93.046: Special Programs for the Aging: Title III, Part D: In-Home Services for Frail Older Individuals


Popular Name: In-Home Services for Frail Older Individuals

Objectives: To provide grants to States for in-home services to frail older individuals, including in-home supportive services, personal care, and other State-defined services for older individuals who are victims of Alzheimer's disease and related disorders with neurological and organic brain dysfunctions, and to the families of such victims.


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93.046 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: All States and U.S. Territories which have State agencies on aging designated by the Governors.

Beneficiary Eligibility: Individuals age 60 and older, especially older individuals with the greatest social needs and those with the greatest economic needs.

Credentials/Documentation: Costs will be determined in accordance with OMB Circular No. A-87.

93.046 APPLICATION & AWARD PROCESS:

Preapplication Coordination: This program is subject only to the State Plan Consolidation Section of E.O. 12372. State plans are covered under this Section, but Intergovernmental Consultation Review is excluded. This program must be administered in accordance with 45 CFR, Part 92.

Application Procedure: Consult the appropriate Regional Office for State application instructions.

Award Procedure: State agencies approve and award funds to Area Agencies on Aging which they have designated at the substate level.

Deadlines: Deadlines are determined by State agencies on an annual basis, usually 45 days before the beginning of the budget period.

Range of Approval/Disapproval Time: From 30 to 45 days.

Appeals: Appeals are processed in accordance with the HHS regulations in 45 CFR, Part 16.

Renewals: Applications are submitted for a 2-, 3-, or 4-year period and revised as necessary.

Criteria for Selecting Proposals: Non-competitive State grants are awarded upon approval of State Plan.

Examples of Funded Projects: Not applicable.

Range & Average of Financial Assistance: $2,964 to $654,883; $124,122.

93.046 RELATED PROGRAMS:

93.046 PROGRAM ACCOMPLISHMENTS: In fiscal year 1995, State Agencies on Aging, through area agencies on aging provided in-home services to over 100,000 frail older persons. Nearly 74,000 of those persons were low-income.

93.046 FINANCIAL & ADMINISTRATIVE INFO:

Federal Agency: ADMINISTRATION ON AGING, OFFICE OF THE SECRETARY, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance: Formula Grants.

Obligations: (Grants) FY 95 $9,263,000; FY 96 est $9,263,000; and FY 97 est $9,263,000.

Budget Account Number: 75-0142-0-1-506.

Authorization: Older Americans Act of 1965, Parts A and D, Public Law 89-73, as amended, Public Law 100-175; Public Law 100-628, 42 U.S.C. 3012(d); Public Law 102-315.

Regulations, Guidelines, & Literature: 45 CFR 74 and 45 CFR 92.

93.046 INFO CONTACTS:

Regional or Local Office: Regional Administrator, Administration on Aging, Department of Health and Human Services, Regional Office. (See Appendix IV of the Catalog for addresses.)

Headquarters Office: Mr. Edwin L. Walker, Director, Office of State and Community Programs, Administration on Aging, Department of Health and Human Services, Washington, DC 20201. Phone: (202) 619-0011. Use the same number for FTS.

93.046 ASSISTANCE CONSIDERATIONS:

Formula & Matching Requirements: Older Americans Act of 1965, as amended, Section 304(a) and (d). This program is funded on a Federal/State matching basis at a ratio of 85-15. For each fiscal year State resources must provide not less than 25% of the nonfederal share of each State's total Title III expenditures from State or local public resources. The statistical factor used for fund allocation is the population in a state over 60 years and source is the most recent data available to the Assistant Secretary for Aging.

Length & Time Phasing of Assistance: State agencies must obligate funds within the fiscal year for which funds are appropriated.

Uses & Use Restrictions: Funds are awarded to States to carry out a program for providing in-home services to frail older persons. Each State shall develop eligibility criteria which take into account age, greatest economic needs, non-economic factors contributing to frailty, and non-economic and non-health factors contributing to the need for in-home services. A State plan covering 2, 3, or 4 years, with annual revisions as necessary, must be submitted for approval to the Assistant Secretary for Aging.

93.046 POST ASSISTANCE REQUIREMENTS:

Reports: Quarterly SF-269 Expenditure Reports, and Annual Performance Report.

Audits: Audits are conducted in accordance with the requirements in 45 CFR, Parts 74 and 92.

Records: Records must be maintained for 3 years.


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