Alzheimer"s Disease Demonstration Grants to States

To expand the availability of diagnostic and support services for persons with Alzheimer"s Disease and Related Dementias (ADRD), their families, and their caregivers, as well as to improve the responsiveness of the home and community-based care system to persons with dementia.

are three types of ADSSP grants: Evidence-based grants require states to demonstrate how existing evidence-based interventions that help people with ADRD and their family caregivers can be translated into effective supportive service programs at the community level.

Innovation grants require states and their partners to explore innovative approaches to improving the delivery of supportive services at the community-level to people with ADRD and their family caregivers.

Dementia capability grants require states to help ensure that people with dementia and their family caregivers have access to a home and community-based services system that identifies those with dementia, ensures that program staff have appropriate dementia care training, and assures delivery of quality services.

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.

Administration for Community Living, Department of Health and Human Services, located at all HHS Federal Regional Offices.

(See Appendix IV of the Catalog for listings.).
Website Address

Program Accomplishments

Fiscal Year 2012: $2,981,801 among 11 awards was issued in FY12. Fiscal Year 2013: No Current Data Available Fiscal Year 2014: No Current Data Available

Uses and Use Restrictions

(1) Not less than 50 percent of the federal 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; the applicant agency is encouraged to have the support and active involvement of the Single State Agency on Aging.

Only one application per State will be funded, however, multiple state and local agencies are encouraged to collaborate in planning and carrying out the project.

Beneficiary Eligibility

(1) Individuals with Alzheimer"s disease and related disorders; (2) families of those individuals; and (3) care providers of those individuals.


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. Applicable costs and administrative procedures will be determined in accordance with Part 92 of Title 45 of the Code of Federal Regulations. OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.


Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. Grant Application for Federal Assistance (Nonconstruction Programs) are in accordance with program announcements developed by the Administration on Aging (AoA)/Administration for Community Living and will be published in when funding is available.

Award Procedures

After review and approval, notification of award will be issued to the grantee, along with appropriate notification to the public.


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


Sec 398 of the Public Health Service Act (P.L. 78-410; 42 U.S.C. 280c-3.

Range of Approval/Disapproval Time

As specified in guidelines published in the Program Announcement.


Not Applicable.


As outlined in the program announcement.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
Matching Requirements: Percent: 25.%. Match Requirements: 25% match (cash and/or in-kind) during the first year, 35% during the second year, and 45% during the third and subsequent years of the grant period. Waivers to these match requirements are not allowed.
MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Awards are typically 3 years in duration. Length of future awards will be published in the Program Announcement and on Support beyond the first year is contingent upon the availability of funds and evidence of satisfactory progress. Method of awarding/releasing assistance: by letter of credit. Method of awarding/releasing assistance: by letter of credit.

Post Assistance Requirements


As outlined in the program announcement.

Semi-annual progress reports and final reports are required of grantees.

Financial SF-425, Performance monitoring accomplished through site visits, review of progress reports and general interaction between the Federal Program Officer and grantee.

Payment Management System reporting.

See Program Announcement.


Through site visits and reports.


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 must be kept available for 3 years after submission of the final expenditure report.

Financial Information

Account Identification



(Cooperative Agreements) FY 12 $2,981,801; FY 13 est $3,098,502; and FY 14 est $3,098,502

Range and Average of Financial Assistance

12 grants were awarded for a total of $2,981,801 in FY12. The average was $248,482 per award.

Regulations, Guidelines, and Literature

Home Health Care and Alzheimer"s Disease Amendments of 1990 (Public Law 101-557); Health Professions Education Partnerships Act of 1998 (Public Law 105-392).

Information Contacts

Regional or Local Office

None. Administration for Community Living, Department of Health and Human Services, located at all HHS Federal Regional Offices. (See Appendix IV of the Catalog for listings.).

Headquarters Office

Erin Long One Massachusetts Ave., N.W., Washington, District of Columbia 20001 Email: Phone: (202) 357-3448

Criteria for Selecting Proposals

As specified in the program announcement.

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