Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Educati

The overall purpose of this funding opportunity is to help ensure that evidence-based self-management education programs are embedded into the nation s health and long-term services and supports systems.

This effort will help preserve and expand the prevention program distribution and delivery
systems that were developed through previous AoA grants.

This funding is supportive of the HHS Strategic Framework on Multiple Chronic Conditions in bringing to scale and enhancing sustainability of evidence-based, self-management programs.

It also helps to address the Healthy People 2020 objectives to increase the proportion of older adults with one or more chronic health conditions who report confidence in managing their conditions and to increase the proportion of older adults who receive Medicare benefits for Diabetes Self-Management Training.

There are three components of this funding including: 1) state cooperative agreements; 2) a National Resource Center cooperative agreement; and 3) a contract for Technical Assistance on Chronic Disease Self-Management Education Initiatives and Building Business Acumen and Capacity in the Aging Network.

The state cooperative agreements are designed to achieve the following two major objectives:
1.Significantly increase the number of older and/or disabled adults with chronic conditions who complete evidence-based chronic disease self-management education (CDSME) programs to maintain or improve their health status.
2.Strengthen and expand integrated, sustainable service systems within States to provide evidence-based CDSME programs.

The National Resource Center has two objectives: 1.

Provide leadership, expert guidance and resources to promote the value of and increase access to evidence-based self-management programs; and
2.

Serve as a national clearinghouse and disseminate resources and best practices to increase the capacity of states, aging, disability and public health networks and their partners to implement and sustain CDSME programs.
The contract for technical assistance on business acumen will provide an expert to assist, at ACL s request or permission, states and groups or networks of area agencies on aging and other community based organizations (CBOs) to build their business acumen and capacity to partner or contract with health care entities (e.g., hospitals, health systems, accountable care organizations, managed/integrated care plans, Federally Qualified Health Centers, etc.) to ensure the financial sustainability of chronic disease self-management education and other evidence-based health programs.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - None.

U. S. Department of Health and Human Services
Administration for Community Living
Washington, DC 20201
Attn: Michele Boutaugh
email: michele.boutaugh@acl.hhs.gov.
Website Address

http://www.acl.gov



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

1.

The use of these funds is to support state and Resource Center efforts to deploy evidence-based self-management education programs that empower older and/or disabled adults with chronic conditions to maintain and improve their health.

State grant funds may be used to 1) implement or continue evidence-based CDSME programs, and 2) develop an integrated, sustainable service system that can be used to systematically deliver evidence-based CDSME programs, including an effective State-level aging and public health leadership, partnerships to embed CDSME programs into ongoing delivery systems, a delivery infrastructure/ capacity to provide programs throughout the State, centralized or coordinated processes for recruitment, intake, referral, registration/ enrollment, a quality assurance program and ongoing data systems and procedures, and business planning and financial sustainability activities.

Funds may also be used for travel at a national grantee meeting and to meet all training, licensing, fees or other requirements, associated with the selected CDSME program to ensure compliance with all the requirements stipulated by the authorizing entity.

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, and Pre-award costs.

Eligibility Requirements

Applicant Eligibility

•Eligible applicants for the state cooperative agreements included State Units on Aging and State Public Health departments in all U.S.

states and territories; however, priority consideration was given to:
•The State Units on Aging and State Public Health departments within the 48 U.S.

states and territories that previously received and successfully completed either an AoA Evidence-Based Disease and Disability Prevention Grant or a Recovery Act Communities Putting Prevention to Work CDSMP grant.


•Among the 47 Recovery Act CDSMP grantees, agencies that successfully reached their CDSMP completer target goal by 3/30/12.
•Agencies that have made substantial progress towards developing sustainable financing strategies to continue to offer CDSME programs beyond the grant period.
•Eligible applicants for the National Resource Center are public or private non-profit organizations with substantial demonstrated successful experience and expertise in providing leadership at the national level to state units on aging, state public health departments, area agencies on aging, and other local aging, disability, public health and community-based organizations related to the implementation and sustaining of chronic disease self-management education programs and other evidence-based programs targeted to older adults and adults with disabilities.
•The technical assistance expert must have the following minimum qualifications: be a certified/registered health care practitioner (e.g., M.D., R.N, Pharm.D.) with at least 5 years experience working in a management role within the health care field; have knowledge and expertise in the aging services network, program development and business processes, opportunities afforded to the network through the Affordable Care Act, managed health care, Medicare and Medicaid, CMS reimbursement policy, and Federally Qualified Health Center operations.

Beneficiary Eligibility

The ultimate beneficiaries of this funding opportunity are older and disabled adults with chronic conditions residing with the States and Territories. Applicants must identify and select a specific targeted population(s) including at least one low-income, minority, rural, limited English speaking or other underserved older and/or disabled group.

Credentials/Documentation

The application must include a letter of support from the State s Governor, and letter of commitment from the co-lead State Unit on Aging (SUA) or State Public Health (SPH) department. The SUA/ SPH letter of commitment should describe the department s commitment to substantive contributions in the planning and implementation of the project. The OMB Circular No. A-87 applies to this program. OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

Only one application will be accepted from each state or territory and a letter of support from the Governor and letter of commitment from the co-lead State agency must be included with the application.

Applications must include a description of existing partnerships including those with agencies that have multiple delivery sites, the involvement of the Aging Network (area agencies on aging, Aging and Disability Resource Centers, senior centers and other provider agencies) and other local agencies, existing partnerships and statewide systems that provide community-based services and supports to older and/or disabled adults, and how this effort will be coordinated and/or integrated with existing CDSME program licensed organizations and other community-based prevention programs being delivered to older and disabled adults in the State.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

OMB Circular No. A-102 applies to this program. This program is excluded from coverage under OMB Circular No. A-110. Grant applications for Federal assistance (Nonconstruction programs) are in accordance with program announcements developed by the Administration for Community Living. Application materials will be published on the Grants.gov website (http://www.grants.gov ) or the ACL website (www.acl.gov). ACL requires applications for all announcements to be submitted electronically through www.grants.gov.

Award Procedures

Notification of Award will be issued to the grantee.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Title IV, Section 4002 of the Affordable Care Act (Prevention and Public Health Fund).

Range of Approval/Disapproval Time

From 60 to 90 days. Please consult www.ACL.gov for future Program Announcements.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

Cooperative agreements will be made for a 3 year period, depending upon funding availability. Grant extensions are available and may be requested from the grantee s Project Officer. The method of awarding/ releasing assistance is by letter of credit. Method of awarding/releasing assistance: by letter of credit.

Post Assistance Requirements

Reports

Grantees will be expected to report on the numbers of workshops, sites, participants and completers.

Effective March 1, 2011,ACL requires the submission of the SF-425 (Federal Financial Report).

The reporting cycle will be reflected in the Notice of Award.

The ACL program progress report is due semi-annually from the start date of the award and is due within 30 days of the reporting period end date.

The final progress report and SF-425 reports are due 90 days after the end of the project period.

The suggested content and format for these reports will be available to grantees post award administration.

Grantees are required to complete the federal cash transactions portion of the SF-425 within the Payment Managements System as identified in their award documents for the calendar quarters ending 3/31, 6/30, 9/30, and 12/31 through the life of their award.

In addition, the fully completed SF-425 will be required as denoted in the Notice of Award terms and conditions.

Grantees are also expected to comply with the semi-annual reporting requirements related to the Prevention and Public Health Fund.

Grantees are required to complete the federal cash transactions portion of the SF-425 within the Payment Managements System.

Semi-annual progress reports will be required.

The PPHF requires quarterly reporting on cash expenditures.

Grantees will be expected to develop a quality assurance plan including performance indicators and a process for ongoing performance monitoring.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

Records must be maintained for 3 years after submission of the final financial report.

Financial Information

Account Identification

75-0142-0-1-506.

Obigations

(Salaries) FY 12 $9,585,320; FY 13 est $6,833,404; and FY 14 est $10,000,000 - $200,000 - $575,000 per year for state grants
$790,000 - $1M for Resource Center
$100,000 for technical assistance contract - Task Order Through GSA MOBIS - SIN 874-1 - Fixed Price.

Range and Average of Financial Assistance

$200,000 - $575,000 per year for state grants
$790,000 - $1M for Resource Center
$100,000 for technical assistance contract.

Regulations, Guidelines, and Literature

All grantees must comply with all requirements specified for grants funded through the Prevention and Public Health fund. Grantees also must comply with polices outlined in HHS Grants Policy Statement located at http://www.hhs.gov/asfr/ogapa/grantinformation/hhsgps107.pdf

Information Contacts

Regional or Local Office

None. U.S. Department of Health and Human Services
Administration for Community Living
Washington, DC 20201
Attn: Michele Boutaugh
email: michele.boutaugh@acl.hhs.gov.

Headquarters Office

Michele Boutaugh U.S. Department of Health and Human Services
Administration for Community Living
One Massachusetts Avenue, NW, Washington, District of Columbia 20201 Email: Michele.Boutaugh@acl.hhs.gov Phone: 404-562-7578

Criteria for Selecting Proposals

Cooperative agreements will be awarded on a competitive basis. Specific details for evaluating applications are published as part of the program announcement. Major emphases are: 1) documented need, 2) expected reach , outcomes and impact , 3) organizational capacity, 4) coordination and partnerships, and 5) level of integration with the state s long term supports and services and health systems.



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