This notice announces the opportunity to apply for funding under Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas. The purpose of this program is to provide comprehensive primary health care and support services in an outpatient setting for low income, uninsured, and underserved people with HIV.
Under this announcement, successful applicants must provide: (1) counseling for individuals with respect to HIV; (2) targeted HIV testing; (3) periodic medical evaluations of individuals with HIV and clinical and diagnostic services for HIV care and treatment; (4) therapeutic measures for preventing and treating the deterioration of the immune system, and for preventing and treating conditions arising from HIV; and (5) referrals for people with HIV to appropriate providers of health care and support services. These services are to be provided directly or through referrals, contracts or memoranda of understanding (MOUs).
RWHAP Part C EIS recipients must provide comprehensive primary health care and support services throughout the entire designated geographic service areas (referred to as “service areas” throughout this Notice of Funding Opportunity (NOFO)) listed in Appendix B with the goals of providing optimal HIV care and treatment for low-income, uninsured, and underserved people with HIV and improving health outcomes. Your application must address the entire service area, as defined in Appendix B. If you are applying for more than one service area listed in Appendix B you must submit a separate application for each service area under the correct funding opportunity number.
All allowable services must relate to HIV diagnosis, care, and support, and must adhere to established HIV clinical practice standards consistent with U.S. Department of Health and Human Services (HHS) Guidelines. Please refer to the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02 Ryan White HIV/AIDS Program Services for a list of RWHAP allowable core medical and support services and their descriptions. According to the RWHAP Part C legislation:
• At least 50 percent of the amount received under the grant must be expended on EIS costs (except counseling and referrals/linkage to care);
• At least 75 percent of the award (after reserving amounts for administrative costs, planning/evaluation, and clinical quality management (CQM)) must be expended on core medical services costs (Please note: EIS is a subset of this 75 percent of the award) and;
• Not more than 10 percent of the total RWHAP Part C grant funds can be expended on administrative costs.
Applicants seeking a waiver to the core medical services requirement must submit a waiver request with this application. If submitting with the application, a core medical services waiver request should be included as Attachment 15.
This competition is open to current recipients and new eligible applicants proposing to provide comprehensive primary health care and support services in outpatient settings for low income, uninsured, and underserved people with HIV in the service areas as described in Appendix B.
As identified in section 2652(a)(1) of the PHS Act, the following public and non-profit private entities are eligible to apply:
a) Federally-qualified health centers under section 1905(1)(2)(B) of the Social Security Act;
b) Grant recipients under section 1001 of the PHS Act (regarding family planning) other than States;
c) Comprehensive hemophilia diagnostic and treatment centers;
d) Rural health clinics;
e) Health facilities operated by or pursuant to a contract with the Indian Health Service;
f) Community-based organizations, clinics, hospitals, and other health facilities that provide early intervention services to people who contracted HIV through intravenous drug use; or
g) Nonprofit private entities that provide comprehensive primary care services to populations at risk of HIV, including faith-based and community-based organizations.