Opportunity Information: Apply for HHS 2018 ACL AOA FPSG 0255

The 2018 Evidence-Based Falls Prevention Program, financed by the Prevention and Public Health Fund, was a discretionary federal grant opportunity offered by the U.S. Department of Health and Human Services (HHS) through the Administration for Community Living (ACL), specifically the Administration on Aging (AoA). The core purpose of the program was to expand and strengthen the real-world delivery of evidence-based falls prevention interventions for older adults. The funding was intended to help communities reduce the number of falls, lessen fear of falling, and prevent fall-related injuries among older people by supporting programs with demonstrated effectiveness rather than untested or purely educational approaches.

The opportunity anticipated awarding approximately 10 cooperative agreement grants with a three-year (36-month) project period. The emphasis was not only on launching programs, but on building the infrastructure needed to operate them at scale and keep them going long after the federal award ends. In practice, that means creating referral pathways, training and maintaining a qualified workforce of instructors or coaches, building partnerships across healthcare and community organizations, establishing data and reporting routines, and developing financing strategies so the programs can be sustained through reimbursement, contracts, or braided funding rather than relying indefinitely on short-term grants.

ACL structured the competition into two distinct funding options with different goals and award sizes. Option A, labeled Sustainable Systems Grants, was designed for organizations positioned to build integrated and durable delivery systems. ACL expected to make roughly six awards in this category, each ranging from about $400,000 to $600,000 (with a stated award ceiling of $600,000). These larger awards were meant for projects that could coordinate multiple partners and create a system-level approach, such as linking clinical providers, aging services networks, and community-based organizations so that older adults can be identified, referred, enrolled, and supported consistently. The idea was to move from small, isolated classes to an organized pipeline where programs are routinely available, accessible, and connected to broader health and aging services.

Option B, labeled Capacity-Building Grants, was aimed at smaller-scale efforts that focus on expanding reach into underserved areas or underserved populations. ACL expected to make around four awards in this category, generally ranging from about $50,000 to $150,000. These grants were intended to help introduce and establish evidence-based falls prevention programming where it is limited or absent, which could include rural communities, communities with limited service infrastructure, or populations that face barriers related to language, transportation, disability, income, or cultural access. The focus here was on practical capacity: training leaders, setting up delivery sites, building local partnerships, and beginning implementation so that programs can take root and grow.

A wide range of applicants were eligible, reflecting ACLs intent to fund projects that can operate in many community and public-sector contexts. Eligible entities included state, county, city, and 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 and other tribal organizations; public housing authorities and Indian housing authorities; and nonprofit organizations with IRS 501(c)(3) status (excluding higher education institutions in that nonprofit category). This eligibility list signals that ACL expected falls prevention work to be led not only by health agencies, but also by aging services providers, housing-related entities, universities, tribal organizations, and local governments that can convene partners and reach older adults where they live.

Administratively, this opportunity was issued under Funding Opportunity Number HHS-2018-ACL-AOA-FPSG-0255, categorized as a health-related funding activity, and used the cooperative agreement instrument type. A cooperative agreement typically indicates that the federal agency anticipates having substantial involvement during the project, such as providing guidance, technical assistance, shared learning requirements, or coordination expectations across grantees. The CFDA number associated with the program was 93.761. The notice was created on February 28, 2018, and the original application deadline was April 30, 2018, with electronic submissions due by 11:59 p.m. Eastern Time on the deadline date.

Overall, the grant opportunity was structured to push evidence-based falls prevention beyond pilot programs and into sustainable, repeatable community systems. Larger awards were intended to build integrated networks and long-term financing and referral mechanisms, while smaller awards targeted the practical first steps needed to bring proven falls prevention programs into underserved communities and populations. The expected outcome across both tracks was broader access to effective interventions and measurable reductions in falls, fear of falling, and fall-related injuries among older adults.

  • The Department of Health and Human Services, Administration for Community Living in the health sector is offering a public funding opportunity titled "2018 Evidence-Based Falls Prevention Program financed by Prevention and Public Health Fund" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.761.
  • This funding opportunity was created on Feb 28, 2018.
  • Applicants must submit their applications by Apr 30, 2018 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (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 $600,000.00 in funding.
  • The number of recipients for this funding is limited to 10 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.
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