Opportunity Information: Apply for HRSA 12 104
Apply for HRSA 12 104
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Building a Medical Home for HIV positive Multiply Diagnosed Homeless Populations Initiative Evaluation and Technical Assistance Center" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.928 Special Projects of National Significance.
- This funding opportunity was created on Mar 8, 2012 and posted on Mar 8, 2012.
- Applicants must submit their applications by May 8, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $550,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification) Native American tribal governments (Federally recognized) State governments Native American tribal organizations (other than Federally recognized tribal governments) City or township governments Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education County governments Public and State controlled institutions of higher education.
- Eligible applicants include public and private nonprofit entities eligible for funding under Ryan White HIV Program Parts A, B, C and D. These include, but are not limited to state and local governments academic institutions local health departments community health centers receiving support under Section 330 of the PHS Act federally qualified health centers as described in Title XIX, Section 1905 of the Social Security Act faith based and community based organizations and Indian Tribes or tribal organizations with or without federal recognition.
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Opportunity Summary:
The Health Resources and Services Administration (HRSA) offered this discretionary Special Projects of National Significance (SPNS) funding opportunity to support a single organization that would serve as the Evaluation and Technical Assistance (E/TA) Center for a national, multi-site initiative focused on improving care for HIV-positive people experiencing homelessness who also have multiple co-occurring diagnoses. The central idea behind the initiative is to help participating communities build a "medical home" model that can more effectively organize and coordinate HIV care alongside behavioral health, substance use treatment, and other needed services for individuals whose housing instability and complex health needs often make consistent treatment difficult.
This particular announcement (Funding Opportunity Number HRSA-12-104) was not for direct service demonstration projects. Instead, it funded one lead organization through a cooperative agreement for up to five years, with a maximum award of $550,000 per year and an estimated total annual funding level of $550,000. Because it is a cooperative agreement, HRSA anticipated an ongoing, collaborative role with the awardee rather than a hands-off grant relationship. The awardee was expected to guide and support the evaluation across multiple sites and to provide structured technical assistance to ensure the demonstration sites could implement the model effectively, document what they did, and report results in a consistent, credible way.
The E/TA Center awardee was tasked with leading a multi-site evaluation and delivering technical assistance to eight separate demonstration sites that were funded under a different announcement titled "Building a Medical Home for HIV-positive Multiply Diagnosed Homeless Populations Initiative - Demonstration Sites (HRSA-12-100)." A key rule in the eligibility structure was that an organization could not apply for both this E/TA Center role and the Demonstration Sites funding; applicants had to choose one track. This separation is typical in multi-site federal initiatives because it helps avoid conflicts of interest and ensures the evaluator/technical assistance provider can offer unbiased support and analysis across all sites.
In practical terms, the E/TA Center function was meant to be the backbone of the initiative. On the evaluation side, the awardee would be responsible for designing or coordinating an evaluation framework that could be applied across all eight sites, supporting consistent data collection, helping define common measures and outcomes, and synthesizing cross-site findings to identify what worked, for whom, and under what conditions. On the technical assistance side, the awardee would help demonstration sites translate the medical home concept into real operations by offering guidance on implementation challenges that commonly arise when working with homeless populations with HIV and multiple diagnoses, such as care coordination across systems, engagement and retention strategies, integration of behavioral health and substance use services, and building partnerships that address housing and other basic needs. The overall intent was to accelerate learning across sites, improve quality and consistency of implementation, and produce findings and resources that could be replicated beyond the funded communities.
Eligibility was broad but tied to the Ryan White HIV Program, reflecting HRSA's intent to anchor the work in organizations experienced in HIV care systems. Eligible applicants included public and private nonprofit entities eligible for funding under Ryan White HIV Program Parts A, B, C, and D. This could include state and local governments, academic institutions, local health departments, community health centers receiving Section 330 support, federally qualified health centers as described in Medicaid statute, faith-based and community-based organizations, and Indian Tribes or tribal organizations (with or without federal recognition). There was no cost sharing or matching requirement, which lowered the barrier for participation and is common for programmatic initiatives aimed at service system improvement and evaluation.
Administratively, HRSA expected to make one award. The opportunity was posted March 8, 2012, with an original and current closing date of May 8, 2012, and it was later archived on July 7, 2012. The CFDA number associated with the program was 93.928 (Special Projects of National Significance). HRSA provided support for applicants who had trouble accessing the full announcement through the HRSA Call Center (877-464-4772) and the email address CallCenter@HRSA.GOV, and it listed an online link for additional information and the full solicitation.
Overall, this opportunity was designed to ensure that a complex, high-need initiative aimed at improving HIV outcomes for homeless individuals with multiple diagnoses would have strong, centralized evaluation leadership and hands-on technical assistance. By funding one organization to coordinate learning and support eight implementation sites, HRSA aimed to generate usable evidence, implementation lessons, and potentially scalable approaches for building effective medical homes for one of the most medically and socially vulnerable populations served by the Ryan White HIV Program.
FAQs: HRSA SPNS E/TA Center for Building a Medical Home for HIV-Positive Multiply Diagnosed Homeless Populations (HRSA-12-104)
What is this funding opportunity (HRSA-12-104) for?
This HRSA Special Projects of National Significance (SPNS) discretionary funding opportunity supports a single organization to serve as the Evaluation and Technical Assistance (E/TA) Center for a national, multi-site initiative. The initiative focuses on improving care for HIV-positive people experiencing homelessness who also have multiple co-occurring diagnoses.
What is the main goal of the national initiative supported by this E/TA Center?
The central goal is to help participating communities build a "medical home" model that better organizes and coordinates HIV care alongside behavioral health, substance use treatment, and other needed services. The intent is to make consistent, effective care more achievable for people whose housing instability and complex health needs often make treatment difficult.
Is this a direct service funding opportunity?
No. This announcement is not for direct service demonstration projects. It funds one lead organization to provide evaluation leadership and structured technical assistance to demonstration sites funded under a separate announcement.
How many awards did HRSA expect to make under this announcement?
HRSA expected to make one award.
What type of award is this?
This is a cooperative agreement. HRSA anticipated an ongoing, collaborative role with the awardee rather than a hands-off grant relationship.
How long is the project period?
The cooperative agreement could be funded for up to five years.
What is the maximum funding amount per year?
The maximum award is $550,000 per year.
What was the estimated total annual funding level for this opportunity?
The estimated total annual funding level was $550,000.
Who would the E/TA Center support?
The E/TA Center awardee would support eight separate demonstration sites that were funded under a different announcement: "Building a Medical Home for HIV-positive Multiply Diagnosed Homeless Populations Initiative - Demonstration Sites (HRSA-12-100)."
Can an organization apply for both the E/TA Center (HRSA-12-104) and the Demonstration Sites (HRSA-12-100) funding?
No. A key eligibility rule is that an organization could not apply for both. Applicants had to choose one track: either the E/TA Center role or the Demonstration Sites funding.
Why were the E/TA Center and Demonstration Site roles separated?
The separation helps avoid conflicts of interest and supports unbiased evaluation and technical assistance across all sites. This structure is typical for multi-site federal initiatives.
What are the core evaluation responsibilities of the E/TA Center?
The E/TA Center is responsible for leading a multi-site evaluation, including coordinating an evaluation framework across eight sites, supporting consistent data collection, helping define common measures and outcomes, and synthesizing cross-site findings to identify what worked, for whom, and under what conditions.
What are the core technical assistance responsibilities of the E/TA Center?
The E/TA Center provides structured technical assistance to help demonstration sites implement the medical home model effectively, document their activities, and report results in a consistent and credible way.
What kinds of implementation challenges is the technical assistance expected to address?
The technical assistance is intended to help sites address common challenges in serving HIV-positive people experiencing homelessness with multiple diagnoses, including care coordination across systems, engagement and retention strategies, integrating behavioral health and substance use services, and building partnerships that address housing and other basic needs.
What is meant by a "medical home" model in this initiative?
In this context, the medical home model refers to an approach designed to more effectively organize and coordinate HIV care with behavioral health, substance use treatment, and other supportive services, especially for individuals whose housing instability and complex health needs can disrupt consistent treatment.
Who is eligible to apply?
Eligibility is broad but tied to the Ryan White HIV Program. Eligible applicants include public and private nonprofit entities eligible for funding under Ryan White HIV Program Parts A, B, C, and D.
What types of organizations could be eligible under the Ryan White HIV Program connection?
Examples listed include state and local governments, academic institutions, local health departments, community health centers receiving Section 330 support, federally qualified health centers as described in Medicaid statute, faith-based and community-based organizations, and Indian Tribes or tribal organizations (with or without federal recognition).
Is a cost share or match required?
No. There was no cost sharing or matching requirement.
What is the CFDA number for this opportunity?
The CFDA number associated with this program is 93.928 (Special Projects of National Significance).
When was the opportunity posted and when did it close?
The opportunity was posted on March 8, 2012. The original and current closing date was May 8, 2012.
When was this funding opportunity archived?
It was archived on July 7, 2012.
Where could applicants get help if they had trouble accessing the full announcement?
HRSA provided support through the HRSA Call Center at 877-464-4772 and by email at CallCenter@HRSA.GOV.
What is the overall purpose of funding a centralized E/TA Center for this initiative?
The E/TA Center is intended to serve as the backbone of the initiative by coordinating evaluation and providing hands-on technical assistance. The overall intent is to accelerate learning across sites, improve quality and consistency of implementation, and produce findings and resources that can be replicated beyond the funded communities.
What population is the initiative focused on?
The initiative focuses on HIV-positive people experiencing homelessness who also have multiple co-occurring diagnoses and complex service needs.
What kind of relationship did HRSA anticipate having with the awardee?
Because this is a cooperative agreement, HRSA anticipated an ongoing, collaborative relationship with the awardee throughout the project period.
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