Alzheimer's Disease Programs Initiative (ADPI) - Grants to States and Communities (Winter 2024) | HHS 2024 ACL AOA ADPI 0029

Frequently Asked Questions (FAQs)

What is the Alzheimer's Disease Programs Initiative (ADPI) - Grants to States and Communities (Winter 2024)?

This opportunity provides funding through cooperative agreements to strengthen dementia-capable home and community-based service (HCBS) systems. The overall focus is improving quality, person-centered supports for people living with dementia and their caregivers.

What does "dementia-capable HCBS system" mean in the context of this opportunity?

Based on the description, a dementia-capable HCBS system is one that can provide effective, coordinated, and quality home and community-based services tailored to the needs of individuals living with dementia and their caregivers. Under this initiative, it includes access features (such as Single Entry Point/No Wrong Door) and a comprehensive set of quality services.

How is the funding awarded (grant vs. cooperative agreement)?

Funding is awarded through cooperative agreements, which generally indicates an ongoing relationship where the funding agency may have substantial involvement compared to a standard grant. The description specifically states cooperative agreements.

What are the two application options under this opportunity?

There are two distinct options:

• Option A: Grants to States
• Option B: Grants to Communities

Who is eligible to apply under Option A (Grants to States)?

Option A is intended for government entities in states and territories that are designated as responsible for dementia-capability. Applicants must be able to demonstrate capacity to create and sustain a dementia-capable HCBS system.

What must applicants accomplish under Option A (Grants to States)?

Option A requires two main objectives:

1. Build a dementia-capable HCBS system that includes Single Entry Point/No Wrong Door access.
2. Ensure a comprehensive set of quality services is available.

What is "Single Entry Point/No Wrong Door" access?

The opportunity specifies that the dementia-capable HCBS system must include Single Entry Point/No Wrong Door access. This phrase generally refers to an access model where people can enter the system through multiple points and still receive appropriate guidance and linkage to services, rather than needing to find one specific office or program on their own.

Which applicants receive priority under Option A?

States without active ADPI dementia-capability grants receive priority, especially those that have not had ADSSP grants since before 2014.

Who is eligible to apply under Option B (Grants to Communities)?

Option B is available to public or private community-based organizations that operate within an existing dementia-capable HCBS system.

Are organizations with an active ADPI grant eligible for Option B?

No. The description states that only organizations without active ADPI grants can apply under Option B.

Are there preferences or priorities for Option B applicants?

Yes. Preference is given to organizations that have not received funding from relevant programs since before 2014.

What service gaps must be addressed under Option B (Grants to Communities)?

Applicants must identify and address three specific service gaps:

1. Providing effective support for individuals living alone with dementia
2. Improving services for those aging with intellectual and developmental disabilities and dementia
3. Delivering training for family caregivers on managing behavioral symptoms

Do Option B applicants have to address all three service gaps, or can they select fewer?

The description states applicants must identify and address three specific service gaps, indicating all three must be included in the application approach.

Do both Option A and Option B focus on the same overall population?

Yes. Both options emphasize quality, person-centered support for individuals living with dementia and their caregivers, though the required activities differ by option.

Can faith-based organizations apply?

Yes. Faith-based organizations may apply if they meet the criteria described for the relevant option.

Are foreign entities eligible to apply?

No. Foreign entities are excluded from applying.

Does Option A apply only to states, or does it include territories as well?

It includes states and territories, as the eligibility language mentions government entities in states and territories designated as responsible for dementia-capability.

Do community-based organizations need to be within an existing dementia-capable HCBS system to apply under Option B?

Yes. Option B eligibility requires that the organization operates within an existing dementia-capable HCBS system.

What is the key difference between Option A and Option B?

Option A focuses on states and territories building and ensuring the structure and breadth of a dementia-capable HCBS system (including access and comprehensive services). Option B focuses on community-based organizations filling specific service gaps within an already existing dementia-capable HCBS system.

Does this opportunity mention any emphasis on caregiver support?

Yes. Both options emphasize support for caregivers, and Option B specifically requires training for family caregivers on managing behavioral symptoms.

Is there an emphasis on person-centered services?

Yes. The opportunity explicitly emphasizes quality, person-centered support for individuals living with dementia and their caregivers.