The links and resources in this section are available to anyone, but they are specifically intended for organizations that serve older adults and people with disabilities, particularly those who receive funding from ACL.
Resources for Reopening
Reopening timelines and progress will be different from state to state, and one size won’t fit all, but in this section, we'll share guidelines and information to help as your state establishes its “new normal."
- From ACL: Resources for Senior Nutrition Programs
As states move toward resuming some in-person activities to support the nutritional, social, and wellness needs of older adults, programs will face new experiences and challenges. To support the network, ACL's National Senior Nutrition Program created these resources that offer ideas and considerations.
- Reopening Considerations: Strategies and ideas to help programs consider the complexities of reopening and related policies and procedures.
- Safety Signage and Communication Materials: Links to ready-to-use signs/posters and communication tools to help reach specific communities.
- Reopening Resource List: Helpful websites and materials on various topics, including site cleaning, guidance for staff, and mental health resources.
- From CDC
CDC has created a central repository of guidelines, tools, and resources for states, tribes, localities, and territories. In order to get and keep America open, states, tribes, localities, and territories must be able to quickly identify new cases, break chains of transmission, and protect first responders and health care workers from infection.
On that page, you'll find CDC activities and initiatives supporting COVID-19 response and reopening.
For convenience, CDC also has a "What's New" page.
CDC has issued information on the benefits of getting a COVID-19 vaccination.
The CDC has partnered with a number of non-profit organizations to help with mental health issues. During the COVID-19 pandemic, we are often asked, “How are you feeling?” It has been a difficult year dealing with this pandemic and emotions can be overwhelming. Whatever you’re feeling right now, starting a conversation with friends, neighbors, and loved ones about your concerns can relieve stress and promote resilience. It starts with the question, “How Are You Feeling Right Now?” Learn more at https://howrightnow.org/ about how to start a conversation, find tools, obtain resources, and stay inspired.
- From FEMA
FEMA released the Exercise Starter Kit for Workshop on Reconstituting Operations. FEMA states that the kit contains sample documents your organization can use to conduct your own planning workshop to navigate the complexities of returning to full operations during the coronavirus disease (COVID-19) pandemic. Included in the kit are three items available for download: FEMA Fact Sheet Reconstituting Operations, Reconstituting Operations Facilitator Guide, and a set of slides.
FEMA also issued a set of FAQs titled Reconstitution: Reopening After Coronavirus and an updated checklist document titled Civil Rights Considerations During COVID-19 Vaccine Distribution Efforts that includes discussion of older adults and people with disabilities.
- From CMS
Visitation is a crucial issue for people in a range of congregate settings and one on which ACL has been heavily engaged. On Feb. 10, CMS issued new guidance on visitation in Intermediate Care Facilities for Individuals with Intellectual Disabilities and psychiatric residential treatment facilities. This guidance makes clear the rights to access for Protection and Advocacy systems and Long-Term Care Ombudsmen, reinforces requirements to allow visitors or in-person support as required by federal law, includes a broad definition of compassionate care, and provides best practices for allowing visitation safely. This guidance complements the guidance CMS issued in September for visitation in nursing homes. See the ACL blog by Vicki Gottlich, which discusses this topic. CMS updated this guidance on June 3 to incorporate the latest on vaccines.
CMS released guidance for states and local officials to ensure safe reopening of nursing homes across the country. The guidance details critical steps nursing homes and communities should take prior to relaxing restrictions implemented to prevent the spread of coronavirus disease 2019 (COVID-19), including rigorous infection prevention and control, adequate testing, and surveillance. The vulnerable nature of the nursing home population requires aggressive efforts to limit COVID-19 exposure and to prevent the spread within facilities. The recommendations issued today would allow states to make sure nursing homes are continuing to take the appropriate and necessary steps to ensure resident safety and are opening their doors when the time is right. This also serves to help states and nursing homes reunite families with their loved ones in a safe, phased manner. CMS is recommending that nursing homes do not advance through any phases of reopening or relax any restrictions until all residents and staff have received results from a baseline test. In addition, CMS recommends that state survey agencies inspect nursing homes that experienced a significant COVID-19 outbreak prior to reopening. Finally, CMS recommends that nursing homes remain in the current state of highest restriction even when a community begins to relax restrictions for other businesses, and should be among the last to reopen within the community, to ensure safety of the residents.
Adapting to a "New Normal"
Many Americans are adjusting to a "new normal” as a result of the COVID-19 – one that balances the critical need to prevent the spread of coronavirus with the other factors that also affect health and well-being. The pandemic has also brought about both positive and negative long-term changes that will outlast the virus itself.
- Rethinking Services for People with IDD Webinar Series
ACL and the HHS Office of the National Coordinator for Health Information Technology (ONC) are hosting a webinar series on rethinking home and community-based services for people with intellectual and developmental disabilities.
Promising Practices - Highlights from the network
There isn't enough space to list all of the outstanding examples of how the aging and disability networks are adapting and innovating to meet the needs of older adults and people with disabilities, but this is a small sampling of some of them.
- Supporting Vaccination
ACL has developed two documents with examples and promising practices for states, municipalities, community-based organizations and others working to increase vaccine access for older adults and people with disabilities:
- Strategies for Helping Older Adults and People with Disabilities Access COVID-19 Vaccines
- How ACL’s Disability and Aging Network is Advancing Vaccination Efforts
ACL has an FAQ document on the use of Older Americans Act funding for Incentives such as gift cards, vouchers, giveaways, or prize items.
The HHS Health Resources and Services Administration (HRSA) announced the availability of approximately $250 million to develop and support a community-based workforce who will serve as trusted voices sharing information about vaccines, increase COVID-19 vaccine confidence, and address any barriers to vaccination for individuals living in vulnerable and medically underserved communities. To apply for the Community-Based Workforce for COVID-19 Vaccine Outreach Program Notice of Funding Opportunity, visit Grants.gov. Applications are due May 18, 2021, at 11:59 p.m. ET. Applicants should contact CBOVaccineOutreach@hrsa.gov with any questions.
The National Association of State Directors of Developmental Disabilities Services (NASDDDS) created a document titled, "Ensuring Vaccine Access for Individuals with I/DD & Direct Support Professionals." The document describes state successes related to vaccination efforts for people with intellectual and developmental disabilities.
The Denver Regional Council of Government (DRCOG) AAA has been using COVID relief funding to pay for scheduling and transportation to vaccination sites. In a modification to their traditional transportation services, drivers wait while clients get their shots to take them back home, helping to minimize the time spent exposed to others. DRCOG (AAA) also has supported large vaccination event. For example, they arranged transportation for more than 350 people to get their first shot at an event on Feb. 6 and have schedules rides for those clients to get their second shot in March.
As the state gets more vaccines, and the number of vaccine sites grows, it is becoming more complicated to coordinate individual appointments and shot events, while also providing non-COVID transportation services, such as trips to dialysis, cancer treatment and doctor’s appointments. The AAA is partnering with the Rotary Club, faith based organizations and other volunteer groups who want to help provide rides to vaccines.
- Addressing social isolation - from ADvancing States
- ADvancing States published this resource to assist states and others with creative and thoughtful approaches to social isolation and loneliness in older adults, and to also facilitate sharing and learning across states. It includes a collection of ideas and actions from across the country.
- Examples from Area Agencies on Aging and OAA Title VI programs - from n4a
n4a has compiled a wide range of examples of how area agencies on aging Older Americans Act Title VI programs are adjusting existing programs and services--and launching new ones--to continue to safely serve older adults, people with disabilities and families and caregivers throughout the COVID-19 crisis.
- Examples from DD Councils
The National Association of Councils on Developmental Disabilities (NACDD) has released “State Councils on Developmental Disabilities COVID-19 Report: Council Activities, Initiatives, and Impact.” This report highlights how ACL-funded DD Councils have used resources and connections to help people with developmental disabilities and their families stay safe, healthy, and connected to community during this ongoing pandemic.
- Food insecurity and hunger
Central Florida's Meals of Love program had its 100,000th meal delivered by Governor Ron DeSantis. This public-private pilot program was established by the Florida Department of Elder Affairs (DOEA) in partnership with the Department of Business and Professional Regulation (DBPR) and the Florida Restaurant and Lodging Association (FRLA). As of June 6, the DOEA Restaurant Meal Initiative has delivered over 600,000 meals to seniors throughout the state. The Meals of Love Program, serving Central Florida, was one of the first areas to begin delivery. Meal number 100,000 was delivered with food prepared from el Leoncito restaurant. Meals of Love is the restaurant initiative serving homebound seniors in Brevard, Orange, Osceola, and Seminole counties through the Senior Resource Alliance (SRA) located in Orlando. The SRA has provided up to 2,500 restaurant prepared meals in one day.
“This program saved my kitchen staff,” said one restaurant owner. “Without Meals of Love we had 3 staff and now we have 12 full-time staff in the kitchen alone. We’re able to keep operations going and our former unemployed servers are now delivering.”
“Governor DeSantis has helped to facilitate this process and allowed restaurants and food establishments to become emergency meal vendors for Florida’s seniors who are homebound or self- isolating for protection,” said Richard Prudom, Secretary for the Florida Department of Elder Affairs. “We’ve ensured that any older adult who received a meal from a congregate site that is now closed for safety, continues to receive a home-delivered meal and food reassurance through this program.”
“Drivers deliver more than a meal,” said Senior Resource Alliance CEO Karla Radka. “They deliver hope and human contact to vulnerable seniors and in many cases the meals include a small note, a puzzle, or a letter to keep seniors engaged and aware that they are not alone.”
- Every Tuesday, the ONEgeneration COVID-19 Relief Drive Thru Food Pantry in Reseda, California, now provides food to hundreds of seniors and families. Staff and volunteers provide no-contact, shelf stable foods as well as dairy and meat when available.
- A partnership between locally-owned restaurants, private corporations, and leading non-profit agencies, Nevada’s Delivering with Dignity is bringing meals, snacks, and coffee directly to the doorsteps of some of vulnerable and isolated families and individuals. Launched in March in Las Vegas as an emergency response to coronavirus pandemic, Delivering with Dignity has recently expanded to Reno. In fewer than seven weeks, more than 50,000 meals have been delivered directly to residents. The program has also allowed two dozen food service workers to stay employed.
- One of the centers for independent living that receives funding from ACL, Disability Network Wayne County Detroit, has partnered with other local community service organizations to deliver boxes of food to people with disabilities to help them safely stay at home. They also have partnered with local hospitals to provide free COVID-19 testing and follow-up services.
- Michigan launched a statewide public-private initiative to provide “Quarantine Boxes,” or “Q-boxes” to older adults across the states. Each Q-box contains enough food to create 22 healthy meals for adults. The state unit on aging partnered with the Food Bank Council of Michigan and Gleaners Community Food Bank to purchase 10,000 Q-boxes and launched a virtual food drive so the public could contribute to provide more. The Q-boxes are distributed to older adults through the state’s 16 Area Agencies on Aging (often in partnership with other local community organizations, such as United Way).
- The Midland Area Agency on Aging, located in Hastings, Nebraska, serves eight rural counties to the west of Lincoln. In the span of a few weeks they partnered with five local businesses and nonprofit organizations to provide seniors with 500 fruit/vegetable/bread baskets, 275 potato-themed food baskets, 350 grab-and-go baskets, and numerous meals from a local restaurant chain.
- Checking in on older adults
- With the closure of congregate meal sites in Vermont, the Thompson Senior Center decided to start making daily calls to their most isolated community members and weekly calls to many others. The calls revealed needs that seniors had, such as running out of groceries, prescriptions, and postage stamps, financial concerns, and help avoiding becoming the victims of scams. The Thompson Center volunteers took care of most issues, while the local police department stepped in to pick up and deliver prescriptions.
Maryland offers a free, opt-in, telephonic service to check on Maryland’s older residents, all across the state.Every day, a telephone call will be placed to a participant at a regularly scheduled time. These calls will take place between 8 a.m. and 4 p.m. as close as possible to the one-hour time block pre-selected by the participant. If the participant does not answer their first call, they will be tried two more times. If those calls go unanswered, additional calls will be made to notify an alternative person who is selected by the participant during program enrollment. This could be an adult child, a neighbor, or another loved one. The alternate will then be encouraged to check on the older adult program participant. The failure of the participant and alternate to answer will result in a call to your local non-emergency service.
The Ohio Department of Aging (ODA) yesterday announced a free, daily check-in by phone service for Ohio’s older residents to ensure their well-being amid the ongoing coronavirus (COVID-19) public health emergency and beyond. The program was announced during Ohio Gov. Mike DeWine’s daily news conference.The “Staying Connected” service is open to Ohio residents age 60 or older who have a valid phone number. Those living alone in the community are encouraged to consider enrolling. The automated service, which is available 7 a.m. to 6 p.m. seven days a week, contacts participants each day within a one-hour window selected by them during sign-up. After confirming the caller is OK, it offers to connect the caller with the local Area Agency on Aging for information about services or assistance. If a participant does not answer after three attempts, a call is placed to an alternate contact, if one is on file. After multiple failed attempts to reach the participant and the alternate contact, a call is placed to the non-emergency services line of the local sheriff’s office.
The Rhode Island Office of Healthy Aging has developed Project HELLO, a volunteer effort to connect older adults who may be alone, and in need of socialization more than ever before. If you are an older adult who would like to receive calls from a Project HELLO volunteer, please contact the POINT, Rhode Island's Healthy Aging help desk, at 401-462-4444. Volunteers are equipped to provide you with information about Project HELLO and other resources that can help you meet your needs.
- Exploring the Use of Robotic Pets to Combat Loneliness
Both New York State and Alabama have received local and national media attention for their use of robotic pets to combat loneliness due to visitation restrictions at long-term care facilities as a result of COVID-19.
- Employment Examples
The Institute for Community Inclusion at the University of Massachusetts, Boston, is collecting examples and best practices around employment during COVID-19 for people with I/DD. The effort is part of the Institute's ThinkWork! project. Here are two items they have collected: Christina: Mastering a Job with Remote Supports During COVID-19 and Turn Community Services: Strategies for Remaining Employed or Returning to Work During the COVID-19 Pandemic.
- Association of University Centers on Disabilities (AUCD) March 2021 Report
The report, titled "The COVID-19 Pandemic and People with Disabilities: Primary Concerns, the AUCD Network Response, and Needs for the Future" is authored by Patricia Ramos, M.P.H., RD, Wayne State University, Michigan Developmental Disabilities Institute, and eight contributing authors. The report discusses AUCD’s main focus during the COVID-19 pandemic, as identified by the needs expressed by the disability community and AUCD network members.
Guidance for ACL Programs
- For recipients of discretionary grants
This FAQ covers the COVID-19-related questions we are hearing most often from recipients of discretionary grants.
- Independent Living programs
- ACL-CDC partnership to increase vaccine access: Funding FAQ for Centers for Independent Living - April 14, 2021
- FAQs about Centers for Independent Living and COVID-19 Aid, Relief, and Economic Security Act of 2020 (CARES Act) Funding - Updated March 18, 2021
- CARES Act Annual Program Report
- Older Americans Act programs
For all programs
- FAQ on Use of Older Americans Act Funding for Incentives - July 20, 2021
- ACL posted two sets of FAQs: American Rescue Plan (ARP) program FAQs and fiscal FAQs. These two sets of FAQs are provided in response to questions received by ACL on the supplemental funding provided by the American Rescue Plan Act as well as general updates and clarification on Older Americans Act funding. - May 3, 2021
- ACL-CDC partnership to increase vaccine access: Funding FAQ for Older Americans Act programs - April 9, 2021
- FAQs for Coronavirus Response and Relief Supplemental Appropriations Act of 2021: Grants to Enhance Adult Protective Services to Respond to Covid-19.- Updated Feb.12, 2021
- FAQs for Long-Term Care Ombudsman Programs: Coronavirus Response and Relief Supplemental Appropriations Act of 2021. These frequently asked questions are provided to assist Ombudsman programs understand the new funding opportunity.
- FAQs about COVID Vaccination prepared by ACL for the Aging Network. This FAQ answers questions about vaccination administration and associated activities and costs.
- FAQs on Program Reporting Guidance - COVID Response - for State Program Report (SPR) - June 4, 2020
- Expediting expenditures at the state level in responding to the COVID-19 Emergency
- All ACL Guidance in One Document - Updated July 8, 2020
- Presumptive Approval of Waivers Permitting Extension of Existing State Plans Letter to State Unit on Aging Directors #02-2020 (April 10, 2020) (PDF)
- Fiscal FAQ: OAA Funding, FFCRA, CARES Act, and OAA Reauthorization - April 8, 2020 (Word)
- Q&A: From ACL calls with State Unit on Aging Directors
- Older Americans Act Disaster Relief: On March 13, 2020, the ongoing pandemic was determined to be of sufficient severity and magnitude to warrant a nationwide emergency determination under section 501(b) of the Stafford Act. Because requests for a declaration of a “major disaster,” as set forth in section 401(a) of the Stafford Act, may be appropriate, governors and tribal leaders were encouraged to consider requesting such a declaration. Declaration of a major disaster triggers disaster relief authority in the Older Americans Act (PDF).
Senior Nutrition Program
The Coronavirus Response & Relief Supplemental Appropriations Act of 2021 State, Territory, and Tribal nutrition allocation tables are available on the Budget page of the main ACL.gov website. The tables provide the amounts of the $175 million distributed to each state, territory and tribe.
The Fiscal FAQ for FFY2021 Older Americans Act-Supplemental Nutrition Funding is now available. This Fiscal FAQ document provides updates for grantees related to the Consolidated Appropriations Act, 2021 Supplemental Nutrition Funding (Supplemental 5-HDC5) and FFY2021 “Regular” OAA Title III funds. The Consolidated Appropriations Act, 2021, Public Law No: 116-260, signed into law on December 27, 2020 provides funding for FFY2021 “Regular” Older Americans Act (OAA) programming and extends flexibilities provided in the Families First Coronavirus Response Act and the CARES Act. In addition, the Consolidated Appropriations Act, 2021 provides supplemental funding for ACL’s Senior Nutrition Programs to assist in responding to the COVID pandemic. This Act provides an added $168M to help states deliver additional meals to older adults (Supplemental 5-HDC5).
Survival Guide: Navigating ACL’s Nutrition Program Guidance - With the number of FAQs and resources we have published to address this rapidly evolving situation, we know it has become difficult to determine which resource you should check to answer a particular question. This Survival Guide is intended to help by linking you to the resources that best address a variety of topics. (These are primarily nutrition-focused, but also include OAA Title III- B and E information that helps the user of this guide navigate nutrition matters.)
Reopening Guidelines for Senior Nutrition Programs - Developed as a collaborative effort between the National Resource Center on Nutrition and Aging, National Association of Nutrition and Aging Services, National Council on Aging, and ACL, these guidelines offer suggestions for senior nutrition programs to consider as their states move through the phases of reopening.
- Additional FAQ: OAA Nutrition Program Implementation During the COVID-19 Pandemic - April 17, 2020
- FAQ: Groceries and OAA Programs (updated May 20, 2020)
- FAQ: Families First Coronavirus Response Act - Title VI (FFCRA) - March 27, 2020 (PDF)
- FAQ: Nutrition Services Emergency Management - March 12, 2020 (PDF)
- Nutrition Services Incentive Program (NSIP) of the Older Americans Act and States, March 30, 2020 (Word)
- Q&A from Meals on Wheels America Town Hall - Posted March 31, 2020 (PDF)
State Long-Term Care Ombudsman Program
- Reporting Requirements for CARES Act Funding - May 4, 2020 (Word)
- CARES Act FAQ: Long-Term Care Ombudsman Program - April 17, 2020 (Word)
- FAQ: Long-Term Care Ombudsman - March 16, 2020 (PDF)
- FAQ: Long-Term Care Ombudsman Program - March 10, 2020 (PDF)
- Emergency Preparedness and Response: Model Policies and Procedures for State LTCO Programs (Published Nov. 23, 2015)
Title III Programs
Title III State Program Report: COVID-19 Response Reporting Guidance - Updated January 2021
Title VI Programs
- FAQs for Title VI Grantees - May 14, 2021
- Title VI Reporting Guidance for COVID-19 Response Activities - May 4, 2020
Aging and Disability Resource Centers
- ADRC/No Wrong Door System Funding Opportunity
- FAQs: Critical Relief Funds for COVID-19 Pandemic Response - Updated 4/11/2020
- Informational Webinar April 9, 2020
Other Older Americans Act Programs
- Developmental Disabilities Act programs
ACL-CDC partnership to increase vaccine access: Funding FAQs for Developmental Disabilities Act programs (Posted April 14):
- Assistive technology programs
- Adult Protective Services/Elder Justice Act programs
Coronavirus Response & Relief Supplemental Appropriations Act of 2021: Grants to Enhance APS to Respond to COVID-19
- American Rescue Plan Grants to Enhance APS
- Coronavirus Response & Relief Supplemental Appropriations Act of 2021: Grants to Enhance APS to Respond to COVID-19
- InfoSheet: Adult Protective Services - March 18, 2020 (PDF)
- NIDILRR programs (Updated March 30)
- ACL Guidance on Reporting Requirements (Updated January 2021 to include Supplemental 5 funds)
- Older Americans Act programs
- Independent Living Programs
- Memo from the Deputy Administrator for Management and Budget
- FAQs on Program Reporting Guidance - COVID Response - for State Program Report (SPR) - June 4, 2020
- Contact your preferred participating broadband provider directly to learn about their application process. Go to GetEmergencyBroadband.org to apply online and to find participating providers near you.
- Vaccine Resources
The HHS Assistant Secretary for Planning and Evaluation (ASPE) released a brief on the potential barriers to accessing the COVID-19 vaccine faced by homebound older adults.
The HHS Office of the Assistant Secretary for Preparedness and Response has a webpage dedicated to "Engaging Community-Based Organizations: Promising Practices for Reaching At-Risk Individuals for COVID-19 Vaccination and Information." The page outlines the CMIST Framework and describes funding that may be available to CBOs to support vaccination assistance efforts.
- The Centers for Medicare & Medicaid Services (CMS) released an update to the Coverage and Reimbursement of COVID-19 Vaccines, Vaccine Administration, and Cost Sharing under Medicaid, CHIP, and BHP vaccine toolkit.
- Tribe and Tribal Elder Resources
COVID-19 is a serious concern for tribal communities. The resources located HERE, from the National Indigenous Elder Justice Initiative, will help to inform your communities on how to prevent the spread of COVID-19, protect your elders and loved ones, and prevent falling for scams.
- CDC Foundation Funding Opportunity for CBOs: Vaccine outreach to marginalized racial communities
The CDC Foundation will award over $6.7 million to community-based organizations to support efforts to increase influenza and COVID-19 vaccine confidence and uptake for adults in racial and/or ethnic populations experiencing disparities in the United States. The CDC Foundation will provide $50,000 - $100,000 awards to an estimated 100 CBOs to: (1) Equip influential messengers by providing trainings and materials; (2) Increase vaccination opportunities and enhance provider partnerships; and (3) Establish partnerships with state and local health departments. Applications are due Monday, April 26 and selected CBOs will be notified of their selection by May 7. 2021.
- Emergency Broadband Benefit
Beginning on May 12, households can apply in three ways:
- Contact your preferred participating broadband provider directly to learn about their application process.
- Go to GetEmergencyBroadband.org to apply online and to find participating providers near you.
- Call 833-511-0311 for a mail-in application, and return it along with proof of eligibility to: Emergency Broadband Support Center, P.O. Box 7081, London, KY 40742.
On April 13, the FCC hosted a webinar that provided an overview of the benefit, eligibility criteria, how to apply, and the FCC’s partner toolkit materials.
- ASPE Brief on Virtual Service Delivery
Understanding which services can be effective when virtual, how, and for whom is important—especially for those trying to reach underserved communities. HHS' Office of the Assistant Secretary for Planning and Evaluation have published a policy brief offering preliminary lessons learned and considerations for tailoring virtual services. Topics include choosing a platform, the trade-offs of remote services, and personalized service planning.