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

The Alzheimer’s Disease Programs Initiative (ADPI) – Dementia Capability in Indian Country cooperative agreement seeks to strengthen home and community-based service systems in federally recognized tribal communities by building dementia-capable infrastructure that supports elders with dementia and their caregivers. This three-year initiative, running from August 15, 2026, to August 14, 2029, will provide funding to eligible tribal entities through two distinct application pathways: Option A for organizations previously funded under ADPI to expand upon existing efforts, and Option B for new applicants aiming to integrate dementia-specific services into existing HCBS systems. Applicants must demonstrate tribal leadership support and the legal authority to implement proposed activities. A total of $6 million is available across seven awards, with each grantee receiving between $250,000 and $300,000 annually, for a projected total of $2 million per budget period. The program mandates a minimum 10% cost share, restricted to cash or in-kind contributions from partners or third parties; program income cannot be used for match. At least 25% of Year 1, 35% of Year 2, and 45% of Year 3 funding must be allocated to direct services such as respite care, home health aides, and companion services. All funded projects must implement at least one ACL-approved dementia-specific, evidence-based or evidence-informed intervention and include a robust third-party evaluation plan with measurable outcomes tied to quality of life improvements for individuals and caregivers. Applicants are required to comply with the Uniform Administrative Requirements, Cost Principles, and Audit Requirements outlined in 2 CFR 200, as well as the HHS Grants Policy Statement, including Appendix D, which incorporates federal administrative and national policy requirements. Submissions must be made via Grants.gov using standard forms including SF-424, SF-424A, SF-424B, and the Lobbying Certification Form, and must include a Tribal Resolution authorizing the application, proof of nonprofit status if applicable, an indirect cost agreement, organizational chart, resumes or job descriptions for key personnel, a detailed work plan, and a comprehensive evaluation plan. All applications must be formatted in Times New Roman or Arial 11-point font, double-spaced, with 1-inch margins and page numbers, and the project narrative is limited to 20 pages; supplementary documents like work plans and letters of commitment do not count against this limit. A stringent selection process includes an