Opportunity Information: Apply for RFA AG 20 038
The Dementia Care: Home- and Community-Based Services (HCBS) (R21 Clinical Trial Not Allowed) funding opportunity (RFA-AG-20-038) is a National Institutes of Health (NIH), Department of Health and Human Services grant announcement focused on improving how researchers and service systems understand, measure, and document care delivered to people living with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) in home and community settings. The central purpose is to support studies that examine real-world outcomes of care by mapping which HCBS supports are actually being used, identifying gaps and unmet needs, and clarifying the practical barriers that prevent individuals and families from accessing appropriate services. A key emphasis is on strengthening the evidence base around what services people receive outside institutional settings and what those services mean for patient and caregiver outcomes.
This FOA specifically encourages projects that create or substantially improve measurement tools in this area. That includes developing new instruments that more accurately capture the type, intensity, timing, quality, and coordination of HCBS used by people with AD/ADRD, as well as tools that better measure barriers to access and unmet service needs. In addition to new instruments, the FOA highlights the importance of improving data quality and data access, reflecting an interest in better methods for collecting, validating, linking, or harmonizing data relevant to dementia care in the community. In practice, competitive projects would likely focus on clearer definitions, more reliable metrics, and stronger data infrastructure so that researchers, policymakers, and providers can make more confident comparisons across programs, communities, and populations.
The mechanism is an NIH R21, which is typically designed for exploratory and developmental research rather than large-scale definitive studies. The announcement also states "Clinical Trial Not Allowed," meaning the proposed work cannot include an NIH-defined clinical trial (for example, prospectively assigning people to an intervention to evaluate effects on health-related outcomes). Applicants can still conduct observational research, secondary data analyses, instrument development and validation studies, and other non-trial designs aimed at understanding service use and outcomes in home and community contexts.
Eligibility is broad and includes many types of organizations that might be positioned to study dementia-related HCBS systems or develop measurement approaches. Eligible applicants listed include state, county, and city/township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; nonprofit organizations with or without 501(c)(3) status (excluding higher education institutions in those categories); for-profit organizations other than small businesses; small businesses; public housing authorities and Indian housing authorities; and Native American tribal governments (federally recognized) as well as tribal organizations other than federally recognized governments. The wide eligibility reflects the reality that meaningful HCBS research often involves partnerships across universities, healthcare and social service providers, community organizations, and government entities that manage or deliver services.
From a funding standpoint, the opportunity is categorized as discretionary and uses the grant funding instrument under the health activity category (CFDA 93.866). The award ceiling is listed as $250,000, with an expected number of awards of 3. The announcement was created on September 16, 2019, and the original closing date was February 3, 2020, which places it in a defined historical application window, but the content still clearly signals NIH priorities for dementia care measurement, service access, and outcomes research in HCBS settings.
Overall, the FOA is aimed at pushing the field toward more precise, usable, and scalable ways to document and evaluate dementia care in the community. The most responsive proposals would be those that not only describe HCBS utilization and barriers, but also leave the field with better instruments and better data pathways that can be adopted or adapted by other researchers and systems to improve understanding of unmet needs and strengthen dementia care policy and practice.Apply for RFA AG 20 038
- The Department of Health and Human Services, National Institutes of Health in the health sector is offering a public funding opportunity titled "Dementia Care: Home- and Community-Based Services (HCBS) (R21 Clinical Trial Not Allowed)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.866.
- This funding opportunity was created on Sep 16, 2019.
- Applicants must submit their applications by Feb 03, 2020. (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 $250,000.00 in funding.
- The number of recipients for this funding is limited to 3 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, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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