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
03/23/18 11:59 PM ET
Grants to USA dental schools and accredited dental education programs to enhance access to dental health services for low-income, underserved, and uninsured individuals living with HIV. Applicants are strongly encouraged to attend the December 12 technical assistance webinar. Please note that the required registrations may take up to one month to complete.
This notice solicits applications for the Ryan White HIV/AIDS Program (RWHAP) Part F Dental Reimbursement Program (DRP) to improve access to oral health care services for low income, uninsured, and underserved people living with HIV (PLWH) and to support related education and training for the delivery of dental care to PLWH. The DRP defrays a portion of unreimbursed dental care costs for low income, uninsured, and underserved PLWH incurred by accredited dental or dental hygiene education programs recognized by the Commission on Dental Accreditation.
General Recipient Expectations:
-Patient Payment for Services – Recipients must have consistent and equitable policies and procedures related to verification of patients’ financial status.
-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. You may not use RWHAP Part F DRP 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), the Health Resources and Services Administration (HRSA) expects clients’ eligibility 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.
Funds received from DRP must be allocated to the accredited dental education program that provided oral health services to low income, uninsured, and underserved PLWH. HRSA expects that these reimbursement funds will provide expanded access to oral health care for PLWH.
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 out comes 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#: 182503
HRSA expects funding to be available to fund up to 60 recipients.
The project period is September 1, 2018 through March 31, 2019 (6 months to draw down funds).
This program will reimburse certain costs incurred by eligible entities that have provided uncompensated or partially uncompensated oral health care to PLWH from July 1, 2016 through June 30, 2017.
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.
Applicants must have appropriate financial systems and internal controls in place to safeguard assets, segregate federally funded and grant related program income activities, ensure accountability and control of federal funds, maintain adequate cash flow to meet daily operations, and maximize revenue from non-Federal sources.
RWHAP Part F DRP funds cannot be used to supplement the maximum cost allowance for services reimbursed by third party payments such as Medicaid, Medicare, or other insurance programs. Please note that direct or indirect federal funds such as RWHAP Parts A, B, C, D, and Part F Community Based Dental Partnership (CBDPP) cannot be used to duplicate reimbursement for services funded under Part F DRP. Additionally, services reimbursed by RWHAP Part F DRP cannot also be billed to RWHAP Parts A, B, C, D, or F CBDPP.
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.
The webinar is scheduled for December 12, 2017, 2:00 - 4:00 PM ET.
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.
The due date for applications under this NOFO is March 23, 2018 at 11:59 PM Eastern Time via Grants.gov.
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 12 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:
Patryce Peyden, Grants Management Specialist
Division of Grants Management Operations
OFAM Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 443-2277
Fax: (301) 443-9810
You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:
Mahyar Mofidi, DMD, PhD
Captain, United States Public Health Service
Director, Division of Community HIV/AIDS Programs
Attn: RWHAP Part F Dental Reimbursement Program (DRP)
Health Resources and Services Administration
5600 Fishers Lane, Room 09N07
Rockville, MD 20857
Telephone: (301) 443-2075
Fax: (301) 443-1839
USA: Alabama; Alaska; Arizona; Arkansas; California; Colorado; Connecticut; Delaware; Florida; Georgia; Hawaii; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Louisiana; Maine; Maryland; Massachusetts; Michigan; Minnesota; Mississippi; Missouri; Montana; Nebraska; Nevada; New Hampshire; New Jersey; New Mexico; New York City; New York; North Carolina; North Dakota; Ohio; Oklahoma; Oregon; Pennsylvania; Rhode Island; South Carolina; South Dakota; Tennessee; Texas; Utah; Vermont; Virginia; Washington, DC; Washington; West Virginia; Wisconsin; Wyoming