ADMINISTRATION
ON AGING, DEPARTMENT OF HEALTH AND HUMAN SERVICES
AUTHORIZATION:
Public
Health Service Act, Title III, Part K, Section 398, as amended;
Home Health Care and Alzheimer's Disease Amendments Act of 1990,
Section 302, Public Law 101-157; Health Professions Education Partnerships
Act of 1998, Section 302.
To
assist States in creating a system of dementia care for persons
with Alzheimer's disease and their families, by carrying out demonstration
projects for planning, establishing, and operating programs to:
(1) Create models of assistance for persons with Alzheimer's disease
and their families; and (2) to improve the responsiveness of the
existing home and community based care system to persons with Alzheimer's
disease and related disorders and their families.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
(1)
Not less than 50 percent of the grant must be spent on 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. (2) Grant funds cannot
be used to replace existing, State, Federal, or private insurance
funds. (3) Matching funds are required. (4) Not more than 10 percent
of the grant will be expended for administrative expenses.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: State government agencies are eligible
for grant awards.
Beneficiary
Eligibility: (1) Individuals with Alzheimer's
disease and related disorders; (2) families of those individuals;
and (3) care providers of those individuals.
Credentials/Documentation:
Applicants must submit: (1) A description of intended use of the
grant; (2) information describing programs and activities to be
supported; (3) the number of individuals receiving services and
the cost of services; and (4) a plan describing coordination of
such services. Costs will be determined in accordance with OMB
Circular No. A-87 for State and local Governments.
Pre-application
Coordination: This program is excluded from
coverage under E.O. 12372.
Application
Procedure: Grant Application for Federal Assistance
(Nonconstruction Programs) are in accordance with program announcements
developed by the Administration on Aging (AoA) and will be published
in the Federal Register when funding is available. As specified
in the program announcement, application forms and instructions
may be obtained by writing to the Administration on Aging, Grants
Division, 330 Independence Avenue, SW., Cohen Building, 4th Floor,
Washington, DC 20201.
Award
Procedure: After review and approval, notification
of award will be issued to the grantee, along with appropriate
notification to the public.
Deadlines:
As specified in guidelines published in the Federal Register.
Range
of Approval/Disapproval Time: Approximately
90 days from closing date or receipt of application.
Appeals:
None.
Renewals:
As outlined in the program announcement published in the Federal
Register.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: Matching requirements
are as follows: first year of the award, 75 percent Federal and
25 percent nonfederal matching requirement; second year, 35 percent
nonfederal; and third and subsequent years, 45 percent nonfederal.
The nonfederal contribution may be in the form of cash or in-kind
contributions, including plant, equipment, or services.
Length
and Time Phasing of Assistance: Awards are
typically 3 years in duration. Length of future awards will be
as published with the program announcement in the Federal Register.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Financial status reports and program progress reports are required
semi-annually, including a final report at the end of each grant
year.
Audits:
In accordance with the provisions of OMB Circular No. A-133, (Revised,
June 24, 1997), "Audits of State and Local Governments, and Nonprofit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Nonfederal entities
that expend less than $300,000 a year in Federal awards are exempt
from Federal audit requirements for that year, except as noted
in OMB Circular No. A-133.
Records:
Financial records must be kept available for 3 years after submission
of expenditure reports and 5 years after final disposition of
non-expendable property in accordance with the regulations at
45 CFR 74, Subpart D.
FINANCIAL
INFORMATION:
Account
Identification: 75-0142-0-1-506.
Obligations:
Grants) FY 01 $8,950,204; FY 02 est $11,496,000; and FY 03 est
$11,500,000.
Range
and Average of Financial Assistance:
From FY 01 $250,315 to $359,975; Averaage: $291,253.
For fiscal year 2001, competitive grants were awarded to 9 States.
In fiscal year 2002 a competition will be held to award an additional
five (5) to seven (7) new grants. Continued support is anticipated
for fiscal year 2003. Each grant has a 3-year project period, contingent
upon the availability of funds. National program evaluation activities
are in progress. Fiscal year 2000/2001 program evaluation included
analysis of seven years of longitudinal program data and ongoing
project evaluation. During the past ten years of program implementation,
over 15,000 client families have received direct services (such
as adult day care, respite. personal care, home health care, and
companion care) and approximately 1 million units of outreach, including
educational seminars and workshops have been provided to family
caregivers, community service providers, and volunteers. Nearly
50 percent of the clients served are minorities and 48 percent of
those receiving services reside in rural areas.
REGULATIONS,
GUIDELINES, AND LITERATURE:
Health Care Services in the Home, as amended; The Home Health Care
and Alzheimer's Disease Amendments of 1990; Public Health Service
Act, Section 398; Section 302 of the Health Professions Education
Partnerships Act of 1998.
INFORMATION
CONTACTS:
Regional
or Local Office: Administration on Aging, Department
of Health and Human Services, located at all HHS Federal Regional
Offices. (See Appendix IV of the Catalog for listings.)
Headquarters
Office: Melanie K. Starns, Center for Planning
and Policy Development, Administration on Aging, Department of
Health and Human Services, 330 Independence Avenue, SW., Wilbur
Cohen Building, Room 4270, Washington, DC 20201. Telephone (202)
401-4547 or (202) 401-4634. Use the latter number for FTS.
Web
Site Address: http://www.aoa.gov
EXAMPLES
OF FUNDED PROJECTS:
A listing of currently funded projects may be obtained by contacting
Melanie K. Starns at (202) 401- 4547.
CRITERIA
FOR SELECTING PROPOSALS:
As specified in the program announcement published in the Federal
Register.
