taxpayer Identification Number (TIN); a Unique Entity Identifier; and be registered in the System for Award Management (SAM) database ( to be able to submit an application at See Appendix II of the NOFO (in Attached Files, below). Application and Submission Information for descriptions of EIN, UEI, and SAM.

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Additional Funding Information

Estimated Total Program Funding:


Number of Grants
The maximum number of awards is anticipated to be 7. The actual number of awards will depend upon the number and quality of applications.

Estimated Size of Grant
Estimated Maximum Award Amount: $1,000,000

Term of Contract
Anticipated Period of Performance: April 1, 2023 – March 31, 2026

RFP & Supporting Documents
Full Grant Text RFP

Before starting your grant application, please review the funding source's website listed below for updates / changes / addendums / conferences / LOIs.

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