Instructions for Preparing Competitive Grant Applications For the Aging Services Network




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OMB Approval No. 0985-0018

Instructions for Preparing

Competitive Grant Applications

For the Aging Services Network

Integrated Care Management

Grants Program


U.S. Administration on Aging

2004







Table of Contents





OVERVIEW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34



FULL TEXT OF ANNOUNCEMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8




I. FUNDING OPPORTUNITY DESCRIPTION. . . . . . . . . . . . … . . . . . . . . . . . . . . ..8


  1. Background

  1. Summary

  2. Statutory Authority

  3. Priority Target Populations

  1. Program Description

  2. Priority Areas for Grants

  1. Existing Practices

  2. Program Enhancements

  3. New Models or Approaches





II. AWARD INFORMATION. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 10


1. Award Type

    1. Project Funding, Duration and Match



III. ELIGIBILITY INFORMATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11


    1. Eligible Applicants

    2. Cost Sharing or Matching

    3. Other

A. DUNS Number

  1. Application Screening Criteria


IV. APPLICATION AND SUBMISSION INFORMATION. . …. . . . . . . . . . . . . . . . . 13


  1. Address to Request Application Package

  2. Content and Form of Application Submission

A. Project Narrative

i. Summary/Abstract

ii. Problem Statement

iii. Project Goal(s) and Objectives









iv. Proposed Intervention

v. Special Target Populations and Organizations

vi. Outcomes

vii. Program Management

viii. Evaluation Plan

ix. Dissemination

x. Work Plan

xi. Organizational Capability Statement and Vitae for Key Personnel

xii. Letters of Commitment from Key Partners





B. Required Project Narrative Format and Length










C. Instructions for Completing Standard Forms






i. Standard Form 424

        1. Standard Form A – Budget Information Non-Construction Programs

        2. Standard Form 424B - Assurances

        3. AoA Certification

v. Other Application Components

  1. Survey on Ensuring Equal Opportunity for Applicants

  2. Proof of Non-profit Status

c. Indirect Cost Agreement



    1. Submission Dates and Times

    2. Intergovernmental Review

    3. Funding Restrictions

    4. Other Submission Requirements





V. APPLICATION REVIEW INFORMATION . . . . . . . . . …………………. . . . . . . 27



    1. Criteria

    2. Review and Selection Process




VI. AWARD ADMINISTRATION INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . 29

1. Award Notices


2. Administrative and National Policy Requirements

3. Reporting



VII. AGENCY CONTACTS .. …. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . 29

VIII. OTHER INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31


  1. Order of Application Elements

  2. Paperwork Reduction Act Statement








ATTACHMENTS (These attachments are required for all announcements)

A: Grant Application Packet Checklist

B: Budget Justification – Sample Format with Examples

C: Budget Justification – Sample Format

D: Project Work Plan – Sample Format

E: Summary/Abstract Instructions – with Example

F: “Survey on Ensuring Equal Opportunity for Applicants”




OVERVIEW
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)

Administration on Aging (AoA)

AoA Office – Center for Planning and Policy Development
Program Name: Aging Services Network Integrated Care Management Grants Program
Program Announcement No: AoA-04-08
Announcement Type: New Competitive Grants
CFDA Number: 93.048
Dates: The deadline date for submission of applications is September 10, 2004. To assist AoA in managing the grant review process for this grant program, potential applicants are encouraged to submit a letter (or email) of intent to apply for a grant under the Aging Services Network Integrated Care Management Grants Program. The letter (or email) should identify one of three (3) Priority Areas (Existing Practices; or, Program Enhancements; or, New Models or Approaches) and be mailed (or emailed) not later than 15 days after the publication of this announcement in the Federal Register. Letters (or emails) of intent to apply should be sent to: Don Grantt, U.S. Department of Health and Human Services, Administration on Aging, Washington, D.C. 20201, attn: Donald Grantt or to: donald.grantt@aoa.gov.
Summary. The Administration on Aging (AoA) announced in the Federal Register on August6, 2004 that it will hold a competition for grant awards to support the design, implementation, and dissemination of innovative models and approaches that demonstrate how Community Aging Services Providers (CASPs) and Area Agencies on Aging (AAAs) can either build capacity to adopt capitated financing approaches, or partner with Medicare and/or Medicaid managed care organizations, to improve the delivery of services that maximize the health and quality of life for older persons.
Recognizing that successful models and approaches consistent with the purposes of this program already exist in the Aging Services Network, this program will:


  • Identify and document existing models and approaches that can be replicated by other aging services provider organizations, area agencies on aging and/or Medicare and/or Medicaid managed care organizations (Existing Practices) ,

  • Facilitate further refinements of existing models or approaches that are already in place (Program Enhancements) , or

  • Support the design and/or implementation of new models or approaches that support the Aging Services Network’s role in managed care (New Models or Approaches).

Consistent with these objectives, grants will be made in three (3) priority areas:


1. Existing Practices:
The grantee will develop detailed replication materials for an existing successful model or approach that is consistent with the purposes of this program. Information must include a systematic, in-depth description of the promising practice, as well as all applicable resource requirements for planning and implementation. The descriptive materials may include tool kits, how-to manuals, protocols, business plans, and other information. Documentation of the evaluation methodology that was previously used to assess the impact of the model or approach on the health and well-being of older people and the health and long term care system, and the outcomes documented through that evaluation methodology, should be included as part of the proposed project.) Examples of possible projects in this category include but are not limited to: a nutrition provider performing nutritional risk assessments and dietary counseling for a Medicaid long term care managed care program; a senior center providing a chronic disease management program for enrollees of a Medicare and/or Medicaid managed care plan; an AAA that has a formal arrangement with local Medicare and/or Medicaid managed care plans to communicate with them about high risk hospital discharges as part of a community-wide outreach and coordination strategy.
2. Program Enhancements
The grantee will propose to build-upon and expand an existing model or approach in a way that broadens its scope and/or effectiveness and/or gather data to assess its effectiveness. Proposals submitted under this category must include a detailed description of the current model or approach and the methodology that has been used to assess the impact of the model or approach on the health and well being of older people and the health and long term care system, and the documented outcomes of the evaluation. The proposal must include a detailed description of the enhancement and its potential impact on clients and systems, a formative evaluation process to support continuous quality improvement, and a method for tracking the program start-up and operating costs of the enhancement (for program replication use). Examples of possible projects in this category include but are not limited to: A multi-service agency has been working with a pharmacist to review medications and provider education on medication management and the agency wants to further study the program to provide a cost/benefit analysis and determine a capitation rate in order to market the service to a Medicare and/or Medicaid managed care organization.
3. New Models or Approaches:
The grantee will propose to design and/or implement a new project consistent with the purposes of this program. These projects must involve one or more of the following features:


  • New organizational arrangements/structures to provide enhanced geographic access and/or expand or improve the scope of services and programs provided under managed care arrangements.

  • New managed care models for a community that maximizes use of resources and involvement of the Aging Services Network.

  • Relationships with local Aging and Disability Resource Centers (ADRCs) projects to improve access to services, including services provided under managed care arrangements.

  • Other innovations consistent with the purposes of this program.

Projects involving new models or approaches are encouraged to produce a formal business plan as part of their project activities, or have one already developed, that could be used to operationalize the model project or approach and which, with appropriate modifications and edits, could be used as a technical assistance document by other CASPs, AAAs or managed care organizations to replicate the project. Examples of possible projects under this category include but are not limited to: A community aging services provider has been successful at securing fee-for-service contracts in one location and wants to expand its geographic reach and be in a stronger position to contract with a Medicare and/or Medicaid managed care plan by developing a network arrangement with other service providers; an Aging and Disability Resource Center wants to expand the capability of its client assessment unit to include providing health risk assessments to Medicare managed care plans.



Regardless of the priority area selected:


  • If a project does not involve a partnership with a Medicare and/or Medicaid managed care organization, the project must involve the application of capitated financing arrangements to aging services.




  • The materials and information generated by the projects must potentially be of significant and practical value to substantial numbers of other CASP organizations, Area Agencies on Aging, and, as appropriate, to Medicare and Medicaid managed care organizations that might have an interest in replicating the model or approach.




  • The proposal must document or develop innovative programs or approaches that are not thoroughly described in published sources.


Statutory Authority. The statutory authority for the grant award for the Aging Services Network Integrated Care Management Grants Program is contained in Title IV of the Older Americans Act, (42 U.S.C. 3001et set.) as amended by the Older Americans Act of 2000 (P.L. 106-501).
Project Funding, Duration and Match. AoA plans to fund up to twenty (20) projects varying in size up to a total $50,000 each. The approximate amount of federal funds available for these projects is $600,000 and the project period will be one year. More projects may be funded if additional funds become available. AoA plans to award at least one project in each of the three (3) priority areas (assuming that acceptable applications are submitted in each of these areas). Grantees are required to cover at least 25% of the total program costs from non-federal cash or in-kind resources. AoA does not have a separate source of funds to cover project overhead or indirect costs (the amount awarded for the project is the full amount of federal funds that will be made available for these projects).
Eligible Applicants. Eligible applicants are Community Aging Service Providers (CASPs) and Area Agencies on Aging (AAAs). A CASP is defined as a not-for-profit community-based organization that currently receives funding under the Older Americans Act and has a history and mission focused on the provision of home and community-based social services, primarily for older people. An AAA is an organization officially designated as an AAA by a State Unit on Aging under the provisions of the Older Americans Act. Faith-based organizations and Tribal organizations that fit this definition of a CASP or AAA are encouraged to apply. An AAA can only apply as an AAA. No organization or agency may seek more than one grant under this competition.
Priority Target Populations and Organizations. Persons benefiting from the project should be elderly individuals, including those at substantial risk of disease or disabilities that will lead to, or increase the need for, health and long term care. Applicants must include persons targeted for priority service in the Older Americans Act, including limited-English speaking populations, those in greatest social or economic need, and rural or medically underserved populations, as part of the target population for their proposed intervention.
For Further Information. Contact: Don Grantt, U.S. Department of Health and Human Services, Administration on Aging, Washington, DC 20201, telephone: (202) 357-3447, e-mail: Donald.Grantt@aoa.gov .


FULL TEXT OF ANNOUNCEMENT


  1. FUNDING OPPORTUNITY DESCRIPTION




        1. Background


A. Summary
The Administration on Aging (AoA) announced in the Federal Register on [August 6, 2004 that it will hold a competition for grant awards to support the design, implementation, and dissemination of innovative models and approaches that demonstrate how Community Aging Services Providers (CASPs) and Area Agencies on Aging (AAAs) can either build capacity to adopt capitated financing approaches, or partner with Medicare and/or Medicaid managed care organizations, to improve the delivery of services that maximize the health and quality of life for older persons. The innovations funded under this grants program should enhance the integration of health and social services and generate new knowledge and information that will help position the Aging Services Network in the evolving health and long term care environment.

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