Refugee and Entrant Assistance State/Replacement Designee Administered Programs

Refugee and Entrant Assistance State/Replacement Designee Administered Programs is sponsored by U.S. Department of Health and Human Services. This opportunity supports mission-aligned projects and measurable outcomes.

Refugee Cash and Medical Assistance and Refugee Support Services Program HEALTH AND HUMAN SERVICES, DEPARTMENT OF Cash and Medical Assistance (CMA) program provides funding for short-term cash and medical assistance to refugees and other eligible individuals of the refugee resettlement program. CMA also provides funding for foster care and youth services for unaccompanied refugee minors.

Separately, Refugee Support Services (RSS) provides statutorily required services that help individuals find employment and achieve economic self-sufficiency.

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 4 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 activities, and recipient administrative costs. CMA also includes Unaccompanied Refugee Minors (URM), and reimbursement is provided for care of enrolled URMs and recipient administrative costs.

Refugee Support Services (RSS) 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. In FY 2022, in response to new priorities, Congress appropriated specific funding to support certain arrivals from Afghanistan and Ukraine.

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.

INCOME SECURITY AND SOCIAL SERVICES - NL Refugees, Alien Services INCOME SECURITY AND SOCIAL SERVICES - NK Public Assistance INCOME SECURITY AND SOCIAL SERVICES - NO Specialized Family and Child Welfare Services Refugee Education Assistance Act of 1980, Title V, Section 501(a), Public Law 96-422, Statute 94,1799, 8 US Code 1522 note 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, Statute 94,111, 8 US Code 1522(e) Refugee Crisis in Iraq Act of 2007, 1244(g) of Div.

A of Pub. L. 110-181, as amended (8 U.S.C.

1157 note) Section 584 of Foreign Operations, Export Financing, and Related Programs Appropriations Act, Section 101(e) of public law 100-202 _These funding amounts do not reflect the award amounts that are displayed on USASpending. gov_ **This listing is funded for the current fiscal year. ** Beginning in FY 2026, ORR anticipates awarding all RSS formula funding via the base formula.

**Fiscal Year 2025:** 60 Refugee Cash and Medical Assistance and 54 Refugee Support Services awards were issued to States and Replacement Designees. **Fiscal Year 2026:** It is projected that 60 Refugee Cash and Medical Assistance and 54 Refugee Support Services grants will be issued to States and Replacement Designees.

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. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Not-for-Profit Organization, State agencies and Replacement Designees (RDs) are eligible to receive these funds. ORR issued PL 25-04 on March 14, 2025, Changes to ORR Support Services Recipients Beginning in FY 2026. It requires that the Refugee Support Services (RSS) grant be directly issued only to states.

As a result, ORR will no longer issue RSS to RDs; however, some services may continue to be provided by RDs through the end of the grant period during the transition.

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. gov /orr/policy-guidance/policy-letters.

Cash and medical assistance is transitional for up to four months; Refugee Support Services may be provided for up to five years. See ORR Policy Letters for allowable costs and activities. Costs of case management services, as defined in 45 CFR 400.

2, may not be charged to the Cash and Medical Assistance award. Contact the headquarters or regional location, as appropriate for application deadlines Preapplication coordination is not applicable. Environmental impact information is not required for this program.

This program is excluded from coverage under E. O. 12372.

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Opportunity Posted Location: Other Application Procedures Location: Description Application Procedures Description: State Plan-URL https://acf. gov/orr/form/report-forms.

States and RDs apply for CMA and RSS by submitting an annual State Plan (CMA and RSS), ORR-6 Annual Service Plan (RSS), and ORR-1 CMA Program 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). | 10/01/2026 | Reimbursement | Quarterly | - | 2 Years | Cash and Medical Assistance: In general, except for services for unaccompanied minors, states and Replacement Designees (RDs) must use CMA grants for costs attributable to the fiscal year in which they were awarded (e.g., FY 24 funds for FY 24 costs).

States and RDs then have an additional year to liquidate CMA funds. For FY23, FY24, and FY25 CMA funds, ACF allowed CMA funds to be used for costs attributable to both the current and subsequent FY in which the CMA funds were awarded (e.g., FY 24 funds for FY 24 and FY 25 costs).

This effectively extended the obligation deadline by one year in response to state requests for flexibility to navigate recent funding anomalies and unpredictable arrival patterns that resulted in delays in issuing CMA funds to states at the beginning of year fiscal year. Refugee Support Services: Grant recipients have two years to obligate and an additional year to liquidate RSS funds.

For FY 2019 through FY 2024 RSS funds, ACF extended the obligation and liquidation deadlines by one year. These extensions were in response to state requests for flexibility due to exigent circumstances, including the amount, timing, and overall complexity of RSS awards.

| 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. Other. 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.

The following 2CFR policy requirements apply to this assistance listing: Subpart B, General provisions Subpart D, Post Federal; Award Requirements Subpart E, Cost Principles Subpart F, Audit Requirements The following 2CFR policy requirements are excluded from coverage under this assistance listing: Subpart C, Pre-Federal Award Requirements and Contents of Federal Awards Additional Information: Effective October 01, 2024, the Department of Health and Human Services (HHS) adopted certain provisions of the Office of Management and Budget (OMB) Uniform Guidance in 2 CFR part 200.

Effective October 01, 2025, HHS will adopt the remainder of the Uniform Guidance at 2 CFR Part 200, and HHS will relocate key HHS-specific provisions from 45 CFR Part 75 to 2 CFR Part 300. Effective October 01, 2025, ACF recipients must follow the requirements in 2 CFR Part 200 and the HHS-specific provisions in 2 CFR Part 300. Per 45 CFR 75.

101(e) (effective on or after 10/1/2025: 2 CFR §200. 101(f)), except for 45 CFR §75. 202 (effective on or after 10/1/2025: 2 CFR §§200.

203 and 200. 216) the guidance in subpart C does not apply to this program. **Financial Reports:**Semi-Annual and annual PPR.

Quarterly and project closeout/final report FFR. Recipients submit a Federal Financial Report (SF-425) for Refugee Support Services and an ORR-2 for Refugee Cash and Medical Assistance four times a year. For more information on the SF-425 see: https://www.

acf. gov/grants/manage-grant/reporting. , Frequency: Semi-Annually Annually **Progress/Performance Reports :**ORR-5 “Refugee Data Submission System of Formula Funds Allocations”, the individual report form for the Cash and Medical Assistance Program and the Refugee Support Services Program, is required annually.

ORR-6 Program Performance Reports, summarizing the activities and accomplishments of the project in relation to the approved goals and objectives, are required annually for the Refugee Medical Assistance and Medical Screening Programs and every six months for the other components of the Refugee Cash and Medical Assistance and Refugee Support Services programs. Cash reports are not applicable.

Tangible Personal Property - If requesting funds to purchase equipment, the recipient must request prior approval. When the equipment is no longer needed, the SF-428 Tangible Personal Property-Cover Page with the SF-428 Attachment C must be submitted to the Office of Grants Management. Please see the ACF Property, Tangible Personal Property Guidance at https://acf.

gov/grants/manage-grant/property/tangible-property. Performance progress reports are required using the SF-PPR ACF Performance Progress Report. The frequency of reporting will be listed in the NOFO(s) and in the award terms and conditions.

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. For more information, see: https://www. acf.

gov/grants/manage-grant/reporting#ppr. , Frequency: Semi-Annually Additional audit requirements: Refer to the link below for 2 CFR Subpart F Audit Requirements. https://www.

ecfr. gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-F Additional audit requirements: 45 CFR Part 75 Subpart F (effective on or after October 01, 2025: 2 CFR Part 200 Subpart F) applies to this program. , Frequency: Determined at Time of Award All records are to be maintained in accordance with 45 CFR 75.

361-. 365 (effective on or after 10/01/2025: 2 CFR 200. 334-.

338). Retention Period: 3 Years Domestic Assistance Program that uses Core-Based Statistical Area (CBSA): https://www. acf.

gov/orr (opens in new window) (opens in new window)") Carl Rubenstein, Director- Division of Refugee Assistance Mary E. Switzer Building 330 C Street SW, 5th Floor West, carl. rubenstein@acf.

hhs.

gov Refugee and Entrant Assistance State/Replacement Designee Administered Programs Refugee and Entrant Assistance State/Replacement Designee Administered Programs Refugee and Entrant Assistance State/Replacement Designee Administered Programs Refugee and Entrant Assistance State/Replacement Designee Administered Programs Refugee and Entrant Assistance State/Replacement Designee Administered Programs Refugee and Entrant Assistance State/Replacement Designee Administered Programs Refugee and Entrant Assistance State/Replacement Designee Administered Programs Refugee and Entrant Assistance State/Replacement Designee Administered Programs Refugee and Entrant Assistance_State/Replacement Designee Administered Programs Refugee and Entrant Assistance_State Administered Programs_State Replacement Designees and Wilson Fish Number changed from 93.

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