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Funding Opportunity- Cancer: Planning Grant for Systematic Approaches to Screening

Tuesday, December 16, 2014   (0 Comments)
Posted by: Whitney Pack



The National Association of Chronic Disease Directors (NACDD), with support from the Centers for Disease Control and Prevention (CDC), announces the availability of limited one time funding for CDC funded National Breast and Cervical Cancer Early Detection Programs (NBCCEDP) to support planning for initiation of collaborative efforts or expansion of existing collaboration with state Medicaid programs.

Funded recipients will be expected to develop plans with strategies to:
1. Sustain appropriate cancer screening and follow-up for current NBCCEDP enrollees transitioning into Medicaid services through use of NBCCEDP data sets collaboratively with Medicaid data, or other creative Health Department and Medicaid avenues.
2. Enhance or combine existing data systems to support population-based education, outreach, screening registries, diagnosis and follow-up.

The finalized plans will serve as guiding documents for other chronic disease programs and Medicaid programs to help meet the public health needs as national health reform expansions are implemented. This project is not designed for implementation, but for formulation of plans and strategies.

For further information:
Please see the attached description or contact Frank Bright, Senior Public Health Advisor for Cancer at or 614-551-9059.

Intent to apply (email) due: Friday, January 09, 2015 to and Applications due: Friday, January 30, 2015 to and This one time funding award will be for a project period beginning on or around Friday, March 06, 2015 and ending Sept. 29, 2015.


The current system of cancer screenings in the United States is opportunistic. The majority of patients are offered screening services only when they present to a medical provider, often for an unrelated reason. Other countries and some US managed care systems have adopted more systematic approaches to actively seek and direct eligible members of the populations to participate in recommended screening (1, 2).

A limited number of planning grants for the development and enhancement of cancer outreach and screening within existing healthcare systems is herein offered by the National Association of Chronic Disease Directors (NACDD) with support from the Centers for Disease Control and Prevention (CDC). These grants are designed to assist CDC funded NBCCEDPs in the development of plans offering guidance in population-based approaches to increase cancer screening participation for a public, which has substantially increased access to screening through the implementation of health care reform. The intent is to encourage and support collaboration between and capacity development within public health chronic disease programs and Medicaid programs. This RFA addresses the CDC Chronic Disease Prevention and Health Promotion Domain #3 – Health system interventions to improve the effective delivery and use of clinical and other preventive services in order to prevent disease, detect diseases early, and reduce or eliminate risk factors and mitigate or manage complications. This RFA engages other systems (Medicaid) to expand the early detection of cancer,

Anticipated increases in Medicaid eligibility through the implementation of health reform, will present public health chronic disease programs with a tremendous opportunity to work collaboratively with state Medicaid programs to develop data systems to identify and provide education, outreach and follow-up of diagnostic and treatment needs to individuals that have not received recommended cancer screening tests. This project will provide funding for development of strategies for these services. This is a planning project. Funding for implementation of the developed plan is not available at this time.

Recipients of these grants will develop formalized plans for NBCCEDPs and Medicaid programs to:

1. Support or enhance collaborative planning and action at the state, territory, tribal, PIJ, DC level with activities being delivered on the local levels, as possible.

2. Develop and promote policies that facilitate implementation of systematic screening programs for target populations of the Medicaid enrollees.

3. Transition current NBCCEDP patients into Medicaid programs as eligibility criteria are expanded.

4. Design and develop systems that allow linkage of Medicaid enrollee data to existing NBCCEDP or similar datasets to enable active education and recruitment for screening, and a registry to monitor participation in screening programs, diagnostic follow-up and long-term outcomes.

5. Design and develop cost-effective outreach program to increase participation in cancer screening among the Medicaid population.

Grant proposals should describe a process to develop and promote plans to create strategies to: 1) Formalize collaborative agreements for chronic disease programs and state Medicaid programs, with a focus on policy development; 2) Develop and implement outreach demonstration projects to transition NBCCEDP-enrolled women into expanded Medicaid programs; and 3) Plan and develop/expand data-registries and linkages to track cancer screening and plan outreach needs. These grants are to promote planning, preparation and formalization of efforts and are not intended to fund implementation of these new efforts, plans and activities. These funds may not be used to provide clinical services.

Applicants must:
1. Develop strategic action plans to work collaboratively with Medicaid to achieve common goals.
2. Describe a management plan to lead project. Management plan should include identification of key staff and associated resources.
3. Describe how support for the plan will be mobilized.
4. Describe an evaluation plan to assess the process and develop measures which demonstrate accomplishment of project goals and intended outcomes.
5. Provide required progress reports that describe project accomplishments, challenges, and outcomes to NACCD.

Examples of specific projects in each area are listed below. Awardees may receive technical assistance and consultation in the development of their plans. Awardees will meet via teleconference periodically.

Health Department and Medicaid Collaborative Efforts

  • Analyze existing data on enrollment characteristics and screening utilization. Assess need to access, collect and integrate additional data to expand present data-systems infrastructure and programmatic capacity.
  • Develop formal partnerships externally with the state Medicaid program and internally with public health data programs of particular relevance to cancer screening.
  • Define opportunities for technical support, data-sharing and collaborative funding and/or staffing across agencies.
  • Develop a strategic plan to expand data capacity to support cancer screening surveillance.

Policy Interventions

  • Determine policy-making processes for state Medicaid program coverage, operations, funding and regulatory action.
  • Identify institutional or regulatory barriers to access and the use of data and determine needed policy strategies.
  • Develop policies to guide and regulate the proposed screening system and outreach strategies.
  • Incorporate needed policy actions into the policy agenda of state Comprehensive Cancer Coalition and relevant advocacy organizations.

Development of Data Systems

  • Design a system to identify a registry of Medicaid recipients who are eligible for screening services and identify subsets of high-risk patients (survivors and first degree relatives).
  • Develop data linkages and systems to identify and recruit individuals who will be eligible for Medicaid expansions after health reform.
  • Develop and support data systems and linkages that can provide or collect past and current utilization of screening services among screening eligible Medicaid recipients.
  • Develop tracking and documentation systems that assure adequate follow-up of screened patients requiring diagnostic services or treatment and develop linkage to Cancer registry datasets.


  • Develop automated reminder systems for patient notification of recommended cancer screening services.
  • Develop more intensive outreach systems for non-adherent patients (target high risk).
  • Develop tracking and documentation systems that assure adequate follow-up of screened patients requiring diagnostic services or treatment.

1) Taplin, SH et al. Evaluating Organized Breast Cancer Screening Implementation: The Prevention of Late-Stage Disease. Cancer Epidemiology, Biomarkers and Prevention. 2004; 13:225-234.

2) Ballad_Barbash, R et al. Breast cancer screening in 21 counties: delivery of services, notification of results and outcomes ascertainment. European Journal of Cancer Prevention. 1999; 8:417-426.

State, territorial, tribal, district and US jurisdiction health department NBCCEDP programs currently funded under Program Announcement DP12:1205 are eligible to apply. Not eligible due to past funding under this program are Indiana, Michigan, North Carolina, Washington State, Mississippi, Nevada, New York, Oregon and Utah.

Funding is available to award up to two selected grantees up to $50,000 each to develop their plans. Awards will be made for a project period that will end on September 29, 2015. Funds are available to enable selected projects to cover costs associated with the project. This may include personnel costs, meeting facilitation, data analysis, literature review,



Resource Allocation

  • Matching funds: Matching funds from applicants and partners are not required.
  • In-kind support: In-kind contribution of staff time is expected.
  • Fiscal agent: Applicants may use a fiscal agent to accept funds. 

Reporting and Information Sharing

  • A progress report will be due at the middle of the project period.
  • A final project report will be due at the end of the project period. A final financial status report for projects receiving funds will be due at the end of the project period.
  • All awardees must be willing to share information about their project and respond to reasonable requests for information after the project period has ended so that NACDD and its partners may continue to monitor the impact of the grant program.

Site Visits and Workshop Attendance

  • Virtual site visits: All funded projects may be asked to participate in virtual site visits by conference call.
  • The project lead staff will be expected to participate in project calls. 

The staff person assigned overall project responsibility must be from within the applicant agency cancer program organizational structure.

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