Opportunity Information: Apply for HHS 2008 IHS EHC 0001
Apply for HHS 2008 IHS EHC 0001
- The Indian Health Service in the health sector is offering a public funding opportunity titled "Elder Care Initiative Long Term Care Grant Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.933 Demonstration Projects for Indian Health.
- This funding opportunity was created on Apr 7, 2008 and posted on Apr 5, 2008.
- Applicants must submit their applications by Jun 20, 2008 See link to full announcement for details.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $600,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $75,000.00 in funding.
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized) Others (see text field entitled Additional Information on Eligibility for clarification).
- 1. The AI/AN applicant must be one of the following A. A Federally recognized Indian Tribe or B. Tribal organization as defined by 25 U.S.C. 1603(e) or C. Urban Indian organization as defined by 25 U.S.C. 1603(h) or D. A consortium of eligible Tribes, Tribal organization or urban Indian health programs authorized by governing bodies to apply for and receive awards on their behalf under this program announcement. Applicants must provide proof of non profit status with the application.
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Opportunity Summary:
The Elder Care Initiative Long Term Care (ECILTC) Grant Program is a competitive Indian Health Service (IHS) funding opportunity created to help American Indian and Alaska Native (AI/AN) communities plan, build, and sustain long term care (LTC) services for elders. Up to $600,000 total is available for this round, with an expected 10 awards ranging from $50,000 to $75,000 each. The program sits within the federal health grants framework (CFDA 93.933, Demonstration Projects for Indian Health) and is authorized under the Snyder Act, the Indian Health Care Improvement Act (as amended, including 25 U.S.C. 1653(c)), and Section 301 of the Public Health Service Act (as amended). The overall intent is practical and community-centered: strengthen the local systems that support elders who need ongoing help with activities of daily living, while keeping services aligned with cultural values, family roles, and the dignity of the individual.
A central theme of the announcement is the rapid growth and aging of the AI/AN population and the related rise in chronic disease, which increases the number of elders living with functional limitations and complex care needs. The program defines LTC broadly as a coordinated mix of social and health services provided over time, across different settings, to maintain quality of life and maximize independence and function. While families remain the primary source of elder care in many AI/AN communities, the opportunity recognizes that family caregiving often needs reinforcement through formal services. It also emphasizes that the design of these services matters: how LTC systems are built can directly affect the cultural and spiritual well-being of a community, so planning should be grounded in local priorities and community acceptance, not simply imported models.
The opportunity strongly favors home and community-based services (HCBS) as the foundation for most LTC systems, both because these services can meet the needs of many elders and because they support elders remaining connected to family and community life. The announcement links this direction to the broader legal and policy landscape, including the U.S. Supreme Court decision in Olmstead v. L.C. (1999), which is commonly understood to support providing services in the most integrated setting appropriate for individuals with disabilities. In practice, the program encourages communities to reduce unnecessary institutionalization by building coordinated, community-level supports that help elders live safely and meaningfully in their homes or other community settings whenever possible.
Another key message is that effective LTC development must start locally, at the Tribal or urban Indian community level, and should be based on a clear assessment of need. Applicants are encouraged to use population demographics and rates of functional impairment to justify priorities and guide program design. Because Tribes and urban Indian organizations vary widely in capacity, history, and available services, the grant recognizes that LTC infrastructure will look different from one place to another, and that many communities will build incrementally by adding new services or integrating existing ones over time. The announcement also highlights several factors that make AI/AN LTC distinct, including Tribal sovereignty and the government-to-government relationship, the unique structure of Indian health funding, and the importance of cultural context in how care is delivered and experienced.
Sustainability and financing are treated as major challenges and planning requirements. The announcement makes clear that IHS appropriations may support certain healthcare components of an LTC system, but they generally do not cover a full spectrum of long term care needs, and they cannot fund housing or non-medical social services in the same way other systems might. As a result, applicants are encouraged to think broadly about how to assemble a workable financing strategy by leveraging multiple resources. Examples named in the announcement include the Administration on Aging programs serving AI/AN communities (such as Older Americans Act Title VI services, including caregiver support), possible additional Older Americans Act funding through State Units on Aging and Area Agencies on Aging, Medicaid and HCBS reimbursement (a primary source of formal LTC financing nationwide), Veterans Administration reimbursement for eligible AI/AN veterans, and federal housing programs for the housing component of LTC infrastructure. The grant notes that reimbursement-based models often require upfront investment to cover start-up time, recruitment, early service delivery, and delays before reimbursements begin, which is one reason these grants can be important as a bridge from planning to operational services.
The ECILTC program is designed to fund either assessment and planning efforts or implementation activities tied to long term care service development. It also places boundaries on what can be supported: LTC services developed with grant assistance must be within IHS authority to provide either directly or through a funding agreement, and they must be designed to serve IHS beneficiaries. In other words, while the program encourages coordination with housing, social supports, and other partners, the funded service model still needs to fit within the permissible scope of IHS-related service delivery and beneficiary eligibility.
Eligibility is limited to AI/AN entities, specifically: federally recognized Indian Tribes; Tribal organizations as defined by 25 U.S.C. 1603(e); urban Indian organizations as defined by 25 U.S.C. 1603(h); and consortia of these eligible entities that are formally authorized by their governing bodies to apply and receive awards on their behalf. The announcement also indicates that applicants must provide proof of nonprofit status with the application. The funding instrument is a discretionary grant, there is no cost sharing or matching requirement, and the activity category is health.
For this specific posting, the opportunity was released in April 2008, with a closing date of June 20, 2008, and an archive date of July 20, 2008. The agency contact listed for help accessing the full announcement is Tammy Bagley (Tammy.Bagley@ihs.gov). Overall, the grant is positioned as a targeted investment to help AI/AN communities create realistic, culturally grounded, and financially sustainable long term care systems that expand support beyond family caregiving alone, keep elders integrated in community life, and coordinate available health and supportive service resources in a coherent way.
ECILTC (Elder Care Initiative Long Term Care) Grant Program FAQs
What is the ECILTC Grant Program?
The Elder Care Initiative Long Term Care (ECILTC) Grant Program is a competitive Indian Health Service (IHS) funding opportunity intended to help American Indian and Alaska Native (AI/AN) communities plan, build, and sustain long term care (LTC) services for elders.
What is the main purpose of this funding opportunity?
The program aims to strengthen local systems that support elders who need ongoing help with activities of daily living, while keeping services aligned with cultural values, family roles, and the dignity of the individual.
How much funding is available in this round?
Up to $600,000 total is available for this round.
How many awards are expected, and what is the award size?
The announcement anticipates about 10 awards, with individual awards expected to range from $50,000 to $75,000.
Is this opportunity competitive?
Yes. The ECILTC program is described as a competitive IHS funding opportunity.
What type of funding instrument is used?
The funding instrument is a discretionary grant.
Is there a cost sharing or matching requirement?
No. The announcement states there is no cost sharing or matching requirement.
What is the activity category for this grant?
The activity category is health.
Which CFDA program is this grant associated with?
This opportunity sits within the federal health grants framework under CFDA 93.933, Demonstration Projects for Indian Health.
What legal authorities authorize the program?
The program is authorized under the Snyder Act, the Indian Health Care Improvement Act (as amended, including 25 U.S.C. 1653(c)), and Section 301 of the Public Health Service Act (as amended).
Who is eligible to apply?
Eligibility is limited to AI/AN entities, including federally recognized Indian Tribes; Tribal organizations (25 U.S.C. 1603(e)); urban Indian organizations (25 U.S.C. 1603(h)); and consortia of these eligible entities that are formally authorized by their governing bodies to apply and receive awards on their behalf.
Can a consortium apply?
Yes. Consortia of eligible entities may apply if they are formally authorized by their governing bodies to apply and receive awards on behalf of the member entities.
Is proof of nonprofit status required?
Yes. The announcement indicates applicants must provide proof of nonprofit status with the application.
Who must the funded services be designed to serve?
LTC services developed with grant assistance must be designed to serve IHS beneficiaries.
Are there limits on what kinds of LTC services can be funded?
Yes. The announcement states that services developed with grant assistance must be within IHS authority to provide, either directly or through a funding agreement.
Does the program support assessment and planning, or only service implementation?
The ECILTC program is designed to fund either assessment and planning efforts or implementation activities tied to long term care service development.
How does the program define long term care (LTC)?
The announcement defines LTC broadly as a coordinated mix of social and health services provided over time and across different settings to maintain quality of life and maximize independence and function.
Does the program prefer any particular model of long term care?
Yes. The opportunity strongly favors home and community-based services (HCBS) as the foundation for most LTC systems, supporting elders remaining connected to family and community life when possible.
How does the opportunity address institutionalization?
It encourages communities to reduce unnecessary institutionalization by building coordinated supports that help elders live safely and meaningfully in their homes or other community settings whenever possible.
Does the announcement reference Olmstead v. L.C. (1999)?
Yes. The opportunity links its HCBS direction to the broader legal and policy landscape, including Olmstead v. L.C. (1999), which is commonly understood to support providing services in the most integrated setting appropriate for individuals with disabilities.
Why does the program emphasize cultural and community-centered design?
The announcement emphasizes that how LTC systems are built can affect the cultural and spiritual well-being of a community, so planning should be grounded in local priorities and community acceptance rather than imported models.
What community trends does the grant cite as driving long term care needs?
The announcement highlights rapid growth and aging of the AI/AN population and a rise in chronic disease, increasing the number of elders living with functional limitations and complex care needs.
Are applicants expected to assess need and use data?
Yes. Applicants are encouraged to use population demographics and rates of functional impairment to justify priorities and guide program design.
Does the grant expect the same LTC infrastructure in every community?
No. The grant recognizes that Tribes and urban Indian organizations vary widely in capacity, history, and available services, so LTC infrastructure will differ and may be built incrementally by adding new services or integrating existing ones over time.
How does the opportunity describe the role of family caregiving?
It recognizes that families remain the primary source of elder care in many AI/AN communities, while also noting that family caregiving often needs reinforcement through formal services.
What does the announcement say about sustainability and financing?
Sustainability and financing are treated as major challenges and planning requirements. The announcement notes that IHS appropriations may support certain healthcare components but generally do not cover the full spectrum of long term care needs.
Does the announcement identify funding sources communities may leverage for sustainability?
Yes. Examples include Administration on Aging programs for AI/AN communities (such as Older Americans Act Title VI services, including caregiver support), possible additional Older Americans Act funding through State Units on Aging and Area Agencies on Aging, Medicaid and HCBS reimbursement, Veterans Administration reimbursement for eligible AI/AN veterans, and federal housing programs for the housing component of LTC infrastructure.
Why might bridge funding be important for reimbursement-based models?
The announcement notes that reimbursement-based models can require upfront investment for start-up time, recruitment, early service delivery, and delays before reimbursements begin, and that these grants can help bridge from planning to operational services.
Can the grant directly fund housing?
The announcement states IHS appropriations generally cannot fund housing or non-medical social services in the same way other systems might, and it encourages coordination with federal housing programs for the housing component of LTC infrastructure.
Does the opportunity encourage coordination with partners outside IHS?
Yes. While the funded service model must fit within IHS authority and serve IHS beneficiaries, the announcement encourages coordination with housing, social supports, and other partners as part of an overall workable long term care system.
What makes AI/AN long term care development distinct, according to the announcement?
The announcement highlights factors including Tribal sovereignty and the government-to-government relationship, the unique structure of Indian health funding, and the importance of cultural context in how care is delivered and experienced.
When was this opportunity released, and what were the key dates?
The posting was released in April 2008, had a closing date of June 20, 2008, and an archive date of July 20, 2008.
Who is listed as the agency contact for help accessing the full announcement?
The agency contact listed is Tammy Bagley (Tammy.Bagley@ihs.gov).
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