Opportunity Information: Apply for HHS 2021 ACL AOA CSSG 0018

The 2021 Empowering Communities to Address Behavioral Health and Chronic Pain through Chronic Disease Self-Management Education Programs grant (Funding Opportunity Number HHS-2021-ACL-AOA-CSSG-0018) is a discretionary funding opportunity from the U.S. Department of Health and Human Services, Administration for Community Living (ACL). It uses a cooperative agreement funding instrument, meaning the federal agency typically expects to have an active role in supporting and guiding recipients during the project period rather than simply issuing funds and stepping back. The program sits within the health activity category and is associated with CFDA 93.734. The opportunity was created on December 3, 2020, and the original application closing date was February 2, 2021.

At its core, the grant is designed to help communities strengthen how they respond to behavioral health needs and/or chronic pain among two priority groups: older adults and adults with disabilities. The focus is not just on providing services, but on building a coordinated community approach that can show results and last beyond the grant. The program emphasizes practical, evidence-based self-management education and self-management support models that help people build skills to manage ongoing conditions in everyday life, including symptom management, communication with providers, medication and treatment adherence, goal setting, and maintaining function and quality of life.

The opportunity has two main goals. Goal 1 is about planning and strategy: applicants are expected to form robust partnerships and develop a comprehensive, results-based strategy for addressing behavioral health and/or chronic pain locally. In practice, this points to cross-sector collaboration among organizations that touch the target populations, such as aging services, disability networks, healthcare providers, behavioral health providers, community-based organizations, and potentially payers and other stakeholders. The strategy is expected to be more than a general intention; it should be grounded in community needs and built around measurable outcomes, coordinated referral pathways, and a clear plan for delivering and tracking services.

Goal 2 is about expansion and participation: grantees are expected to significantly increase the number of older adults and adults with disabilities who actually enroll in and complete evidence-based self-management education and/or self-management support programs. The intention is to empower participants to manage chronic conditions more effectively, specifically in the areas of behavioral health and chronic pain, while also improving access and uptake at the community level. A key feature of this goal is sustainability. Applicants are expected to pursue strategies that keep these programs operating after federal funding ends, which often implies planning for ongoing delivery capacity, workforce development (such as training facilitators), referral and recruitment systems, partnerships that embed programs into existing service pipelines, and potential financing or reimbursement approaches where feasible.

Eligibility is broad and includes state, county, city or township governments, special district governments, independent school districts, public and state-controlled institutions of higher education, private institutions of higher education, federally recognized Native American tribal governments, other Native American tribal organizations, public housing authorities/Indian housing authorities, and nonprofit organizations with 501(c)(3) status (other than institutions of higher education). This wide range of eligible applicants reflects the community-based nature of the work and recognizes that effective behavioral health and chronic pain supports often require coordination across multiple local systems.

In terms of scale, the award ceiling listed is $300,000, and ACL expected to make about eight awards under this announcement. Overall, the grant is best understood as a community capacity-building and service expansion initiative: it supports the creation of a coordinated local strategy and the measurable growth of evidence-based self-management offerings for older adults and adults with disabilities, with an explicit expectation that grantees plan early for how the work will continue after the grant period ends.

  • The Department of Health and Human Services, Administration for Community Living in the health sector is offering a public funding opportunity titled "2021 Empowering Communities to Address Behavioral Health and Chronic Pain through Chronic Disease Self-Management Education Programs" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.734.
  • This funding opportunity was created on Dec 03, 2020.
  • Applicants must submit their applications by Feb 02, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $300,000.00 in funding.
  • The number of recipients for this funding is limited to 8 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education.
Apply for HHS 2021 ACL AOA CSSG 0018

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Frequently Asked Questions (FAQs)

What is the name of this grant opportunity?

The opportunity is titled 2021 Empowering Communities to Address Behavioral Health and Chronic Pain through Chronic Disease Self-Management Education Programs.

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is HHS-2021-ACL-AOA-CSSG-0018.

Which federal agency is offering this grant?

This is a discretionary funding opportunity from the U.S. Department of Health and Human Services (HHS), specifically the Administration for Community Living (ACL).

What type of funding instrument is used?

The grant uses a cooperative agreement, which generally means ACL typically expects to have an active role in supporting and guiding recipients during the project period (rather than only issuing funds with minimal involvement).

What is the CFDA number associated with this opportunity?

The opportunity is associated with CFDA 93.734.

What activity category does this program fall under?

The program sits within the health activity category.

When was this opportunity created and when did it close?

The opportunity was created on December 3, 2020, and the original application closing date was February 2, 2021.

What is the main purpose of the grant?

The grant is designed to help communities strengthen how they respond to behavioral health needs and/or chronic pain by expanding practical, evidence-based self-management education and self-management support and building a coordinated community approach that can show results and last beyond the grant period.

Who are the priority populations for this grant?

The two priority groups are older adults and adults with disabilities.

What topics or conditions does the grant focus on?

The focus is on supporting communities in addressing behavioral health and/or chronic pain among the priority populations through evidence-based self-management education and support approaches.

What kinds of skills are emphasized in the self-management approach?

The opportunity emphasizes practical skills that help people manage ongoing conditions in everyday life, including:

  • Symptom management
  • Communication with providers
  • Medication and treatment adherence
  • Goal setting
  • Maintaining function and quality of life

What are the two main goals of the grant?

The opportunity has two main goals:

  1. Goal 1 (Planning and strategy): Build robust partnerships and develop a comprehensive, results-based community strategy to address behavioral health and/or chronic pain.
  2. Goal 2 (Expansion and participation): Significantly increase enrollment and completion of evidence-based self-management education and/or self-management support programs among older adults and adults with disabilities.

What does Goal 1 require applicants to do?

Goal 1 emphasizes creating strong partnerships and developing a comprehensive, measurable strategy. Based on the description provided, this points to cross-sector collaboration and planning that is grounded in community needs and built around measurable outcomes, coordinated referral pathways, and a clear plan for delivering and tracking services.

What types of partners are relevant to the community strategy?

The opportunity describes cross-sector collaboration among organizations that touch the target populations, such as:

  • Aging services organizations
  • Disability networks
  • Healthcare providers
  • Behavioral health providers
  • Community-based organizations
  • Potentially payers and other stakeholders

What does Goal 2 require grantees to do?

Goal 2 focuses on increasing the number of older adults and adults with disabilities who enroll in and complete evidence-based self-management education and/or self-management support programs, with the intention of improving participants' ability to manage chronic conditions related to behavioral health and chronic pain while improving access and uptake community-wide.

Does the opportunity emphasize sustainability after the grant ends?

Yes. Sustainability is described as a key feature of the opportunity. Applicants are expected to pursue strategies that allow programs to continue operating after federal funding ends.

What sustainability approaches are mentioned in the opportunity description?

The description highlights examples that often imply sustainability planning, including:

  • Building ongoing delivery capacity
  • Workforce development (such as training facilitators)
  • Developing referral and recruitment systems
  • Creating partnerships that embed programs into existing service pipelines
  • Exploring financing or reimbursement approaches where feasible

Who is eligible to apply?

Eligibility is broad and includes:

  • State governments
  • County governments
  • City or township governments
  • Special district governments
  • Independent school districts
  • Public and state-controlled institutions of higher education
  • Private institutions of higher education
  • Federally recognized Native American tribal governments
  • Other Native American tribal organizations
  • Public housing authorities/Indian housing authorities
  • Nonprofit organizations with 501(c)(3) status (other than institutions of higher education)

Why is eligibility so broad for this grant?

The description explains that the wide eligibility reflects the community-based nature of the work and recognizes that effective behavioral health and chronic pain supports often require coordination across multiple local systems.

What is the maximum award amount (award ceiling)?

The listed award ceiling is $300,000.

How many awards were expected to be made?

ACL expected to make about eight awards under this announcement.

Is this grant primarily for direct services or for building community capacity?

Based on the description, it is best understood as a community capacity-building and service expansion initiative. It supports creating a coordinated local strategy and measurably expanding evidence-based self-management offerings for the priority populations, with an explicit expectation to plan early for continuation beyond the grant period.

What does "evidence-based" mean in the context of this opportunity?

The opportunity emphasizes evidence-based self-management education and evidence-based self-management support models. The description does not list specific program names, but it indicates that supported models should be grounded in evidence and focused on practical self-management skills and measurable results.

What outcomes or performance expectations are implied?

The opportunity calls for a results-based strategy with measurable outcomes, coordinated referral pathways, and a plan for delivering and tracking services. It also expects a significant increase in the number of people who enroll in and complete the evidence-based programs.

Does the grant require coordination of referrals?

The description indicates that the community strategy should include coordinated referral pathways to connect older adults and adults with disabilities to the self-management education and/or support programs.

What is the overall summary of what this grant supports?

Overall, the grant supports a coordinated community approach that (1) builds partnerships and a measurable strategy to address behavioral health and/or chronic pain, and (2) expands participation and completion in evidence-based self-management education and support programs for older adults and adults with disabilities, with sustainability planning built in from the start.

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