Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs – financed by Prevention and Public Health Funds (PPHF)
Active
- Assistance listing
- 93.734
- Agency
-
Administration for Community Living
Department of Health and Human Services
- Grant awards
- 125 $146,868,659 in federal obligations
Program facts
- Also known as
- Chronic Disease Self-Management Education Programs
- Assistance types
-
- Cooperative Agreement
- Project Grant
- 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 statewide delivery and expansion of evidence-based chronic disease self-management education (CDSME) programs for older adults and adults with disabilities, with a recent award cycle in August 2026 (CFDA 93.734).
The program finances implementation of proven self-management curricula—including the Chronic Disease Self-Management Program (CDSMP), Diabetes Self-Management Program (DSMP), Chronic Pain Self-Management Program (CPSMP), Walk with Ease, Wellness Recovery Action Plan (WRAP), and Program to Encourage Active, Rewarding Lives (PEARLS)—delivered through statewide aging and disability service networks, behavioral health partnerships, and community-based organizations. Recent awards target older adults and individuals with disabilities experiencing depression, anxiety, substance use disorders, chronic pain, or acute behavioral health stressors such as new diagnoses or housing changes. Recipients integrate program delivery with care navigation, peer leader training, referral pathways, and sustainability planning. August 2026 awards to Iowa, New Hampshire, Connecticut, Maryland, Washington, North Carolina, and Missouri range from $1.1 million to $1.2 million over three years, with cumulative participation targets of 600 to 3,800 participants per awardee across the performance period.
The portfolio is overwhelmingly cooperative agreements (90 percent of 125 total awards) with a smaller share of Project Grants (10 percent). All funding flows from the Department of Health and Human Services Administration for Community Living. Combined federal dollars obligated total $146.9 million since 2012, with recent award cadence declining from nine awards in 2022 to three in 2025, then rising to seven in 2026. The National Chronic Disease Self-Management Education Resource Center, funded through a single mega-award of $35.4 million obligated in August 2021, provides nationwide technical assistance and network support.
Two grant opportunities remain open: HHS-2026-ACL-AOA-CSSG-0028 (National CDSME Resource Center, due July 22, 2026) and HHS-2025-ACL-AOA-CSSG-0034 (Advancing Strategies for up to five entities, due August 15, 2025). The latter targets behavioral health integration and accepts domestic public and private nonprofits, state and local governments, tribal governments and organizations, faith-based and community-based organizations, hospitals, and higher-education institutions. Project periods extend up to three years, with annual or fully funded budget periods subject to funds availability. Non-federal entities expending $750,000 or more in federal awards annually are subject to single or program-specific audit requirements.
Objective and description
- Objective
The cooperative agreements are intended to increase the number of chronic disease self-management education program participants, while concurrently increasing the sustainability of these proven programs in the aging and disability networks. This fun
- Description
The cooperative agreements are intended to increase the number of chronic disease self-management education program participants, while concurrently increasing the sustainability of these proven programs in the aging and disability networks. This funding also supports a cooperative agreement for a National Chronic Disease Self-Management Education Resource Center.
Eligibility
- Applicant eligibility
Eligible applicants are domestic public or private non-profit entities including state and local governments, Indian tribal governments and organizations (American Indian/Alaskan Native/Native American), faith-based organizations, community-based organizations, hospitals, and institutions of higher education.
- Beneficiary eligibility
The ultimate beneficiaries of this funding opportunity are older and disabled adults with chronic conditions residing in States, Tribes and Territories. .
- Uses of assistance
Grant funding could potentially be used for agreed-upon activities associated with the following goals: 1) To significantly increase the number of older adults and adults with disabilities in underserved areas and populations who participate in evidence-based self-management education and support programs to empower them to better manage their chronic conditions; and 2) To implement innovative funding arrangements, including contracts and collaborations with one or more sustainability partners, to support evidence-based self-management education and support programs during and beyond the grant period. Additionally, embed programs into an integrated, sustainable evidence-based prevention program network via centralized, coordinated processes.
- Length and time phasing of assistance
Grants may be made for up to a 3 year project period. Annual or fully funded budget periods maybe awarded subject to the availability of funds. Method of awarding/releasing assistance: Payment of grant expenses will be through the Payment Management System. Method of awarding/releasing assistance: by letter of credit. Method of awarding/releasing assistance: letter.
How to apply
- Preapplication coordination
Pre-application coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
- Criteria for selecting proposals
Cooperative agreements will be awarded on a competitive basis. Specific details for evaluating applications are published as part of the Funding Opportunity Announcement.
- Award procedure
Notification of Award will be issued to the grantee.
- Time to approval or disapproval
As specified in guidelines published in the Funding Opportunity Announcement.
Grant opportunities
Grant awards
Latest 10 of 125 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | National Council On The Aging, Inc. | $46,218,884 | 31% |
| 2 | Lake Erie College Of Osteopathic Medicine, Inc. | $4,079,936 | 3% |
| 3 | The University Of North Carolina At Asheville | $3,575,083 | 2% |
| 4 | Education Health & Research International Inc. | $3,173,021 | 2% |
| 5 | New York State Office For The Aging | $3,150,864 | 2% |
| 6 | Comagine Health | $3,132,592 | 2% |
| 7 | Texas A & M University | $2,959,013 | 2% |
| 8 | Ageoptions | $2,822,888 | 2% |
| 9 | Central Maine Area Agency On Aging | $2,726,966 | 2% |
| 10 | Department Of Social & Health Services | $2,670,936 | 2% |
10 of 87 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $7,891,290 |
| FY2025 | $14,539,511 |
| FY2024 | $17,092,575 |
| FY2023 | $18,816,972 |
| FY2022 | $11,157,044 |
| FY2021 | $8,204,534 |
| FY2020 | $8,029,583 |
| FY2019 | $7,839,873 |
| FY2018 | $7,822,561 |
| FY2017 | $7,417,539 |
| FY2016 | $7,660,196 |
| FY2015 | $7,476,864 |
| FY2014 | $7,578,685 |
| FY2013 | $6,833,348 |
| FY2012 | $9,585,320 |
Show all 15
Quick answers
What is Assistance Listing 93.734?
Assistance Listing 93.734 is Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs – financed by Prevention and Public Health Funds (PPHF), a federal grant program run by Administration for Community Living (Department of Health and Human Services).
What is the CFDA number for Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs – financed by Prevention and Public Health Funds (PPHF)?
Its CFDA number is 93.734: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.734 awarded?
125 grant awards under 93.734 have obligated $146,868,659 in federal funds to 87 recipients.
Who receives the most funding from 93.734?
The recipients obligated the most under Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs – financed by Prevention and Public Health Funds (PPHF) are National Council On The Aging, Inc. ($46,218,884), Lake Erie College Of Osteopathic Medicine, Inc. ($4,079,936) and The University Of North Carolina At Asheville ($3,575,083).
How much did 93.734 obligate in fiscal year 2025?
Grants under 93.734 obligated $14,539,511 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.734?
No opportunity listed under 93.734 is open now. The latest, ACL National Chronic Disease Self-Management Education Resource Center, was posted on April 10, 2026.
On GovTribe
See this program's full record
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