This collection of resources contains information on the range of funding sources available to State Medicaid agencies and other agencies and stakeholders to support the development of a high quality direct service labor force.
An important consideration for any project that attempts to address direct service workforce issues is the availability of funding to initiate and sustain it over the long term. Major funding for direct service workforce initiatives over the past five years has come primarily from federal grants, including several joint grants between federal agencies and private foundations. As interest in addressing the growing shortage of direct care workers grows, states have begun experimenting with different ways to fund initiatives, including legislative appropriations and the use of civil monetary penalties.
This Funding Sources resource collection provides information about how direct service workforce initiatives have been and are currently funded, and includes examples of sources and strategies for funding future initiatives (see Getting Started below). Past, current, and future CMS DSW grantees and TA recipients might use this information to sustain activities that have already begun or to stimulate financing for a new project. Funding opportunities for work of this kind are almost never permanent. For that reason, this resource has been compiled under the assumption that sometimes the best way to predict how future money will become available is to examine where it has come from in the past. As you will see, federal government, state government, and private funds have all contributed to workforce initiatives. The particular mix of financial resources available to a project will depend on timing, location, and subject matter, among other things. Therefore, those planning direct service workforce initiatives are encouraged to use this document not as a definitive list of funding sources, but as a source of strategies and ideas that will spark new and creative ways to fund their work.
Resources are organized into 5 sections:
Each page describes the types and sources of funding available. The menu on the left contains links to all sections and back to the DSW Resource Center homepage.
This online tool breaks down funding sources into rough categories, but effective interventions often draw from more than one funding source, just as they often involve more than one stakeholder. Possible sources of funding for direct service workforce initiatives are many and varied, but actually finding and obtaining funding can be difficult and time-consuming. Listed below are several strategies that may not only improve your ability to secure funding, but your ability to carry out and sustain a successful initiative.