Special Programs for the Aging-Title III, Part D-Disease Prevention and Health Promotion Services (93.043)

Program

93.043 Special Programs for the Aging-Title III, Part D-Disease Prevention and Health Promotion Services

Federal Agency

Agency: Department of Health and Human Services
Office: Administration On Aging

Authorization

Older Americans Act of 1965, Title III, Parts A and F, Public Law 89-73, as amended; Public Law 90-42, 81 Stat. 106; Public Law 91-69, 83 Stat. 108; Public Law 93-29, 87 Stat. 30; Public Law 93-351, 88 Stat. 357; Public Law 94-135, 89 Stat. 713; Public Law 95-65, 91 Stat. 269; Public Law 95-478, 92 Stat. 1513; Public Law 97- 115, 95 Stat. 1595; Public Law 98-459, 98 Stat. 1767; Public Law 100- 175, 101 Stat. 926; Section 705, Public Laws 100-628, 102-375, and 106-501, 42 U.S.C. 3022-3030(M).

Program Number

93.043

Last Known Status

Active

Objectives

To develop or strengthen preventive health service and health promotion systems through designated State Agencies on Aging and Area Agencies on Aging. Funds are provided for disease prevention and health promotion services including health risk assessments; routine health screening; nutrition screening; counseling and educational services for individuals and primary care givers; health promotion; physical fitness; home injury control and home safety screening; screening for the prevention of depression, and referral to psychiatric and psychological services; education on availability of benefits and appropriate use of preventive services; education on medication management; information concerning diagnosis, prevention, and treatment of neurological and organic brain dysfunction; gerontological counseling and counseling regarding social services and follow-up health services.

Types of Assistance

Formula Grants.

Uses and Use Restrictions

Funds are awarded to States to develop or strengthen preventive health service and health promotion systems through designated State Agencies on Aging and area Agencies on Aging. A State plan covering 2, 3, or 4 years, with annual revisions as necessary, must be submitted to State agencies for approval. Funds are used to design and implement programs for periodic preventive health services to be provided at senior centers or alternative sites as appropriate. The preventive health services under this part may not include services eligible for reimbursement under Medicare.

Eligibility Requirements

Applicant Eligibility

Only States and U.S. Territories which have State Agencies on Aging designated by the governors are eligible to receive these grants.

Beneficiary Eligibility

Older individuals, especially those living in areas of States which are medically underserved and in which there are a large number of older individuals who have the greatest economic need for the services.

Credentials/Documentation

Applicable costs and administrative procedures will be determined in accordance with Part 92 of Title 45 of the Code of Federal Regulations.

Application and Award Process

Preapplication Coordination

This program is subject to the State Plan Coordination Section of E.O. 12372. State plans are covered under this Section, but intergovernmental consultation review is excluded.

Application Procedure

Consult the appropriate Regional Office for State application instructions.

Award Procedure

The Administration on Aging awards funds through a statutory formula to State Agencies on Aging. State agencies approve and award funds to substate level organizations, which they have designated.

Deadlines

Funds are awarded to State Agencies on Aging based on the Federal fiscal year.

Range of Approval/Disapproval Time

States are entitled to these grants by statute.

Appeals

Appeals are processed in accordance with HHS regulations in 45 CFR 1321 and Section 2112 of Title 28, U.S.C.

Renewals

Applications are submitted for a 2-,3-, or 4-year period with annual revisions.

Assistance Considerations

Formula and Matching Requirements

Formula grants are 85 percent Federal and 15 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

One year.

Post Assistance Requirements

Reports

SF 269 Financial Status Report (Semi-annual) and the Annual Program Performance Report.

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 $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in OMB Circular No. A-133.

Records

Records must be kept available for 3 years after submission of the final expenditure report.

Program Accomplishments

In fiscal year 2006, 56 grants to States and related jurisdictions were made. In fiscal year 2007, 56 grants to States and related jurisdictions are anticipated. For FY 2008, no grants to States are anticipated. Funds are provided for disease prevention and health promotion services including health risk assessments; routine health screening; nutrition screening; counseling and educational services for individuals and primary care givers; health promotion; physical fitness; home injury control and home safety screening; screening for the prevention of depression, and referral to psychiatric and psychological services; education on availability of benefits and appropriate use of preventive services; education on medication management; information concerning diagnosis, prevention, and treatment of neurological and organic brain dysfunction; gerontological counseling and counseling regarding social services and follow-up health services.

Financial Information

Account Identification

75-0142-0-1-506.

Obligations

(Grants) FY 07 $21,400,000; FY 08 $20,815,881; and FY 09 est not available.

Range and Average of Financial Assistance

$13,324 to $2,161,730; $380,694.

Regulations, Guidelines and Literature

45 CFR 92 and 45 CFR 1321.

Related Programs

93.044, Special Programs for the Aging_Title III, Part B_Grants for Supportive Services and Senior Centers; 93.045, Special Programs for the Aging_Title III, Part C_Nutrition Services; 93.052, National Family Caregiver Support, Title III, Part E.

Information Contacts

Regional or Local Office

Regional Administrator, Administration on Aging, Department of Health and Human Services, Regional Offices. (See Appendix IV of the Catalog.)

Headquarters Office

Bob Hornyak, Office for Community-Based Services, Administration on Aging, Department of Health and Human Services, Washington, DC 20001. Telephone: (202) 357-0150; E-mail: Robert.Hornyak@aoa.hhs.gov.

Web Site Address

http://www.aoa.gov.

Examples of Funded Projects

None.

Criteria for Selecting Proposals

Awards are made on a non- competitive basis. State Grants are awarded upon approval of a State Plan.