Health Resources and Services Administration (HRSA) - Ryan White and Global HIV/AIDS Programs
03/09/18 11:59 PM ET
Grants to USA nonprofit organizations, community and faith-based organizations, Tribal organizations, and Tribes to improve organizational infrastructure to provide HIV healthcare services. Applicants are strongly encouraged to attend the January 18 webinar. Applicants are advised that registrations required to apply may take up to one month to complete.
This notice solicits applications for fiscal year (FY) 2018 Ryan White HIV/AIDS Program (RWHAP) Part C Capacity Development Program. The purpose of this 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, uninsured, and underserved people living with HIV (PLWH).
Funding under this program is not intended to support long-term activities. Instead, the proposed activity should be of a short-term nature and should be completed by the end of the one-year period of performance for this funding opportunity. You may propose an expansion of activities currently supported with RWHAP Part C Capacity Development or Part D Supplemental funding; however, the Health Resources and Services Administration (HRSA) will not fund the same activity in FY 2018 as HRSA funded in FY 2017. If the proposed project is an expansion of a previously funded activity, you will be required to provide a clear rationale for how the proposed activity builds upon and furthers the objectives of the previously funded activity. You may submit proposals for only one of the following two categories: 1) HIV Care Innovation or 2) Infrastructure Development. Select only one category and one type of activity from the selected category.
1) HIV Care Innovation
HIV care innovation activities support progress along the HIV care continuum to improve the health and life span of PLWH and prevent onward transmission of HIV to others. The stages in the HIV care continuum are: diagnosis of HIV infection, linkage to care, retention in HIV medical care, appropriate prescription of antiretroviral therapy, and, ultimately, HIV viral suppression. The selected activity should target populations that are disproportionately affected by the HIV epidemic and are experiencing poor health outcomes. If applying under this category, select only one of the five activities listed below:
-HIV Case Finding – Train designated staff in HIV case finding techniques through local health departments and/or through Centers for Disease Control and Prevention (CDC)-funded training centers (http://www.nnptc.org/). Develop policies and procedures to apply these skills in the clinical setting to link PLWH into care after HIV testing to address one or more stages of the HIV care continuum.
-Motivational Interviewing – Train staff in motivational interviewing to engage patients in care. Staff may receive training through the local AIDS Education and Training Centers (AETCs) or other resources. Develop policies and procedures to facilitate staff application of the training in the clinical setting to address one or more stages of the HIV care continuum.
-Patient-Based Treatment Adherence – Implement an innovative patient-based treatment adherence program supported by policies and procedures to provide long-term adherence support for chronically non-adherent patients, in particular patients with mental health and substance abuse issues, to address one or more stages of the HIV care continuum. For resources addressing this topic, access the Knowledge Network located on the Substance Abuse and Mental Health Services Administration (SAMHSA) website.
-Chronic Disease Self-Management – Institute a clinic-wide chronic disease management program for HIV/AIDS based on the Stanford program or other resources for patient self-management to engage patients in long-term disease control to address one or more stages of the HIV care continuum. Develop policies and procedures to apply the program.
-Transitioning Youth into Adult HIV Care – Implement transition planning activities that include, but are not limited to, written policies, procedures, and staff training to assist youth in transitioning from pediatric to adult HIV medical care. Transition planning is a RWHAP Part C program requirement; therefore, this activity should focus on innovative approaches that build organizational capacity to effectively implement and manage the transition for the youth population (ages 13 - 24) and minimize negative impacts. Recommended activities should focus on collaborations with pediatric/adolescent programs to develop a transition process; capacity building to support the transition into the adult HIV medical care setting; and a mechanism for post transition assessment. Implementation efforts should include measurements for successful transition. The activity must address one or more of the stages of the HIV care continuum.
2) Infrastructure Development
Infrastructure development activities support organizational development and will increase the capacity of organizations to respond to changes in the health care environment. If applying under this category you should select only one of the three activities listed below:
-Electronic Health Records (EHR) – Implement enhancements to or an expansion of existing EHRs to improve the quality, safety, and efficiency of patient health care (this does not include the purchase of an EHR). Describe the plan to enhance or expand the EHR and describe how this increases the capacity of the organization to support increased quality of care for PLWH.
-Financial Management Systems – Implement enhancements to or an expansion of an existing financial accounting system or software capable of managing multiple sources of funding for HIV primary care services, expenses by line item, and the billing process for third party reimbursement. The proposed system can address, but is not limited to, budget management issues such as fiscal oversight, tracking source and use of program income, subrecipient monitoring, tracking expenditures by cost categories, and other provisions to support compliance with 45 CFR § 73.302(b). If you choose this activity, you must develop protocols and billing policies based on the use of this enhanced system. Describe how this activity will increase the capacity of the organization to respond to changes in the health care environment.
-Management Information System – Identify, establish, and strengthen administrative, managerial, and management information system (MIS) structures to offer, enhance, or expand comprehensive HIV primary health care. This activity may include enhancements to interface with existing electronic health records specifically to improve data collection, reporting, and quality improvement activities. Describe how this activity will increase the capacity of the organization to respond to changes in the health care environment and support increased quality of care for PLWH.
According to statute, HRSA shall give preference in making awards for this program to entities that provide primary care services in rural areas or to underserved populations. You can find more information about these preferences in Section V of this notice of funding opportunity (NOFO).
National Goals to End the HIV Epidemic:
The RWHAP promotes robust advances and innovations in HIV health care using national goals to end the epidemic as its framework. Therefore, activities funded by the RWHAP focus on addressing these four goals:
1) Reduce new HIV infections;
2) Increase access to care and optimize health outcomes forPLWH;
3) Reduce HIV-related health disparities and health inequities; and
4) Achieve a more coordinated national response to the HIV epidemic.
To achieve these shared goals and priorities, recipients should align their organization’s efforts, within the parameters of the RWHAP statute and program guidance, to ensure that PLWH are linked to and retained in care, and have timely access to HIV treatment and the supports needed (e.g., mental health and substance abuse services) to achieve HIV viral suppression.
HIV Care Continuum:
Diagnosing PLWH, linking PLWH to HIV primary care, and PLWH achieving viral suppression are important public health steps toward ending the HIV epidemic in the United States. The HIV care continuum has five main “steps” or stages that include HIV diagnosis, linkage to care, retention in care, antiretroviral use, and viral suppression. The HIV care continuum provides a framework that depicts the series of stages a person with HIV engages in from initial diagnosis through their successful treatment with HIV medication. It shows the proportion of individuals living with HIV or individuals diagnosed with HIV engaged at each stage. The HIV care continuum allows recipients and planning groups to measure progress and to direct HIV resources most effectively.
According to recent data from the 2016 Ryan White Services Report (RSR), the RWHAP has made tremendous progress toward ending the HIV epidemic in the United States. From 2010 to 2016, HIV viral suppression among RWHAP patients, defined as a patient who had at least one outpatient ambulatory health services visit and at least one viral load test during the measurement year, with the most recent HIV RNA level HRSA will only fund one activity proposed under one category (HIV Care Innovation or Infrastructure Development). HRSA will not fund the same activity in FY 2018 that was funded in FY 2017; however, an expansion of activities currently supported with RWHAP Part C Capacity Development or Part D Supplemental funding will be considered with a clear rationale for how the proposed activity builds upon and furthers the objectives of the previously funded activity.
Entities applying for funding under this announcement (HRSA-18-051 RWHAP Part C Capacity Development Program) that also receive supplemental funding under HRSA- 18-044 (RWHAP Part D Supplemental) must be able to demonstrate the ability to administer multiple federal awards (if successful) and to ensure adequate quality controls, staffing, and impartiality when prioritizing the needs of the programs. HRSA does not allow duplication of funded activities.
GrantWatch ID#: 152830
Estimated number of awards: Up to 15 grant(s)
You may apply for a ceiling amount of up to $150,000 total cost (includes both direct and indirect, facilities and administrative costs) per year.
The project period is September 1, 2018 through August 31, 2019 (1 year).
Public and nonprofit private entities, faith-based and community-based organizations, and Tribes and tribal organizations are eligible to apply.
In addition to the general funding restrictions included in Section 4.1.iv of the SF-424 Application Guide, you may not use funds under this notice for the following purposes:
-Charges that are billable to third party payors (e.g., private health insurance, prepaid health plans, Medicaid, Medicare, Department of Housing and Urban Development funding for housing services, other RWHAP funding including the AIDS Drug Assistance Program)
-To directly provide health care services (e.g., HIV care, counseling and testing) that duplicate existing services
-Nursing home care
-Cash payments to intended recipients of RWHAP services
-Purchase or improvement of land
-Purchase, construction, or major alterations or renovations on any building or other facility (see 45 CFR part 75 – subpart A Definitions)
-Pre-Exposure Prophylaxis (PrEP) or non-occupational post-exposure prophylaxis (nPEP) medications or related 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 Part C recipients and subrecipients may provide prevention counseling and information, which should be part of a comprehensive PrEP program.
-Purchase of sterile needles or syringes for the purposes of hypodermic injection of any illegal drug. Some aspects of syringe services programs are allowable with HRSA's prior approval and in compliance with HHS and HRSA policy
-Development of materials designed to directly promote or encourage intravenous drug use or sexual activity, whether homosexual or heterosexual
-Long-term activities; instead, the activities should be of a short-term nature with a targeted completion by the end of the one-year project period.
HRSA strongly encourages you to participate in a technical assistance (TA) webinar for this funding opportunity to ensure the successful submission of the application. The purpose of the webinar is to assist potential applicants in preparing applications that address the requirements of the NOFO.
HRSA has scheduled the technical assistance webinar for Thursday, January 18, 2018, 2:00 PM - 4:00 PM ET.
The webinar will be recorded and should be available for viewing by January 29, 2018 at
Ensure your SAM.gov and Grants.gov registrations and passwords are current immediately. Deadline extensions are not granted for lack of registration. Registration in all systems, including SAM.gov and Grants.gov, may take up to 1 month to complete.
HRSA requires you to apply electronically through Grants.gov.
The due date for applications under this NOFO is March 9, 2018 at 11:59 PM Eastern Time.
View this opportunity on Grants.gov:
Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.
To attend the January 18 technical assistance webinar:
-Call-In Number: 1-888-324-8127
-Participant Code: 9377692
You may request additional information regarding business, administrative, or fiscal issues related to this NOFO by contacting:
Potie Pettway, Grants Management Specialist
Division of Grants Management Operations
OFAM Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 443-1014
Fax: (301) 594-6096
You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:
Mindy Golatt, MPH, MA, RN, CPN, Chief, Midwest Branch
CDR, United States Public Health Service
Division of Community HIV/AIDS Programs
Attn: RWHAP Part C Capacity Development Program HIV/AIDS Bureau
Health Resources and Services Administration
5600 Fishers Lane, Room 09N44
Rockville, MD 20857
Telephone: (301) 443-0717
Fax: (301) 443-1839
Grants.gov Contact Center
Telephone: 1-800-518-4726 (International Callers, please dial 606-545-5035)
Self-Service Knowledge Base: https://grants- portal.psc.gov/Welcome.aspx?pt=Grants
HRSA Contact Center
Telephone: (877) 464-4772
TTY: (877) 897-9910
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