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Administration on Aging (AoA)

Chronic Disease Self-Management Education Programs

Purpose and Background

Chronic Disease Self-Management Education (CDSME) programs provide older adults and adults with disabilities with education and tools to help them better manage chronic conditions such as diabetes, heart disease, arthritis, HIV/AIDS and depression. The U.S. Administration on Aging (AoA) has been supporting the dissemination of CDSME programs through grants to states since 2003. State governments use these funds to develop an infrastructure (state and community partners, workforce, sites, enrollment system) to deliver these programs in their communities.

In September- 2012, AoA began its, Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs, financed through the Affordable Care Act Prevention and Public Health Fund (PPHF). These 2012 PPHF CDSME grants, awarded to 22 states, initially end on August 31, 2015, although some of the grantees have received extensions to continue their work with no additional funding.

In August 2015, AoA awarded a new round of two-year CDSME grants to eight grantees financed by 2015 PPHF funds.

The 2015 PPHF CDSME cooperative agreements are designed to achieve two major goals:

  • Goal 1: Significantly increase the number of older adults and adults with disabilities in underserved areas and populations who complete evidence-based self-management education and support programs to empower them to better manage their chronic conditions; and
  • Goal 2: Implement innovative funding arrangements to support the proposed programs, while embedding the programs into an integrated, sustainable evidence-based evidence-based prevention program network.

These grants also support the Health and Human Services Strategic Framework on Multiple Chronic Conditions in bringing to scale and enhancing sustainability of evidence-based self-management programs.

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  • From 2012–2014, AoA awarded 22 three-year manually-funded cooperative agreements totaling $21.02 million.

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2012 Grantees

2012 PPHF CDSME Capping Report

Grantee FY12
Award Amount
Alabama Department of Senior Services $400,000 $280,000 $305,000
Arizona Department of Health Services $272,619 $191,000 $208,000
State of California Department of Aging $575,000 $402,500 $439,000
State of Colorado Department of Human Services $257,206 $182,000 $196,000
Connecticut Department of Social Services $200,000 $140,000 $152,000
Georgia Department of Human Services, Division of Aging Services $397,707 $280,000 $304,000
Kentucky Cabinet for Health and Family Services $272,620 $192,000 $208,000
Massachusetts Executive Office of Elder Affairs $575,000 $402,500 $439,000
Maryland Department of Aging $313,767 $245,000 $267,000
Michigan Dept of Community Health Office of Services to the Aging $575,000 $402,500 $439,000
State of Missouri, Department of Health and Senior Services $300,000 $210,000 $229,000
New Jersey Department of Health and Senior Services $569,456 $400,000 $432,000
New Mexico Department of Health- Public Health Division $200,000 $140,000 $153,000
New York State Office for the Aging $575,000 $402,500 $439,000
Oklahoma Department of Human Services $253,660 $182,000 $195,000
Oregon Health Authority, Public Health Division $575,000 $402,500 $439,000
Rhode Island Department of Health $200,000 $140,000 $153,000
South Carolina Lieutenant Governor’s Office on Aging $398,399 $280,000 $304,000
Utah Department of Health $300,000 $210,000 $229,000
Virginia Department for Aging and Rehabilitative Services $574,953 $402,500 $438,897
Washington Department of Social and Health Services $399,933 $280,000 $305,000
Wisconsin Department of Health Services $400,000 $280,000 $305,000

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2015 Grantees

Grantee Award Amount
Health Foundation of South Florida, Miami, FL
AgeOptions, Inc,  Oak Park, IL
MAC Incorporated, Salisbury, MD
Mississippi State Department of Health, Jackson, MS
University of North Carolina at Asheville, Asheville, NC 
Health Promotion Council of Southeastern Pennsylvania, Inc., Philadelphia, PA
South Dakota State University, Brookings, SD
Community Council of Greater Dallas, Dallas, TX

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2016 Grantees

Grantee Award Amount
Central Maine Area Agency on Aging, ME
Department of Aging and Rehab Services Virginia, VA
New Mexico Department of Health, NM
New York State Office for the Aging, NY
Washington State Department of Social and Health Services, WA
Texas A&M Health Science Center, TX
Utah Department of Health, UT
Great Plains Tribal Chairmen's Health Board, SD
Lac Courte Oreilles Band of Lake Superior Chippewa Indians, WI
Lake County Tribal Health Consortium, Inc., CA
Sokaogon Chippewa Community, WI
Yellowhawk Tribal Health Center, OR

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Current Activities

PPHF Grantee Progress as of August 2015:

  • Nearly 9,500 workshops
  • More than 106,000 participants and 78,000 completers (participants who attended four out of the six sessions)

AoA funding has supported nearly 250,000 CDSME participants since 2010 and a cumulative total of about 281,000 participants since 2006.

Nearly 60% of the participants reported having more than one chronic condition. The most common conditions are:

  • hypertension (41%),
  • arthritis (37%), and
  • diabetes (32%).

The average age of a CDSME participant is 65.6 years, and 46% of participants report having a disability.

With regard to race and ethnicity:

  • 31% are non-White
    • 22% Black,
    • 4% Asian,
    • 2% Native American,
    • 2% multi-racial, and
    • 1% Pacific Islander
  • 17% are Hispanic

The 2012 and 2015 PPHF grantees are providing the following highest-level evidence-based chronic disease self-management education and self-management support programs:

To learn more about the grantees’ progress covering the period of September 1, 2013 to December 1, 2014, go to the December 2014 Status Report.

View the results of the 2015 CDSME Integrated Services Delivery System Assessment Tool, highlighting the progress of the 2012 PPHF CDSME grantees in developing integrated and sustainable delivery systems.

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Grantee Profiles

2012 PPHF CDSME Grantee Profiles:

2015 PPHF CDSME Grantee Profiles

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National CDSME Resource Center

AoA also funds the National CDSME Resource Center at the National Council on Aging’s Center for Healthy Aging. The Resource Center assists states; the aging, disability and public health networks; and their partners increase access to and sustain evidence-based prevention programs that improve the health and quality of life of older adults and adults with disabilities. It also serves as the national clearinghouse of tools and information on CDSME programs.

To access webinar recordings, tip sheets, online learning modules and a variety of other resources, go to

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Last Modified: 7/21/2016