U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB), Division of Community HIV/AIDS Programs
01/19/18 11:59 PM ET
Grants to USA accredited dental schools and dental education programs to increase access to dental health services for low-income, uninsured, and underserved individuals living with HIV. Applicants are strongly encouraged to attend the December 7 technical assistance webinar. Applicants are advised that the required registrations may take up to one month to complete.
Applicants must propose to expand services in underserved geographic areas while simultaneously providing education and clinical training for dental students, dental hygiene students, dental residents, or other dental providers in community-based settings. Program goals must be accomplished through collaborations between dental and dental hygiene education programs recognized by the Commission on Dental Accreditation and community-based dental providers.
This funding opportunity is open to current RWHAP Part F CBDPP recipients and new organizations proposing to provide RWHAP Part F CBDPP funded services in existing geographic service areas as described in Appendix A and one new service area as described below. Applications for existing service areas must address the entire service area as defined in Appendix A. Applicants that do not propose to serve the entire published service area must demonstrate the availability of comprehensive oral health care services to all RWHAP eligible populations within the service area through partners or other RWHAP providers. Applicants requesting to expand the service area beyond what is published in Appendix A must fully demonstrate the need for RWHAP Part F CBDPP funded services in that area. Applicants may not request additional funding above the amount listed in Appendix A to expand existing service areas.
In addition, HRSA will accept applications from organizations proposing to provide oral health care services to low-income, underserved, and uninsured PLWH in a new geographic service area as described by the applicant. For the purposes of this NOFO, a new service area is a defined geographic area with a demonstrated need for oral health care services for low-income, underserved, and uninsured PLWH, not adequately covered by other sources of support. HRSA anticipates awarding one new service area under this notice. Newly proposed service areas must not geographically overlap partially or fully with existing RWHAP Part F CBDPP service areas as described in Appendix A.
RWHAP Part F CBDPP Requirements and Expectations:
Recipients must adhere to the following statutory requirements and programmatic expectations.
-Oral health care service delivery – RWHAP Part F CBDPP recipients must ensure access to comprehensive oral health care services for low-income, underserved, and uninsured PLWH in community-based settings in the existing or the proposed service area.
-Education and Training – RWHAP Part F CBDPP recipients must ensure HIV- related oral health education and training for dental students, dental hygiene students, dental residents, or other dental providers in community-based settings. Recipients must establish and manage clinical rotations for trainees to deliver oral health care services to PLWH in community-based settings located in the service area under the supervision of community-based dentists. Education and training curricula should focus on the provision of comprehensive oral health care for PLWH.
-Partnerships – RWHAP Part F CBDPP recipients must partner with community-based organizations in the service area, including community-based dental providers, to ensure that dental students, dental hygiene students, and/or dental residents are providing oral health care services in community-based settings. Other examples of partnership activities may include but are not limited to the integration of oral health and medical care through reciprocal referral mechanisms and the provision of outreach and education programs to inform PLWH of the availability of oral health care services. Such partnerships should be established through formal arrangements, such as contracts or memoranda of understanding (MOUs).
-Medicaid Provider Status – All providers of services available under the state Medicaid plan must have entered into a participation agreement under the state plan and be qualified to receive payments under such plan, or receive a waiver from this requirement. This requirement may be waived for free clinics that do not impose a charge for health services and do not accept reimbursement from Medicaid, Medicare, private insurance, or any other third-party payor.
-Clinical Quality Management – RWHAP Part F CBDPP recipients are encouraged to have a clinical quality management (CQM) program. A CQM program is the coordination of activities aimed at improving patient care, health outcomes, and patient satisfaction. For CBDPP recipients that decide to establish or continue a CQM program, the following resources can provide more information regarding quality management:
-Performance Measurement, Performance Management, and Program Evaluation – RWHAP Part F CBDPP recipients must identify, collect, analyze, and report data that will assess outcomes and impact of oral health care services and education and clinical training of dental students, dental hygiene students, or dental residents in oral health care for PLWH.
-PLWH Involvement – PLWH who receive services at a RWHAP-funded organization should be actively involved in the development, implementation, and evaluation of program and CQM activities. To accomplish effective PLWH involvement, programs should provide necessary training, mentoring, and supervision.
-Payor of Last Resort and Eligibility Determination – With the exception of programs administered by or providing the services of the Indian Health Service or the Department of Veterans Affairs, the RWHAP is the payor of last resort. Recipients may not use RWHAP Part F CBDPP funds for a service if payment has been made, or reasonably can be expected to be made by a third-party payor.
In accordance with the RWHAP client eligibility determination and recertification requirements (see HAB PCN 13-02 Clarifications on Ryan White Program Client Eligibility Determinations and Recertifications Requirements), clients’ eligibility must be assessed during the initial eligibility determination and recertified at least every six months. At least once a year (whether defined as a 12-month period or calendar year), the recertification procedures should include the collection of more in-depth information, similar to that collected at the initial eligibility determination. The purposes of the eligibility and recertification procedures are to ensure that the program only serves eligible clients and that the RWHAP is the payor of last resort. Recipients and subrecipients are required to vigorously pursue and rigorously document enrollment into, and subsequent reimbursement from, health care coverage for which their clients may be eligible (e.g., Medicaid, Medicare, Children's Health Insurance Program (CHIP), state-funded HIV programs, employer-sponsored health insurance coverage, health plans offered through other private health insurance) to extend finite RWHAP grant resources to uninsured and underserved low-income PLWH.
Recipients cannot use RWHAP Part F CBDPP funds to supplement the maximum cost allowance for services reimbursed by third party payments such as Medicaid, Medicare, or other insurance programs. Please note that recipients cannot use direct or indirect federal funds such as RWHAP Parts A, B, C, and D to duplicate reimbursement for services funded under Part F CBDPP. Additionally, recipients cannot bill RWHAP Parts A, B, C, or D for services reimbursed by RWHAP Part F CBDPP.
-Program Income – Recipients are required to track, appropriately use, and report all program income generated by the award consistent with RWHAP requirements. This includes third party reimbursement, client fee collections, income generated by participation in the 340B Drug Discount Program, or any other sources of program income.
-Information Systems – Recipients must have an information system that has the capacity to track and report at a minimum the data requested in the RWHAP Dental Services Report (DSR).
-Service Availability – Oral health care services for PLWH should be available to clients no later than 90 days from the RWHAP Part F CBDPP period of performance start date (item 6. of the Notice of Award).
-Subawarded Services – In addition to the information included in 45 CFR § 75.352, subrecipient agreements must include: (1) the total number of PLWH to be served; (2) eligibility for Medicaid certification of the dental providers; (3) details of the services to be provided; and (4) assurance that providers will comply with RWHAP Part F CBDPP legislative and program requirements, including data sharing and submission of the DSR. Per 45 CFR §75.351 - 353, recipients must monitor the activities of their subrecipients as necessary to ensure that the subaward is used for authorized purposes, in compliance with federal statutes, RWHAP legislative and programmatic requirements, regulations, and the terms and conditions of the subaward; and that subaward performance goals are achieved. Recipients must ensure that subrecipients track, appropriately use, and report program income generated by the subaward. Recipients must also ensure that subrecipient expenditures regarding the administrative and clinical quality management costs are reasonable.
-Medication Discounts – RWHAP award recipients that purchase, are reimbursed for, or provide reimbursement to other entities for outpatient prescription drugs are expected to secure the best prices available for such products and to maximize results for their organization and its patients (see 42 CFR part 50, subpart E). Eligible health care organizations/covered entities that enroll in the 340B Drug Pricing Program must comply with all 340B Program requirements and will be subject to audit regarding 340B Program compliance.
-Other Financial Management Issues – Recipients must have appropriate financial systems in place that provide internal controls in safeguarding assets, ensuring stewardship of federal funds, maintaining adequate cash flow to meet daily operations, and maximizing revenue from non-federal sources.
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 for PLWH;
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 and retained in care, 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 including: 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 who are 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 2015 Ryan White Services Report (RSR), the RWHAP has made tremendous progress toward ending the HIV epidemic in the United States. From 2010 to 2015, 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
GrantWatch ID#: 182467
Expected Number of Awards: 12
If you are proposing to serve a new service area, you may apply for up to $300,000 per year.
The project period is July 1, 2018 through June 30, 2023 (5 years).
Funding beyond the first year is dependent on the availability of appropriated funds for the RWHAP Part F CBDPP in subsequent fiscal years, satisfactory recipient performance, and a decision that continued funding is in the best interest of the Federal Government.
Applicants are limited to accredited dental schools and other accredited dental education programs, such as dental hygiene programs, or those sponsored by a school of dentistry, a hospital, or a public or private institution that offers postdoctoral training in the specialties of dentistry, advanced education in general dentistry, or a dental-general practice residency.
HRSA strongly encourages all applicants to participate in a technical assistance 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, December 7, 2017, 2:00 PM ET.
HAB will record this TA webinar and make it available on the TARGET Website at:
HRSA requires you to apply electronically through Grants.gov. You must use the SF- 424 application package associated with this NOFO following the directions provided 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 one month to complete.
The due date for applications under this NOFO is January 19, 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 December 7, 2017 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:
Ann Maples, Grants Management Specialist
Division of Grants Management Operations
OFAM Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 443-2963
Fax: (301) 443-6343
You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:
Stephanie Bogan, Chief, Southern Branch
Attn: Division of Community HIV/AIDS Programs HIV/AIDS Bureau
Health Resources and Services Administration
5600 Fishers Lane, Room 09N54
Rockville, MD 20857
Telephone: (301) 443-6362
Fax: (301) 443-1839
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