ACL Opportunities for CCHs

Hello- During last week's "Session for Interested Participants of Community-Driven, Multi-Payer Health Equity Solutions" there was mention of a number of upcoming opportunities sponsored by ACL.  Are there links to more information? If not, is there a time frame for when details will be shared? Of particular interest are: 1) opportunity to apply as a subcontractor for the CCH Center of Excellence, and 2) New learning collaborative focused on Care Transitions. 


Thanks for your help

1 reply

    • Mission Analytics Group
    • Kate_Russell
    • 7 mths ago
    • Reported - view

    Hi Fran, the 2023-2024 NLC Application provides a brief overview of the Learning System to Align Social Care which I've included below. Of the listed opportunities, two are currently open and accepting applications:

    Information on additional opportunities under the Learning System to Align Health and Social Care is forth coming. In regards to your question about upcoming funding opportunities through the Center of Excellence (COE), the COE, through USAging and their Aging and Disability Business Institute (ADBI), will be the organization administering the funding opportunity. To stay informed, we’d recommend signing up for both the ADBI listserv and ACL listserv

    Feel free to reach out to with additional questions!

    Learning System to Align Health and Social Care

    The Community Care Hub National Learning Community is part of a broader Learning System to Align Health and Social Care (Learning System) that ACL and partners are organizing to meet the varied and broad needs across stakeholders involved in aligning health and social care. This Learning System is intended to meet community care hubs and other CBOs, as well as their health care partners, where they are in their journey to coordinate, deliver, and collectively finance services that address health-related social needs. Coordination across organizations providing relevant technical assistance will allow for a comprehensive approach that will reach a broad group of aging and disability CCHs/CBOs and their health care partners. Various planned efforts comprising the Learning System include:

    Initiative Name  Host Organization  Timeline  Overview 
    Community Care Hub National Learning Community  ACL  Pre-learning: December 2023 

    January 2024-August 2024 
    Approximately 30 CCH participants will be engaged in a multi-part ECHO learning series with an emphasis on health care contracting, creating CCH value propositions, and contract negotiation. Multi-payer alignment utilizing Medicare Healthcare Common Procedure Coding System (HCPCS) will be an anchoring tenet of the curriculum modules. Small group and 1:1 technical assistance opportunities will also be made available. 

    As part of the NLC, an optional CCH 101 Learning Series will be offered in November-December 2023 to provide an overview of the CCH model and core functions.  
    Community-Driven, Multi-Payer Health Equity Solutions: An ECHO Collaborative  Partnership to Align Social Care  Pre-learning: December 2023 

    January 2024-December 2024 
    Approximately 20 community/clinical teams will work together to focus on multi-payer alignment using Medicare Healthcare Common Procedure Coding System (HCPCS) codes for services addressing health-related social needs in their local market, as part of a community-clinical team. This is an action-oriented learning collaborative focused on full implementation of current and proposed HCPCS billing codes. The community-clinical teams will participate in an evidence-based clinical implementation program model called TeamSTEPPS to support their work, and they will apply the HCP-LAN recommendations for multi-payer alignment to drive health equity using a single model of care in their community.  
    Care Transitions ECHO Series  ACL  January 2024-September 2024  ADRCs, AAAs, CILs, and other CBOs or community care hubs and their hospital partners will participate in a large-scale ECHO learning series to develop or expand care transition programs. This will incorporate CMS and other measure requirements related to health-related social needs, collaborative workflows pre- and post-discharge, and opportunities to use Medicare codes for reimbursement of transition support and related services. 

Content aside

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