Cooperative agreements under the Alzheimer's Disease Programs Initiative (ADPI): State and Community Grants Notice of Funding Opportunity (NOFO), are intended to support and promote the development and expansion of dementia-capable home and community-based service (HCBS) systems in States and Communities. There are two application options contained in this single NOFO: Grants to States (Option A) and Grants to Communities (Option B). No entity is eligible to apply for both State and Community options and no entity is eligible to hold more than one ADPI State or Community grant at a time. The dementia-capable systems resulting from program activities under either option are expected to provide quality, strengths-based services and supports that help people living with dementia and their caregivers remain independent and safe in their communities.

OPTION A: Grants to States
Applicants for Option A (36 month cooperative agreements) are the governmental entities within states and territories designated as the state agency for dementia-capability and that have working relationships with their state agencies that enable creating and sustaining a dementia- capable HCBS System. Option A has two required objectives, the first of which is the creation, expansion and sustainability of a dementia-capable state HCBS system that includes Single Entry Point/No Wrong Door (SEP/NWD) access for people living with dementia (PLWD) and their family caregivers. The second objective is to ensure access to a comprehensive, sustainable set of quality state HCBS that are dementia-capable and provide innovative services to PLWD and their caregivers.

States and territories eligible for Option A are those that do not have active ACL ADPI State dementia-capability grants. All states without active grants are eligible to apply, however those states that have not benefited from ADPI/ADI-SSS/ADSSP grants since before 2014 will be given priority consideration in the post-review decision-making process.

OPTION B: Grants to Communities
Cooperative agreements under Option B (36 month cooperative agreements) are available to private and/or public community-based organizations (CBO) that are able to: 1) demonstrate their operation within an existing dementia-capable HCBS system dedicated to the population that they serve; and 2) articulate opportunities and additional services in the targeted gap areas that would expand and strengthen the existing system within which they are currently operating.

Option B cooperative agreements are designed to support existing community-based HCBS providers in expanding the systems within which they currently operate by addressing three specific service gaps in dementia-capable HCBS for people living with Alzheimer's disease and related dementias (ADRD) and their caregivers.

Option B applicants must address each of the following three gap areas:

1) Provision of effective supportive services to persons living alone with ADRD in the community; 2) Improvement of the quality and effectiveness of programs and services dedicated to individuals aging with intellectual and developmental disabilities with ADRD or those at high risk of developing ADRD; and 3) Delivery of behavioral symptom management training and expert consultations for family caregivers.
Community-based organizations are only eligible to hold one ADPI grant at a time. All existing community-based organizations that are dementia-capable home and community-based service providers, without active ADPI grants, are eligible to apply. Eligible HCBS providers that have not benefited from ADI-SSS and ADPI grant programs since before 2014 will be given priority consideration in the post-review decision-making process.

Government

• Public and Indian housing authorities
• State governments
• County governments
• City or township governments
• Federally recognized Native American tribal governments
• Special district governments

Education

• Private institutions of higher education
• Independent school districts
• Public and state institutions of higher education

Nonprofit

• Nonprofits non-higher education with 501(c)(3)
• Nonprofits non-higher education without 501(c)(3)
• Other Native American tribal organizations