Cooperative agreements under this FOA are designed to ensure that people with dementia and their family caregivers have access to a sustainable home and community-based services (HCBS) system that is dementia capable. Such a system meets the unique needs of each person with dementia by 1) identifying those with a possible dementia and recommending follow up with a physician, 2) ensuring that the staff they encounter have appropriate training, understand the unique needs/services available and knowing how to communicate with them, and 3) providing quality, person-centered services that help them remain independent and safe in their communities. A dementia-capable HCBS system also involves family caregivers when they are available and it is appropriate. Grantees must specify a lead state agency for dementia capability and have working relationships with their state Medicaid agencies that enable creating and sustaining a dementia-capable HCBS system that meets two key objectives:
Objective 1. Create and sustain a dementia-capable HCBS system that includes a Single Entry Point/No Wrong Door (SEP/NWD) access for people with dementia and their family caregivers.
Objective 2. Ensure access to a comprehensive, sustainable set of quality HCBS that are dementia capable and provide innovative services to the population with dementia and their family caregivers. Services must be evidence-based or evidence-informed to the extent possible.
In addition to implementing a dementia capable HCBS system that meets objectives 1 and 2 above, grantees must provide at least one evidence-based or evidence-informed service for individuals with dementia or their caregivers.