Affordable Care Act - Aging and Disability Resource Center

 

ADRCs are designed to serve as “visible and trusted” sources where people can turn to for objective information on their long-term services and support options and their Medicare benefits. These programs also provide “one-on-one” counseling and advice to help consumers, including private pay individuals, to fully understand how available options relate to their particular needs, as well as streamlined access to all publicly supported long-term services and support programs. Funding under this Program will help states further develop and strengthen their statewide systems of person-centered information, counseling and access. Through this grant program, states and local aging and disability programs will receive funds to provide outreach and assistance to Medicare beneficiaries on their Medicare benefits including prevention; use additional funds through a competitive process, to provide Person Center Counseling on health and long term care through ADRCs; use additional funds through a competitive process in existing Money Follows the Person states for Nursing Home Transitions and Diversions; and finally, ACL and CMS funded states, through a competitive process, to strengthen the role of ADRCs in the implementation of Evidence-Based Care Transition models that integrate the medical and social service systems to help older individuals and those with disabilities remain in their own homes and communities after a hospital, rehabilitation or skilled nursing facility visit and avoid unnecessary readmission. The ADRC is
(A) to serve as visible and trusted sources of information on the full range of long-term care options that are available in the community, including both institutional and home and community-based care;
(B) to provide personalized and consumer friendly assistance to empower people to make informed decisions about their care options and facilitate a process with the consumer to develop a person centered plan;
(C ) to provide coordinated and streamlined access to all publicly supported long-term care options so that consumers can obtain the care they need through a single intake, assessment and eligibility determination process;
(D) to help people to plan ahead for their future long-term care needs; and
(E) to assist, in coordination with the State Health Insurance Assistance Program, Medicare beneficiaries in understanding and accessing the Prescription Drug Coverage and prevention health benefits available under the Medicare Modernization Act”.

ACL along with CMS and VHA is working with 8 states to gain an understanding how states are incorporating their ADRC and their Balancing Incentive Program and transforming their state LTSS functions into a No Wrong Door System. ACL , CMS and VHA are working together with the states to develop a No Wrong Door System to LTSS for all populations and all payers.

General information about this opportunity
Last Known Status
Active
Program Number
93.517
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Administration for Community Living
Type(s) of Assistance Offered
Cooperative Agreements (Discretionary Grants)
Program Accomplishments
Not Applicable.
Authorization
Patient Protection and Affordable Care Act , Title III, Part III, Section 2405, Public Law 111-111-148, III Stat. 930, 1395W U.S.C 3306.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
ADRCs are designed to serve as “visible and trusted” sources where people can turn to for objective information on their long-term services and support options and their Medicare benefits. These programs also provide “one-on-one” counseling and advice to help consumers, including private pay individuals, to fully understand how available options relate to their particular needs, as well as streamlined access to all publicly supported long-term services and support programs. Funding under this Program will help states further develop and strengthen their statewide systems of person-centered information, counseling and access. Through this grant program, states and local aging and disability programs will receive funds to provide outreach and assistance to Medicare beneficiaries on their Medicare benefits including prevention; use additional funds through a competitive process, to provide Options Counseling on health and long term care through ADRCs; use additional funds through a competitive process in existing Money Follows the Person states for Nursing Home Transitions and Diversions; and finally, AoA and CMS will be funding states, through a competitive process, to strengthen the role of ADRCs in the implementation of Evidence-Based Care Transition models that integrate the medical and social service systems to help older individuals and those with disabilities remain in their own homes and communities after a hospital, rehabilitation or skilled nursing facility visit and avoid unnecessary readmission.
Beneficiary Eligibility
N/A.
Credentials/Documentation
A.Applicant is a State Agency or instrumentality of the State (e.g.,State Unit on Aging, State Medicaid Agency, State Disability Agencies);
B.Applicant has received an award to implement ADRCs through the AoA and CMS ADRC grants funded in fiscal years 2003, 2004, 2005 and 2009, and/or the CMS Person-Centered Hospital Discharge Planning Model Grants. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Grant applications and required forms for this program can be obtained from Grants.gov. AoA requires all applicants to apply electronically through Grants.gov.

All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the AoA program official with delegated authority is responsible for final selection and funding decisions
Award Procedure
All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the AoA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Grant Award.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
From 90 to 120 days.
Appeals
Not Applicable.
Renewals
From 90 to 120 days.
How are proposals selected?
Applications are scored by assigning a maximum of 100 points across four criteria during the merit review process:
A.Current Program Status and Proposed Approach - (50 points);
B.Organizational Capacity - (20 points).
C.Project Management and Stakeholder Participation - (20 points).
D.Work Plan and Budget – (10 points);.
How may assistance be used?
1.Support the participation of State staff, local ADRC staff, partners, consumers and other stakeholders in the process of developing State-specific standards for ADRC Options Counseling.
2.Implement the standard operating procedures statewide or in at least one ADRC site.
3.Provide training for new or existing options counselors to meet the new standards.
4.Expand options counseling services to a new population or into a new setting or situation.
5.Modify existing IT/MIS client tracking systems and protocols as needed to meet new Options Counseling standards.
6.Gather and analyze service delivery and consumer outcomes data.
7.Gather feedback from ADRC staff and stakeholders about their experience with the new standards to contribute toward future improvement and refinement.
8.Support the participation of State staff, local ADRC staff, partners, consumers and other stakeholders in collaborative process of establishing minimum national standards for options counseling (regular conference calls and two in-person conferences). The following activities are not fundable:
Construction and/or major rehabilitation of buildings
Basic research (e.g. scientific or medical experiments)
Continuation of existing projects without expansion or new and innovative approaches. This is a discretionary grant program that will accept applications and issue awards based on merit. There is $10M set aside for the ACA - ADRC program.
What are the requirements after being awarded this opportunity?
Reporting
No program reports are required. Sf425. Semi-Annual, due every 6 months from the start of the project period, with a final report due 90 days after the award expiration date. SF-425, due annually. Site visits and standard proejct monitoring requirements apply.
Auditing
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. In accordance with the provisions of Subpart F-Audit Requirements, under 45 CFR Part 75.500, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year. Except as noted in 45 CFR Part 75.500.
Records
Grantees are required to maintain grant accounting records 3 years after the date they submit the Financial Status Report (FSR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
Other Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula.
Matching requirements are not applicable to this program.
This program does not have MOE requirements. Not Applicable.
Length and Time Phasing of Assistance
Project period 24 months. See the following for information on how assistance is awarded/released: Payment Management System.
Who do I contact about this opportunity?
Regional or Local Office
None. Not Applicable.
Headquarters Office
Joseph Lugo Administration for Community Living
One Massachusetts Ave., NW, Washington, District of Columbia 20001 Email: Joseph.Lugo@acl.hhs.gov Phone: (202) 357-3417 Fax: (202) 357-3469
Website Address
http://www.acl.gov/
Financial Information
Account Identification
75-0142-0-1-506.
Obligations
(Cooperative Agreements (Discretionary Grants)) FY 14 $0; FY 15 est $0; and FY 16 est $0 - no other information is available.
Range and Average of Financial Assistance
not available.
Regulations, Guidelines and Literature
This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. AoA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of program.
Examples of Funded Projects
Not Applicable.