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Cooperative Agreements to USA Agencies, Tribes, and CBOs to Develop Services Benefiting Individuals with Dementia

Alzheimer's Disease Programs Initiative (ADPI) - State and Community Grant Program (Winter 2023)


GrantWatch ID#

Funding Source
U.S. Department of Health and Human Services (HHS) - Administration for Community Living (ACL)
CFDA Number: 93.470
Funding or PIN Number: HHS-2023-ACL-AOA-ADPI-0045
Array ( [0] => American Samoa (USA); [1] => Guam (USA); [2] => Puerto Rico (USA); [3] => Virgin Islands (USA); [4] => Northern Mariana Islands (USA); )

Geographic Focus
USA Territories: American Samoa (USA);   Guam (USA);   Puerto Rico (USA);   Virgin Islands (USA);   Northern Mariana Islands (USA);

Important Dates
Deadline: 04/24/23 11:59 PM ET Save

Grant Description
Cooperative agreements to USA and territories state and local governments, tribes, community-based organizations, and IHEs to develop and expand services for individuals with dementia. Applicants are advised that required registrations must be completed before applying. The purpose of the program is to promote and enhance dementia-capable home and community-based service (HCBS) systems in states and communities that help people with dementia and their caregivers remain independent and safe in their communities. TESTING

Cooperative agreements under the Alzheimer’s Disease Programs Initiative (ADPI) funding opportunity announcement, are intended to support and promote the development and expansion of dementia-capable home and community-based service (HCBS) systems in States and Communities. There are two application options contained in this single FOA: Grants to States (Option A) and Grants to Communities (Option B). The dementia-capable systems resulting from program activities under either option are expected to provide quality, person-centered services and supports that help individuals living with dementia and their caregiver remain  independent and safe in their communities. Funding must be for new programs or expansion of existing programs.  

Option A: Grants to States

  • Option A has two required objectives, the first of which is 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 with dementia and their family caregivers. The second objective is to ensure access to a comprehensive, sustainable set of quality state HCBS that are dementia-capable and provide innovative services to the population with dementia and their caregivers.

Option B: Grants to Communities

  • Option B cooperative agreements are designed to aid community-based HCBS providers in addressing three specific service gaps in existing dementia-capable HCBS systems for persons living with or those at high risk of developing Alzheimer’s disease and related dementias (ADRD) and their caregivers.
  • Option B applicants must address each of the following three gap areas:
    1. Provision of effective supportive services to persons living alone with ADRD in the community;
    2. Improvement of the quality and effectiveness of programs and services dedicated to individuals aging with intellectual and developmental disabilities with ADRD or those at high risk of developing ADRD; and
    3. Delivery of behavioral symptom management training and expert consultations for family caregivers.

Objectives of the program can be found on pp. 9-13 of the FOA listed in Supporting Documents below. 


  • City or township governments
  • County governments
  • For profit organizations other than small businesses
  • Native American tribal governments (Federally recognized)
  • Native American tribal organizations (other than Federally recognized tribal governments)
  • Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education
  • Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education
  • Private institutions of higher education
  • Public and State controlled institutions of higher education
  • Others (see text field entitled "Additional Eligibility Criteria" for clarification)
  • Small businesses
  • Special district governments
  • State governments

Additional Eligibility Criteria
Eligible applicants include: 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.
- Option A is extended to eligible state government agencies designated to serve as the State Units
on Aging.
- Option B is open to domestic, community-based public and/or private home and community-based service providers that are operating within an existing dementia-capable system and are able to demonstrate their dementia capability.
- No organization is eligible to submit applications for both the State and the Community programs.

Applicants for Option A are the governmental entities within states and territories designated as the state agency for dementia-capability and that have working relationships with their state agencies that enable creating and sustaining a dementia-capable HCBS System. States and territories eligible for Option A are those that do not have active ACL ADPI State dementia-capability grants. All states without active grants are eligible to apply, however those states that have not benefited from ADSSP grants since before 2014 will be given priority consideration in the post-review decision-making process.

Cooperative agreements under Option B are available to private and/or public community-based organizations (CBO) that are able to demonstrate meeting the following:
(1) Present operation within an existing dementia-capable HCBS system dedicated to the population that they serve; and 2) Articulate opportunities for new partnerships, educational opportunities and/or expanded or additional services and supports in the targeted gap areas that would enhance and strengthen the above-described existing system, as well as the infrastructure and the ability to implement such activities.

Community-based organizations are only eligible to hold one ADPI grant at a time. All community-based organizations without active ADPI grants are eligible to apply, however those that have not benefited from ADI-SSS and ADPI grant programs since before 2014 will be given priority consideration in the post-review decision-making process.

For additional eligibility details, see pp. 20-21 of the FOA listed in Supporting Documents below.

No entity is eligible to apply for both State and Community options and no entity is eligible to hold more than one ADPI grant at any one time.

Foreign entities are not eligible to compete for, or receive, awards made under this announcement.

The ADPI will not consider or fund research projects.

The following activities are not fundable:
- Construction and/or major rehabilitation of buildings
- Basic research (e.g. scientific or medical experiments)
- Continuation of existing projects without expansion or new and innovative approaches

Pre-Proposal Conference
ACL will host an informational conference call in relation to this NOFO on Thursday, March 2, 2023 from 4:00 pm – 5:00 pm Eastern Time.

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

The dial-in information is below:
Toll Free Number: 888-469-3211 Passcode: 1298472

A recording will be available soon after the call concludes and will be available through April
24, 2023 at 866-388-5361.

Pre-Application Information
Closing Date for Applications: Apr 24, 2023 Electronically submitted applications must be submitted no later than 11:59 p.m., ET, on the due date.

Applicants are requested, but not required, to submit a letter of intent to apply for this funding opportunity to assist ACL in planning for the application independent review process.

You are strongly encouraged to submit your application a minimum of 3-5 days prior to the application closing date.

The registration process can take several days. If your organization is not currently registered, please begin this process immediately.

All applicants must have a UEI and be registered with the System for Award Management (SAM, and maintain an active SAM registration until the application process is complete, and should a grant be made, throughout the life of the award. Once your SAM registration is active, allow 24 to 48 hours for the information to be available in before you can submit an application through

Effective June 11, 2018, when registering or renewing your registration, you must submit a notarized letter appointing the authorized Entity Administrator.

Applicants should allot sufficient time prior to the application deadline to finalize a new, or renew an existing registration with SAM. Applicants should maintain documentation (with dates) of their efforts to register or renew at least two weeks before the deadline.

For additional program requirements for applicants, see p. 6 of the FOA listed in Supporting Documents below.

A 25% cost sharing/match is required. Under this program, the ACL will fund no more than 75% of the project’s total cost, which means the applicant must cover at least 25% of the project’s total cost with non-Federal resources.

All successful applicants are required to dedicate 50% of the TOTAL(Federal and match dollars) program budget to the provision of direct services to persons living with dementia and caregivers.

View this opportunity on

For a list of application documents, see the Related Documents tab and the Package tab (press Preview) on the page above.

Additional Funding Information

Estimated Total Program Funding:


Number of Grants
Expected Number of Awards: 18

Estimated Size of Grant
- Option A (grants to states): Minimum anticipated awards of $750,000, maximum awards of
$850,000, for 36 months.
- Option B (grants to community-based entities): Minimum anticipated awards of $900,000;
maximum awards of $1,000,000, for 36 months.

Term of Contract
All awards made in connection with this funding opportunity will be for three-year (36-month) fully funded projects.

The anticipated project period start date for this announcement is: 07/01/2023.

Contact Information
Letters of intent (not required) should be sent to:
U.S. Department of Health and Human Services
Administration for Community Living
Erin Long
Administration on Aging
Office of Supportive and Caregiver Services

Please direct any questions about the programmatic goals and objectives of this FOA to

Agency Contacts:
Erin Long
Project Officer
Office of Supportive and Caregiver Services

Aiesha Gurley
Grants Management Specialist
Office of Grants Management

For assistance with, please contact them at or 800-518-4726 between 7:00 a.m. and 9:00 p.m. Eastern Time.

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