Funding Requested. Level One Funding Grant Application: June 30, 2011 Grant Award period: August 15, 2011-August 14, 2012 The State of Connecticut is applying for a Level One Establishment Grant from the Center for Consumer Information and Insurance Oversight (CCIIO)to further its planning, development and design of an Insurance Exchange for the State. The application is part of the federal Patient Protection and Affordable Care Act (ACA), which will increase access to affordable health coverage and reduce the number of uninsured and underinsured in the State of Connecticut which total approximately 377,000 individuals. Currently, with our federal planning grant funds, Connecticut is conducting a detailed market impact assessment, developing financial and economic models to ensure Exchange sustainability, and analyzing the requirements for the IT system interface between Medicaid and the Exchange. This research will be completed in the Fall of 2011 and will provide Connecticut with the critical foundation for Exchange design, development, and implementation planning. However, the planning grant only takes Connecticut part of the way toward addressing the full range of issues that must be resolved to build a State Exchange. Before Connecticut can successfully apply for Level Two Establishment funding to design a fully functioning Exchange by 2014, Connecticut needs to address additional core areas while completing planning research efforts.
Funding Requested. Budget Categories (itemize all categories) Section 319 Non-Federal Match * Total Justification (Include detailed explanation for each budget line item) Year 1 Year 2 Year 3 Year 4 Year 1 Year 2 Year 3 Year 4 Personnel/Salary 23,400 23,400 11,700 0 58,500 Town of Wake Forest Project Management & Administration Fringe Benefits Supplies Equipment Travel Contractual 59,000 181,500 24,955 0 118,500 177960 70,190 0 632,105 Design-KH, Permitting- KH, Construction-TBD, Monitoring-NCSU Other 2,500 2,500 NCSU Co-Op Stream Restoration Education Total Direct 59,000 181,500 24,955 0 141,900 201,360 84,390 0 693,105 Indirect (max. 10% of direct costs, per 40 CFR 35.268) Annual Totals 59,000 181,500 24,955 0 141,900 201,360 84,390 0 Grand Total 265,455 427,650 693,105 % of Total Budget 38% 62% 100% *Note: Non-Federal match must be a minimum of 40% of the total project budget Year 1: January 1 - June 30, 2017 (6 months) – Total MUST equal sum of quarters 1-2 in Milestone Table #18 Year 2: July 1, 2017-June 30, 2018 (12 months) – Total MUST equal sum of quarters 3-6 in Milestone Table #18 Year 3: July 1, 2018-June 30, 2019 (12 months) – Total MUST equal sum of quarters 7-10 in Milestone Table #18 Year 4: July 1 - December 31, 2019 (6 months) – Total MUST equal sum of quarters 11-12 in Milestone Table #18
Funding Requested. 6. Have any other State or Federal funding sources been identified for the project? Yes No
