Alzheimer's Disease Demonstration Grants to States


To expand the availability of diagnostic and support services for persons with Alzheimer's Disease and Related Dementias (ADRD), their families, and their caregivers, as well as to improve the responsiveness of the home and community-based care system to persons with dementia. ADSSPS grantees continue to implement two types of ADSSP projects, dementia capability and translation projects. Dementia capability grants require states to help ensure that people with dementia and their family caregivers have access to a home and community-based services system. Such a system identifies those with dementia, ensures that program staff have appropriate dementia care training, and assures delivery of quality home and community-based services. Evidence-based grants require states to demonstrate how existing evidence-based interventions designed to help people with ADRD and their family caregivers can be translated into effective supportive service programs at the community level.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Administration For Community Living (Acl), Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
Sec 398 of the Public Health Service Act (P.L. 78-410; 42 U.S.C. 280c-3
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
State government agencies are eligible for grant awards; the applicant agency is encouraged to have the support and active involvement of the Single State Agency on Aging. Only one application per State will be funded, however, multiple state and local agencies are encouraged to collaborate in planning and carrying out the project.
Beneficiary Eligibility
(1) Individuals with Alzheimer's disease and related disorders; (2) families of those individuals; and (3) care providers of those individuals.
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. Applicable costs and administrative procedures will be determined in accordance with Part 92 of Title 45 of the Code of Federal Regulations. 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 required. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Grant Application for Federal Assistance (Nonconstruction Programs) are in accordance with funding opportunity announcements developed by the Administration on Aging (AoA)/Administration for Community Living and will be published in when funding is available.
Award Procedure
After review and approval, notification of award will be issued to the grantee, along with appropriate notification to the public.
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
As specified in guidelines published in the Funding Opportunity Announcement
Not applicable.
As outlined in the Funding Opportunity Announcement.
How are proposals selected?
As specified in the funding opportunity announcement.
How may assistance be used?
(1) Not less than 50 percent of the federal grant must be spent on direct services (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 may not be used to replace existing resources: State compensation program, Federal or state health benefits program, or private insurance funds. (3) Matching funds are required. (4) Not more than 10 percent of the grant will be expended for administrative expenses.
What are the requirements after being awarded this opportunity?
Performance Reports: Through site visits and reports.
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 must be kept available for 3 years after submission of the final expenditure report.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching is voluntary. 25%. Match Requirements: 25% match (cash and/or in-kind) during the first year, 35% during the second year, and 45% during the third and subsequent years of the grant period. Waivers to these match requirements are not allowed.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
Awards are typically 3 years in duration. Length of future awards will be published in the Program Announcement and on Support beyond the first year is contingent upon the availability of funds and evidence of satisfactory progress. Method of awarding/releasing assistance: by letter of credit Method of awarding/releasing assistance: Letter.
Who do I contact about this opportunity?
Regional or Local Office
Administration for Community Living, Department of Health and Human Services, located at all HHS Federal Regional Offices. (See Appendix IV of the Catalog for listings.)
Headquarters Office
Erin Long
330 C Street SW
Washington, DC 20201 US
Phone: (202) 795-7389
Website Address
Financial Information
Account Identification
(Cooperative Agreements) FY 22$30,060,000.00; FY 23 FY 24 FY 20$26,500,000.00; FY 21 est $27,500,000.00; FY 19$0.00; FY 17$4,800,000.00; FY 18 est $4,799,998.00; FY 16$4,800,000.00; - (Cooperative Agreements) FY 22 FY 23 est $0.00; FY 24 Estimate Not Available -
Range and Average of Financial Assistance
Not applicable/available.
Regulations, Guidelines and Literature
Home Health Care and Alzheimer's Disease Amendments of 1990 (Public Law 101-557); Health Professions Education Partnerships Act of 1998 (Public Law 105-392).
Examples of Funded Projects
Not applicable.


Related Federal Grants

Federal Grants Resources