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 underserved people with HIV. This includes: 1) targeted HIV counseling and testing; 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 capacity 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, uninsured, and underserved people with HIV.
General information about this opportunity
Last Known Status
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Public Health Service Act, Sections 2651-2667, and 2693 (42 USC 300ff-51 – 300ff-67, and 300ff-121), as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87)
Who is eligible to apply/benefit from this assistance?
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.
Low income, uninsured, and underserved PWH.
Applicants should review the individual HRSA notice of funding opportunity (NOFO) 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. 45 CFR 75--Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards applies to this program.
What is the process for applying and being award this assistance?
Preapplication coordination is 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. 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.
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. 45 CFR 75--Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.
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 location, as appropriate for application deadlines
Approval/Disapproval Decision Time
Approximately 6 months.
How are proposals selected?
Eligible applicants are reviewed by an objective review committee based on the criteria detailed in the notice of funding opportunity.
How may assistance be used?
Part C recipients are expected to develop comprehensive and coordinated systems of HIV services which are available to people with HIV 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.
For the Part C program, 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.
For the Capacity Development Program, no more than 10 percent of the total grant funds may be expended for administrative expenses, including planning and evaluation, and excluding costs of a clinical quality management program. Administrative costs are those direct and indirect costs associated with the administration of the RWHAP Part C Capacity Development grant.
For Part C and Part C Capacity Development Programs, all funds must be expended solely for carrying out the approved project in accordance with the notice of funding opportunity, the terms and conditions of the award, and the applicable cost principles. 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 people with HIV, 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 ).
What are the requirements after being awarded this opportunity?
In accordance with the provisions 45 CFR 75--Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards, 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 45 CFR 75.
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.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.
Matching requirements are not applicable to this assistance listing.
This program has MOE requirements, see funding agency for further details. Additional Information: 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. Recipients draw down 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
5600 Fishers Lane, Room 09N16,
Rockville, MD 20857 US
(Project Grants) FY 18$6,936,406.00; FY 19 est $3,798,106.00; FY 20 est $4,000,000.00; FY 17$3,798,106.00; FY 16$1,500,000.00; - Capacity Development.(Project Grants) FY 18$181,876,780.00; FY 19 est $181,752,822.00; FY 20 est $181,752,822.00; FY 17$181,747,027.00; FY 16$186,586,879.00; - Early Intervention Services.
Range and Average of Financial Assistance
$54,500 to $150,000;-Capacity Development Average $133,392. Capacity Development grants are limited to $150,000. $92,999 to $1,507,775-Early Intervention Services Average $520,782
Regulations, Guidelines and Literature
All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR 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.
Examples of Funded Projects