A Demonstration to Scale Innovative Person-Centered Approaches to Falls Prevention through Clinical-Community Partnerships

The Administration for Community Living (ACL) is awarding a single three-year cooperative agreement to support the scaling of person-centered, evidence-based falls prevention approaches through clinical-community partnerships, with an expected funding amount of $4,781,733. The project period runs from September 30, 2026, to September 29, 2029, and the selected grantee will be responsible for administering sub-awards to five Community Care Hubs (CCHs), ensuring at least 75% of total funds are passed through to these sub-awardees. The initiative builds on the ACL Innovation Lab and focuses on implementing and expanding proven interventions such as STEADI and Stepping On, leveraging artificial intelligence, data analytics, assistive technology, and virtual delivery models to enhance screening, care transitions, and behavior support for older adults at risk of falling. The grantee must collaborate closely with ACL to design objective criteria for sub-award competitions, issue sub-awards within 120 days of award, and provide targeted technical assistance coordinated with the National Falls Prevention Resource Center to ensure high-quality implementation across the aging services network, including Area Agencies on Aging and State Units on Aging. The award is governed by the Uniform Administrative Requirements, Cost Principles, and Audit Requirements under 2 CFR 200 and HHS-specific exceptions in 2 CFR 300, along with the HHS Grants Policy Statement, with strict compliance required for federal antidiscrimination laws and FFATA reporting obligations for all subawards over $30,000. Applicants must be nonprofit entities with verified IRS 501(c)(3) status, maintain active SAM.gov and Grants.gov registrations including a Unique Entity Identifier, and submit a comprehensive application package through Grants.gov that includes the SF-424, SF-424A, SF-424B, Key Contacts Form, Lobbying Certification, and Project Performance Site form. The project narrative is limited to 20 pages in 11-point Times New Roman or Arial font with 1-inch margins and double-spacing, supported by a no-page-limit budget narrative and additional required attachments including indirect cost agreements, commitment letters from partners, resumes or job descriptions for key personnel, and proof of nonprofit status. Evaluation is based on a weighted scoring system prioritizing approach (30 points), project impact (25 points), and capabilities/expertise (25 points), with additional funding decisions influenced by geographic equity,