Opportunity Information: Apply for HHS 2021 ACL AOA ADPI 0104
The Alzheimer’s Disease Programs Initiative - Dementia Capability in Indian Country is a discretionary federal funding opportunity from the U.S. Department of Health and Human Services, Administration for Community Living (ACL). Offered as a cooperative agreement, it focuses on strengthening tribal home and community-based services (HCBS) so Native communities can better support people living with Alzheimer’s Disease and Related Dementias (ADRD), along with their families and caregivers. The central aim is to make tribal service systems more dementia-capable, meaning they can recognize dementia-related needs earlier, respond more effectively, and provide practical supports that help people remain safe and supported in their homes and communities.
The program is designed around two main strategies. First, it funds efforts that help tribal systems and programs build dementia capability into their existing service networks. That can include improving how programs identify and respond to dementia, strengthening referral pathways, coordinating care and supportive services, and ensuring staff and partner organizations have the right knowledge and tools. Second, it supports the direct delivery of dementia-capable supportive services, including the use of dementia-specific evidence-based or evidence-informed interventions. In practice, this means grantees are expected to move beyond awareness alone and offer real services and supports tailored to the day-to-day realities of living with ADRD in Native communities.
A major emphasis of the opportunity is cultural competence. Funded tribal entities are expected to improve understanding of ADRD in Indian Country by developing and implementing educational resources that fit local language, values, traditions, and community context. At the same time, projects are expected to deliver culturally competent, dementia-capable direct services to tribal elders and their caregivers. The intent is to close service gaps by offering supports that are both clinically informed and culturally grounded, recognizing that trust, community norms, and local caregiving practices can strongly shape whether services are used and whether they actually help.
Partnerships are a required and practical part of the model. Funded programs are expected to collaborate with relevant community service providers that have expertise serving tribal elders and caregivers. In addition, every project must engage with Older Americans Act Title VI providers, specifically those delivering nutrition services and caregiver support services. This requirement reflects how dementia support often intersects with meal programs, respite, caregiver education, and broader elder supports, and it is meant to help dementia capability become part of the everyday service infrastructure rather than a separate, short-term initiative.
The funding rationale is tied to an identified gap: even though ACL has a long history of Alzheimer’s and dementia programming, only a limited share of those resources has historically been directed toward Indian Country, leaving notable service and support gaps for people with ADRD and their caregivers. This opportunity sets aside funding specifically to meet tribal needs and to build stronger dementia-capable systems in tribal communities. Overall, the program is intended to improve both the quality and effectiveness of care and supportive service programs, while also expanding culturally competent training and consultation for caregivers and providers so they can respond to dementia with greater confidence and skill.
Key administrative details include the opportunity number HHS 2021 ACL AOA ADPI 0104 and a CFDA listing of 93.470. Eligible applicants include federally recognized Native American tribal governments, Native American tribal organizations (other than federally recognized tribal governments), and other eligible entities as further described in the official eligibility clarification. The grant listed an award ceiling of $250,000, with an expectation of making 4 awards. The opportunity was created on May 17, 2021, and originally closed on July 12, 2021.Apply for HHS 2021 ACL AOA ADPI 0104
- The Department of Health and Human Services, Administration for Community Living in the income security and social services sector is offering a public funding opportunity titled "Alzheimer's Disease Programs Initiative - Dementia Capability in Indian Country" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.470.
- This funding opportunity was created on May 17, 2021.
- Applicants must submit their applications by Jul 12, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $250,000.00 in funding.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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