ADRC/No Wrong Door System Funding Opportunity: Critical Relief Funds for COVID-19 Pandemic Response COVID-19 ADRC Emergency Funding Opportunity

Frequently Asked Questions

Updated April 7, 2020

When will the ADRC Emergency Funding Opportunity for $50 million be published? The funding opportunity announcement (FOA) will be posted on or around April 7, 2020, at which time states will be able to apply.

When are funding applications due? State applications in response to the FOA are due by Wednesday, April 15, 2020, 11:59 PM ET.

How many awards does ACL intend to provide? ACL estimates awarding up to 56 awards to states and territories.

Which states or territories are eligible for the ADRC opportunity? All states and territories are eligible to receive funding.

How many applications per state with ACL review? ACL will review one application per state.

Are tribal organizations eligible to apply? Tribal organizations are not eligible to apply. However, states may sub-grant or contract with ADRC designated tribal entities.

ACL COVID-19 Response· Page 2

How was the funding formula determined? ADRCs focus on serving older adults and individuals with disabilities, two populations significantly impacted by COVID-19. As such, funding distribution is based on the number of individuals in the state who are age 60 and older (based on 2018 Census data) and individuals of all ages with disabilities (based on 2017 American Community Survey data). Based on these population estimates, states and territories were sorted into six tiers, each of which will correspond with a different funding level as shown below:

State/Territory Tier Funding Amount Alabama Tier 3 $750,000.00 Alaska Tier 1 $300,000.00 American Samoa Tier 1 $300,000.00 Arizona Tier 4 $1,100,000.00 Arkansas Tier 2 $450,000.00 California Tier 6 $3,000,000.00 Colorado Tier 3 $750,000.00 Connecticut Tier 2 $450,000.00 Delaware Tier 1 $300,000.00 District of Columbia Tier 1 $300,000.00 Florida Tier 6 $3,000,000.00 Georgia Tier 5 $1,700,000.00 Guam Tier 1 $300,000.00 Hawaii Tier 1 $300,000.00 Idaho Tier 1 $300,000.00 Illinois Tier 5 $1,700,000.00 Indiana Tier 4 $1,100,000.00 Iowa Tier 2 $450,000.00 Kansas Tier 2 $450,000.00 Kentucky Tier 3 $750,000.00 Louisiana Tier 3 $750,000.00 Maine Tier 1 $300,000.00 Maryland Tier 3 $750,000.00 Massachusetts Tier 4 $1,100,000.00 Michigan Tier 5 $1,700,000.00 Minnesota Tier 3 $750,000.00 Mississippi Tier 2 $450,000.00 Missouri Tier 4 $1,100,000.00 Montana Tier 1 $300,000.00 Nebraska Tier 1 $300,000.00 Nevada Tier 2 $450,000.00 New Hampshire Tier 1 $300,000.00 New Jersey Tier 4 $1,100,000.00 New Mexico Tier 2 $450,000.00 New York Tier 6 $3,000,000.00

ACL COVID-19 Response· Page 3

State/Territory Tier Funding Amount North Carolina Tier 5 $1,700,000.00 North Dakota Tier 1 $300,000.00 Northern Mariana Islands Tier 1 $300,000.00 Ohio Tier 5 $1,700,000.00 Oklahoma Tier 3 $750,000.00 Oregon Tier 3 $750,000.00 Pennsylvania Tier 6 $3,000,000.00 Puerto Rico Tier 3 $750,000.00 Rhode Island Tier 1 $300,000.00 South Carolina Tier 3 $750,000.00 South Dakota Tier 1 $300,000.00 Tennessee Tier 4 $1,100,000.00 Texas Tier 6 $3,000,000.00 Utah Tier 2 $450,000.00 Vermont Tier 1 $300,000.00 Virginia Tier 4 $1,100,000.00 Virgin Islands Tier 1 $300,000.00 Washington Tier 4 $1,100,000.00 West Virginia Tier 2 $450,000.00 Wisconsin Tier 3 $750,000.00 Wyoming Tier 1 $300,000.00

When should states expect to receive ADRC funding? States may expect to receive funding no later than Thursday, April 30, 2020.

What entity will receive the funding? ACL will review one application per state. States applying for funding will designate a lead state agency that oversees the ADRCs within the state. This lead state agency will receive the funding for disbursement to ADRCs.

How will the state allocate the funding to ADRCs? The lead state agency, which will receive the funding on behalf of the entire state, will have discretion as to how to best distribute the funding to ADRCs throughout the state.

ACL COVID-19 Response· Page 4

What are some examples of how ADRCs could use funds to rapidly address the COVID-19 emergency? Funds may be used to meet a variety of emergency needs in response to the COVID-19 pandemic. For example, states may employ the funds to complete the following activities:

· ADRC rapid assessment of workforce, population and services to help conduct application assistance, assessments, person-centered planning, care coordination, transitional services and follow-up to ensure safety of workforce and continuity of services; assessment of populations most at risk of COVID-19 who are seeking transitional support from hospital-to-home and nursing home-to- home to release additional pressure on hospitals and nursing homes; and assessment of services provided that are at or above capacity and at risk of being stopped due to increased demand of COVID-19 emergency.

· Virtually manage ADRC access functions to continue providing services such as standardized screenings, information and referrals, care transitions follow-up, person-centered counseling, tele-functional and clinical assessments, and virtual care coordination. ADRCs will likely need to invest resources in restructuring many of these services to a virtual format and may face increasing demand for services.

· Deploy targeted care transitions services to populations most at risk for severe cases of COVID-19 who are seeking transitional support either from hospital-to-home or nursing facility-to-home. ADRCs may need to adjust these services to comply with social distancing. These transitions will also help facilities address bed shortages.

· Verify individuals’ needs are met and mitigate social isolation through follow-up calls to individuals who receive information, referral, and assistance services through the ADRC. States may also implement new protocols specifically focusing on combatting social isolation.

Will technical assistance be available to states?

ACL will provide technical assistance to states throughout the grant period. For example, ACL will coordinate webinars and group calls so states may ask questions or share best practices with each other. ACL will disseminate promising practices and resources to grantees via email. Grantees may also reach out to ACL via email or phone to ask specific questions or receive individualized technical assistance.

Where can states go for more information? All questions and TA requests will be managed and responded via email through NoWrongDoor@acl.hhs.gov.

An informational conference call will be held on April 9, 2020 at 2:00pm EST. Conference call details are below. The conference call will be recorded.

Details for Informational Conference Call – Dial in: 763-957-6300; Access Code: 618 248 704

Webinar link: https://optum.webex.com/optum/onstage/g.php?MTID=ebcb57a7fb9cd23ca26da6f1038b764c6