Alzheimer’s Disease Program Initiative (ADPI)
Active
- Assistance listing
- 93.470
- Agency
-
Administration for Community Living
Department of Health and Human Services
- Grant awards
- 133 $164,114,827 in federal obligations
Program facts
- Assistance type
-
- Cooperative Agreement
- Treasury account
-
- 75-0142-0-1-506
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Administration for Community Living funds dementia-capable home and community-based service systems serving people living with Alzheimer's disease and related dementias, their families, and their caregivers, with the most recent grant award on September 30, 2025 under Assistance Listing 93.470.
The program has been consistently active since 2018, with 133 total awards distributed over the past several years. Award volume peaked at 22 grants in 2021 and has stabilized at 7 to 15 awards annually; the most recent fiscal year (2025) saw 7 awards. Combined federal dollars obligated across the portfolio total $164.1 million. Awards are structured as 36-month Cooperative Agreements almost exclusively (99 percent of the 133 awards), with a single Project Grant. Eligible applicants include public and private entities operating within existing dementia-capable home and community-based systems; individuals, foreign entities, and sole proprietorships are ineligible. No entity may hold more than one ADPI grant at a time.
Recent awards exemplify the program's concrete focus on workforce development and service delivery. The Great Plains Tribal Leaders Health Board received $500 thousand to expand dementia training and respite services across South Dakota, North Dakota, Nebraska, and Iowa. Maryland received $749,814 to establish community health workers providing early detection and caregiver support in three counties. Elder Options in North Carolina received $750 thousand to deploy community health workers for dementia screening, care navigation, and evidence-based caregiver interventions in rural and underserved communities. The Alzheimer's Association received $29.9 million for a five-year Center for Dementia Respite Innovation providing up to $4 million annually in grants to other organizations and offering technical assistance nationally.
Funded activities center on dementia-capable workforce training for formal and informal caregivers, evidence-based interventions delivered through community health workers, dementia screening and early engagement, caregiver support groups and respite services, and palliative care pathways. All funded projects include outcome-based evaluation.
Multiple grant opportunities are currently open. The State and Community Grant Program (HHS-2026-ACL-AOA-ADPI-0002, due July 22, 2026) solicits 36-month agreements from state agencies and community organizations. The Dementia Capability in Indian Country opportunity (HHS-2026-ACL-AOA-ADPI-0034, due July 22, 2026) targets federally recognized tribes and tribal organizations with two options for prior grantees and new applicants. The Community Health Worker Programs solicitation (HHS-2027-ACL-AOA-ADPI-0006, posted September 25, 2026) targets Area Agencies on Aging and aging network partners to integrate dementia-capable community health workers. The State Programs for Dementia-Specific Respite opportunity (HHS-2026-ACL-AOA-ADPI-0036, due August 3, 2026) is restricted to state governments.
Objective and description
- Objective
The purpose of the Alzheimer's Disease Program Initiative (ADPI) is to work at state and community levels to develop and expand the availability of dementia-capable supports and services for persons with Alzheimer's disease and related dementias (ADR
- Description
The purpose of the Alzheimer's Disease Program Initiative (ADPI) is to work at state and community levels to develop and expand the availability of dementia-capable supports and services for persons with Alzheimer's disease and related dementias (ADRD), their families, and their caregivers. Funded programs will bring dementia capability to the communities they serve through expansion of existing home and community based service systems. ADPI programs include dementia-capable direct services and supports, translation and implementation of evidence based interventions designed to improve the lives of persons with dementia and their caregivers, as well as dementia specific training for formal and informal caregivers. All funded initiatives will include robust, outcome-based evaluations designed to demonstrate program impact and support future translation successful program components.
Eligibility
- Applicant eligibility
Funding eligibility is limited to public and/or private entities that are able to 1) demonstrate the existence of and their operation within a dementia-capable home and community-based system dedicated to the population that they serve, and 2) articulate opportunities and additional services that would enhance and strengthen the existing system. Community program applicants are not eligible to apply for or receive more than one grant through the ADPI program. States may only hold a single grant at any one time. Individuals, foreign entities and sole proprietorship organizations are not eligible to compete for, or receive awards under this announcement.
- Beneficiary eligibility
Eligible consumers of eligible applicants are the beneficiaries of this program, including (1) Individuals with Alzheimer's disease and related disorders; (2) families of those individuals; and (3) care providers of those individuals.
- Uses of assistance
Program funds must be used in the implementation of projects described above, including direct services in the areas noted in the funding opportunity announcement. A significant percentage 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). Grant funds may not be used to replace existing resources: State compensation program, Federal or state health benefits program, or private insurance funds. Matching funds are required.
- Length and time phasing of assistance
Awards are typically 3 years in duration. Length of future awards will be published in the Funding Opportunity Announcement and on Grants.gov. 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: by letter of credit.
How to apply
- Criteria for selecting proposals
Grant applications will be evaluated by experts in the field and awards made on a competitive basis. Specific details for evaluating applications included in the Funding Opportunity Announcement.
- Award procedure
Application forms are submitted through a centralized depository and received by the awarding agency Administration for Community Living. Applicants generally apply under a program announcement indicating all the necessary application procedures to be followed.
- Time to approval or disapproval
Depending on the posting date of the funding announcement, the anticipated application due date is approximately 60 days from that date.
Grant opportunities
Show all 25
Grant awards
Latest 10 of 133 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Alzheimers Disease & Related Disorders Association Inc. | $41,403,405 | 25% |
| 2 | Pima Council On Aging, Inc. | $3,499,464 | 2% |
| 3 | Alzheimer's Orange County | $3,000,000 | 2% |
| 4 | Latinio Alzheimers And Memory Disorders Alliance | $2,993,574 | 2% |
| 5 | Arc Jacksonville Inc. | $2,988,534 | 2% |
| 6 | Chinese American Service League, Inc. | $2,980,976 | 2% |
| 7 | Carelink, Inc. | $2,808,401 | 2% |
| 8 | Alzheimers Greater LOS Angeles | $2,391,120 | 1% |
| 9 | Memory Care Home Solutions | $2,374,861 | 1% |
| 10 | Department Of Aging California | $2,146,660 | 1% |
10 of 110 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | -$1,189,892 |
| FY2025 | $6,136,873 |
| FY2024 | $24,085,438 |
| FY2023 | $25,486,845 |
| FY2022 | $24,772,987 |
| FY2021 | $22,285,132 |
| FY2020 | $13,010,456 |
| FY2019 | $21,312,616 |
| FY2018 | $18,146,945 |
Quick answers
What is Assistance Listing 93.470?
Assistance Listing 93.470 is Alzheimer’s Disease Program Initiative (ADPI), a federal grant program run by Administration for Community Living (Department of Health and Human Services).
What is the CFDA number for Alzheimer’s Disease Program Initiative (ADPI)?
Its CFDA number is 93.470: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.470 awarded?
133 grant awards under 93.470 have obligated $164,114,827 in federal funds to 110 recipients.
Who receives the most funding from 93.470?
The recipients obligated the most under Alzheimer’s Disease Program Initiative (ADPI) are Alzheimers Disease & Related Disorders Association Inc. ($41,403,405), Pima Council On Aging, Inc. ($3,499,464) and Alzheimer's Orange County ($3,000,000).
How much did 93.470 obligate in fiscal year 2025?
Grants under 93.470 obligated $6,136,873 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.470?
4 listed opportunities under 93.470 are open or forecasted. The latest, Alzheimer's Disease Programs Initiative (ADPI) - Dementia Capability in Indian Country, was posted on October 19, 2026.
On GovTribe
See this program's full record
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