Alzheimer's Disease Programs Initiative - Dementia Capability in Indian Country

The Alzheimer’s Disease Programs Initiative (ADPI) – Dementia Capability in Indian Country, administered by the U.S. Department of Health and Human Services (HHS) Administration for Community Living (ACL) and the Administration on Aging (AoA), is a federal funding opportunity that aims to strengthen and expand dementia-capable home and community-based services (HCBS) in Indian Country. This grant program is specifically intended for federally recognized tribes, tribal organizations, and consortiums representing such tribes. The overarching goal is to support the development and enhancement of systems capable of delivering culturally competent, person-centered services to individuals living with Alzheimer’s disease and related dementias (ADRD), along with their caregivers, in tribal communities. Funded projects will be structured around a three-year cooperative agreement. Applicants may choose between two tracks: Option A is for tribes and tribal entities new to the ADPI program, while Option B is for those with previous ADPI funding who seek to build on their existing efforts. Regardless of the option, all proposals must demonstrate new or expanded activities. The program does not allow funding to maintain current services or replace existing funding sources. Required elements include implementing at least one dementia-specific evidence-based or evidence-informed intervention, completing annual Dementia Capability Assessments with the National Alzheimer’s and Dementia Resource Center (NADRC), and conducting a robust third-party evaluation. Direct service delivery is also mandated, with increasing budget allocations over the three years: 25% in year one, 35% in year two, and 45% in year three. Eligible applicants must be entities that are currently responsible for providing home and community-based services in tribal settings and must submit signed tribal resolutions or consortium authorization letters. All grantees are expected to complete a planning phase of no less than six months, during which only 15% of Year 1 funds may be used. The remainder of the funding becomes accessible upon ACL’s approval of the final work and evaluation plans. Throughout the grant lifecycle, progress toward annual project milestones will be used to determine continued funding eligibility. Applicants must submit their application through Grants.gov, with a due date of August 25, 2025. Letters of Intent, while not mandatory, are encouraged and are requested by August 9, 2025. An informational call will be held on July 9, 2025, and a recording will be available through August 8, 2025. Applications must adhere strictly to formatting and length guidelines, including a 20-page limit on the narrative, and must include all specified attachments such as work and evaluation plans, third-party evaluator letters, and letters of commitment from partner organizations. Applications not meeting responsiveness or screening criteria will not be reviewed. The anticipated total funding available under this opportunity is $2,000,000, with an expected seven awards. Option A awards will range between $200,000 and $250,000 per year, while Option B awards range between $250,000 and $300,000 annually. A 10% non-federal match is required and may be provided as cash or in-kind. Each grantee must engage with ACL staff and technical assistance liaisons, and all deliverables produced with grant funds must remain in the public domain. The evaluation process will score applications based on five criteria: Project Relevance and Need, Approach, Budget, Project Impact, and Organizational Capacity. All interventions must include measurable outcomes related to quality of life, knowledge, stigma reduction, and risk mitigation for both individuals with dementia and their caregivers. All applicants must participate in ACL’s data collection activities and comply with all reporting requirements throughout the award period.

Submit early to avoid Grants.gov delays; adhere to 20-page narrative limit; use ACL templates for plans; include quality-of-life impact outcomes