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Assisted Living Program (ALP) Expansion Initiative - Component A: ALP Beds and Component B: ALP Capital Projects

Grants to New York Nonprofit and For-Profit Housing and Adult
Home Programs to Increase Assisted Living Beds in Eligible Counties

Agency Type:

State

Funding Source:

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New York State Department of Health (DOH) - Office of Primary Care and Health Systems Management

LOI Date:

09/13/19

Deadline Date:

11/14/19 4:00 PM

Description:

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Grants to New York nonprofit and for-profit enriched housing programs, adult homes, and assisted living programs to increase the amount of assisted living beds available in eligible counties. Nonprofit organizations must prequalify prior to applying. Funding may be used for licensure applications or capital projects to increase the number of available beds.

The New York State Department of Health (the Department) is issuing this Request for Applications (RFA) to award up to 1,000 Assisted Living Program (ALP) beds, to allow for the application for ALP beds by eligible entities across New York State who are new to the delivery of adult home or enriched housing program services and to currently licensed adult homes or enriched housing programs new to the delivery of ALP services. This initiative is made available under Section 461-l(l) of the Social Services Law (SSL), authorizing the addition of up to 1,000 Assisted Living Program (ALP) beds in those counties where there is currently no more than one ALP provider and/or where the county’s current ALP capacity exceeds 85.0%. 

In addition, the Department announces the availability of funds as established pursuant to Section 2825-f of the Public Health Law (PHL), Chapter 54 of the Laws of 2018, and Section 1680-r of the Public Authorities Law (PAL), to provide grants in support of capital projects directly related to the establishment of an Adult Home (AH) or Enriched Housing Program (EHP) with an Assisted Living Program (ALP) or to increase the number of available ALP beds located in an existing facility within specific counties. 

A. ALP Licensure (Component A)

The ALP service package includes personal care services, home health aide services, personal emergency response services, nursing services, physical therapy, occupational therapy, speech therapy, medical supplies and equipment not requiring prior approval and adult day health care provided in a program approved by the Department of Health. ALP Operators are required to provide sufficient numbers of qualified staff to perform case management functions for ALP participants and to ensure their overall health, safety and well-being.

The ALP provides supportive housing and home care services to individuals who are medically eligible for placement in a nursing facility, but whose needs can be met in a less restrictive and lower cost, community-based residential setting. Eligible ALP participants do not require continual nursing care and are neither chronically bedfast nor impaired to the degree that they endanger the safety of themselves or other residents. ALP licensure allows the provision of comprehensive, person-centered services for participants consistent with an individualized clinical assessment and corresponding person-centered care plan, developed to carefully reflect the individual’s desired level of personal autonomy, community integration and freedom to make informed choices.

B. ALP Capital Projects (Component B)

ALP Capital Projects include, but are not limited to, activities intended to:

  1. Create financially sustainable systems of resident care;
  2. Preserve or expand essential health care services to residents of the ALP;
  3. Modernize obsolete facility physical plant and infrastructure; or
  4. Foster participation in alternative payment arrangements including, but not limited to, contracts with managed care plans and accountable care organizations. 

Each “Eligible Project” must meet all of the following criteria to be eligible to receive ALP beds under this RFA:

  • The required schedules of the Adult Care Facility Common Application must be uploaded for each Eligible Project;
  • The number of requested ALP beds for the Eligible Project must not exceed 50% of the facility’s certified/proposed certified bed capacity, or 50 beds, whichever is less; and
  • The location of the proposed Assisted Living Program expansion must be in an eligible county with less than two ALP providers or an eligible county with an ALP occupancy rate of 85% or greater.

GrantWatch ID#:

GrantWatch ID#: 186766

Estimated Total Program Funding:

$20,000,000

Term of Contract:

It is anticipated that the term of the MGC under the Assisted Living Program Expansion Initiative (Component B) will begin on January 1, 2020 and run for a period of up to five years (consistent with the accepted ACF Common Application licensure schedules).

Additional Eligibility Criteria:

Eligible Applicants: Not-For-Profit, For Profit

Each “Eligible Applicant” must meet all the following criteria to be eligible to receive ALP beds under this RFA:

1. Be a legally existing organization and capable of entering into a binding Master Grant Contract (MGC) with the Department;
2. Be an adult home or enriched housing program licensed under title two of Article 7 of the Social Services Law (SSL) in an eligible county, or be eligible to conduct business in NYS and apply to deliver Assisted Living Program (ALP) services in an eligible county;
3. At the time the application is submitted, and at all times thereafter, applicants MUST be prequalified, if not exempt, in the New York State Grants Gateway. Please refer to Section IV. Vendor Prequalification for Not-for-Profits for details on the steps that must be completed to meet registration and prequalification requirements;
4. If the Eligible Applicant is currently licensed as an adult home or enriched housing program, the applicant must, at the time of application submission, be in substantial compliance with all applicable standards, including enforcement and reporting obligations;
5. The Eligible Applicant must upload documentation to demonstrate financial feasibility;

Funding will not be awarded to support general day-to-day operating costs nor related to the start-up expenses of the Eligible Project.

Pre-Application Information:

Key Dates:

- Release Date: August 19, 2019
- Letter of Interest Due: September 13, 2019
- Questions Due: September 13, 2019
- Questions, Answers and
- Updates Posted (on or about): October 8, 2019
- Applications Due: November 14, 2019 by 4:00PM
- Estimated Contract Start Date: February 3, 2020

Prospective applicants may complete and submit a letter of interest (see Attachment 1: Letter of Interest Template). Prospective applicants may also use the letter of interest to receive notification when updates/modifications are posted; including responses to written questions. Letters of interest should be 12 submitted via the Grants Gateway in the Pre-Submission Uploads section of the online application.

Submission of a letter of interest is not a requirement or obligation upon the applicant to submit an application in response to this RFA. Applications may be submitted without first having submitted a letter of interest.

Not-for-profit applicants must be prequalified on the due date for this application submission.

Once the application is complete, prospective grantees are strongly encouraged to submit their applications at least 48 hours prior to the due date and time. This will allow sufficient opportunity for the applicant to obtain assistance and take corrective action should there be a technical issue with the submission process.

View the Component A opportunity on Grants Gateway: https://grantsgateway.ny.gov/intelligrants_NYSGG/module/nysgg/goportal.aspx?NavItem1=4&ngoID=5001505

View the Component B opportunity on Grants Gateway: https://grantsgateway.ny.gov/intelligrants_NYSGG/module/nysgg/goportal.aspx?NavItem1=4&ngoID=5001518

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Grants Gateway system: https://grantsmanagement.ny.gov/

DOH Contact Name & Address:

Nancy Nowakowski, Director
Bureau of ACF Licensure & Certification
Division of Adult Care Facilities & Assisted Living
Surveillance
NYS Department of Health
Center for Health Care Provider Services & Oversight
875 Central Avenue
Albany, NY 12206
ALPinitiative@health.ny.gov

Grant Coverage Areas:

Eligible counties are listed on pages 9-10 of the RFA document above.

URL for Full Text (RFP):

Geographic Focus:

USA: New York City;   New York

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