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Data Note: Changes in 2017 Federal Navigator Funding

Appendix A

Appendix Table A: 2016 Federal Navigator Funding Awards  and Preliminary 2017 Awards as of  September 13, 2017
State Navigator Grantee Organization Statewide Program in 2016 2016 Funding Award 2017 Preliminary Funding Award Percent Change
Alaska Alaska Primary Care Association Yes $327,859 $249,231 -24%
Alaska United Way of Anchorage No $272,141 $197,574 -27%
Alabama AIDS Alabama Yes $809,944 $808,594 0%
Alabama Tombigbee Healthcare Authority No $528,391 $228,265 -57%
Arizona Arizona Board of Regents, University of Arizona No $537,916 $460,456 -14%
Arizona Arizona Association of Community Health Centers Yes $1,091,321 $707,136 -35%
Delaware Westside Family Healthcare Yes $260,904 $300,000 15%
Delaware Chatman, LLC Yes $339,096 $300,000 -12%
Florida Pinellas County Board of County Commissioners No $580,000 $580,000 0%
Florida University of South Florida Yes $5,813,294 $4,929,252 -15%
Florida The Public Health Trust dba Jackson Health System No $278,910 $205,696 -26%
Florida Epilepsy Foundation of Florida No $1,753,494 $720,491 -59%
Florida Community Health Interventions & Sickle Cell Agency, Inc. No $489,170 $146,751 -70%
Florida Meridian Behavioral Healthcare No $549,800 $43,617 -92%
Georgia Georgia Association for Primary Health Care No $941,522 $941,522 0%
Georgia Georgia Refugee Health and Mental Health No $307,088 $153,544 -50%
Georgia Health Care Central Georgia dba Community Health Works Yes $2,288,988 $328,870 -86%
Georgia Boat People SOS No $145,134 $10,000 -93%
Hawaii Legal Aid Society Hawaii Yes $334,510 $185,143 -45%
Iowa Visiting Nurse Services of Iowa No $180,891 $171,304 -5%
Iowa Planned Parenthood of the Heartland Yes* $304,373 $45,019 -85%
Iowa Genesis Health System No $118,631 $10,000 -92%
Illinois United Way of Metropolitan Chicago No $713,514 $713,514 0%
Illinois Southern Illinois Healthcare Foundation No $294,372 $270,233 -8%
Illinois Patient Innovation Center NFP No $1,052,854 $736,998 -30%
Illinois Pekin Memorial Hospital No $260,850 $51,425 -80%
Illinois Genesis Health System No $79,181 $10,000 -87%
Illinois Sarah Bush Lincoln Health Center No $186,076 $10,000 -95%
Indiana Community Action of Southern Indiana No $221,987 $61,950 -72%
Indiana Affiliated Service Providers of Indiana Yes $906,987 $168,565 -81%
Indiana Indiana Primary Health Care Association No $506,987 $66,189 -87%
Kansas Ascension Health No $215,471 $215,471 0%
Kansas Kansas Association for the Medically Underserved Yes $516,061 $516,061 0%
Louisiana Southwest Louisiana Area Health Education Center Yes $1,073,462 $297,349 -72%
Louisiana Family Road of Greater Baton Rouge No $461,870 $10,000 -98%
Maine Fishing Partnership Health Plan No $79,000 $100,000 27%
Maine Western Maine Community Action Yes $521,000 $451,750 -13%
Michigan Midwest Asian Health Association (MAHA) No $135,581 $135,581 0%
Michigan Arab Community Center for Economic and Social Services No $555,711 $352,478 -37%
Michigan Michigan Consumers for Healthcare Yes $1,200,000 $129,899 -89%
Michigan City of Garden City No $300,000 $10,000 -97%
Missouri Planned Parenthood of St. Louis No $349,908 $337,293 -4%
Missouri Missouri Alliance for Area Agencies on Aging Yes* $919,902 $349,251 -62%
Missouri St. Louis Effort for AIDS Yes* $545,704 $43,033 -92%
Mississippi The University of Southern Mississippi No $359,712 $327,338 -9%
Mississippi Oak Hill Missionary Baptist Church Ministries, Incorporated Yes $547,867 $54,943 -90%
Montana Intermountain Planned Parenthood No $337,555 $374,750 11%
North Carolina Legal Aid of North Carolina Yes $2,444,703 $2,444,703 0%
North Carolina Randolph Hospital No $265,036 $265,036 0%
North Carolina Mountain Projects No $396,215 $317,962 -20%
North Carolina Alcohol/Drug Council of North Carolina Yes $300,000 $33,333 -89%
North Dakota Minot State University Yes $300,000 $12,000 -96%
North Dakota Family HealthCare Center No $186,524 $186,524 0%
North Dakota Great Plains Tribal Chairmen’s Health Board No $150,124 $10,000 -93%
Nebraska HRS/Erase Inc. No $145,000 $39,512 -73%
Nebraska Community Action of Nebraska Yes* $455,000 $76,192 -83%
New Hampshire Bhutanese Community of New Hampshire No $245,488 $354,512 44%
New Hampshire Bi-State Primary Care Association No $354,512 $101,702 -71%
New Jersey The FoodBank of Monmouth and Ocean Counties No $300,000 $268,966 -10%
New Jersey Jewish Renaissance Medical Center No $124,797 $62,061 -50%
New Jersey Center for Family Services No $805,000 $291,995 -64%
New Jersey The Family Resource Network No $347,327 $50,813 -85%
New Jersey Wendy Sykes/The Oranges ACA Navigator Project (OACANP) No $325,008 $46,710 -86%
Ohio HRS/Erase Inc. No $274,392 $82,360 -70%
Ohio Ohio Association of Foodbanks Yes $1,697,029 $485,967 -71%
Oklahoma Oklahoma Community Health Centers No $669,230 $497,312 -26%
Oklahoma Little Dixie Community Action Agency Yes* $493,133 $300,688 -39%
Pennsylvania Young Women’s Christian Association of Pittsburgh No $257,864 $232,078 -10%
Pennsylvania Consumer Health Coalition No $728,902 $592,527 -19%
Pennsylvania Public Health Management Corporation No $392,691 $254,230 -35%
Pennsylvania Pennsylvania Association of Community Health Centers Yes $948,432 $612,674 -35%
Pennsylvania Penn Asian Senior Services No $291,844 $131,054 -55%
Pennsylvania Pennsylvania Mental Health Consumers Association No $453,383 $165,938 -63%
South Carolina Palmetto Project Yes $1,092,798 $501,048 -54%
South Carolina Beaufort County Black Chamber of Commerce No $424,985 $10,000 -98%
South Dakota South Dakota Community Action Partnership Yes $400,000 $226,947 -43%
South Dakota Great Plains Tribal Chairmen’s Health Board No $200,000 $10,000 -95%
Tennessee Family & Children’s Service Yes $1,640,618 $1,497,410 -9%
Texas Light and Salt Association No $448,606 $448,606 0%
Texas MHP Salud No $707,066 $707,066 0%
Texas Sacred Heart Health System No $1,503,391 $1,428,221 -5%
Texas Community Council of Greater Dallas No $2,279,507 $1,863,440 -18%
Texas Coastal Bend Center for Independent Living No $375,277 $280,927 -25%
Texas East Texas Behavioral Healthcare Network (ETBHN) No $1,027,660 $415,243 -60%
Texas South Plains Community Action Association No $1,140,806 $427,595 -63%
Texas Change Happens No $1,330,000 $488,722 -63%
Texas Brazos Valley Economic Development Council No $150,869 $37,064 -75%
Texas Latino HealthCare Forum No $254,053 $13,651 -95%
Utah Urban Indian Center of Salt Lake No $162,591 $105,278 -35%
Utah Utah Health Policy Project yes $740,090 $289,584 -61%
Virginia Boat People SOS No $205,398 $205,398 0%
Virginia Virginia Poverty Law Center Yes $1,846,210 $902,791 -51%
Wisconsin The Board of Regents of the University of Wisconsin System No $998,960 $576,197 -42%
Wisconsin Northwest Wisconsin Concentrated Employment Program No $306,227 $173,018 -44%
West Virginia First Choice Services Yes $242,319 $300,000 24%
West Virginia West Virginia University Research Corp. No $357,681 $300,000 -16%
Wyoming Memorial Hospital of Laramie County dba WY Inst Pop Health Yes $427,286 $166,642 -61%
Wyoming Wyoming Health Council No $178,561 $17,012 -90%
Total     $62,387,582 $36,825,245 -41%
Notes: *Denotes a program that is nearly statewide, covering more than 80% of counties in the state.
Source: List of preliminary awards was obtained and released by a third party, not by CMS.  Navigator programs with 2017 funding changes were required to submit revised work plans and budgets by September 27, 2017. CMS committed to review and make final award determinations, on a rolling basis, within 30 days.

Appendix B

KFF Federal Navigator Funding Survey Questions
Funding Awards

1.     What was the amount of funding for your Navigator program indicated in the Notice of Award (NOA) dated September 13, 2017?

2.     In about May or June of 2017, did you receive preliminary estimate from CMS of your 2017 award?

a.     Yes

b.     No

3.     If yes, what was that amount?

4.     Regarding the Notice of Award you received on September 13, 2017, how clear to you was the rationale provided by CMS for the funding amount?

a.     Very Clear

b.     Somewhat Clear

c.     Somewhat Unclear

d.     Very Unclear

e.      No rationale was provided

Performance Goals for 2016-2017 Budget Period

5.     Goal for number of consumers to be enrolled/reenrolled in a QHP with Navigator assistance during the entire 2017 budget period.

6.     Goal for number of consumers to be assisted with applying for or being referred to Medicaid/CHIP with Navigator assistance during the entire 2017 budget period.

7.     Goal for number of one-on-one consumer interactions (including both general and specific inquiries) during the entire 2017 budget period.

8.     Goal for number of consumers expected to be reached through public education and outreach activities, as reported in AssistConnect during the entire 2017 budget period.    

Self-Reported Performance Data for the 2016-2017 Budget Period

9.     Number of consumers assisted with selecting/enrolling in a QHP (including re-enrollment) during the entire 2016-2017 budget period, as reported through HIOS.

10.  Number of consumers applying for or being referred to Medicaid/CHIP with Navigator assistance during the entire 2016-2017 budget period, as reported through HIOS.

11.  Number of one-on-one consumer interactions (including both general and specific inquiries) during the entire 2016-2017 budget period, as reported through HIOS.

12.  Number of consumers reached through public education and outreach activities during the entire 2016-2017 budget period, as reported in AssistConnect.                  

Impact of Funding Award

13.  As a result of the recent funding award, will your program continue as a navigator for the 2017-2018 budget year?

a.     Yes

b.     No

c.     Don’t Know

As a result of the recent funding award, how likely is it that your program will do the following during the 2017-2018 budget year?

14.  Provide about the same level of services to about the same number of consumers

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

15.  Reduce the geographic service area

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

16.  Reduce services provided to consumers in rural communities

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

17.  Reduce the number of months during which you provide navigator assistance

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

18.  Limit enrollment assistance for Medicaid and CHIP eligible individuals

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

19.  Reduce services for limited- or non-English speaking consumers

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

20.  Limit the time staff devote to assisting consumers with complex cases

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

21.  Reduce the number of outreach activities and events

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

22.  Reduce spending on marketing (advertising)

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

23.  As a result of the recent funding award, how likely is it that your program will lay off staff in the 2017-2018 budget year?

a.     Very Likely

b.     Somewhat Likely

c.     Somewhat Unlikely

d.     Very Unlikely

e.     Don’t Know

f.      Not Applicable

24.  If staff layoffs are being considered, how many FTE staff do you expect to cut?

 Additional Comments
 25.  If other key changes to your program or the consumers you serve are likely, please briefly describe them here.
Data Note

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