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Alzheimer's Disease Demonstration Grants To States

Program Descriptions

Program Number



Alzheimer's Disease Demonstration Grants To States


Federal Agency




The Alzheimer's Disease Demonstration Grants to States (ADDGS) program was established under Section 398 of the Public Health Service Act (Public Law 78-410; 42 U.S.C. 280c-3). It was amended by the Home Health Care and Alzheimer's Disease Amendments of 1990 (Public Law 101-557) and by the Health Professions Education Partnerships Act of 1998 (Public Law 105-392).






To assist States in creating a system of dementia care for persons with Alzheimer's disease and their families, by carrying out demonstration projects for planning, establishing, and operating programs to: (1) Create models of assistance for persons with Alzheimer's disease and their families; and (2) to improve the responsiveness of the existing home and community based care system to persons with Alzheimer's disease and related disorders and their families by linking programs to other state system change efforts, including state programs to streamline consumer access to services and family caregiver support programs.


Types of Assistance

Project Grants.


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.


Application and Award Process

Preapplication Coordination

This program is excluded from coverage under E.O. 12372.

Application Procedure

Grant Application for Federal Assistance (Nonconstruction Programs) are in accordance with program announcements developed by the Administration on Aging (AoA) and will be published in when funding is available. As specified in the program announcement, application forms and instructions may be obtained by writing to the US Department of Health and Human Services, Administration on Aging, Grants Management Office, Washington, DC 20201.

Award Procedure

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


As specified in guidelines published in the Program Announcement and on

Range of Approval/Disapproval Time

Approximately 90 days from closing date or receipt of application.





Assistance Considerations

Formula and Matching Requirements

Matching requirements are as follows: first year of the award, 25 percent nonfederal matching requirement; second year, 35 percent nonfederal; and third and subsequent years, 45 percent nonfederal. The nonfederal contribution may be in the form of cash or in-kind contributions, including plant, equipment, or services.

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


Post Assistance Requirements


Financial status reports are required annually, program progress reports are required semi-annually, and final reports are due at the end of the full project period.


In accordance with the provisions of OMB Circular No. A-133, (Revised, June 24, 1997), "Audits of State and Local Governments, and Nonprofit 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 OMB Circular No. A-133.


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


Financial Information

Account Identification



(Grants) FY 07 $11,668,000; FY 08 $10,996,505; and FY 09 est not available.

Range and Average of Financial Assistance

$100,000 to $300,000; $270,144.


Program Accomplishments

Program evaluation includes analysis of seven years of longitudinal program data and ongoing project evaluation. During the first ten years of program implementation, over 15,000 client families have received direct services (such as adult day care, respite, personal care, home health care, and companion care) and approximately 1 million units of outreach, including educational seminars and workshops have been provided to family caregivers, community service providers, and volunteers. Nearly 50 percent of the clients served are minorities and 48 percent of those receiving services reside in rural areas.


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

Administration on Aging, Department of Health and Human Services, located at all HHS Federal Regional Offices. (See Appendix IV of the Catalog for listings.)

Headquarters Office

Lori Stalbaum, Center for Wellness and Community-Based Services, Department of Health and Human Services, Administration on Aging, Washington, DC 20201; Telephone: (202) 357-3452 or (202) 401-4634. Use the latter number for FTS. E-mail:

Web Site Address

For more information about current funding opportunities and associated application forms visit -


Related Programs



Examples of Funded Projects

A listing of currently funded projects may be obtained by contacting Lori Stalbaum at (202) 357-3452 or by visiting


Criteria for Selecting Proposals

As specified in the program announcement.


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