Alzheimer's Disease Demonstration Grants to States (93.051)
Program
93.051 Alzheimer's Disease Demonstration Grants to States
Federal Agency
ADMINISTRATION ON AGING, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Public Health Service Act, Title III, Part K, Section 398, as amended; Home Health Care and Alzheimer's Disease Amendments Act of 1990, Section 302, Public Law 101-157; Health Professions Education Partnerships Act of 1998, Section 302.
Program Number
93.051
Last Known Status
Active
Objectives
To assist States in creating a system of dementia care for persons with Alzheimer's disease and their families, by carrying out demonstration projects for planning, establishing, and operating programs to: (1) Create models of assistance for persons with Alzheimer's disease and their families; and (2) to improve the responsiveness of the existing home and community based care system to persons with Alzheimer's disease and related disorders and their families.
Types of Assistance
Project Grants.
Uses and Use Restrictions
(1) Not less than 50 percent of the grant must be spent on home health care, personal care, day care, companion services, short-term care in health facilities, and other respite care to individuals with Alzheimer's disease and related disorders. (2) Grant funds cannot be used to replace existing, State, Federal, or private insurance funds. (3) Matching funds are required. (4) Not more than 10 percent of the grant will be expended for administrative expenses.
Eligibility Requirements
Applicant Eligibility
State government agencies are eligible for grant awards.
Beneficiary Eligibility
(1) Individuals with Alzheimer's disease and related disorders; (2) families of those individuals; and (3) care providers of those individuals.
Credentials/Documentation
Applicants must submit: (1) A description of intended use of the grant; (2) information describing programs and activities to be supported; (3) the number of individuals receiving services and the cost of services; and (4) a plan describing coordination of such services. Costs will be determined in accordance with OMB Circular No. A-87 for State and local Governments.
Application and Award Process
Preapplication Coordination
This program is excluded from coverage under E.O. 12372.
Application Procedure
Grant Application for Federal Assistance (Nonconstruction Programs) are in accordance with program announcements developed by the Administration on Aging (AoA) and will be published in the Federal Register when funding is available. As specified in the program announcement, application forms and instructions may be obtained by writing to the US Department of Health and Human Services, Administration on Aging, Grants Management Office, Washington, DC 20201.
Award Procedure
After review and approval, notification of award will be issued to the grantee, along with appropriate notification to the public.
Deadlines
As specified in guidelines published in the Federal Register.
Range of Approval/Disapproval Time
Appeals
None.
Renewals
As outlined in the program announcement published in the Federal Register.
Assistance Considerations
Formula and Matching Requirements
Matching requirements are as follows: first year of the award, 75 percent Federal and 25 percent nonfederal matching requirement; second year, 35 percent nonfederal; and third and subsequent years, 45 percent nonfederal. The nonfederal contribution may be in the form of cash or in-kind contributions, including plant, equipment, or services.
Length and Time Phasing of Assistance
Awards are typically 3 years in duration. Length of future awards will be as published with the program announcement in the Federal Register.
Post Assistance Requirements
Reports
Financial status reports and program progress reports are required semi-annually, including a final report at the end of each grant year.
Audits
In accordance with the provisions of OMB Circular No. A-133, (Revised, June 24, 1997), "Audits of State and Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in OMB Circular No. A-133.
Records
Financial records must be kept available for 3 years after submission of expenditure reports and 5 years after final disposition of non-expendable property in accordance with the regulations at 45 CFR 74, Subpart D.
Program Accomplishments
For fiscal year 2002, competitive grants were awarded to 8 States. In fiscal year 2003 a competition was held to award an additional 7 new grants. Continued support is anticipated for fiscal year 2004. Grants have a 3-year project period, contingent upon the availability of funds. National program evaluation activities are in progress. Fiscal year 2000/2001 program evaluation included analysis of seven years of longitudinal program data and ongoing project evaluation. During the first ten years of program implementation, over 15,000 client families have received direct services (such as adult day care, respite. personal care, home health care, and companion care) and approximately 1 million units of outreach, including educational seminars and workshops have been provided to family caregivers, community service providers, and volunteers. Nearly 50 percent of the clients served are minorities and 48 percent of those receiving services reside in rural areas.
Financial Information
Account Identification
75-0142-0-1-506.
Obligations
(Grants) FY 02 $11,483,000; FY 03 est $13,412,000; and FY 04 est $11,500,000.
Range and Average of Financial Assistance
FY 02 $225,000 to $350,001; $314,668; FY 03 $150,000 to $351,000; $314,668.
Regulations, Guidelines and Literature
Health Care Services in the Home, as amended; The Home Health Care and Alzheimer's Disease Amendments of 1990; Public Health Service Act, Section 398; Section 302 of the Health Professions Education Partnerships Act of 1998.
Related Programs
None.
Information Contacts
Regional or Local Office
Administration on Aging, Department of Health and Human Services, located at all HHS Federal Regional Offices. (See Appendix IV of the Catalog for listings.)
Headquarters Office
Lori Stalbaum, Center for Planning and Policy Development, US Department of Health and Human Services, Administration on Aging, Washington, DC 20201. Telephone (202) 357-3452 or (202) 401-4634. Use the latter number for FTS.
Web Site Address
http://www.aoa.gov/doingbus/fundopp/fundopp.asp
Examples of Funded Projects
A listing of currently funded projects may be obtained by contacting Lori Stalbaum at (202) 357-3452 or by visiting http://www.aoa.gov/alz.
Criteria for Selecting Proposals
As specified in the program announcement published in the Federal Register.
