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This is an ongoing formula grant program with no fixed application deadline; states receive allocations annually.
Older Americans Act (OAA) Title III-D: Disease Prevention and Health Promotion Services is sponsored by Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS). This program provides grants to states and territories to fund evidence-based disease prevention and health promotion services for older adults.
These services often include physical activity and fitness programs aimed at improving health and well-being and preventing falls.
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Health, Wellness, and Nutrition The Purpose of the Older Americans Act (OAA) Title III-D Program (“Health Promotion”) It is understood that disease prevention and health promotion programs reduce the need for more costly medical interventions.
Title III-D of the OAA was established in 1987 to provide formula grants to State Units on Aging to support healthy lifestyles and promote healthy behaviors amongst older adults (age 60 and older). Priority is given to serving older adults living in medically underserved areas of the state and those who are of greatest economic need Authorizing Legislation: Section 361 of the OAA of 1965, as amended.
Background on Definition of Evidence-Based Programs States that receive OAA funds under Title III are required to spend those funds on evidence-based programs that have been proven to improve health and well-being and reduce disease and injury.
Since 2003, the aging services network has been steadily moving towards wider implementation of disease prevention and health promotion programs that are based on scientific evidence and demonstrated to improve the health of older adults. The FY 2012 Congressional appropriations law included, for the first time, an evidence-based requirement related to Title III-D funds.
In response to the new requirement, ACL developed an evidence-based definition to assist states in developing their own Title III-D guidance.
How to Determine If a Program Meets the OAA Title III-D Evidence-Based Requirements There are two ways to assess whether Title III-D funds can be spent on a particular program (and as always, State Units on Aging may have additional state-specific Title III-D requirements): The program meets the requirements for ACL's Evidence-Based Definition (the ACL Definition is below).
The program is considered to be an "evidence-based program" by any operating division of the U.S. Department of Health and Human Services (HHS) and is shown to be effective and appropriate for older adults.
ACL Definition of Evidence-Based Programs Demonstrated through evaluation to be effective for improving the health and well-being or reducing disease, disability and/or injury among older adults; and Proven effective with older adult population, using Experimental or Quasi-Experimental Design;* and Research results published in a peer-review journal; and Fully translated** in one or more community site(s); and Includes developed dissemination products that are available to the public.
* Experimental designs use random assignment and a control group. Quasi-experimental designs do not use random assignment. ** For purposes of the Title III-D definitions, being “fully translated in one or more community sites” means that the evidence-based program in question has been carried out at the community level (with fidelity to the published research) at least once before.
Sites should only consider programs that have been shown to be effective within a real-world community setting. November 2025 Update: Evidence-Based Program Review Process ACL relaunched the Evidence-Based Program (EBP) Review Process in January 2025.
The relaunch of the process took into consideration the recommendations from the Analysis of Evidence-Based Health Promotion and Disease Prevention Programs Review Process , and was led by the National Council on Aging (NCOA).
The EBP Review Process identified new community programs that meet ACL’s established criteria (listed above) for evidence-based programs funded through the Older Americans Act (OAA) Title III-D and other discretionary funding. These evidence-based programs are essential tools for helping older adults maintain their independence in the community.
The programs approved through the 2025 EBP Review Process are: Eat Smart, Move More, Prevent Diabetes The full list of ACL approved Evidence-Based Programs may be found on NCOA’s Evidence-Based Programs webpage. Information about the 2025 EBP Review Process can be found here: Apply to Become an Evidence-Based Program. Information on future EBP Review Process will be posted here when available.
For questions about ACL evidence-based criteria and funding, contact Keri Lipperini, Director of ACL's Office of Nutrition and Health Promotion Programs . For questions about the EBP Review Process, contact HealthyAging@NCOA. org .
State Unit on Aging Learning Community A learning community is available through the Chronic Disease Self-Management Education Resource Center for State Unit on Aging (SUA) staff a variety of resources, such as OAA Title III-D 101, frequently asked questions, SUA contact lists, etc. SUA staff who would like to access the learning community should contact Patty Keane ( patricia. keane@acl. hhs.
gov ).
Pre-Approved Evidence-Based Programs The National Council on Aging and ACL’s Office of Performance and Evaluation maintain lists of programs that meet ACL’s Title IIID definition of evidence-based: - National Council on Aging Listing - Aging and Disability Evidence-Based Program Listing These lists are not exhaustive and state units on aging have flexibility to implement programs that are not on these lists using Title IIID funds, provided they meet ACL's Title IIID evidence-based requirements.
Understanding and Finding Evidence-Based Programs Toolkit on Evidence-Based Programming for Seniors (Community Research Center for Senior Health) A comprehensive guide on finding and implementing evidence-based programs in a community setting.
National Council on Aging Center for Healthy Aging This page includes a multitude of resources, such as webinars, tip sheets, how to guides, and reports related to implementing and sustaining evidence-based programs. Last modified on 03/06/2026
Based on current listing details, eligibility includes: State Units on Aging, which sub-grant to local Area Agencies on Aging and community organizations. Priority given to older adults in medically underserved areas. Applicants should confirm final requirements in the official notice before submission.
Current published award information indicates Varies (formula grant) Always verify allowable costs, matching requirements, and funding caps directly in the sponsor documentation.
The current target date is rolling deadlines or periodic funding windows. Build your timeline backwards from this date to cover registrations, approvals, attachments, and final submission checks.
Federal grant success rates typically range from 10-30%, varying by agency and program. Build a strong proposal with clear objectives, measurable outcomes, and a well-justified budget to improve your chances.
Requirements vary by sponsor, but typically include a project narrative, budget justification, organizational capability statement, and key personnel CVs. Check the official notice for the complete list of required attachments.
Yes — AI tools like Granted can help research funders, draft proposal sections, and check compliance. However, always review and customize AI-generated content to reflect your organization's unique strengths and the specific requirements of the solicitation.
Review timelines vary by funder. Federal agencies typically take 3-6 months from submission to award notification. Foundation grants may be faster, often 1-3 months. Check the program's timeline in the official solicitation for specific dates.
Many federal programs offer multi-year funding or allow competitive renewals. Check the official solicitation for continuation and renewal policies. Non-competing continuation applications are common for multi-year awards.
Disability and Rehabilitation Research Projects (DRRP) Program: Americans with Disabilities Act (ADA) National Network is sponsored by National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS). This program funds 10 grants, one within each of the 10 HHS regions, as part of the Americans with Disabilities Act (ADA) National Network. Applicants must propose a program of training, technical assistance, outreach, and research that leads to improved understanding by stakeholders of their rights and responsibilities under the ADA. Grants will have a 36-month project period.
National Family Caregiver Support Program (NFCSP) is sponsored by Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS). Offers grants to states and territories to fund services that assist family and informal caregivers in caring for older adults at home, including information, assistance, counseling, support groups, and respite care.
National Chronic Disease Self-Management Education (CDSME) Resource Center is sponsored by Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS). The purpose of the National Chronic Disease Self-Management Education (CDSME) Resource Center is to provide leadership, expert guidance, and resources to promote the value of and increase access to evidence-based self-management programs.