Opportunity Information: Apply for HHS 2013 ACL AOA DS 0055
Apply for HHS 2013 ACL AOA DS 0055
- The Administration for Community Living in the income security and social services sector is offering a public funding opportunity titled "Creating and Sustaining Dementia Capable Service Systems for People with Dementia and their Family Caregivers" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.051 Alzheimers Disease Demonstration Grants to States.
- This funding opportunity was created on Jun 11, 2013 and posted on Jun 11, 2013.
- Applicants must submit their applications by Jul 17, 2013 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $3,039,238.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $820,000.00 in funding.
- The number of recipients for this funding is limited to 6 candidate(s).
- Eligible applicants include: State governments.
- State Units on Aging in states that have received previous grant awards by the Administration on Aging under Systems Integration Parts A or B (Funding Opportunities HHS 2011 AoA AA 1113 and HHS 2011 AoA DS 1114) are not eligible to apply for cooperative agreements under this new Funding Opportunity Announcement . These states are Georgia, Minnesota, New York and Ohio. Individuals, foreign entities, and sole proprietorship organizations are not eligible to compete for, or receive, awards made under this announcement.
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Opportunity Summary:
Creating and Sustaining Dementia Capable Service Systems for People with Dementia and their Family Caregivers (Funding Opportunity Number HHS 2013 ACL AOA DS 0055) is a discretionary cooperative agreement program from the Administration for Community Living (ACL) intended to help states build and maintain a strong, long-lasting home and community-based services (HCBS) system that truly works for people living with dementia and for the family members who support them. The main idea is to move beyond isolated dementia programs and instead strengthen the broader HCBS network so that dementia needs are recognized early, addressed consistently across providers, and supported with services that are person-centered and practical for day-to-day life at home and in the community.
The opportunity defines a "dementia capable" HCBS system in very concrete terms. First, the system should be able to recognize when someone may have dementia, identify warning signs through routine interactions, and guide that person toward appropriate follow-up with a physician rather than letting concerns go unaddressed. Second, it emphasizes that the people with dementia interact with many points of the service system, so frontline staff and providers need proper training, an understanding of dementia-related needs, and clear guidance on how to communicate effectively and respectfully. Third, the system must deliver quality, person-centered supports that help individuals remain as independent and safe as possible in their communities. A key expectation throughout is that family caregivers are included when they are available and when involving them makes sense for the situation, recognizing that caregivers often carry much of the responsibility for coordination, supervision, and daily support.
Applicants are expected to organize their work around two required objectives. Objective 1 focuses on access: creating and sustaining a Single Entry Point/No Wrong Door (SEP/NWD) approach so that people with dementia and caregivers can enter the system through multiple doors and still be routed to the right information, assessment, and services without getting lost. This is meant to reduce fragmentation and avoid situations where families bounce between agencies repeating their story, missing eligibility opportunities, or failing to connect to specialized dementia supports. Objective 2 focuses on services: ensuring access to a comprehensive and sustainable set of dementia-capable HCBS, including innovative service approaches, with a clear preference for services that are evidence-based or evidence-informed whenever possible. On top of the systems work, grantees must also deliver at least one evidence-based or evidence-informed service specifically targeted to individuals with dementia or their caregivers, reinforcing that the award is not only about planning but also about tangible supports.
The FOA requires strong state-level leadership and coordination. Each grantee must identify a lead state agency responsible for dementia capability and demonstrate active working relationships with the state Medicaid agency, since Medicaid policy and funding are central to how many HCBS supports are financed and scaled. In practice, this requirement signals that ACL expects states to build solutions that can persist beyond the grant period, align with Medicaid-funded LTSS infrastructure where appropriate, and be embedded into ongoing operations rather than treated as a short-term pilot.
Funding is structured as cooperative agreements, meaning ACL is likely to have a more engaged role than in a typical grant, such as providing technical assistance, expecting regular progress reporting, and working collaboratively on implementation. The program anticipated 6 awards nationwide, with an estimated total funding level of $3,039,238. Individual awards were expected to range from $500,000 (floor) to $820,000 (ceiling). There is a cost sharing or matching requirement, so applicants needed to plan for non-federal contributions as part of the project budget.
Eligibility is limited to state governments, with additional restrictions: State Units on Aging in states that previously received certain related AoA Systems Integration grants (Parts A or B under prior opportunities HHS 2011 AoA AA 1113 and HHS 2011 AoA DS 1114) are not eligible for this competition. The FOA explicitly lists Georgia, Minnesota, New York, and Ohio as ineligible on that basis. Individuals, foreign entities, and sole proprietorships cannot apply. The associated CFDA number is 93.051, under the Alzheimer’s Disease Demonstration Grants to States program area, and the activity category is Income Security and Social Services.
Key dates included a posted and creation date of June 11, 2013, with an application deadline of July 17, 2013, due electronically by 11:59 p.m. ET, and an archive date of August 16, 2013. For access to the full announcement materials, ACL directed applicants to its funding opportunities webpage, and the listed contact for help accessing the announcement was Jane Tilly at Jane.Tilly@acl.hhs.gov.
Frequently Asked Questions (FAQs)
What is the official name of this funding opportunity?
The opportunity is titled Creating and Sustaining Dementia Capable Service Systems for People with Dementia and their Family Caregivers.
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is HHS 2013 ACL AOA DS 0055.
Who is offering this program?
This is a discretionary cooperative agreement program from the Administration for Community Living (ACL).
What is the program trying to accomplish overall?
The program is intended to help states build and sustain a strong, long-lasting home and community-based services (HCBS) system that works for people living with dementia and for their family caregivers. The emphasis is on strengthening the broader HCBS network (not just isolated dementia programs) so dementia-related needs are recognized early, addressed consistently across providers, and supported with person-centered services that are practical in daily life at home and in the community.
What does "dementia capable" mean in this announcement?
The opportunity describes a dementia-capable HCBS system in concrete terms, including the ability to:
- Recognize possible dementia by identifying warning signs during routine interactions and guiding individuals to appropriate follow-up with a physician.
- Prepare frontline staff and providers through training and clear guidance so they understand dementia-related needs and can communicate effectively and respectfully.
- Deliver quality, person-centered supports that help people with dementia remain as independent and safe as possible in their communities.
- Include family caregivers when available and appropriate, recognizing their key role in coordination, supervision, and daily support.
Is the focus only on creating new dementia programs?
No. A central theme is moving beyond stand-alone dementia programs and instead strengthening the overall HCBS system so that dementia capability is built into routine operations across the network.
What are the required objectives for applicants?
Applicants are expected to organize their work around two required objectives:
- Objective 1 (Access): Create and sustain a Single Entry Point/No Wrong Door (SEP/NWD) approach so people with dementia and caregivers can enter through multiple doors and still be connected to the right information, assessment, and services.
- Objective 2 (Services): Ensure access to a comprehensive and sustainable set of dementia-capable HCBS, including innovative approaches, with preference for services that are evidence-based or evidence-informed whenever possible.
What is a Single Entry Point/No Wrong Door (SEP/NWD) approach in this context?
SEP/NWD is an access approach designed to reduce fragmentation. It aims to prevent families from being bounced between agencies, repeatedly retelling their situation, missing eligibility opportunities, or failing to connect to specialized dementia supports. The goal is that multiple entry points still lead to consistent routing to appropriate information, assessment, and services.
Does the grant require delivering direct services, or is it only systems planning?
It requires more than planning. In addition to systems work, grantees must deliver at least one evidence-based or evidence-informed service specifically targeted to individuals with dementia or their caregivers.
Are evidence-based services required?
The announcement states a clear preference for services that are evidence-based or evidence-informed whenever possible, and it requires delivery of at least one evidence-based or evidence-informed service targeted to individuals with dementia or their caregivers.
How does the opportunity address family caregivers?
Family caregivers are expected to be included when they are available and when involvement makes sense for the situation, reflecting the reality that caregivers often provide coordination, supervision, and daily support.
What kind of leadership and coordination is required at the state level?
Each grantee must identify a lead state agency responsible for dementia capability and must demonstrate active working relationships with the state Medicaid agency, since Medicaid policy and funding are central to financing and scaling many HCBS supports.
Why is the state Medicaid agency relationship emphasized?
The requirement signals that ACL expects states to develop solutions that can persist beyond the grant period, align with Medicaid-funded long-term services and supports (LTSS) infrastructure where appropriate, and be embedded into ongoing operations rather than treated as a short-term pilot.
What type of award is this (grant vs. cooperative agreement)?
This program uses cooperative agreements. That means ACL is likely to have a more engaged role than in a typical grant, such as providing technical assistance, expecting regular progress reporting, and working collaboratively on implementation.
How many awards were anticipated?
The announcement anticipated 6 awards nationwide.
What was the estimated total funding available?
The estimated total funding level was $3,039,238.
What was the expected award size per grantee?
Individual awards were expected to range from $500,000 (floor) to $820,000 (ceiling).
Is there a cost sharing or matching requirement?
Yes. The announcement states there is a cost sharing or matching requirement, so applicants needed to plan for non-federal contributions as part of the project budget.
Who is eligible to apply?
Eligibility is limited to state governments, subject to additional restrictions described in the announcement.
Which states were explicitly listed as ineligible?
The announcement explicitly lists Georgia, Minnesota, New York, and Ohio as ineligible because their State Units on Aging previously received certain related AoA Systems Integration grants (Parts A or B) under prior opportunities.
What prior grants make certain State Units on Aging ineligible?
State Units on Aging in states that previously received certain related AoA Systems Integration grants (Parts A or B) under HHS 2011 AoA AA 1113 and HHS 2011 AoA DS 1114 are not eligible for this competition.
Can individuals apply?
No. The announcement states that individuals cannot apply.
Can foreign entities apply?
No. The announcement states that foreign entities cannot apply.
Can a sole proprietorship apply?
No. The announcement states that sole proprietorships cannot apply.
What is the CFDA number associated with this opportunity?
The associated CFDA number is 93.051, under the Alzheimer’s Disease Demonstration Grants to States program area.
What is the activity category listed for this opportunity?
The activity category is Income Security and Social Services.
When was the opportunity posted?
The posted and creation date was June 11, 2013.
What was the application deadline?
The application deadline was July 17, 2013, due electronically by 11:59 p.m. ET.
When was the opportunity archived?
The archive date was August 16, 2013.
Where were applicants directed to find the full announcement materials?
Applicants were directed to ACL's funding opportunities webpage for access to the full announcement materials.
Who was the listed contact for help accessing the announcement?
The listed contact was Jane Tilly at Jane.Tilly@acl.hhs.gov.
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