CSRA AAA FY2027 RFP 3 For Aging Services (non-nutrtion)
| Location: | Georgia |
|---|---|
| Posted: | Apr 2, 2026 |
| Due: | May 4, 2026 |
| Agency: | Central Savannah River Area Regional Commission |
| Type of Government: | State & Local |
| Category: |
|
| Publication URL: | To access bid details, please log in. |
CSRA AAA FY2027 RFP 3 For Aging Services (non-nutrtion)
RFP Due Date: May 4, 2026 by 3:00 PM Deadline for Questions: April 23, 2026 by 5:00 PM
The CSRA Regional Commission (CSRA RC), as the state-designated Area Agency on Aging for this region, is seeking proposals for non-nutrition-related Area Agency on Aging programs, to include
-
health promotion and disease prevention
-
individual counseling
-
kinship care
-
powerful tools for caregivers
-
senior center activities (recreation)
Responders must apply by the due date in the manner described. The RFP can be accessed on or after April 2, 2026, at the CSRA RC’s website at https://csrarc.ga.gov/current-bid-opportunities
CSRA RC will receive responses until 3:00 PM on May 4, 2026. No responses will be accepted after this time.
Questions about the RFP must be directed in writing no later than 5:00 pm on April 23, 2026 to:
rfps@csrarc.ga.gov
Answers will be in writing and provided to persons who request to be included. To request a copy of answers, please send your agency name, contact email to
rfps@csrarc.ga.gov
by the due date for questions.
In making its award determination, the CSRA RC will take into account a variety of factors, including but not limited to the following: cost of the proposal, potential ability of the applicant to successfully perform under the contract’s terms and conditions, analysis of the applicable Unit Cost Methodology or other cost analysis, relevant past project experience and qualifications, organizational capacity to perform the required services, budget and financial capacity of the applicant, quality and thoroughness of responses to the scope of work and quality assurance sections in the proposal. Each of these factors will be considered to ensure that the selected proposal(s) are best suited to meet the needs of the project and comply with the expectations set forth in the RFP.
CSRA RC reserves the right, in its sole discretion, to: 1) cancel the RFP at any time, 2) amend the RFP before the due date, 3) alter the timetables for procurement; 4) request additional information from any Responder, 5) interview any Responder before issuing a grant award, 6) reject any or all Responses, and/or 7) waive any technicalities or formalities.
Any contracts and any subsequent periodic payments during the grant period is contingent upon receipt of local, state and federal funds.
CSRA AAA FY2027 RFP 3 Sample Document (use this to prepare information for the online portal)
FY2027 Uniform Cost Methodology Spreadsheet
FY2027 Aging Taxonomy of Services
Online Portal Application (only applications submitted through the portal will be considered)
Attachment Preview
Program:
(Program must match
what is in DDS)
AAA LINE ITEMS
Service Name:
(Service must match
what is in DDS)
AAA Administration
Unit of Measure:
N/A
Individual or
Group:
N/A
Appendix F - Taxonomy of Services - SFY 2027
Method of
Reimbursement:
Designated DAS Staff:
(Title, Section i.e.:
Regional Coordinator,
Business Ops)
Definition:
Line Item
Activities associated with overall area agency operations. Includes, but is not limited to analyzing data, planning, procurement, contracting, contract management, quality
N/A
assurance, compliance monitoring, financial management, technology management, personnel management, training, technical assistance, professional development, contractor
relations, program operations/management, resource identification, and development.
AAA LINE ITEMS
Advocacy
AAA LINE ITEMS
AAA LINE ITEMS
Coordination
Outreach
AAA LINE ITEMS
Program Development
N/A
N/A
1 Contact
N/A
N/A
N/A
Group
N/A
Line Item
Line Item
Line Item
Line Item
N/A
Activities related to monitoring, evaluating, and commenting on all policies, programs, hearings, levies, and community actions which affect older persons; conducting public
hearings on the needs of older people; coordinating planning with other agencies and organizations to promote new or expanded benefits and opportunities for older persons.
N/A
Engaging in cooperative arrangements with other service planners and providers to facilitate access to and use of all existing services and developing home and community-based
services to meet the needs of older persons effectively and efficiently.
N/A
Intervention with individuals initiated by an agency or organization for the purpose of identifying potential clients, or their caregivers and encouraging their use of existing services
and benefits.
N/A
Those activities directly related to either the establishment of a new service, or the improvement, expansion, or integration of an existing service. Activities must be intended to
achieve a specific service goal or objective; must occur during a specifically defined period of time, rather than being cyclical or ongoing in nature.
Dementia Care
AAA LINE ITEMS
Specialist Position
N/A
N/A
(DCS)
ADRC
ADRC Information and
Assistance
1 contact
Individual or
Group
ADULT GUARDIANSHIP
PROGRAM
Guardianship
N/A
Individual
DISASTER SERVICES
Congregate Meals
DISASTER SERVICES Home Delivered Meals
EAP - ADULT
PROTECTIVE SERVICES
APS Case
Management
EAP - ADULT
PROTECTIVE SERVICES
APS Intake
EAP - ADULT
PROTECTIVE SERVICES
APS Investigation
EAP - FSIU
FSIU Case
Consultation, Technical
Assistance
EAP - FSIU
FSIU Information and
Outreach
EAP - TERF
TERF Case
Consultation
EAP - TERF
TERF Case
Management
1 Meal
1 Meal
1 contact
1 contact
1 contact
1 Person
1 Session
N/A
N/A
Individual
Individual
Individual
Individual
Individual
N/A
N/A
Individual
Individual
Line Item
Line Item
N/A
Unit Cost
Unit Cost
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Dementia Team Lead,
Access to Services
The mission of the Dementia Care Specialist (DCS) Program is to support people living with dementia (PLWD) and their care partners so they can enjoy the highest quality of life.
The DCS will accomplish this by creating community partnerships through outreach, education, and building awareness for families and care partners. To increase dementia
awareness, build a dementia capable community, support care partners and PLWD, the DCS will focus on three domains: education and awareness, community outreach and
partnerships, and supporting care partners and PLWD.
Reference Manual 5200, Chapter 7000, Sections 7100, 7101, 7102, 7103 , and 7104 for all requirements and responsibilities of the Dementia Care Specialist position.
ADRC Team, Access to
Services
A service that: (A) provides individuals with information on services available within the communities; (B) links individuals to the services and opportunities that are available within
the communities; (C) to the maximum extent practicable, establishes adequate follow-up procedures. Internet web site "hits" are to be counted only if the information is requested
and supplied. The ultimate goal of the ADRCs is to serve all individuals with long-term care needs regardless of their age or disability by providing easier access to public and
private resources.
Note: The service of ADRC Information and Assistance includes the service of Community Options Counseling
(monitored by Transitions and Options Counseling Team Lead.)
Guardianship case management services are provided to adult persons under guardianship, also referred to as “wards,” whom a probate court has determined lack sufficient
capacity to make or communicate decisions concerning health or safety. When no other guardian is appropriate or available, a probate court may appoint the Department of
N/A
Human Services as guardian. The Division of Aging Services’ Adult Guardianship Program carries out guardianship duties when DHS has been appointed to serve as guardian.
Case managers acting as guardians make and express decisions for persons under guardianship that the person would have made if the person had the capacity to do so. This
substituted decision-making process is informed by the preferences and needs of the person under guardianship. Case managers respect the privacy and dignity of the person
under guardianship and choose options for the person that are the least-restrictive, allowing for the greatest exercise of self-determination, self-reliance, and individual rights.
Nutrition & Evidence Based
Programs Manager, Livable
Communities
Nutrition & Evidence Based
Programs Manager, Livable
Communities
Adult Protective Services
(APS)
A meal provided to a qualified individual in a congregate or group setting. The meal as offered meets all of the requirements of the Older Americans Act and State/Local laws.
Used only for services provided during disaster relief.
A meal provided to a qualified individual in his/her place of residence. The meal is served in a program administered by SUAs and/or AAAs and meets all of the requirements of
the Older Americans Act and State/Local laws. May include assistive technology required for dining. Used only for services provided during disaster relief.
A service provided as a result of the justification that a disabled adult and/or elder person is at risk for further abuse, neglect or exploitation (is in need of protective services) and
that the adult has consented to on-going APS case management services. Case management services include, but are not limited to, assessment, case plan development,
identification and coordination of essential services, follow up and reassessment.
Adult Protective Services A service to receive reports of alleged abuse, neglect, exploitation and/or self neglect of disabled adults (18-64) or elder persons (65+). Reports may be accepted for investigation,
(APS)
provide intervention (limited telephone case management) or for information and referral.
Adult Protective Services
(APS)
Forensic Special Initiatives
Unit (FSIU)
For reports that meet criteria, investigation is a service to determine if alleged abuse, neglect, exploitation and/or self neglect has occurred, report (except self-neglect)
substantiated cases to law enforcement and to prevent further maltreatment of the adult at risk.
Case reviews/consultations for DAS, first responders and mandated reporters regarding issues related to Abuse, Neglect and Exploitation. Forensics is point of contact for
agencies engaged in criminal & death investigations to determine if victim and/or decedent is or was receiving services through Adult Protective Services. Persons will refer to the
individuals contacting FSIU for assistance, not the number of people involved in the case.
Forensic Special Initiatives Provision of services to include information and outreach to mandated reporters and first responders to increase awareness of and response to abuse, neglect & exploitation of
Unit (FSIU)
older adults and adults with disabilities.
Temporary Emergency
Respite Funds
(TERF) Unit
Temporary Emergency
Respite Funds
(TERF) Unit
Case consultation for DAS, first responders, and mandated reports regarding issues related to Abuse, Neglect, and Exploitation. TERF is the point of contact for Law enforcement,
Healthcare Facility Regulation Department, Adult Protective Services, Public Guardianship Office, Georgia Department of Public Health, Georgia Emergency Management and
Homeland Security Agency. These agencies are responsible for making referrals so that TERF can identify safe and appropriate placement options
A service provided as a result of a justification that a disabled adult and/ or elder person who is at risk of further abuse, neglect, and exploitation (lack of support or services), and
that the adult has consented to ongoing TERF case management services. Ongoing services include, but are not limited to, permanent housing assistance, verification of benefits,
assessment, case-plan development, identification and coordination of essential services, follow-up, and reassessment. Also, reconnection services with estranged family
members (visits, placement, etc.)
Program:
(Program must match
what is in DDS)
Service Name:
(Service must match
what is in DDS)
Unit of Measure:
EAP - TERF
TERF Placement
N/A
ELDERLY LEGAL
ASSISTANCE PROGRAM
(ELAP)
HCBS - CAREGIVER
SERVICES
Elderly Legal
Assistance
Caregiver - Group
HCBS - CAREGIVER
SERVICES
Community and Public
Education
HCBS - CAREGIVER
SERVICES
HCBS - CAREGIVER
SERVICES
Counseling - Group
Counseling - Individual
1 Hour
1 Case
1 Session
1 Session
1 Session
1 Session
1 Hour
HCBS - CAREGIVER
SERVICES
Health
Promotion/Disease
Prevention
1 Session
HCBS - CAREGIVER
SERVICES
Home Delivered Meals
HCBS - CAREGIVER
SERVICES
Material Aid - Home
Modifications/Home
Repair
HCBS - CAREGIVER
SERVICES
Material Aid - Other -
Group
HCBS - CAREGIVER
SERVICES
Material Aid - Other -
Individual
HCBS - CAREGIVER
SERVICES
Material Aid - Other -
Individual - Voucher
1 Meal
Unit
Per Item
Per Item
Per item
Individual or
Group:
Individual
Staff Activity
Logs
Group
Group
Group
Individual
Group
Individual
Individual
Group
Individual
Individual
Method of
Reimbursement:
N/A
Line Item
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Designated DAS Staff:
(Title, Section i.e.:
Regional Coordinator,
Business Ops)
Temporary Emergency
Respite Funds
(TERF) Unit
Definition:
A service provided to ensure the safety and well-being of a disabled adult and/ or elder person who is at risk of further abuse, neglect, and exploitation (lack of support or services).
Work with the referring point of contact to coordinate placement and any other necessary services. Based upon the client's needs or abilities, TERF will find an appropriate home
for the client. These homes can be, but are not limited to, a licensed personal care home, independent, assisted living, or placement with a loved one.
State Legal Services
Developer, VAAAS
Free legal representation, advice, and counseling for persons 60 and older
Caregiver Services
Specialist, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
Individual clients documented. A support group is a gathering of people who share a common health concern or interest. Support groups can be led by a lay person, a health care
professional, or both, and are typically held on a regularly scheduled basis. Members share their common experiences and concerns to develop a mutual support system.
Instruction provided to caregivers or the general public regarding available support services for caregivers or practical information on the methods and techniques of caregiving.
Examples include but are not limited to health fairs, presentation, and caregiver conferences.
Caregiver Services
Specialist, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
Counseling to caregivers to assist them in making decisions and solving problems relating to their caregiver roles. This includes counseling to support groups and caregiver
training of families.
Counseling to caregivers to assist them in making decisions and solving problems relating to their caregiver roles. This includes counseling to individuals and caregiver training of
individuals and families.
The provision of activities promoting wellness, nutrition, and physical activity, disease prevention and risk management, healthy lifestyle and safety in a group setting.
Activities may include:
Disease Management
Medications Management
Physical Activity
Health Promotion
Health Indicators, Outcomes, Evaluation
Health Literacy
Preventative Action
Self-Care/Self-Management
Nutrition & Evidence Based
Programs Manager, Livable
Communities
A meal provided to a qualified individual in his/her place of residence. The meal is served in a program administered by SUAs and/or AAAs and meets all of the requirements of
the Older Americans Act and State/Local laws. May include assistive technology required for dining.
Caregiver Services
Specialist, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
Provision of housing improvement services designed to promote the safety and well-being of adults in their residences, to improve internal and external accessibility, to reduce the
risk of injury, and to facilitate in general the ability of older individuals to remain at home. For Kinship Care, could include, but not limited to, safety electrical plugs, child safety
gates, window and drawer safety latches.
A provision of materials to caregivers for purchase of such materials. Materials may include: housing/shelter, transportation, utilities, food/meals, groceries, clothing, child safety
items, incontinence supplies, cleaning supplies, school supplies, etc.
For purchase of materials and/or supplies that support a person's ability to continue living in the community as independently as possible. Materials may include: housing/shelter,
transportation, utilities, food/meals, groceries, clothing, child safety items, incontinence supplies, cleaning supplies, school supplies, etc.
A voucher to be spent by caregivers for purchase of such materials. Materials may include: housing/shelter, transportation, utilities, food/meals, groceries, clothing, child safety
items, incontinence supplies, cleaning supplies, school supplies, etc.
HCBS - CAREGIVER
SERVICES
Outreach
1 Contact
Individual
Line Item
Caregiver Services
Specialist, Livable
Communities
Intervention with individuals initiated by an agency or organization for the purpose of identifying potential clients, or their caregivers and encouraging their use of existing services
and benefits.
HCBS - CAREGIVER
SERVICES
Powerful Tools for
Caregivers
1 Workshop
Group
Unit Cost
HCBS - CAREGIVER
SERVICES
RCI
Caring for You, Caring
for Me
1 Workshop
Group
Unit Cost
Caregiver Services
Specialist, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
Powerful Tools for Caregivers is an evidence based six week education program designed to provide family caregivers with tools necessary to increase their self care and
confidence. The program improves self-care behaviors, management of emotions, self-efficacy, and use of community resources.
One workshop equals six weeks with one session/class per week.
Completers are participants who attend 4 of 6 sessions/classes.
One completer is required for reimbursement for the workshop.
A 10-hour evidence-informed caregiver program, conducted in five two-hour modules, that addresses the needs of family and professional caregivers. Caregivers learn: ways of
coping with caregiving; resources available and how to access them; ways to share common concerns and issues.
One workshop equals five 2-hour sessions/classes.
A completer is one participant who attends 4 of the 5 sessions/classes.
One completer is required for reimbursement for the workshop.
Program:
(Program must match
what is in DDS)
Service Name:
(Service must match
what is in DDS)
Unit of Measure:
Individual or
Group:
Method of
Reimbursement:
HCBS - CAREGIVER
SERVICES
RCI Dealing with
Dementia
1 Workshop
Group
Unit Cost
Designated DAS Staff:
(Title, Section i.e.:
Regional Coordinator,
Business Ops)
Caregiver Services
Specialist, Livable
Communities
Definition:
A four-hour workshop, paired with the comprehensive Dealing with Dementia Guide, a detailed workbook designed to help caregivers. The goal of the workshop is to increase
dementia knowledge and improve the caregiver’s confidence in their ability to provide care.
One completer is required for reimbursement for the workshop.
HCBS - CAREGIVER
SERVICES
RCI REACH
(Resources Enhancing
Alzheimer’s Caregiver
Health)
HCBS - CAREGIVER
SERVICES
Respite Care - In-Home
HCBS - CAREGIVER Respite Care - In-Home
SERVICES
- Voucher
15 min
1 Hour
Unit
Individual
Unit Cost
Individual
Individual
Unit Cost
Unit Cost
Caregiver Services
Specialist, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
RCI REACH serves family caregivers who assist a care partner with Alzheimer’s disease or another type of dementia. The program uses a “coaching” model rather than the usual
caseworker or classroom approach to supporting caregivers. During twelve visits to the family home over a period of six months, the coach and caregiver work together to identify
which issues are causing the most difficulty and then develop strategies to overcome the challenges. Caregivers also receive training in stress management and coping with
dementia behaviors.
Services that offer temporary, substitute supports or living arrangements for care recipients in order to provide a brief period of relief or rest for caregivers. Respite includes: In-
Home Respite (personal care, homemaker, and other in-home respite).
Vouchers issued for caregivers to pay for services that offer temporary, substitute supports or living arrangements for care recipients in order to provide a brief period of relief or
rest for caregivers. Respite includes: In-Home Respite (personal care, homemaker, and other in-home respite).
HCBS - CAREGIVER
SERVICES
Respite Care - Out-of-
Home
1 Hour
Individual
Unit Cost
Caregiver Services
Specialist, Livable
Communities
Services that offer temporary, substitute supports or living arrangements for care recipients in order to provide a brief period of relief or rest for caregivers. Respite includes: 1)
respite provided by attendance of the care recipient at a senior center, adult day program, or other nonresidential program, 2) institutional respite provided by placing the care
recipient in an institutional setting such as a nursing home for a short period of time as a respite service to the caregiver.
HCBS - CAREGIVER
SERVICES
Respite Care - Out-of-
Home - Voucher
Unit
HCBS - CAREGIVER
SERVICES
Support Group
HCBS - CAREGIVER
SERVICES
Support Groups -
Caregiver Group
HCBS - CAREGIVER
SERVICES
CareABC
HCBS - CASE
MANAGEMENT
HCBS - CASE
MANAGEMENT
HCBS - CASE
MANAGEMENT
Behavioral Health
Coaching - Congregate
Behavioral Health
Coaching - Non-
Congregate
BRI Care Consultation
Session
Session
Unit
1/4 hour
1/4 hour
1/4 hour
HCBS - CASE
MANAGEMENT
Case Management
HCBS - CASE
MANAGEMENT
HCBS - CASE
MANAGEMENT
Case Management
Brokering
Support Options
Coordination
1/4 hour
1/4 hour
1/4 hour
Individual
Group
Group
Individual
Individual
Individual
Individual
Individual
Individual
Individual
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Unit Cost
Caregiver Services
Specialist, Livable
Communities
Vouchers issued for caregivers to pay for services that offer temporary, substitute supports or living arrangements for care recipients in order to provide a brief period of relief or
rest for caregivers. Respite includes: 1) respite provided by attendance of the care recipient at a senior center, adult day program, or other nonresidential program, 2) institutional
respite provided by placing the care recipient in an institutional setting such as a nursing home for a short period of time as a respite service to the caregiver.
Caregiver Services
Specialist, Livable
Communities
Individual clients documented. A support group is a gathering of people who share a common health concern or interest. Support groups can be led by a lay person, a health care
professional, or both, and are typically held on a regularly scheduled basis. Members share their common experiences and concerns to develop a mutual support system.
Caregiver Services
Specialist, Livable
Communities
Individual clients documented. A support group is a gathering of people who share a common health concern or interest. Support groups can be led by a lay person, a health care
professional, or both, and are typically held on a regularly scheduled basis. Members share their common experiences and concerns to develop a mutual support system.
Caregiver Services
Specialist, Livable
Communities
LC Team Lead & Case
Management, Livable
Communities
LC Team Lead & Case
Management, Livable
Communities
Caregiver Services
Specialist, Livable
Communities
Through registered access to the website at careabc.com, CareABC provides on-demand media resources for family caregivers with the information and detailed steps to provide
comprehensive, appropriate in-home care. Through various course materials, CareABC provides practical guidance as well as information about caregiver rights, obligations, and
requirements.
The process of assessment, service coordination, education, and coaching to support persons living with mental health and/or substance abuse issues to live as safely and
independently as possible in a congregate setting.
The process of assessment, service coordination, education, and coaching to support persons living with mental health and/or substance abuse issues to live as safely and
independently as possible in a non-congregate setting
An evidence-based information and coaching service delivered by telephone which empowers people to understand options, manage care, and make decisions more effectively.
Participants must complete periodic contacts based on program guidelines
LC Team Lead & Case
Management, Livable
Communities
Short-term assistance on behalf of an older person or caregiver who is experiencing immediate risk to health and safety, is at high risk of institutional placement, or has complex
needs across multiple domains of care. Activities of case management include such practices as comprehensive assessment, often across multiple domains; and developing and
monitoring short-term care plans. Case Management can be provided to older adults, persons with disabilities, caregivers, or relative caregivers raising children.
LC Team Lead & Case
Management, Livable
Communities
LC Team Lead & Case
Management, Livable
Communities
The conflict-free assessment of a consumer (preferably face-to-face) to determine eligibility or appropriateness for services, the recommendation of service(s) and frequency, and
the periodic rescreening of that consumer to determine ongoing eligibility or appropriateness for services.
Providing skills training and support to consumers in meeting their responsibilities as participants in the consumer-directed model of services, including training, coaching, and
providing technical assistance to consumers to assist them in using their budgets correctly and avoiding overspending.
Program:
(Program must match
what is in DDS)
Service Name:
(Service must match
what is in DDS)
HCBS - EVIDENCE BASED
SERVICES
Bingocize®
Unit of Measure:
1 Workshop
Individual or
Group:
Group
Method of
Reimbursement:
Unit Cost
Designated DAS Staff:
(Title, Section i.e.:
Regional Coordinator,
Business Ops)
Definition:
Bingocize ® is an evidence-based health promotion program that strategically combines the game of bingo, health education, and/or exercise. Trained leaders may select between
separate 10-week workshops that focus on exercise-only, exercise and falls prevention, or exercise and nutrition. Each workshop includes a facilitator's script for each session,
participants' materials, and "take home" cards for participants to complete exercises and tasks at home to reinforce the weekly health education information. Participants play
Bingocize ® twice per week, with each 45-60-minute session consisting of exercises (range of motion, balance, muscle strengthening, and endurance exercises) and/or health
Nutrition & Evidence Based education questions. Workshops can be delivered using a traditional in-person bingo game, along with printed curriculum facilitator and participants' materials. However, facilitators
Programs Manager, Livable and participants are recommended to use a stand-alone online version, Bingocize ® Online, to play Bingocize ® in-person or remotely. This adds a fun, interactive technology
Communities
component to the original game.
One workshop equals 10-weeks with two 45 - 60 minute sessions/classes per week for a total of 20 sessions/classes.
A completer is one participant who attends 16 of the 20 sessions/classes.
One completer is required for reimbursement for the workshop.
HCBS - EVIDENCE BASED
SERVICES
CDSME - CDSMP
1 Workshop
Group
HCBS - EVIDENCE BASED
SERVICES
CDSME - Diabetes
1 Workshop
Group
HCBS - EVIDENCE BASED
SERVICES
CDSME - Tomando
1 Workshop
Group
Unit Cost
Unit Cost
Unit Cost
Chronic Disease Self-Management Education (CDSME)
Chronic Disease Self-Management Program (CDSMP)
Nutrition & Evidence Based
Programs Manager, Livable
Communities
A Stanford University (SMRC) evidence-based, train the trainer program held for two an a half hours, once a week, for six consecutive weeks. Workshops and Lay Leader
Trainings are facilitated by either non-health care professionals or health care professionals able to adhere to the fidelity of the program, and giving preference to individuals with
chronic conditions themselves. The objective is to empower workshop participants to problem solve, and set weekly goals to improve skills needed to manage symptoms
experienced by participants with chronic conditions as well as caregivers of persons with chronic conditions.
Curriculum includes: medications management, developing goals around establishing/enhancing exercise programs, healthier nutrition habits, and other personal weekly action
items, learning better communication techniques, managing of pain and fatigue, working with healthcare professionals and the healthcare system, and much more.
One workshop equals 6 weeks of 2.5 hour sessions/classes once per week.
A completer is one participant who attends 4 of the 6 sessions/classes.
One completer is required for reimbursement for the workshop.
Chronic Disease Self-Management Education (CDSME)
Nutrition & Evidence Based
Programs Manager, Livable
Communities
A Stanford University (SMRC) evidence-based, train the trainer program held for two and a half hours, once a week for six consecutive weeks. Workshops and Lay Leader
trainings are facilitated by two trained individuals, one or both of whom have diabetes. Participants have diabetes or are diagnosed as being pre-diabetic. Completers will attend
at least four of the six sessions.
One workshop equals to 6 weeks of 2.5 hour sessions/classes once per week.
A completer is one participant who attends 4 of the 6 sessions/classes.
One completer is required for reimbursement for the workshop.
Chronic Disease Self-Management Education (CDSME)
Nutrition & Evidence Based
Programs Manager, Livable
Communities
A Stanford University (SMRC) evidence-based, train the trainer program for Spanish-speaking individuals held for two an a half hours, once a week, for six consecutive weeks.
Workshops and Lay Leader Trainings are facilitated by either non-health care professionals or health care professionals able to adhere to the fidelity of the program, and giving
preference to individuals with chronic conditions themselves. The objective is to empower workshop participants to problem solve, and set weekly goals to improve skills needed
to manage symptoms experienced by participants with chronic conditions as well as caregivers of persons with chronic conditions.
Curriculum includes: medications management, developing goals around establishing/enhancing exercise programs, healthier nutrition habits, and other personal weekly action
items, learning better communication techniques, managing of pain and fatigue, working with healthcare professionals and the healthcare system, and much more.
One workshop equals to 6 weeks of 2.5 hour sessions/classes once per week.
A completer is one participant who attends 4 of the 6 sessions/classes.
One completer is required for reimbursement for the workshop.
HCBS - EVIDENCE BASED Falls Prevention -
SERVICES
Matter of Balance
1 Workshop
Group
Unit Cost
Nutrition & Evidence Based
Programs Manager, Livable
Communities
Developed by researchers in Maine, this is an 8 week evidence based program designed to address the fear individuals have of falling. It combines education about falls
prevention as well as an introduction to physical activities that can help improve balance and stability. A completer is a participant who attends at least five of the eight sessions.
One workshop equals to eight 2-hour sessions/classes, either once per week for eight weeks or twice a week for four weeks.
A completer is one participant who attends 5 of the 8 sessions/classes.
One completer is required for reimbursement for the workshop.
Program:
(Program must match
what is in DDS)
Service Name:
(Service must match
what is in DDS)
Unit of Measure:
HCBS - EVIDENCE BASED Tai Chi for Arthritis and
SERVICES
Falls Prevention
1 Workshop
Individual or
Group:
Group
Method of
Reimbursement:
Unit Cost
Designated DAS Staff:
(Title, Section i.e.:
Regional Coordinator,
Business Ops)
Nutrition & Evidence Based
Programs Manager, Livable
Communities
Definition:
Developed by Dr. Paul Lam with tai chi and medical colleagues, the program utilizes Sun style Tai Chi for its ability to improve relaxation, balance, and its ease of use for older
adults. The program incorporates classes along with home practice to help improve muscular strength, flexibility, balance, and stamina. The class format is in person or
remote/virtual. Note: It is permissible to use a combination of remote (i.e. videoconference) and in person implementation in the same session or during a class series. For
example: 10 participants join by Zoom and 10 participants attend in a senior center and receive instruction at the same time. Two instructors for class size of 12-20, which
incorporates zoom participants.
One workshop equals to 8 weeks, two 1-hour sessions/classes per week.
A completer is one participant who attends 11 out of 16 sessions.
One completer is required for reimbursement for the workshop.
OR
One workshop equals to 16 weeks, one 1-hour session/class per week.
A completer is one participant who attends 11 out of 16 sessions.
One completer is required for reimbursement for the workshop.
HCBS - EVIDENCE BASED
SERVICES
Geri-Fit Program
1 Workshop
Group
HCBS - EVIDENCE BASED Health Coaches for
SERVICES
Hypertension Control
1 Workshop
Group
HCBS - EVIDENCE BASED
SERVICES
Hospital Transition -
Care Transitions
Intervention
1 Person
Individual
HCBS - EVIDENCE BASED
SERVICES
CDSME - CPSMP
1 Workshop
Group
Unit Cost
Unit Cost
Line Item
Unit Cost
Geri-Fit® is a 45-minute evidence-based health promotion program and chronic disease self-management support program. Designed exclusively for older adults, Geri-Fit helps
rebuild strength that's been lost through the aging process. The progressive resistance strength training program uses bodybuilding techniques to increase strength. The program
also incorporates range of motion exercises, stability and balance training, cardiovascular activity for heart health, and gait exercises to help improve walking. Geri-Fit helps ensure
a higher level of function and improvement in activities of daily living as well as management of chronic diseases such as diabetes, heart disease, pain management, depression
and more. There's no dancing, aerobics, or choreography to learn and participants never have to get on the floor. Most of the exercises are performed seated in chairs with a set of
light dumbbell weights, however, participants have the option to do the exercises standing if they prefer. Each person is encouraged to work out at their own pace and fitness level.
Nutrition & Evidence Based
Programs Manager, Livable
Communities
One workshop equals four weeks with two session/classes per week.
A completer is one participant who attends 5 of 8 sessions/classes.
One completer is required for reimbursement for the workshop.
OR
One workshop equals twelve weeks with two sessions/classes per week.
A completer is one participant who attends 16 of the 24 sessions/classes.
One completer is required for reimbursement for the workshop.
Health Coaches for Hypertension Control consists of eight sessions delivered by Health Coaches using a scripted manual and visual aids. The 90-minute sessions include
experiential learning strategies appropriate for those with health literacy challenges. Specific session topics include: Basics of Hypertension Control; Nutrition with emphasis on
Dietary Approaches to Stop Hypertension (DASH); Physical Activity with emphasis on creating a personal physical activity plan; Tobacco Cessation; Stress Management;
Medication Management; one session about developing short-term action plans and another on creating a long-term action plan. The Nutrition and Physical Activity sessions also
include content on weight control.
Nutrition & Evidence Based
Programs Manager, Livable
Communities
One workshop equals eight 90-minute sessions/classes.
A completer is one participant who attends 5 of the 8 sessions/classes.
One completer is required for reimbursement for the workshop.
OR
A workshop equals two 90-minute sessions/classes per week for four weeks.
A completer is one participant who attends 5 of the 8 sessions/classes.
One completer is required for reimbursement for the workshop.
Nutrition & Evidence Based Care Transitions Intervention® is also known as CTI® and the Skill Transfer Model®. During a 30-day program, patients with complex care needs and/or family caregivers receive
Programs Manager, Livable specific tools while they work with a Transitions Coach®. Clients learn self-management skills that will ensure their needs are met during the transition from hospital to home. This
Communities
is an evidence-based intervention comprised of a home visit and three phone calls.
Chronic Disease Self-Management Education (CDSME)
Chronic Pain Self-Management Program (CPSMP)
Nutrition & Evidence Based
Programs Manager, Livable
Communities
The Chronic Pain Self-Management Program (online, synchronous) is an interactive group workshop delivered via Zoom or similar virtual platform for those living with chronic pain
such as arthritis, backpain, neck pain, headache, or pelvic pain. Participants learn the skills to manage their pain on day-to-day basis: exercise, healthy eating, cognitive pain
management, as well as how to deal with such concerns as fatigue, sleep problems, difficult emotions, weight loss, communicating with family, friends, and coworkers. Core self-
management skills taught include action planning, problem solving and decision making.
This service description specifies the target audience as “Adults, 18 years and older, living with chronic pain”. For all services funded with Title IIID, the client must be 60 years of
age or older.
One workshop equals 6 weekly, 2.5-hour sessions/classes.
A completer is one participant who attends 4 of the 6 sessions/classes.
One completer is required for reimbursement for the workshop
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