Coordinated Services and Access to Research for Women, Infants, Children, and Youth


The purpose of this funding is to provide family-centered primary medical care to women, infants, children, and youth (WICY) living with HIV/AIDS when payments for such services are unavailable from other sources. Funding is intended to improve access to primary HIV medical care for HIV-infected women, infants, children, and youth through the provision of coordinated, comprehensive, culturally and linguistically competent services directly, by contract or by memoranda of understanding. HIV primary medical care refers to outpatient or ambulatory care, including behavioral health, nutrition, and oral health services. Family-centered care refers to services that address the health care needs of the persons living with HIV in order to achieve optimal health outcomes. Specialty care refers to specialty HIV care and specialty medical care such as obstetrics and gynecology, hepatology, and neurology. Support services may include the following:

1. Family-centered care including case management.
2. Referrals for additional services including-
(a) referrals for inpatient hospital services, treatment for substance abuse, and mental health services; and
(b) referrals for other social and support services, as appropriate.
3. Additional services necessary to enable the patient and the family to participate in the program established by the applicant pursuant to such subsection including services designed to recruit and retain youth with HIV.
4. The provision of information and education on opportunities to participate in HIV/AIDS-related clinical research.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Type(s) of Assistance Offered
Project Grants
Program Accomplishments
Not Applicable.
Sections 2671 and 2693 of Title XXVI of the Public Health Service Act, (42 U.S.C. 300ff-71 et seq.), as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (P.L. 111-87).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Public and nonprofit private entities that provide primary care services, either directly or by another entity that is linked with the grantee, either through a contract, written partnership, or other formal agreement. Organizations may include State and local governments, their agencies, and Federally recognized Indian Tribal Government and Native American organizations. Proof of nonprofit status is required for nonprofit organizations. Primary care providers must show proof of Medicaid eligibility.
Beneficiary Eligibility
Women, infants, children, and youth with HIV/AIDS and their affected family members.
Applicants should review the individual HRSA funding opportunity announcement 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. This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles.
What is the process for applying and being award this assistance?
Pre-Application Procedure
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 Procedure
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. HRSA requires all applicants to apply electronically through

Award Procedure
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.
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
From 120 to 180 days.
Not Applicable.
Grants may be made for up to 3-year project periods, subject to availability of funds. After initial awards, projects may be renewed contingent upon submission and approval of a continuation progress report.
How are proposals selected?
Criteria are included in the program guidance materials provided with application kits. Contact the HRSA Grant Application Center for details.
How may assistance be used?
All funds granted must be expended solely for carrying out the approved project in accordance with application guidelines, the conditions of award and the applicable cost principles.
What are the requirements after being awarded this opportunity?
Please refer to funding opportunity announcement and Notice of Award for any applicable program, data, and fiscal reports. The grantee must submit the annual Ryan White 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 an Allocations Report, 60 days after the start of the budget period. An Expenditures Report due 90 after the end of the budget period (OMB 0915-0318). Recipients must submit a Federal Financial Report or SF 425 within 90 days after the end of the 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 financial report rt must be submitted 90 days after the end of the project period.
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.
Recipients are required to maintain grant accounting records for 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.
Other 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.
Length and Time Phasing of Assistance
Grants will be awarded, for a up to a 3 year project period. Continued support, beyond the first year, is contingent upon satisfactory performance and the availability of Federal funds. See the following for information on how assistance is awarded/released: Grantee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
See Regional Agency Offices.
Headquarters Office
Monique G. Hitch 5600 Fishers Lane, Room 6NWH04, Rockville, Maryland 20857 Phone: (301) 443-3944
Website Address
Financial Information
Account Identification
(Project Grants) FY 14 $64,564,537; FY 15 est $66,000,000; and FY 16 est $67,000,000
Range and Average of Financial Assistance
FY 14 $100,000 to $2,260,049.
Regulations, Guidelines and Literature
This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.

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
Examples of Funded Projects
Not Applicable.


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