Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease (93.918)
Program
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Public Health Service Act, Title XXVI, Part C, as amended, Public Law 106-345, Ryan White Care Act Amendments of 2000.
Program Number
93.918
Last Known Status
Active
Objectives
To increase the capacity of entities that provide comprehensive primary care services to persons with Human Immunodeficiency Virus (HIV) infection, or who are at-risk of infection, and to offer more early intervention services. The services will include increased counseling and testing, partner involvement in risk reduction, transmission prevention, appropriate primary care diagnostic and treatment services, and, as needed, case-management to ensure that individual service needs are met. A planning and capacity building program provides assistance to organizations wishing to develop a new or expanded HIV program, particularly in rural and underserved areas and communities of color.
Types of Assistance
Project Grants.
Uses and Use Restrictions
Applications should be designed to improve the availability, accessibility and organization of ambulatory health services to persons infected with HIV or who are at high risk. Funds may not be used for acquiring property, used for inpatient or residential care, and no more than 10 percent of the Federal funds may be used for administrative costs.
Eligibility Requirements
Applicant Eligibility
Eligible applicants are public and private nonprofit entities that are: health centers under Section 330 of the Public Health Service Act; family planning grantees under Section 1001 of the Public Health Service Act other than States; comprehensive hemophilia diagnostic and treatment centers; federally-qualified health centers under Section 1905(1)(B) of the Social Security Act; or a public or private nonprofit entity that provides comprehensive primary care services to populations at-risk of HIV disease. Planning and capacity building grants require that applicants be public or private non-profit organizations that are or intend to become HIV Primary Care Providers.
Beneficiary Eligibility
Persons infected with HIV or who are at high risk of HIV infection.
Credentials/Documentation
Costs will be determined in accordance with DHHS Regulations, 45 CFR, Part 74, Subpart Q and 45 CFR Part 92.22. Grantees must provide satisfactory assurances and agreements as required by law.
Application and Award Process
Preapplication Coordination
Preapplication coordination is not required. 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. The single point of contact for the State may be obtained from the Grants Management Branch, HIV/AIDS Bureau (HAB), Health Resources and Services Administration, 5600 Fishers Lane, Room 7-89, Rockville, MD 20857. This program is subject to the requirements of the Public Health System Impact Statement.
Application Procedure
Applications are solicited by a program announcement in the Preview. Application forms and program guidance are available from the HRSA Grants Application Center. All applicants must submit PHS Form 5161, Application for Federal Assistance (nonconstruction), which incorporates the SF 424 application pages, fully documenting the need for and the proposed amount of the grant. All qualified applications will be forwarded to an objective review committee which will make recommendations to the Associate Administrator, HAB. The Associate Administrator has approval authority. This program is subject to the provisions of 45 CFR 92 for State and local governments and 45 CFR 74 for nonprofit organizations.
Award Procedure
After approval by the Associate Administrator, the Division of Grants Management Operations prepares a Notice of Grant Award and issues the award.
Deadlines
Contact the Headquarters Office listed below for deadline dates.
Range of Approval/Disapproval Time
Appeals
None.
Renewals
None.
Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula for the amount of the grant. The amount is negotiated based on costs of the proposed grant activities. Grantees are not required to match Federal funds under the grant; however, the level of nonfederal expenditures for early intervention services must be maintained at the level for the year prior to the grant award.
Length and Time Phasing of Assistance
Early Intervention Services grants may be made for up to 3-year project periods. Continued support, beyond the first year, is contingent upon satisfactory performance and the availability of Federal funds. Planning grants are limited to $50,000 and are funded for 1 year with an option for transition grant funds in year 2 and year 3. Capacity building grants are funded at $150,000 for up to 3 years.
Post Assistance Requirements
Reports
Grantees must submit a Financial Status Report on SF 269 (long form) within 90 days after the end of the budget period. The grantee must also submit the annual Care Act Data Report due March 15 each year, covering the just-ended Jan. 1 - Dec. 31 calendar year. Additionally, each funded program must submit a non-competing application each year prior to the end of the budget period. A final financial status report and final performance report must be submitted 90 days after the end of the project period.
Audits
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.
Records
DHHS and the Comptroller General of the United States or any of their authorized representatives, shall have the right of access to any books, documents, papers, or other records of a grantee, subgrantee, contractor, or subcontractor, which are pertinent to the DHHS grant, in order to make audits, examinations, excerpts and transcripts. Grantees are required to maintain grant accounting records 3 years after the end of a budget period. If any litigation, claim, negotiation, audit or other action involving the records 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.
Program Accomplishments
In fiscal year 2002, 327 programs were funded and provided early intervention services, including primary and preventive care to over 150,000 people with HIV disease. Also in fiscal year 2002, we awarded 58 Planning grants and 59 Capacity Building grants. Other accomplishments include the provision of technical assistance to existing grantees, funded support for the development of an action plan to address HIV-related issues and problems facing HIV infected persons living near the U.S.-Mexico border and development of a manual focused on the nutritional needs of persons living with HIV. It is estimated that 20 new Early Intervention Services grants and 10 Planning and 10 Capacity Building grants will be awarded in fiscal years 2003 and 2004.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) EIS grants: FY 02 $167,050,956; FY 03 est $170,157,814 and FY 04 est 4170,157,814. Planning grants: ; FY 02 $2,900,000; FY 03 est $3,250,000 and FY 04 est $500,000. Capacity Building grants: FY 02 $4,744,790: FY 03 est $3,250,000 and FY 04 est $4,744,790.
Range and Average of Financial Assistance
From $100,000 to $650,000. Average: $350,000. Planning grants are limited to $50,000 and capacity building grants are limited to $150,000.
Regulations, Guidelines and Literature
Grants to State and local governments will be administered according to DHHS Regulations in 45 CFR 92. Grants to nonprofit private organizations are subject to DHHS Regulations in 45 CFR Part 74. All grantees use PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994 and HIV Program Guidance.
Related Programs
None.
Information Contacts
Regional or Local Office
Not applicable.
Headquarters Office
Program Contact: For Early Intervention Services Grants: Dr. Ray Goldstine, Division of Community Based Programs, Title III, HIV/AIDS Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 7A-30, Rockville, MD 20857. Telephone: (301)443-1839. For Planning Grants: Sylvia Trent-Adams at (301) 443-2177 or at the same address as above. Grants Management Contact: Director, Division of Grants Management Operations, Health Resources and Services Administration, 5600 Fishers Lane, Room 11-03, Rockville, MD 20857.
Web Site Address
Examples of Funded Projects
Grantees include health centers; family planning grantees under Section 1001 of the PHS Act other than States; federally-qualified health centers; and public and private nonprofit entities that provide comprehensive primary care services to populations at risk of HIV disease. Planning and capacity building grants include a wide variety of public and private nonprofit entities.
Criteria for Selecting Proposals
Evaluations will be based on (1) Applicant's assessment of community need for additional preventive and primary care services to those with, and at risk for, HIV infection; (2) applicant's ability to describe its role in addressing unmet needs; (3) appropriateness of the proposed budget; (4) comprehensiveness of existing and proposed services; (5) collaboration with other local city, county, State HIV-prevention and treatment activities; and (6) adequacy and completeness of applicant's program evaluation plan.
