Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease

The purpose of the RWHAP Part C Early Intervention Services Program funding is to provide comprehensive HIV primary care and support services in an outpatient setting for low income, uninsured, and underinsured people living with HIV (PLWH).

This includes: 1) targeted HIV counseling and testing;

credit: Raw Story
2) medical evaluation and clinical and diagnostic services; 3) therapeutic measures for preventing and treating the deterioration of the immune system, and for preventing and treating conditions arising from HIV/AIDS; and 4) referrals to appropriate providers of health care and support services.



The purpose of the RWHAP Part C Capacity Development Program is to strengthen organizational infrastructure to respond to the changing health care landscape and to increase capacity to develop, enhance, or expand access to high quality HIV primary health care services for low income PLWH.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.
Website Address

http://www.hrsa.gov





Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Part C recipients are expected to develop comprehensive and coordinated systems of HIV services which are available to PLWH in the local service area, especially those populations who are the hardest to reach, have the greatest unmet need, and/or the greatest gaps in HIV primary care services.

These HIV service systems should ensure the progress of the target populations along the HIV care continuum with the goal of optimizing health outcomes demonstrated by retention in medical care, viral load reduction, and decreases in new HIV infections in the community.

No more than 10 percent of total grant funds may be expended for administrative expenses, including planning and evaluation.

At least 50 percent of total grant funds must be expended for Early Intervention Services (except counseling).

At least 75 percent of total grant funds, after reserving funds for clinical quality management, planning/evaluation, and administration must be expended for core medical services.

Funds may not be used for purchase, construction, or major alterations or renovations on any building or other facility; purchase or improvement of land; payments for clinical research; payments for nursing home care; cash payments to intended recipients of RWHAP services; research; foreign travel; or for any item or service to the extent that payment has been made, or reasonably can be expected to be made, with respect to that item or service under any State compensation program, insurance policy, Federal or State health benefits program or by an entity that provides health services on a prepaid basis (except for a program administered by or providing the services of the Indian Health Services).

Funds may also not be used towards pre-exposure prophylaxis (PrEP) or non-occupational post-exposure prophylaxis (nPEP) medications or medical services.

As outlined in the June 22, 2016 RWHAP and PrEP program letter, the RWHAP legislation provides grant funds to be used for the care and treatment of PLWH, thus prohibiting the use of RWHAP funds for PrEP medications or related medical services, such as physician visits and laboratory costs.

However, RWHAP Parts C recipients and subrecipients may provide prevention counseling and information, which should be part of a comprehensive PrEP program.

Additionally, the purchase of sterile needles or syringes for the purposes of hypodermic injection of any illegal drug is not allowable.

Some aspects of Syringe Services Programs are allowable with HRSA's prior approval and in compliance with HHS and HRSA policy (see: https://www.hiv.gov/federal-response/policies-issues/syringe-services-programs).

Eligibility Requirements

Applicant Eligibility

Public and private nonprofit entities that are: federally qualified health centers under Section 1905(1)(2)(B) of the Social Security Act; recipients under Section 1001 of the PHS Act (regarding family planning) other than States; comprehensive hemophilia diagnostic and treatment centers; rural health clinics; health facilities operated by or pursuant to a contract with the Indian Health Service; community-based organizations, clinics, hospitals and other health facilities that provide early intervention services to those persons infected with HIV/AIDS through intravenous drug use; or nonprofit private entities that provide comprehensive primary care services to populations at-risk of HIV/AIDS, including faith-based and community-based organizations.

Eligible applicants for the Capacity Development Program include public and nonprofit private entities, including faith-based and community-based organizations, and Tribes and tribal organizations.

Beneficiary Eligibility

Low income, uninsured, and underinsured PLWH.

Credentials/Documentation

Applicants should review the individual HRSA notice of funding opportunity issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

Environmental impact information is not required for this program.

This program is eligible for coverage under E.O.

12372, 'Intergovernmental Review of Federal Programs.' An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.

Award Procedures

All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Award.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Sections 2651-2667 and 2693 of the Public Health Service Act, (42 USC §§ 300ff-51-67 and 300ff-121) as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87).

Range of Approval/Disapproval Time

Approximately 6 months.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching requirements are not applicable to this program. This program has MOE requirements, see funding agency for further details. As a condition of award, applicants must agree to maintain their expenditures for early intervention services at a level equal to not less than the level of such expenditures maintained by the State for the fiscal year preceding the fiscal year for which the applicant is applying to receive the grant.

Length and Time Phasing of Assistance

Early Intervention Services grants are typically awarded for up to a 3 year period of performance. Continued support, beyond the first year, is contingent upon satisfactory performance and the availability of Federal funds. Capacity development grants may be funded for up to 1 year. See the following for information on how assistance is awarded/released: Recipients draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Please refer to the notice of funding opportunity and Notice of Award for any applicable program, data, and fiscal reports.

The recipient must submit the annual RWHAP Services Report due the last Monday in March each year, covering the just-ended Jan.

1 - Dec.

31 calendar year.

No cash reports are required.

Recipients must also submit a RWHAP Allocations Report, 60 days after the start of the budget period, and a RWHAP Expenditures Report due 90 days after the end of the budget period (OMB 0915-0318).

Recipients must submit a Federal Financial Report or SF 425 within 90 - 120 days after the end of each budget period.

Additionally, each funded program must submit a budget period renewal progress report each year prior to the end of the project period.

A final Federal Financial Report and final performance report must be submitted 90 days after the end of the project period.

Expenditure reports are not applicable.

No performance monitoring is required.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.

Records

Recipients are required to maintain financial records 3 years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification

75-0350-0-1-550.

Obigations

(Project Grants) FY 16 $1,500,000; FY 17 est $2,250,000; and FY 18 est $2,250,000 - Capacity Development. (Project Grants) FY 16 $186,586,879; FY 17 est $182,586,879; and FY 18 est $186,586,879 - Early Intervention Services.

Range and Average of Financial Assistance

$95,000 to $1,578,446; Average $539,268. Capacity Development grants are limited to $150,000.

Regulations, Guidelines, and Literature

All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.

Information Contacts

Regional or Local Office

See Regional Agency Offices.

Headquarters Office

Hanna Endale 5600 Fishers Lane, Room 09N16, , Rockville, Maryland 20857 Phone: (301) 443-1325

Criteria for Selecting Proposals

Eligible applicants are reviewed by an objective review committee based on the criteria detailed in the notice of funding opportunity.



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