This form is provided for:

  • States seeking more information about applying to the Centers for Medicare & Medicaid Services (CMS) for a National Background Check Program (NBCP) grant;
  • Grantee States interested in contacting CNA for technical assistance;
  • Questions about any of the information on this website; and
  • Anyone wishing to submit feedback about this website.

To contact CMS directly, email

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 15 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.