Refugee and Entrant Assistance State/Replacement Designee Administered Programs

 

The Refugee Cash and Medical Assistance (CMA) Program reimburses States and Replacement Designees for the cost of cash and medical assistance provided to refugees, certain Amerasians from Vietnam, Cuban and Haitian entrants, asylees, victims of a severe form of trafficking, Iraqi and Afghan Special Immigrants, certain Afghan Humanitarian Parolees, and certain Ukrainian Humanitarian Parolees during the first 12 months after their date of arrival or date of eligibility. Specifically, CMA covers the Refugee Cash Assistance (RCA), Refugee Medical Assistance (RMA), and Medical Screening programs, and recipient administrative costs. CMA also includes the Unaccompanied Refugee Minors (URM) program, and reimbursement is provided for care of enrolled URMs and recipient administrative costs. The Refugee Support Services (RSS) Program provides formula funding for employment and other social services for the same population for 5 years after their date of arrival or date of eligibility. The RSS Program also supports set-aside funding to support specific populations or initiatives such as the Refugee School Impact Program which supports the academic integration of refugee youth from birth to age 18; the Services for Older Refugee Program which supports the integration of refugees aged 60 and above; the Youth Mentoring Program which supports the educational and vocational advancement of refugee young adults; and the Refugee Health Promotion Program which builds the capacity of communities to address the mental health and physical health needs of refugee populations. In FY 2022, in response to new priorities, Congress appropriated specific funding to support certain arrivals from Afghanistan and Ukraine. The Afghanistan Supplemental Appropriation, 2022 and the Additional Afghanistan Supplemental Appropriations Act, 2022 (ASA) supports services for certain Afghan arrivals; and the Additional Ukraine Supplemental Appropriations Act, 2022 (AUSAA) supports services for certain Ukrainian arrivals. See ORR Policy Letters 22-01, 22-02, 22-10, and 22-13 for additional information on Afghan and Ukrainian arrivals eligible for these services.

Active 93.566 Administration For Children and Families, Department of Health and Human Services A - Formula Grants Fiscal Year 2016 In FY2016, CMA grants awarded to 50 states. There will be 50 Social Services grants to states and Wilson/Fish . In FY 2016, 53 CMA grants were awarded to states and state replacement designees. There were 50 Social Services grants to states and Wilson Fish.
Fiscal Year 2017 In FY 2017, 61 CMA grants were issued to States, State Replacement Designees, and Wilson Fish agencies. During FY 2017 four states withdrew from providing refugee resettlement services: Kansas, New Jersey, Texas, and Maine. Funding is issued to State Replacement Designee agencies providing services in these states. There will be 55 Social Services grants to States, State Replacement Designees and Wilson Fish agencies.
Fiscal Year 2018 60 Refugee Cash and Medical Assistance and 59 Refugee Support Services grants were issued to States, Replacement Designees and Wilson Fish agencies.
Fiscal Year 2019 56 Refugee Cash and Medical Assistance and 55 Refugee Support Services grants were issued to States, Replacement Designees and Wilson Fish agencies.
Fiscal Year 2021 62 Refugee Cash and Medical Assistance and 57 Refugee Support Services grants were issued to States and Replacement Designees.
Fiscal Year 2022 63 Refugee Cash and Medical Assistance and 55 Refugee Support Services awards were issued to States and Replacement Designees
Fiscal Year 2024 It is projected that 59 Refugee Cash and Medical Assistance and 55 Refugee Support Services awards will be issued to States and Replacement Designees Refugee Education Assistance Act of 1980, Title V, Section 501(a), Public Law 96-422, 8 U.S.C. 1522 note, Statute 94,1799
William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008, Section 212-235, Public Law 110-457
Victims of Trafficking and Violence Protection Act of 2000, Public Law 106-386
Refugee Act of 1980, Section 412, Public Law 96-212, 8 U.S.C. 1522(e), Statute 94,111
Afghanistan Supplemental Appropriations Act, 2022, Public Law 117-43-Title III, as amended through Public Law 117-86
Additional Ukraine Supplemental Appropriations Act, 2022, Public Law 117-128 State agencies and Replacement Designees are eligible to receive these funds. Refugees, certain Amerasians from Vietnam, Cuban and Haitian entrants, asylees, victims of a severe form of human trafficking, Iraqi and Afghan Special Immigrants, certain Afghan humanitarian parolees, certain Ukrainian humanitarian parolees are eligible for benefits and services. Detailed information on eligibility of ORR-funded projects is available at 45 ? CFR 400.43 and ORR Policy Letters 16-01, 22-01, 22-02, 22-10, and 22-13, which can be found on the ORR website at: https://www.acf.hhs.gov/orr/policy-guidance/policy-letters. Cash and medical assistance is transitional for up to twelve months; Refugee Support Services may be provided for up to five years. Assistance is authorized for refugees, certain Amerasians from Vietnam, asylees, Cuban and Haitian entrants, asylees, victims of a severe form of human trafficking, Iraqi and Afghan Special Immigrants, certain Afghan humanitarian parolees, and certain Ukrainian humanitarian parolees with documentation on their immigration status. Preapplication coordination is not applicable. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Recipients are required to submit a State Plan, an Annual Service Plan, and annual State Cash and Medical Assistance estimates. Cash and Medical Assistance awards are made to State agencies and Replacement Designees following submittal of approved State Plans and annual Cash and Medical Assistance Program Estimates (ORR-1). For Refugee Support Services awards, State agencies and Replacement Designees must submit an Annual Service Plan (ASP). Contact the headquarters or regional location, as appropriate for application deadlines Not applicable. For existing recipients, appeals in regard to disputes may take place in accordance with 45 CFR Part 16, subject to the limitations of the Appendix A. Also: States may request a hearing on the decisions made by the Director or designee on any plan or plan amendment in accordance with 45 CFR 400.9. Annual submission of Refugee Cash and Medical Assistance Program Estimates (ORR-1) and a State Plan are required in order to receive Refugee Cash and Medical Assistance funding. Annual submission of an Annual Service Plan for Refugee Support Services awards is required in order to receive funding. Not applicable. Assistance is limited to refugees, certain Amerasians from Vietnam, Cuban and Haitian entrants, asylees, victims of a severe form of human trafficking, Iraqi and Afghan Special Immigrants, certain Afghan humanitarian parolees, and certain Ukrainian humanitarian parolees. Costs of case management services, as defined in 45 CFR 400.2, may not be charged to the Cash and Medical Assistance award. Performance Reports: ORR regularly monitors recipients, including Refugee Cash and Medical Assistance, Refugee Support Services, and the Unaccompanied Refugee Minors program. During monitoring, ORR reviews a representative selection of case files to assess whether clients are receiving appropriate services. Specifically, ORR reviews client legal, financial, categorical, and time eligibility; the family self-sufficiency plan; receipt of cash and medical assistance, if either or both are applicable; case management, as applicable; employment services and outcomes, as applicable; and any other program-specific services provided. ORR also interviews agency staff and clients to ensure that information gleaned from the case file, agency staff, and clients corroborates with one another. In addition to program monitoring, ORR reviews State Plans and State Plan amendments, annual and semi-annual performance reports, quarterly Federal Financial Reports (ORR-2), and annual goal and services plans to ensure that recipients are spending funds appropriately and are performing in a manner consistent with program requirements. 45 CFR Part 75 Subpart F applies to this program. The recipient must maintain financial and program records in accordance with 45 CFR 75.361-365. Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing. Funds are awarded on a quarterly basis. Funds for Refugee Cash and Medical Assistance and administrative costs must be obligated within the fiscal year of appropriation and liquidated by the end of the next fiscal year. Funds for services and administration for unaccompanied refugee minors may be obligated and expended in the year of award and in the subsequent year. Funds for Refugee Support Services must be obligated by end of the fiscal year after the fiscal year of the award and liquidated by the end of the following fiscal year. Quarterly for Cash and Medical Assistance and Refugee Support Services base funds; annually for Refugee Support Services set-aside funds supporting designated purposes. None/Not specified. Carl Rubenstein, Director- Division of Refugee Assistance
Mary E. Switzer Building
330 C Street SW, 5th Floor West
Washington, DC 20201 US
carl.rubenstein@acf.hhs.gov
Phone: (202) 205-5933 https://www.acf.hhs.gov/orr 75-1503-0-1-609 (Formula Grants) FY 22$194,401,611.00; FY 23 est $606,609,068.00; FY 24 est $429,396,122.00; FY 21$136,071,000.00; FY 20$136,000,000.00; FY 19$163,920,000.00; FY 18$161,616,366.00; FY 17$121,359,160.00; FY 16$121,870,000.00; - Refugee Support Services- Base Formula Awards(Formula Grants) FY 22$32,000,000.00; FY 23 est $70,810,811.00; FY 24 est $70,810,811.00; FY 21$14,850,000.00; FY 20$14,850,000.00; FY 19$232,546,886.00; FY 18$226,540,964.00; FY 17$377,574,141.00; FY 16$409,600,000.00; - Refugee Support Services-Refugee School Impact -Set Aside(Formula Grants) FY 22$7,000,000.00; FY 23 est $7,000,000.00; FY 24 est $9,000,000.00; FY 21$4,981,250.00; FY 20$5,000,000.00; - Refugee Support Services- Services to Older Refugees Set Aside(Formula Grants) FY 22$0.00; FY 23 est $15,000,000.00; FY 24 est $15,000,000.00; FY 21$8,396,250.00; FY 20$8,340,000.00; - Refugee Support Services-Youth Mentoring Set Aside(Formula Grants) FY 22$11,400,000.00; FY 23 est $40,168,919.00; FY 24 est $40,168,919.00; FY 21$4,656,250.00; FY 20$5,175,000.00; - Refugee Support Services- Refugee Health Promotion -Set Asides(Formula Grants) FY 22$500,071,968.00; FY 23 est $1,657,000,000.00; FY 24 est $733,042,179.00; FY 21$285,010,732.00; FY 20$238,113,909.00; - Refugee Cash and Medical Assistance Cost Reimbursement Awards(Formula Grants) FY 22$435,240,058.00; FY 23 est $648,500,000.00; FY 24 est $0.00; FY 21$0.00; - Refugee Support Services- Base Formula Awards-ASA Supplemental includes SAPA and Housing(Formula Grants) FY 22$115,000,000.00; FY 23 est $453,320,947.00; FY 24 est $0.00; FY 21$0.00; - Refugee Support Services- Base Formula Awards-Ukraine Supplemental(Formula Grants) FY 22$63,000,000.00; FY 23 est $0.00; FY 24 est $0.00; FY 21$0.00; - Refugee Support Services-Refugee School Impact -Set Aside-ASA Supplemental(Formula Grants) FY 22$71,250,000.00; FY 23 est $71,250,000.00; FY 24 est $0.00; FY 21$0.00; - Refugee Support Services-Refugee School Impact_ Support to Schools (S2S)-Set Aside-ASA Supplemental(Formula Grants) FY 22$6,000,000.00; FY 23 est $0.00; FY 24 est $0.00; FY 21$0.00; - Refugee Support Services- Services to Older Refugees Set Aside-ASA Supplemental(Formula Grants) FY 22$13,000,000.00; FY 23 est $0.00; FY 24 est $0.00; FY 21$0.00; - Refugee Support Services-Youth Mentoring Set Aside-ASA Supplemental(Formula Grants) FY 22$68,000,000.00; FY 23 est $68,000,000.00; FY 24 est $0.00; FY 21$0.00; - Refugee Support Services- Refugee Health Promotion -Set Asides-ASA Supplemental(Formula Grants) FY 22$393,503,318.00; FY 23 est $166,365,028.00; FY 24 est $0.00; FY 21$0.00; - Refugee Cash and Medical Assistance Cost Reimbursement Awards-ASA Supplemental includes Save Haven Health(Formula Grants) FY 22$50,000,000.00; FY 23 est $305,250,657.00; FY 24 est $0.00; FY 21$0.00; - Cash and Medical Assistance Reimbursement Awards- Ukraine Supplemental(Formula Grants) FY 22$0.00; FY 23 est $122,878,788.00; FY 24 est $0.00; FY 21$0.00; - Refugee Support Services-Refugee School Impact -Set Aside-Ukraine Supplemental(Formula Grants) FY 22$0.00; FY 23 est $65,405,000.00; FY 24 est $0.00; FY 21$0.00; - Refugee Support Services-Refugee Health Promotion -Set Aside-Ukraine Supplemental In FY 2022, the Refugee Cash and Medical Assistance cost reimbursement program awards ranged from $33,000 to $219,000,000. The Refugee Support Services program awards ranged from $63,000 to $171,000,000. 45 CFR Part 400, Subparts A-I. Not applicable.