2025 Grant Program Funding Opportunity
Addressing Dementia in Tribal and Urban Indian Communities: Enhancing Sustainable Models of Care (ALZ)
Supporting expansion and increasing local clinical capacity for culturally relevant dementia care and services for American Indian and Alaska Native people living with dementia, their caregivers, and their communities.
Funding Overview and Eligibility

Funding Announcement Number: HHS-2025-IHS-ALZ-0002
Opportunity Name: Addressing Dementia in Tribal and Urban Indian Communities: Enhancing Sustainable Models of Care (ALZ)
Eligibility: Federally recognized Indian Tribes, Tribal organizations, and Urban Indian Organizations. To be eligible for this funding opportunity, an applicant cannot be an existing awardee under the IHS Addressing Dementia in Indian Country program.
Other Eligibility Criteria: You must provide ambulatory care clinical services directly or through coordination with an ambulatory care clinic. You must provide a letter of support from a clinic if you are not providing services directly.
HOW TO APPLY
The application package has all the forms you need to apply. You can find it online. Go to Grants.gov, opportunity number HHS-2025-IHS-ALZ-0002.
Notice of Intent to Apply
We ask that you let us know if you plan to apply for this opportunity. We do this to plan for the number of expert reviewers we will need to evaluate applications.
Please email notice to Jolie Crowder
In your email, include:
- The funding opportunity number and title.
- Your organization's name and address.
- A contact name, phone number, and email address.
- The deadline for notices of intent is 20 business days prior to the application deadline.
You do not have to submit a notice of intent to apply.
Funding Details
Funding Amount: $1.6 million per year in total funding is available, pending the availability of funding and IHS priorities.
Funding range per applicant for the first budget period:$100,000 to $200,000
Expected number of awards: 8
Total Period of Performance Length: We expect to fund projects in three 1-year budget periods for a period of performance of 3 years.
Application Period Ends: August 1, 2025
Anticipated Award Start Date: September 1, 2025
Purpose
Through this Notice of Funding Opportunity (NOFO), the Indian Health Service (IHS) aims to improve care, services, and outcomes for AI/AN people living with dementia, their caregivers, and their communities. This program will identify and share clinical care models that work within Tribal and Urban Indian communities. It provides support to Tribes, Tribal organizations, and Urban Indian organizations that are already working toward comprehensive dementia care.
Priorities include:
- Expansion and increased local capacity so clinical and community health professionals can provide culturally relevant, comprehensive care and services.
- New opportunities and additional services to strengthen existing care approaches in clinical settings.
- Long-term sustainability planning and evaluation of Tribal and Urban Indian Health clinical programs, services, and systems.
- Documentation and dissemination of locally developed Tribal and Urban Indian Health emerging practices and models of comprehensive care.
Primary Drivers
In your application, you must demonstrate your existing infrastructure and how you currently provide dementia care and services in at least two of the five primary drivers of comprehensive care, which are:
- Awareness and recognition.
- Accurate and timely diagnosis.
- Interdisciplinary assessment.
- Management and referral.
- Caregiver support.
Your activities must be designed to serve and respond to the needs, culture, and historical experiences of AI/AN people living with dementia and their caregivers in your local community.
Application Support Tools
- Alzheimer’s Work Plan Template Sample [DOCX - 21 KB]
- Budget and Narrative Template Sample [DOCX - 43 KB]
- Evaluation Plan Template Sample [DOCX - 20 KB]
- Driver Diagram Sample Template for Addressing Dementia in Tribal and Urban Indian Communities: Models of Care [DOCX - 33 KB]
- National Dementia Care Collaborative – Dementia Models of Car
- Healthy Brain Initiative Road Map for American Indian and Alaska Native Peoples – Alzheimer's Association and Centers for Disease Control and Prevention (CDC)
- CDC – Funded Public Health Dementia Centers of Excellence
- American Indian and Alaska Native Resource Center for Brain Health Online Resource Library – International Association for Indigenous Aging (IA2) – The Commonwealth Fund
- Age Friendly Health Systems – An initiative of the Institute for Healthcare Improvement and the John A. Hartford Foundation
- Dementia Friendly America (see Community Toolkit and Resources)
- Mini-Cog: Quick Screening for Early Dementia Detection
- Health Systems and Medical Professionals: Care planning – Alzheimer’s Association
- Best Practice Caregiving Database (Compendium of evidence-based caregiver interventions) – Benjamin Rose Institute