Opportunity Information: Apply for HHS 2009 AOA BP 0920

  • The Administration on Aging in the income security and social services sector is offering a public funding opportunity titled "Empowering Older People to Take More Control of Their Health Through Evidence Based Prevention Programs" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.048 Special Programs for the AgingTitle IVand Title IIDiscretionary Projects.
  • This funding opportunity was created on Jun 18, 2009 and posted on Jun 18, 2009.
  • Applicants must submit their applications by Jul 17, 2009. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $3,200,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $200,000.00 in funding.
  • The number of recipients for this funding is limited to 16 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Only AoA FY 2006 Evidence Based Disease Prevention grantees may apply for this competitive grant. AoA FY 2006 grantees are California, Colorado, Florida, Hawaii, Illinois, Iowa, Maine, Maryland, New Jersey, New York, Ohio, Oklahoma, Oregon,South Carolina, Texas, and Wisconsin. Only the state agency that is the AoA FY 2006 Evidence Based Disease Prevention grantee may apply for this competitive grant.
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Opportunity Summary:

The grant opportunity "Empowering Older People to Take More Control of Their Health Through Evidence Based Prevention Programs" is a one-year competitive supplemental funding announcement released by the Administration on Aging (AoA) within the U.S. Department of Health and Human Services (HHS). It is authorized under Title IV of the Older Americans Act (42 U.S.C. 3032), as amended, and is offered as a cooperative agreement under CFDA 93.048 (Title IV Discretionary Projects). The program sits in the broader context of a multi-year federal and philanthropic initiative that began in 2003 to speed up the real-world adoption of proven disease and disability prevention programs for older adults through community-based aging services organizations. That earlier effort brought together AoA and major HHS science and service agencies (including CDC, AHRQ, HRSA, NIA, CMS, and SAMHSA) along with numerous private foundations to build national capacity for evidence-based prevention, with the Stanford Chronic Disease Self-Management Program (CDSMP) serving as a leading model.

By 2009, HHS and AoA describe the core national infrastructure as largely established, including a wide network of delivery sites (noted as roughly 1,200 community-based sites), standardized training and certification approaches, a national technical assistance center, shared program materials and marketing resources, and formal quality assurance and fidelity protocols. The supplemental funding is therefore positioned less as a start-up effort and more as a continuation and strengthening of what the original AoA FY 2006 state grantees already built: statewide systems, sustainable partnerships, and ongoing program delivery designed to reach large numbers of at-risk older adults while maintaining the integrity of the evidence-based models.

The purpose of the supplement is to help eligible states complete and reinforce the original FY 2006 scope of work. Applicants are expected to keep expanding public-private partnerships at both the state and local levels, with particular emphasis on collaboration among state aging agencies, state and local health departments, area agencies on aging, nonprofit aging service providers, health organizations, and private-sector partners such as businesses and foundations. A central expectation is that states will deliver high-quality programs at scale and with strong management practices, while also actively pursuing additional non-federal resources to support long-term sustainability. The program is fundamentally about translating research into routine community practice without diluting what made the interventions effective in the first place.

Programmatically, the announcement requires that supplemental applicants, at minimum, propose how they will continue implementing the Stanford University CDSMP self-care model in selected geographic areas. While CDSMP is the baseline requirement, the broader set of evidence-based interventions referenced by the original initiative spans several major prevention domains: chronic disease self-care (either general chronic disease management or condition-specific models such as diabetes, hypertension, heart disease, or arthritis), physical activity programs for older adults, fall prevention, nutrition and diet interventions (including weight management and dietary approaches tied to chronic disease control), and mental health and/or substance use prevention (including early intervention for depression, anxiety, alcohol misuse, or medication misuse). Across these areas, the emphasis remains on interventions with credible evidence of effectiveness and clear implementation standards.

To receive continuation funds, applicants are expected to demonstrate several operational and accountability elements. Lead community organizations must have enough capacity and commitment to run partnerships and deliver the program effectively. Local delivery systems must be able to recruit, serve, and retain older adults who are at high risk for the targeted conditions. Partnerships must be broad and meaningful across aging, public health, healthcare, and other relevant sectors. Most importantly, implementation must maintain fidelity to the original evidence-based design and the research outcomes associated with the model, allowing only minimal adaptations for local conditions or specific participant needs, and only when those changes do not undermine effectiveness. Applicants must also maintain information and monitoring systems that track fidelity and outcomes over time, support routine formative evaluation, and gather participant satisfaction data so the program can improve continuously while still remaining accountable to funders and stakeholders.

A specific partnership structure requirement is also highlighted. Proposals should show that (with one limited exception) no single organization fills more than one of three core roles. Those roles include: (1) a research organization (often a university or similar entity) that helps translate the evidence-based model into practice, supports fidelity, and assists with training, evaluation, and cost assessment; (2) a local health department serving as the health partner, which may also have the capability to perform some research-organization functions or support service implementation; and (3) an Aging and Disability Resource Center (ADRC), where available, to help older adults access prevention programs and navigate current or future long-term care needs. In addition, applicants are encouraged to involve other community organizations that can help meet goals, such as local foundations, charitable organizations, professional associations, USDA Extension programs, mental health agencies, and community groups outside the Older Americans Act funding stream.

In terms of funding logistics, this was a discretionary opportunity with an estimated total of $3.2 million and an expectation of 16 awards. Individual awards ranged from a $50,000 floor to a $200,000 ceiling, and cost sharing or matching was required. Eligibility was tightly restricted: only the state agencies that were AoA FY 2006 Evidence Based Disease Prevention grantees could apply, specifically the states of California, Colorado, Florida, Hawaii, Illinois, Iowa, Maine, Maryland, New Jersey, New York, Ohio, Oklahoma, Oregon, South Carolina, Texas, and Wisconsin. The announcement was posted June 18, 2009, and closed July 17, 2009, with the opportunity archived August 16, 2009.

Frequently Asked Questions (FAQs)

What is the "Empowering Older People to Take More Control of Their Health Through Evidence Based Prevention Programs" grant?

It is a one-year, competitive supplemental funding opportunity from the Administration on Aging (AoA) within the U.S. Department of Health and Human Services (HHS). The supplement is designed to help eligible states continue and reinforce evidence-based prevention programming for older adults through community-based delivery systems.

What type of award is this?

The opportunity is offered as a cooperative agreement. It is a discretionary project under CFDA 93.048 (Title IV Discretionary Projects).

What is the legal authority for this program?

The program is authorized under Title IV of the Older Americans Act (42 U.S.C. 3032), as amended.

Is this a new start-up grant or a continuation?

It is positioned as a continuation and strengthening effort rather than a start-up. The announcement describes a national infrastructure for evidence-based prevention as largely established by 2009, and the supplement is meant to help eligible states complete and reinforce the original FY 2006 scope of work.

What is the main purpose of the supplemental funding?

The purpose is to help eligible state grantees complete and reinforce the original FY 2006 Evidence Based Disease Prevention scope of work by expanding partnerships, delivering programs at scale with strong management practices, maintaining program fidelity, and pursuing non-federal resources for long-term sustainability.

Who is eligible to apply for this supplemental funding?

Eligibility is restricted to the state agencies that were AoA FY 2006 Evidence Based Disease Prevention grantees. The eligible states are: California, Colorado, Florida, Hawaii, Illinois, Iowa, Maine, Maryland, New Jersey, New York, Ohio, Oklahoma, Oregon, South Carolina, Texas, and Wisconsin.

Can organizations other than the listed state agencies apply?

No. Based on the announcement details provided, only the specified FY 2006 AoA state grantees (the listed states) were eligible to apply.

What is the required evidence-based program that applicants must continue implementing?

At a minimum, applicants must propose how they will continue implementing the Stanford University Chronic Disease Self-Management Program (CDSMP) self-care model in selected geographic areas.

Are other evidence-based prevention programs included besides CDSMP?

Yes. While CDSMP is the baseline requirement, the broader initiative referenced additional evidence-based interventions across several prevention domains, including chronic disease self-care models (general or condition-specific), physical activity programs, fall prevention, nutrition and diet interventions (including weight management and dietary approaches), and mental health and/or substance use prevention (including early intervention).

What health and prevention domains does the initiative emphasize?

The announcement references these major domains: chronic disease self-care (general and condition-specific models such as diabetes, hypertension, heart disease, or arthritis), physical activity for older adults, fall prevention, nutrition and diet (including weight management and chronic disease-related dietary approaches), and mental health and/or substance use prevention (including depression, anxiety, alcohol misuse, or medication misuse).

What does "evidence-based" mean in the context of this opportunity?

It refers to interventions with credible evidence of effectiveness and clear implementation standards. The grant emphasizes translating research into routine community practice without diluting the elements that made the interventions effective.

What does the grant require regarding program fidelity?

Implementation must maintain fidelity to the original evidence-based design and the research outcomes associated with the model. Only minimal adaptations for local conditions or specific participant needs are contemplated, and only when they do not undermine effectiveness.

What kinds of partnerships are expected?

Applicants are expected to expand public-private partnerships at both the state and local levels. The announcement highlights collaboration among state aging agencies, state and local health departments, area agencies on aging, nonprofit aging service providers, health organizations, and private-sector partners such as businesses and foundations.

What is the required partnership structure involving three core roles?

Proposals should show that (with one limited exception) no single organization fills more than one of three core roles: (1) a research organization (often a university or similar entity) that supports translation of the model into practice, fidelity, training, evaluation, and cost assessment; (2) a local health department acting as the health partner (and possibly supporting some research-organization functions or service implementation); and (3) an Aging and Disability Resource Center (ADRC), where available, to help older adults access prevention programs and navigate current or future long-term care needs.

What is the "limited exception" to the rule that one organization should not fill more than one core role?

The announcement notes there is one limited exception, but it does not specify the details of that exception in the information provided here.

Is an Aging and Disability Resource Center (ADRC) required?

The requirement is stated as "an ADRC, where available." This indicates the ADRC role is expected in proposals when an ADRC exists/operates in the relevant context described by the applicant.

What other partners are encouraged beyond the core roles?

The announcement encourages involvement of other community organizations that can help meet goals, including local foundations, charitable organizations, professional associations, USDA Extension programs, mental health agencies, and community groups outside the Older Americans Act funding stream.

What operational capacity must lead community organizations demonstrate?

Lead community organizations must have sufficient capacity and commitment to run partnerships and deliver programs effectively, including the ability to manage high-quality implementation at scale.

Who are the intended participants or target populations?

The programs are intended for older adults, with an emphasis on recruiting, serving, and retaining older adults who are at high risk for the targeted conditions addressed by the evidence-based interventions.

What accountability, monitoring, or evaluation systems are expected?

Applicants must maintain information and monitoring systems that track fidelity and outcomes over time, support routine formative evaluation, and collect participant satisfaction data. These systems are intended to support continuous improvement while maintaining accountability to funders and stakeholders.

What does the grant say about scaling programs?

A central expectation is delivery of high-quality programs at scale, supported by strong management practices, while preserving the integrity of the evidence-based models.

Is sustainability addressed in the grant requirements?

Yes. Applicants are expected to actively pursue additional non-federal resources to support long-term sustainability, alongside expanded public-private partnerships.

How does this supplement relate to the earlier initiative that began in 2003?

The supplement sits within a broader multi-year federal and philanthropic initiative launched in 2003 to speed real-world adoption of proven disease and disability prevention programs for older adults through community-based aging services organizations. By 2009, HHS and AoA described national infrastructure as largely established, and this funding was intended to strengthen and continue what FY 2006 state grantees had built.

What national infrastructure elements were described as established by 2009?

The announcement describes a wide network of delivery sites (approximately 1,200 community-based sites), standardized training and certification approaches, a national technical assistance center, shared program materials and marketing resources, and formal quality assurance and fidelity protocols.

What is the total amount of funding available and how many awards were expected?

The estimated total funding was $3.2 million, with an expectation of 16 awards.

What is the award size range for individual grants?

Individual awards ranged from a minimum of $50,000 to a maximum of $200,000.

Is cost sharing or matching required?

Yes. The opportunity required cost sharing or matching.

How long is the project period?

The announcement describes this as a one-year supplemental funding opportunity.

When was the opportunity posted and when did it close?

The announcement was posted on June 18, 2009, and closed on July 17, 2009. It was archived on August 16, 2009.

What role did Stanford CDSMP play in the larger initiative?

The Stanford Chronic Disease Self-Management Program (CDSMP) is described as a leading model used to build national capacity for evidence-based prevention and is the minimum required model that supplemental applicants must propose to continue implementing.

Which federal and philanthropic partners were involved in the broader initiative context?

The broader effort referenced AoA working with major HHS science and service agencies including CDC, AHRQ, HRSA, NIA, CMS, and SAMHSA, along with numerous private foundations, to expand adoption of evidence-based prevention programs.

What is the overarching goal of this program approach?

The overarching goal is to translate proven research into routine community practice for older adults, at scale, while preserving the essential components (fidelity) that drive program effectiveness.

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