hhs-2024-acl-aoa-adpi-0029_rev1.pdf

Notice of Funding Opportunity

Application due June 11, 2024

Administration on Aging

Alzheimer's Disease Programs Initiative (ADPI) - State and Community Grants (Winter 2024) Opportunity number: HHS-2024-ACL-AOA-ADPI-0029

Contents Before you begin 3

Step 1: Review the Opportunity 4

Basic information 5

Eligibility 8

Program description 10

Step 2: Get Ready to Apply 25

Get registered 26

Find the application package 26

Join the informational call 26

Step 3: Prepare Your Application 27

Application contents and format 28

Step 4: Learn About Review and Award 40

Application review 41

Award notices 55

Step 5: Submit Your Application 56

Application submission and deadlines 57

Application checklist 59

Step 6: Learn What Happens After Award 61

Post-award requirements and administration 62

Contacts and Support 64

Appendices 66

Endnotes 75

Contents 2

Before you begin If you believe you are a good candidate for this funding opportunity, secure your

SAM.gov and Grants.gov registrations now. If you are already registered, make sure your registration is active and up-to-date.

SAM.gov registration (this can take several weeks)

You must have an active account with SAM.gov. This includes having a Unique Entity

Identifier (UEI).

See Step 2: Get Ready to Apply

Grants.gov registration (this can take several days)

You must have an active Grants.gov registration. Doing so requires a Login.gov registration as well.

See Step 2: Get Ready to Apply

Apply by June 11, 2024

Applications are due by 11:59 p.m. Eastern Time on June 11, 2024.

To help you find what you need, this NOFO uses internal links. In Adobe Reader, you can go back to where you were by pressing Alt + Left Arrow (Windows) or Command

+ Left Arrow (Mac) on your keyboard.

Before you begin 3 https://sam.gov/ https://grants.gov/

Jump to a step

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1:

Review the Opportunity

In this step

Basic information 5

Eligibility 8

Program description 10

Basic information Administration for Community Living

Administration on Aging

The Alzheimer’s Disease Programs Initiative (ADPI) supports dementia-capable home- and community-based service systems in states, communities, and tribes.

Have questions?

See Contacts and

Support.

Key facts

Opportunity Name:

Alzheimer’s Disease

Programs Initiative (ADPI) -

State and Community

Grants (Winter 2024)

Opportunity Number:

HHS-2024-ACL-AOA-

ADPI-0029

Federal Assistance Listing:

CFDA 93.470

Key dates

Application deadline:

June 11, 2024, by 11:59 p.m. ET

Optional notice of intent deadline:

May 3, 2024

Informational Call:

April 25, 2024, at 3 p.m. ET

Expected start date:

September 1, 2024

Expected award date:

August 31, 2024

Summary The Alzheimer’s Disease Programs Initiative (ADPI) Cooperative Agreements are intended to support and promote the development and expansion of dementia-capable home-and community-based service (HCBS) systems in states, communities, and tribes. Funded grants pilot and evaluate new or expanded community-level, dementia-capable HCBS programs. Recipients of these grants must use at least 50% of total grant funds for direct services. This NOFO includes two application options:

Option A: Grants to states

Applicants for Option A are the governmental entities within states and territories designated as the state agency for dementia capability.

Option A has two required objectives:

• Objective 1: Create, expand, and sustain a dementia-capable state HCBS system that includes Single Entry Point/No Wrong Door (SEP/NWD) access for people living with dementia and their family caregivers

• Objective 2: Ensure access to a comprehensive, sustainable set of quality state HCBS systems that are dementia-capable and provide innovative services to people living with dementia and their family caregivers

Option B: Grants to communities

Applicants for Option B are public and/or private community-based organizations that operate within an existing dementia capable HCBS system. Eligible applicants must be able to articulate opportunities for new partnerships and opportunities to expand and implement proposed programs (services and supports) in their existing system.

Step 1: Review the Opportunity 5

Option B requires applicants to address all three of the following gap areas:

• Provision of effective supportive services to persons living alone with Alzheimer’s disease and related dementias (ADRD)

• Improvement of the quality and effectiveness of programs and services dedicated to individuals aging with intellectual and developmental disabilities (IDD) with ADRD or those at high risk of developing ADRD

• Delivery of behavioral symptom management training and expert consultations for family caregivers.

Highlights of additional program requirements to which Option A and B applicants are subject are noted as follows with further information outlined in the full funding opportunity description:

• Inclusion of (and identifying by name) at least of one dementia-specific evidence-based or evidence-informed intervention (ACL definitions of evidence-based and evidence- informed are provided in this NOFO)

• 25% cost sharing/match

• Dedication of a minimum of 50% of total grant funds to the provision of direct services

• Pass through projects are prohibited, no project partner may receive more than 20% of the Federal funding received by the primary grantee

• Primary grantee and partners agree to complete initial and then annual Dementia

Capability Assessment, throughout the entire grant period

• Robust, third-party, program evaluation, including anticipated program outcomes and measures to demonstrate program impact on persons living with dementia (all grants will measure program impact on quality of life of persons living with dementia) and their caregivers

• Phased program implementation

• Program Deliverables, resources and tools developed with grant funding, will be delivered to ACL at the completion of the grant and will not be proprietary in nature, remaining in the public domain and will be posted on the website of ACL’s

National Alzheimer’s and Dementia Resource Center.

• Data collection

• Participation in technical assistance opportunities.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 6 https://nadrc.acl.gov/

Funding details Type: Cooperative agreement

Application type: New

Expected funding: $47,537,320

Expected awards: Up to 49

Funding range: $850,000 to $1,000,000

• Option A: Minimum $850,000, maximum $900,000

• Option B: Minimum $900,000, maximum $1,000,000

Both Option A and Option B are fully funded at the time of the award, for a 36-month

(three 12-month budget periods) period of performance (2024–2027).

Step 1: Review the Opportunity 7

Eligibility Who can apply

Eligible applicants Only the following types of organizations may apply:

Option A

State governmental agencies designated to serve as the State agency on dementia-capability that do not have active ADPI grants.

Option B

Domestic private or public nonprofit, community-based organizations (CBOs) able to demonstrate that they meet all the following criteria:

• Currently operating within an existing dementia capable HCBS system dedicated to the population that they serve

• Identifying and fostering opportunities for new partnerships, educational opportunities or expanded or additional services and supports in the targeted gap areas that would enhance and strengthen the HCBS existing system, as well as the system’s infrastructure and ability to implement such activities

• Already engaged in working relationships with their state agencies charged with creating and sustaining dementia capable HCBS systems

For both Option A and Option B, only the following categories of entities are eligible to apply:

• State government

• County government

• City or township government

• Special district government

• Regional organization

• U.S. territory or possession

• Public/state-controlled institution of higher education

• Indian/Native American tribal government (federally recognized)

• Indian/Native American tribal government (other than federally recognized)

• Indian/Native American tribally designated organization

• Nonprofit with 501C3 IRS status (other than institution of higher education)

Step 1: Review the Opportunity 8

• Nonprofit without 501C3 IRS status (other than institution of higher education)

• Public/private institution of higher education

Other eligibility requirements No entity is eligible to apply for both Option A and Option B.

No entity is eligible to hold more than one ADPI grant at a time.

For Option A, all states without active grants are eligible to apply, however those states that have not benefited from ACL’s Alzheimer’s and dementia grant programs since before 2014 will be given priority consideration in the post-review decision-making process.

Cost Sharing This program requires you to contribute 25% of the project’s total cost.

You can calculate this cost-sharing requirement by using the following formula:

• Start with the federal share

• Multiply the federal share by 25 and divide that product by 75

Example: Multiply $120,000 (federal share) x 25 (required cost sharing percent) and divide that product by 75. Cost sharing in this example is $40,000.

Types of Cost Sharing

You can meet your match requirement through any combination of:

• Cash contributed by your organization.

• Cash contributed by partners or other third parties.

• In-kind (non-cash) contributions from third parties.

Cost Sharing Commitments

Recipients must follow through on their promise of cost-sharing funds. This includes those who have promised an amount more than the required minimum. We put these commitments in the Notice of Award.

If you don’t provide your promised amount, we may have to decrease your award amount. You’ll have to include your funds when you fill out your Federal Financial

Reports.

Step 1: Review the Opportunity 9

Program description Background The National Institute on Aging defines dementia, a major cause of impairment among older adults, as the loss of cognitive functioning, thinking, remembering, and reasoning and behavioral abilities, to the extent that it interferes with a person’s daily life and activities.

Estimates of the percentage of older persons with dementia vary, but its prevalence increases with age.

Alzheimer’s disease is responsible, at least in part, for an estimated 60–80% of cases of dementia. An estimated 6.2 million individuals in the United States are living with

Alzheimer’s disease, and that number is projected to triple by 2050.[1]

Seventy percent of people with dementia and their caregivers live in the community.

They use the full spectrum of home and community-based services available from a variety of public and private sector providers. They are at an increased risk of, among other things, unmet needs, malnutrition and injury, and various forms of neglect and exploitation.[2]

Estimates are that about half of older persons living with dementia do not have an accurate diagnosis or any diagnosis.[3] It is critically important to identify these conditions correctly so that people living with dementia can get referrals to services that meet their and their caregivers’ needs. Given the impact of dementia on people and communities, state and HCBS systems that wish to be dementia-capable should consider adopting key aspects of a dementia-capable HCBS model.

Dementia-capable HCBS systems

It’s essential for state, community and tribal service systems to meet the unique needs of people living with dementia and their caregivers. The model of dementia-capable HCBS systems provides a framework to ensure that services are effective and supportive.

A dementia-capable HCBS system should:

• Identify people living with possible dementia and recommend that they see a physician to get a timely, accurate diagnosis and rule out reversible causes of dementia or conditions that resemble it.

• Ensure program eligibility and resource allocation consider the impact of cognitive disabilities.

Step 1: Review the Opportunity 10

• Ensure that staff communicate effectively with people living with dementia and their caregivers and provide services that are strengths-based, person- and family-centered, offer self-direction of services, and are culturally appropriate.

• Educate direct support professionals about the identification of possible dementia, the symptoms of dementia, and related appropriate services.

• Educate the public about brain health, including the risk factors associated with developing dementia, first signs of cognitive problems, management of symptoms of dementia, support programs, and opportunities to participate in research.

• Implement quality assurance systems that measure how effectively providers serve people living with dementia and their caregivers.

• Encourage development of dementia-friendly communities, which include key parts of dementia capability.

Dementia-capable services within an HCBS system build upon and integrate existing programs from both private and public sectors.

Information on how states, communities, and tribes can become dementia-capable can be found in ACL’s paper entitled Dementia-capable states, communities, and tribes:

Lessons learned from Administration on Aging grantees.

Program goals The Alzheimer’s Disease Programs Initiative (ADPI) State and Community grant program is intended to:

• Fill gaps in services and supports both by providing HCBS to targeted special populations and by providing targeted training at the federal, state, and community levels and implemented under the authority of Title IV of the Older Americans Act of 1965, as amended.

• Be informed by the work of both the National Alzheimer’s Project Act (NAPA)

Advisory Council on Research, Care and Services and the RAISE Family Caregiving

Advisory Council. The NAPA Council each year updates and releases the National

Plan to Address Alzheimer’s Disease and Public Member Recommendations. In

2022, the RAISE Advisory Council released the first National Strategy to Support

Family Caregivers.

• Pilot programs to states, tribes, and communities, evaluate program outcomes, and use outcome data to garner support for sustaining successful initiatives beyond the federal program period.

• Advance non-clinical, social models of HCBS in support of people living with dementia and their caregivers.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 11 https://nadrc.acl.gov/details?search1=93 https://nadrc.acl.gov/details?search1=93 https://aspe.hhs.gov/national-alzheimers-project-act https://aspe.hhs.gov/national-alzheimers-project-act https://acl.gov/programs/support-caregivers/raise-family-caregiving-advisory-council https://acl.gov/programs/support-caregivers/raise-family-caregiving-advisory-council https://aspe.hhs.gov/sites/default/files/documents/3c45034aec6cf63414b8ed7351ce7d95/napa-national-plan-2023-update.pdf https://aspe.hhs.gov/sites/default/files/documents/3c45034aec6cf63414b8ed7351ce7d95/napa-national-plan-2023-update.pdf https://aspe.hhs.gov/sites/default/files/documents/48806aa427da7872bcd408e5cd4afe64/napa-2023-public-member-recommendations.pdf https://acl.gov/sites/default/files/RAISE_SGRG/NatlStrategyToSupportFamilyCaregivers.pdf https://acl.gov/sites/default/files/RAISE_SGRG/NatlStrategyToSupportFamilyCaregivers.pdf

• Maximize the independence, well-being, and health of older adults, people living with disabilities, and their families and caregivers.

There are two options for funding through this program, Option A and Option B.

About Option A: Grants to state governments Option A gives grants to state and territorial government entities designated as the state agency for dementia-capability.

Option A has two required objectives, applicants must fully describe how they plan to implement the core components of each objective by the end of the cooperative agreement period:

• Objective 1: The creation, expansion, and sustainability of a dementia-capable state

HCBS system that includes Single Entry Point/No Wrong Door (SEP/NWD) access for people living with dementia and their family caregivers.

• Objective 2: Ensuring access to a comprehensive, sustainable set of quality state

HCBS that are dementia-capable and provide innovative services to people living with dementia and their caregivers.

Applicants to Option A must describe their anticipated methods for achieving both objectives and their core components. This will include details of how the proposed project will enhance what presently exists in the system within which they are operating.

The following subsections detail full program requirements for both objectives.

Objective 1

Objective 1: Create and sustain a dementia-capable state HCBS system that includes Single

Entry Point/No Wrong Door (SEP/NWD) access for people living with dementia and their caregivers.

Applicants for Option A must fully describe how they plan to implement the following core components of Objective 1:

• Information, referral, and access

• Options counseling and assistance

• Person-centered care transitions across multiple settings

The goal is to explain how your proposed project will enhance your existing dementia-capable HCBS system through these components.

Step 1: Review the Opportunity 12

Information, referral, and access

This component requires that you have a highly visible and trusted place for people living with ADRD and their family caregivers to seek objective information on HCBS that maximizes their ability to remain independent in the community.

You must describe how you will provide access to a full range of services, which may include but are not limited to:

• Dementia-capable, person-centered home- and community-based services

• Care transitions

• Family caregiver support programs

You must provide measurable targets for achieving maximum population coverage of dementia-capable information, referral, and access for each year of the cooperative agreement period. For example, you might propose to have a dementia-capable HCBS system available in geographic areas where 25% of the state’s population lives in the first year, 35% in the second year, and 50% in the third year.

Options counseling and assistance

Options counseling enables persons with dementia and their family caregivers to understand and use the services available in their communities.

You must describe how you will provide options counseling that assists with:

• Identifying the person with dementia’s strengths, values, needs, and preferences

• Developing a person-centered, strengths-based service plan

• Enrolling the person with dementia in self-directed programs or supporting seamless transfer into this process, as appropriate

• Initiating services

• Providing ongoing assistance and follow-up

Person-centered, strengths-based care transitions across multiple settings

Care transitions models are person-centered, strengths-based, interdisciplinary approaches to integrating healthcare and social support services for individuals and their caregivers as they move across settings such as hospitals, nursing homes, and home.

You must describe how you will provide care transition services that do the following:

• Identify individual needs and preferences

• Develop and activate comprehensive service plans

• Empower people to take an active role in their health care

• Connect people to available resources

Step 1: Review the Opportunity 13

You must provide measurable targets for achieving maximum population coverage for all three components of Objective 1 during each year of the cooperative agreement period.

Objective 2

Objective 2: Ensure access to a comprehensive, sustainable set of quality state HCBS that are dementia-capable and provide innovative services to people living with dementia and their caregivers.

Applicants for Option A must fully describe how they plan to implement the three core components of Objective 2 by the end of the cooperative agreement period:

• Comprehensive set of services

• Quality assurance system

• Sustainable service system

Comprehensive set of services

You must fully describe how people living with ADRD and their family caregivers will have access to a wide range of dementia-capable, person-centered, strengths-based HCBS that promote independence in the community. You must explain how you plan to implement at least one dementia-specific, evidence-based or evidence-informed service or intervention, as well as dementia-capable HCBS supports for family caregivers and related supportive services.

All applicants must identify and indicate intent to implement at least one dementia-specific, evidence-based and evidence-informed service/intervention. Examples of interventions implemented through ACL’s ADPI state and community grant programs can be found in the paper entitled Grantee-Implemented Evidence-Based and Evidence-

Informed Dementia Interventions. ACL’s definitions of evidence-based and evidence-informed interventions in Appendix A of this NOFO.

Best Practice Caregiving is a free online database of proven dementia programs for family caregivers and an excellent resource for organizations researching potential interventions for inclusion in their proposals.

Quality assurance system

You must fully describe your plan to use a quality assurance and improvement process that will help ensure delivery of quality, dementia-capable services. You must propose measurable performance goals and indicators related to your quality assurance system’s visibility, ease of access, responsiveness to persons living with dementia and their family caregivers, efficiency, and effectiveness.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 14 https://nadrc.acl.gov/details?search1=20221214043701 https://nadrc.acl.gov/details?search1=20221214043701 https://bpc.caregiver.org/#home

ACL’s NADRC compendium of Evaluation Measures Resources can help you identify measurable outcomes of program activities.

Sustainable service system

You must describe how you plan to ensure sustainability of your dementia-capable HCBS system, including how you will maintain the following:

• Infrastructure and capacity to deliver programs throughout the state, including partnerships that have effectively embedded dementia capability within HCBS systems

• An adequate number of delivery sites and workforce to deliver the programs

As program outcomes are a key to sustainability, you must identify program outcomes as well as measures to demonstrate program impact and evaluation strategies. Identified outcomes will document progress toward implementing and sustaining a comprehensive, dementia-capable system. ACL’s NADRC’s compendium of evaluation measures resources may assist applicants in identifying measurable outcomes tied to program activities.

Note on earlier funded work

If you benefited from an ACL Alzheimer’s program between 2014 and 2020, you must provide details of the previous dementia systems project and how what you are proposing builds upon or enhances previously funded work.

About Option B: Grants to communities Applicants for Option B are public and private community-based organizations that operate within an existing dementia-capable HCBS system. Grants to communities are designed to provide dementia-capable HCBS to targeted special populations, including education and training. Proposed programs will address all three (ACL-identified and required) specific service gaps in the existing system.

Applicants to this option must demonstrate that they meet all the following criteria:

• Currently operating within an existing dementia-capable HCBS system dedicated to the population that they serve

• Identifying and fostering opportunities for new partnerships, educational opportunities or expanded or additional services and supports in the targeted gap areas that would enhance and strengthen the HCBS existing system, as well as the system’s infrastructure and ability to implement such activities

• Established working relationships with their state agencies charged with creating and sustaining dementia-capable HCBS systems.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 15 https://nadrc.acl.gov/details?search1=70

Grants under Option B are dedicated to filling service gaps identified through the work of, and recommendations from, the National Alzheimer’s Project Act Advisory Council.

Projects funded through Option B should align, where appropriate, with the 2022

National Strategy to Support Family Caregivers, as developed jointly by the advisory councils established by the RAISE Family Caregiving Actand the Supporting Grandparents

Raising Grandchildren Act.

Applicants under this program should be leaders in existing dementia-capable HCBS systems. You must explain how you will support individuals living with ADRD and their caregivers by addressing all three of the following dementia-care service gap areas:

• Develop and deliver supportive services to persons with ADRD who are living alone in their communities. Individuals living alone are at an increased risk of, among other things, unmet needs, malnutrition and injury, and various forms of neglect and exploitation. You must describe actions you will take to identify and support individuals living alone.

• Improve the quality and effectiveness of programs and services dedicated to individuals aging with intellectual and developmental disabilities (IDD) with ADRD or at high risk of developing ADRD: Advances in medicine and technological advances are extending the lives of individuals living with IDD and those at high risk of developing dementia. You must describe how your program activities will target the unique circumstances of these growing populations.

• Deliver behavioral symptom management training and expert consultation to family caregivers: Behaviors associated with ADRD can impact disease progression, functional decline, and quality of life. Such outcomes may result in significant caregiver distress, impacting the ability to provide care. You must explain how you will provide.

For all three of the service gap areas, you should describe opportunities and additional services that would enhance and strengthen the existing system within which you are operating.

In developing your program and addressing the required gaps, we encourage you to consider including activities in your proposed program that address the need for innovations in respite care, the needs of individuals with early onset dementia and their caregivers, and/or building workforce capacity to deliver dementia-capable long-term services and supports through training.

Please see ACL’s dementia-capability issue brief Dementia-Capable States and

Communities: Lessons Learned from Administration on Aging Grantees for more information on model dementia-capable systems.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 16 https://aspe.hhs.gov/national-alzheimers-project-act https://acl.gov/sites/default/files/RAISE_SGRG/NatlStrategyToSupportFamilyCaregivers.pdf https://acl.gov/sites/default/files/RAISE_SGRG/NatlStrategyToSupportFamilyCaregivers.pdf https://acl.gov/programs/support-caregivers/raise-family-caregiving-advisory-council https://acl.gov/programs/support-caregivers/raise-family-caregiving-advisory-council https://acl.gov/programs/support-caregivers/raise-family-caregiving-advisory-council https://nadrc.acl.gov/details?search1=93 https://nadrc.acl.gov/details?search1=93

General program requirements All applicants to both Option A and Option B must follow the general program requirements listed in this section. You should address all of them in your application, work plan, and evaluation plan.

Phased implementation

You must propose a phased approach for implementation of your project. Explain how you will execute both a planning phase and an implementation phase, as detailed in the following subsections.

Planning phase

The planning phase is the period during which you refine your proposed program’s work plan and evaluation plans, based on the plans in your original application. The resulting plans will be the ACL/AoA-approved roadmap for you to accomplish the goals, objectives, and core components of the funded program.

During the planning phase and prior to entering the implementation phase, you and your partners will complete ACL’s Dementia Capability Assessment to establish a baseline from which your program progress and impact on your own and your partners’ dementia capability can be evaluated. The NADRC will oversee collection of the Dementia

Capability Assessment surveys and provide analysis of the results to you and to ACL.

You must propose a planning phase of not less than six months from the notification date of the grant award. During this planning phase, you will be able to access no more than

15% of total grant funding to refine and expand on the work plan and evaluation plan submitted with your applications. ACL/AoA will be actively involved during the planning phase of the grant, to ensure that all program objectives outlined in this NOFO are addressed.

To conclude the planning phase the grantee must have received ACL/AoA’s approval of their work and evaluation plans and uploaded those plans and an updated budget that aligns with the updated plans into the reporting system.

By the end of the planning phase, all relevant partners will have completed the initial

Dementia-Capability Assessment, and the grantee will have participated in a “Planning

Phase Exit Conference.” Upon completion of those steps, grantees will progress to the

Implementation Phase and will gain access the 100 percent of cooperative agreement funding.

Step 1: Review the Opportunity 17

Implementation phase

The implementation phase is the period during which you implement your approved plan for accomplishing the goals, objectives, and core components of your project, as well as the evaluation of planned program activities. All grantees and their partners will complete annual Dementia-Capability Assessments, each Fall, over the course of the grant period. The grantees and partners receive the assessment tool from the NADRC team, complete the tool and return it to the NADRC. Grantees receive analysis of their program team submissions from the NADRC team; it is not part of the program evaluation.

Use of evidence-based or evidence-informed interventions

You must identify, by name, and describe the dementia-specific, evidence-based or evidence-informed intervention that you propose to implement. Your proposal must include how the intervention will fit into your overall program and identify its intended beneficiaries (for instance, persons living with dementia or family caregivers).

You can find definitions of evidence-based and evidence-informed interventions in

Appendix A of this NOFO. You must demonstrate how your chosen intervention fits one of those definitions.

Examples of dementia-specific, evidence-based and evidence-informed services and interventions implemented through ACL state and community grant programs can be found in ACL’s paper entitled Grantee-Implemented Evidence-Based and Evidence-

Informed Interventions.

Best Practice Caregiving, a free online database of proven dementia programs for family caregivers, is another excellent resource for identifying dementia-specific, evidence-based interventions.

As you choose your proposed intervention, be sure to consider the following factors:

• Feasibility

• Scalability

• Costs (for example, licensing fees or curriculum costs)

• Sustainability

We have a tool called Choosing an Evidence-Based or Evidence- Informed Intervention:

Considerations to Inform Decision-Making that you can use to assist in your selection of an evidence-based intervention.

You must provide information on your chosen dementia-specific intervention in the following sections of your application:

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 18 https://nadrc.acl.gov/details?search1=20221214043701 https://nadrc.acl.gov/details?search1=20221214043701 https://bpc.caregiver.org/ https://nadrc.acl.gov/details?search1=20210126080816 https://nadrc.acl.gov/details?search1=20210126080816

• Project narrative

◦ Which intervention you will use

◦ Your rationale for choosing it

• Project Work Plan

◦ Where in the project the intervention will be implemented

◦ Steps to training and implementing

• Project evaluation plan

◦ Include your intervention’s intended measurable outcomes

◦ An estimate of how many people you will serve with the intervention

• Budget

◦ Costs related to training and implementing the intervention over the entire project period

• Attachments

◦ Include an attachment that includes the following:

▪ The name of the intervention

▪ A brief description of it, including relevant information demonstrating that it meets program requirements and definitions

▪ If your intervention is evidence-informed, information on the single evidence-based intervention from which your intervention is derived and a complete description of the modifications made to the original intervention

For the project narrative and project evaluation plan, intended measurable outcomes may include factors like improved quality of life or reduced depression or stress.

ACL’s NADRC has created a compendium of Evaluation Measures Resources that may help you identify desired measurable outcomes.

Direct service requirement

Recipients are required to dedicate 50% of the total program budget (including both the federal share and the required matching funds) to the provision of direct services to persons living with dementia and their caregivers. A definition of direct service is provided in Appendix A of this NOFO.

Answers to frequently asked questions (FAQs) on direct service can also be found in the

Alzheimer’s and Dementia Program Data Reporting Tool FAQ document.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 19 https://nadrc.acl.gov/details?search1=226

Your budget justification narrative must include clear identification of the lines within the budget where the funds for the required direct services will reside, demonstrating your intent to dedicate 50% of the total grant funding to the provision of direct services.

Data collection

Recipients must collect information on services provided under the authority of existing or future approved data collections.

Evaluation

You must include a plan for a robust, third-party evaluation assessing the impact of the direct services and supports, including education and training, that you plan to deliver through program funded activities.

A third-party entity is not engaged in proposed program activities beyond the program’s comprehensive evaluation plan and resulting reports. Individuals or organizations involved in the development of any single component of the proposed program, beyond evaluation plan design and implementation, would not qualify as third-party evaluators. For example, if one university department is involved in program implementation, another university department may not serve as the evaluator.

Evaluation activities will result in the delivery of a comprehensive program evaluation report designed to demonstrate the impact of the program-supported direct services.

Examples of the expected content and structure of program evaluation plans, including a template, can be found on the NADRC website. Appendix C of this NOFO contains guidance to help you develop a quality evaluation plan.

Your evaluation plan must explain how you will determine the effectiveness and impact of all direct services provided through your funded program. All direct service components of the funded program will be subject to evaluation. You should include outcome measures that demonstrate the impact of program-related supports and services on persons living with dementia and family caregivers, as well those benefiting from education and training opportunities that are outlined in your proposed program.

We will not fund any project that does not include measurable outcomes.

All proposed projects will include at least one project component through which they will demonstrate the program’s impact on the quality of life of people living with dementia.

Grantees will work with their chosen evaluator throughout the grant period. At the onset of the program, they will expand on the evaluation plan submitted with the application resulting in a comprehensive plan to evaluate all program supported direct services. The evaluator will train those delivering services in the established data collection and

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 20 https://nadrc.acl.gov/details?search1=91 delivery processes. Over the program period, the grantee and evaluator will conduct program evaluation oversight by reviewing and analyzing collected data for completeness and impact, to allow for adjustments as needed. The interim data, outcomes provided to the grantee can be included in program progress reporting.

Dementia Capability Assessment Tool

At the start of the project, you and your partners will be required to conduct a baseline assessment of the dementia capability of your existing systems, using the National

Alzheimer’s and Dementia Resource Center’s (NADRC) Dementia Capability Assessment

Tool. The NADRC will oversee collection of the Dementia Capability Assessment surveys and provide analysis of the results to you and to ACL.

You should include completion of the Dementia Capability Assessment Tool in your work plan, but not your evaluation plan.

The assessment will help you create metrics for use in future service program evaluations and a basis for setting goals, objectives, and milestones for program monitoring and reporting throughout the program period. To track program progress toward enhanced dementia capability and document progress toward systems change, you must agree to conduct annual follow-up assessments in each year of program funding throughout the duration of the program. The annual follow-up assessment will be submitted with each fall semi-annual report, including a final assessment at the end of the grant period.

Technical assistance

Recipients must draw on the expertise of ACL/AoA program staff and existing agency-sponsored resources to develop, implement, and sustain their strategic work plans. All recipients must participate in technical assistance activities related to program development, management, and integration. Technical assistance includes, but is not limited to, participation in the following:

• Conference calls

• Webinars

• Learning collaboratives

• One-on-one technical assistance opportunities initiated by ACL or AoA staff, resource center staff, or recipients

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 21 https://nadrc.acl.gov/details?search1=117 https://nadrc.acl.gov/details?search1=117

Cooperative agreement terms Cooperative agreements require substantial ACL project involvement after an award is made. There are specific roles for both you and ACL.

Your responsibilities

• Fulfill all the requirements of the grant initiative as outlined in this NOFO and carry out project activities as reviewed, approved, and awarded.

• Communicate with the AoA project officer or the assigned technical assistance liaison regularly to improve the effectiveness of the activities carried out under this agreement.

• Conduct a baseline assessment of project dementia capability (grantee and all relevant Partners) and annually through the duration of the project.

• Conduct required evaluation activities as outlined in this NOFO.

• At the end of the project, produce and submit to the AoA project officer a program report/manual and an independent evaluation report covering the duration of the project describing how the project was conducted, what program outcomes were achieved, ways in which barriers to goals were addressed, and how program components have been sustained beyond the funding period.

• Submit all deliverables funded through this grant. No materials developed with program funding will be proprietary and all program deliverables (tools, resources, manuals, etc.) will remain in the public domain. Promising practices, resource materials, and tools will be posted on the website of ACL’s National Alzheimer’s and

Dementia Resource Center (NADRC), for the benefit and utilization of the broader dementia community.

• Cooperate with any federal evaluation efforts and comply with the timeline, content, and format of all required data collection and reporting requirements.

Submit to the ACL or AoA project officer a final, clean copy of all data developed or supported with these grant funds in the format in which it was developed or produced, as provided for in the HHS Grants Policy Statement and referenced in the

Notice of Award.

• Participate in collaborative activities as organized by the ACL or AoA project officer and the technical assistance team. Collaborative program activity participants will mentor each other in their efforts to fulfill the ADPI program’s aims.

• Include the following disclaimer language (see callout box) when issuing statements, press releases, requests for proposals, bid solicitations, and other ACL supported publications and forums describing projects or programs funded in whole or in part with ACL funding.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 22 https://nadrc.acl.gov/ https://nadrc.acl.gov/ http://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf

Disclaimer language

This [project/publication/program/website, etc.] [is/was] supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $XX with XX percentage funded by ACL/HHS and

$XX amount and XX percentage funded by nongovernment source(s). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS, or the U.S. Government.

ACL/AOA Project Officer responsibilities

• Perform the day-to-day federal responsibilities of managing a grant initiative and work with you to ensure that the minimum requirements for the grant are met.

• Work cooperatively with you to clarify the programmatic and budgetary issues to be addressed by your project, and, as necessary, negotiate with you to achieve a mutually agreed upon solution to any identified needs.

• Assist your project leadership in understanding the strategic goals and objectives, policy perspectives, and priorities of ACL/AoA ,and the U.S. Department of Health and Human Services.

• Help you learn about other federally sponsored projects and activities relevant to your project.

• Provide you with technical support and associated tasks related to the fulfillment of the goals and objectives of this grant.

• Attend and participate in major project events as appropriate.

• Communicate with your project director regularly to improve the effectiveness of the activities carried out under this agreement.

Funding policies and limitations For guidance on some types of costs we do not allow or restrictions on them, see 45 CFR part 75, General Provisions for Selected Items of Cost.

Funding policies

Under this NOFO, you can’t continue existing projects without expansion or new and innovative approaches.

Meals are allowed only in limited circumstances linked to program activities, like during travel or when approved in advance by ACL. See Allowable Costs and Activities, Exhibit 4:

Selected Items of Cost, Meals in the HHS Grants Policy Statement.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 23 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf

Certain telecommunications and video surveillance equipment cannot be funded under this NOFO. See 2 CFR 200.216 to make sure this does not apply to any proposed equipment in your application.

Unallowable costs

• Construction or major rehabilitation of buildings.

• Basic research, such as scientific or medical experiments.

Indirect costs

Indirect costs are those for a common or joint purpose across more than one project and that cannot be easily separated by project. Learn more at 45 CFR 75.414, Indirect Costs.

To charge indirect costs you can select one of two methods:

Method 1 – Approved rate. You currently have an indirect cost rate approved by your cognizant federal agency.

Method 2 – De minimis rate. Per 45 CFR 75.414(f), if you have never received a negotiated indirect cost rate, you may elect to charge a de minimis rate. If you are awaiting approval of an indirect cost proposal, you may also use the de minimis rate. If you choose this method, costs included in the indirect cost pool must not be charged as direct costs.

This rate is 10% of modified total direct costs (MTDC). See 45 CFR 75.2 for the definition of MTDC. You can use this rate indefinitely.

Program income

It is called program income if you make any income from your project activities. You will have to use those funds to add to the project activities. Find more about program income at 45 CFR 75.307.

Statutory authority OAA Title IV of the Older Americans Act.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 24 https://www.ecfr.gov/current/title-2/section-200.216 https://www.ecfr.gov/current/title-45/section-75.414 https://www.ecfr.gov/current/title-45/part-75#p-75.414(f) https://www.ecfr.gov/current/title-45/part-75#p-75.2(Modified%20Total%20Direct%20Cost) https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.307

Step 2:

Get Ready to Apply

In this step

Get registered 26

Find the application package 26

Join the informational call 26

Get registered Sam.gov You must have an active account with SAM.gov. This includes having a Unique Entity

Identifier. SAM.gov registration can take several weeks. Begin that process today.

To register, go to SAM.gov Entity Registration and click Get Started. From the same page, you can also click on the Entity Registration Checklist for the information you will need to register.

Grants.gov You must also have an active account with Grants.gov.

Need help? See Contacts and Support.

Find the application package The application package has all the forms you need to apply. You can find it online. Go to

Grants Search at Grants.gov and search for opportunity number HHS-2024-ACL-AOA-

ADPI-0029.

You can also find materials at Applying for Grants on our website.

Join the informational call ACL will host an informational conference call in relation to this NOFO.

The call will be recorded and made available to the public immediately following the call.

• Date and time: April 25, 2024, at 3p.m. ET

• Call-in number: 888-847-6597

• Participant Passcode: 1292088

Recording of the call will be accessible until June 9, 2024, at 888-566-0465.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 2: Get Ready to Apply 26 https://sam.gov/content/entity-registration https://grants.gov/applicants/applicant-registration https://grants.gov/search-grants https://acl.gov/grants/applying-grants

Step 3:

Prepare Your Application

In this step

Application contents and format 28

Application contents and format Applications include five main components. This section includes guidance on each.

Make sure you include each of these:

Component Grants.gov submission form

Project abstract Use the Project Abstract Summary form.

Project narrative Use the Project Narrative Attachment form.

Budget justification narrative Use the Budget Narrative Attachment form.

Attachments Insert each in the Other Attachments form.

Standard forms Upload using each required form.

Required format for project abstract, project narrative, and budget justification narrative

Font: Times New Roman or Arial

Format: PDF

Size: 11-point font

Footnotes and text in graphics may be 10-point.

Spacing for Project Narrative main content: Double-spaced

Spacing for Budget Justification Narrative: As needed

Spacing for project summary, tables, footnotes: Single-spaced

Margins: 1-inch

Include page numbers.

Project abstract Provide a brief project summary of no more than 265 words. You will need to include:

• Goals: Broad overall purpose, like a mission statement that says what you want to do.

• Objectives: These are the “how’s” to achieve the goals.

Step 3: Prepare Your Application 28

• Outcomes: These are the measurable results of a project. Include expected changes among those served, such as clients, systems, organizations, and communities.

These should tie directly to your goals and those of the ADPI program.

• Products: The materials and other deliverables you expect to generate through the project.

• If you are a previous recipient of ACL Alzheimer’s/dementia program funding, that information should be included in the abstract, including high level description of activities undertaken through earlier funding.

Project narrative Page Limit: 25

File name: Project Narrative

The project narrative is the most important part of the application. It is reviewed and scored to determine if your project meets the programmatic requirements and merits funding. The project narrative should give a clear and concise description of your project.

Be sure to cite all your sources. Merit reviewers may lower your score if you do not.

The application review criteria is included in this document, make sure your application addresses all topics included in the questions.

Your project narrative should demonstrate how your project will meet all the requirements outlined in the program description.

Problem statement

Both Option A and B problem statements must:

• Describe the impact of ADRD on the community and population that you serve.

• Describe any previous activities undertaken with ACL funding, if any, including program outcomes and…