1.01Introduction and Program Description
The Department of Health, Division of Senior and Disabilities Services, is requesting proposals from eligible applicants to provide Nutrition, Transportation and Support Services (NTS) for the State of Alaska in FY2026 through FY2028. Program Services are authorized under 7 AAC 78 Grant Programs. State of Alaska statutes and regulations are accessible at the Department of Law Document Library or through the contact person identified on the cover page of this Request for Proposals (RFP).
The intent of programs funded by NTS grants is to enhance seniors' quality of life through the provision of effective and efficient services. In a climate of static funding and rising demand and costs, aging services must coordinate to provide the most services for seniors, especially the vulnerable who struggle to maintain their health and independence.
- NTS Services provide an entry point to assess for and provide additional services as needed.
- Services encourage social interaction and contribute to active, meaningful, and involved lifestyles.
- Services help seniors face challenging situations and promote community connections that help Older Alaskans remain safe in their homes and communities.
- Successful Nutrition Services bend the long-term cost curve for health care by promoting healthy aging and reducing the prevalence and severity of nutrient deficiency and chronic disease.
Applicants choose from an array of services (as further described in Section 1.03 Program Services/Activities) to provide relevant programs that best meet Seniors' changing needs and preferences. Grants target the most vulnerable older individuals to forestall costly medical and institutional care. Nursing home predictors include age, low socioeconomic status, health condition, reduced physical functions, living alone, prior health care utilization, and lack of support. The Administration for Community Living conducts research and analysis of programs which confirms that the most vulnerable population is being served and that the services mitigate the effects of declining health and functional ability.
1.02Program Goals and Anticipated Outcomes
The proposed project must demonstrate a thorough understanding and support of the grant program goals and outcomes anticipated by the Department.
Goal: Older Alaskans will maintain quality of life in a safe environment, in their community of choice.
Services provided through this grant must result in measurable outcomes. Proposals must meet or exceed minimum outcomes describes in this RFP, (see Section 1.04 for more information).
Outcomes:
- Older Alaskans report services maintain or increase their quality of life, and enhances their ability to age safely in place, and
- Services are targeted to consumers that indicate social, functional, and/or economic needs, (more in Section 1.05), and
- Older Alaskans rate services as good to excellent, and
- Providers manage grants responsibly and services are effective and efficient.
1.03Program Services/Activities
The following is a list of the approved services for the Nutrition Transportation and Support grant. The definition of services is included in the supporting documentation for the RFP. Proposals must include a description of each planned service and specific activities that support the goal and outcomes for the project.
- Congregate and Home Delivered Meals
- Nutrition Education and Counseling
- Assisted and Unassisted Transportation
- Homemaker
- Information and Assistance, and Outreach
- Volunteer Services
- Retired Senior Volunteers
- Senior Companions
- Foster Grandparent/Elder Mentor
- Statewide Services
- Legal Assistance
- Statewide Media
The applicant's narrative of planned services and activities must be consistent with those clearly summarized in the Logic Model, the narrative of the budget, and in the Planned Services & Expenditures (PSE) form.
Applicants will upload a timeline for the initiation of services and project activities.
The applicant will complete a logic model using the instructions and template attached to this RFP [or provided at Section 4.04]. The logic model will identify resources available to the proposed project; summarize project activities; and clearly state anticipated goals, outputs, and outcomes compliant with program intent.
Planned Services and Expenditures (PSE): A PSE with planned number of consumers to be served, planned units (outputs), and expenditures by service is required for each region proposed. The PSE Summary must match the Budget Summary, which is the last page of the form. The Planned Services on the PSE must match the Outputs on the Logic Model.
1.04Program Evaluation Requirements and Reporting
Results Based Budgeting Framework
Results based budgeting provides a framework in which allocated resources support, and are justified by, a set of outputs and expected results. Within this framework, actual performance and achieved outcomes are measured by objective performance measures.
Projects are required to align with program objectives expressing Department priorities and core services. Projects will use performance measures to evaluate progress toward meaningful outcomes, and to initiate data collection and reporting consistent with Department priorities.
The Department Priorities, Core Services, Objectives, and Performance Measures of Effectiveness and Efficiency for this program are:
Department Priorities
- 1 Health & Wellness Across the Life Span
Department Core Services
- 1.2 Provide Quality of Life in a Safe Environment for Alaskans
Department Objective
- Increase the number of Older Alaskans who live safely in their communities
STARTING NOVEMBER 12, 2020, PERFORMANCE MEASURES ARE REQUIRED TO BE INCLUDED FOR FEDERALLY FUNDED GRANTS. The revised Federal Uniform Guidance 2 CFR 200 now requires that the State inform potential sub-recipients via our solicitation and resulting grant awards of all performance measures included in our Federal Award.
Applicants can propose additional performance measures for evaluating the project’s progress in achieving results supportive of program goals and outcomes. The applicant's logic model/outputs metrics will serve as the evaluation indicators and data gathering strategies.
Grant Reporting
Required reports will include the following. All reports are submitted in GEMS (Grant Electronic Management System) except #1:
- Monthly data entry in the GetCare database: new registered consumers, annual Consumer Characteristics updates, and monthly service delivery
- Quarterly Cumulative Fiscal Report (CFR) recording overall grant and match expenditures by budget line
- Quarterly Cumulative Fiscal Report 2 (CFR2) for expenditures by service and source (Grant and Match)
- Biannual Narrative Progress Report including comparative data chart
- Annual Survey of Consumers (which address RBB program anticipated outcomes)
- Final Narrative Progress Report which includes Survey Results, Outcomes and Effectiveness and Efficiency Performance Measures results
- For meal providers, Monthly NSIP Claim for supplemental payment
Reporting changes to approved Grant Project: As per 7AAC 78.260, any changes to the service plan must be submitted in writing to the Program Manager for approval prior to implementation of the change. The SDS Program Manager must be notified immediately whenever it becomes known to the grantee that a key staff position will become vacant. The grantee must submit a copy of the resume for the new hires for positions supported in whole or in part by the grant funds, matching funds, or with grant income earned through the program.
1.05Target Population and Service Area
Applicants must clearly describe the population targeted by the project, including the area or communities that will be served. Proposals will be evaluated for compatibility with the program’s intended target population identified in this solicitation. The proposal must describe how the target population will be identified and outreached. Provide assurance that preference will be given to the provision of services to those with the greatest economic and social need.
Target Population:
- Greatest economic need is defined as living with an income at or below the Federal Poverty Guideline
- The poverty guidelines are updated periodically in the Federal Register by the US Department of Health & Human Services under the authority of 42 USC 902(2) and have values specific for Alaska
- The poverty guidelines are used for assigning priority for services only; the term "low income" should not be used as a descriptor of persons served under this grant
- No "means testing" or income determinations are allowed to establish eligibility under Title III, only a voluntary indication of living at or below the poverty level is permitted
- Social need is attributed to non-economic factors
- Mental and physical disability such as inability to perform Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), frail, and at risk for institutional placement
- Language barriers such as limited English proficiency
- Cultural, social, or geographic (rural) isolation, including isolation caused by racial and ethnic status.
Consumer Eligibility:
- In general, eligible consumers are age 60 and over. Eligibility for specific services may vary.
- Applicant must assure that written Consumer Eligibility Policies and Procedures will be readily available to the State, personnel, their representatives, and the public, including clarification of waitlists (if applicable) for each service offered.
- Providers may not decline services to any individual that meets eligibility guidelines. In the event that the provider is unable to serve all eligible people who request services, waitlist criteria must be established and approved by the program manager.
- Spouses and individuals with a disability may be eligible for services, if it is determined to be in the best interest of the eligible consumer, as defined and explained in the Provider's policy and procedure for that service.
Additional eligibility for Congregate Meals includes:
- Spouses (any age) of an eligible individual
- Individuals with a disability (any age) that reside with an eligible individual or in a facility that predominately serves older adults
- Participants of Adult Day Care Centers (age 60 and over)
- Volunteers any age that assist in meal service during meal hours
Furthermore, eligibility for Home Delivered Meals includes consumers aged 60 and over who are unable to travel to the Congregate Meal site because:
- Congregate Meals are not available in residency area
- Individual is homebound due to illness or condition
- Individual is physically, mentally, or socially impaired, such that attending congregate site would negatively impact or risk the health or well-being of the individual and/or other consumers at the site.
Home Delivered Meals and Homemaker services eligibility includes:
- An eligibility determination based on ADL/IADLs score that is entered in the GetCare database
- A system of priority based on greatest need which includes economic and social need, and ADL/IADL score
Individual seniors eligible for services under CHOICE Medicaid Waivers have been means tested to qualify for services through their care plan and are not eligible individuals under Title III regardless of age, unless it is for a service that is NOT provided under CHOICE Medicaid Waivers.
Service Areas and Communities: The State of Alaska is a single planning and service area under the Older Americans Act. The State uses DOH nine regions that consist of groups of census areas that share common locations and conditions. The tenth region is considered statewide services. The regions are detailed on the attached FY26 NTS Funding by Region.
Applicants that collaborate to avoid duplicating existing services within the communities proposed will be looked at more favorably. Applicants will describe how they will assure outreach and services to the target population within their service area.
1.06Program Funding
Funds available for this program are anticipated to total $4,524,977 Federal Funds, and $2,545,187 General Funds per year. The Federal Funds are distributed by service as follows:
Part B Transportation and Support Services $1,402,724
- Assisted Transportation
- Unassisted Transportation
- Homemaker
- Information & Assistance
- Outreach
- Statewide Volunteer Services
- Foster Grandparents/Elder Mentors
- Senior Companions
- Retired Senior Volunteers
- Statewide Services
Part C1 Nutrition $1,226,591
- Congregate Meals
- Nutrition Education
- Nutrition Counseling
Part C2 Nutrition $1,895,662
State General Funds will be applied using the funding formula found in the State Plan on Aging.
The Department may fund responsive proposals from eligible applicants, contingent upon federal funding from the Administration for Community Living (ACL), Administration on Aging (AoA) Programs, and Title III of the Older Americans Act (OAA), appropriations from the Alaska State Legislature, and the Governor's approval. This solicitation is competitive and competition for limited funds is expected. Please refer to the attached Regional Distribution List for a summary breakdown of the funds available to each region.
Match Requirement: The budget must include matching funds equal to 10.00% of the proposed Department funds. Calculate required match with the following formula.
Total Requested Grant Award x Required Match Percentage = Required Match
Federal grant funds may not be used to match federal funds awarded through this grant program, and State grant funds may not be used to match State funds awarded through this grant program.
Eligible sources of matching funds include:
- Local Cash: local sources, including local tax receipts, municipal revenue sharing, cash donations
- Local In-Kind: donated items of value for which the applicant incurs no cost, including volunteer labor and donations of supplies, equipment, space
- Other Sources: government and non-government grant awards, third party receipts, direct receipts such as gaming or sales of goods
- Grant Income: earnings anticipated as a result of this project proposal receiving award, and Medicaid reimbursements if award of this grant is required for the applicant to bill Medicaid for awarded services
- Medicaid: includes Medicaid, which is not Grant Income, as well as other third-party receipts)
This grant funding is not intended to support the entire cost of the NTS program. Applicants are expected to use Additional Match/Project Support to demonstrate a viable program and to present an accurate accounting of what it costs to provide these services.
Proposed Budget: The applicant must submit a budget proposal for the first fiscal year of the project. The proposed budget detail and narrative, including required match, will support the program's results-based service delivery and staffing requirements stated in this RFP.
Budgets that clearly demonstrate administrative efficiencies, reasonable balance of funding between services, and that do not duplicate existing services within the community(ies) proposed, will be looked at more favorably.
The proposed budget will be fully compliant with the limitations described in this RFP, and those detailed in 7 AAC 78.160 (Costs). Regulations are provided under the GEMS Documents tab.
Resources specific to budgeting are also available under the GEMS Documents tab. The Department's Grant Budget Preparation Guidelines provide information and guidance about budget lines, cost detail groupings, and narrative requirements. Grantee User Manual Part I provides detailed instructions for entering a budget proposal in the chapter "Responding to a Solicitation."
Other Agency Funding: Prior to submitting a proposal, applicants are required to list all other agency funding received and applied for, including Title VI funding. This task must be completed by an Agency Power User in the Other Funding section of the Agency Administration tab. This is part of the pre-award risk assessment required under Uniform Guidance 2 CFR 200.
Indirect Costs: If the proposed budget includes indirect costs, 7 AAC 78.160(p) requires a copy of the agency's current federally approved Indirect Cost Rate Agreement. The agreement is to be uploaded in the Agency Administration tab. Lapsed agreements can be used if uploaded with the negotiating federal agency's written approval to continue using the rate until a new agreement is negotiated. If an agency has never entered into a federally approved Indirect Cost Rate Agreement or no longer has a federally approved agreement in place, the recently updated Federal Uniform Guidance 2 CFR 200 now allows that agency to budget the 15% De Minimis.
Payment for Services/Grant Income: If applicable to the services proposed in response to this solicitation, awarded grantees will have a Medicaid Provider Number or apply to obtain one, and will make reasonable effort to bill all eligible services to Medicaid and any other available sources of payment before seeking grant support for delivery of the proposed services. Department funds are the payer of last resort.
In the applicant’s proposed budget, anticipated receipts and expenditures for all grant income must be evident in the detail and narrative. Fiscal reports for awarded income generating projects will include the receipts and expenditure of all grant income.
Nutrition Services Incentive Program (NSIP): Successful applicants for meal services will be offered the opportunity to enter into a Provider Agreement with DOH to receive additional funds for eligible Congregate and Home Delivered Meals.
- The estimated rate for NSIP is sixty cents per meal and this amount should be used in planning the budget and PSE. Projected NSIP funds are not included in the Grant Award and cannot be used to meet the minimum 10% Required Match.
- NSIP funds are received monthly after submitting a Claim for Reimbursement and must be used to enhance the nutrient quality of meals.
- NSIP funds must pay for domestically produced foods as much as practical.
- If a Provider subcontracts meals through a School District, the NSIP funds must be identified in the mandatory Subcontract. NSIP must pass through to the School District to reimburse for any USDA Commodity Foods that may have been used by the schools in the preparation of the meals that are not for children. Required elements of a subcontract for meals are posted online at Approved SDS Forms . Applicants proposing subcontracts must confirm compliance with those required elements and provide a description of the services to be provided, the roles and responsibilities of each party and the rate of payment with their proposal.