Opportunity Information: Apply for HRSA 14 135
Apply for HRSA 14 135
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "HIV Early Intervention Services (EIS Program) Service Area Competition Additional Service Area Ponce, Puerto Rico" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.918 Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease.
- This funding opportunity was created on Mar 3, 2014 and posted on Mar 3, 2014.
- Applicants must submit their applications by Apr 4, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $1,200,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $1,200,000.00 in funding.
- The number of recipients for this funding is limited to 5 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- This competition is open to organizations that meet the statutory criteria to receive Ryan White HIV/AIDS Program Part C funding. Eligible applicants may include State and local governments, their agencies, and Indian Tribes or tribal organizations with or without Federal recognition. Community based and faith based organizations are also eligible to apply. Applicants must be public entities and nonprofit private entities that are Federally qualified health centers under section 1905(1)(2)(B) of the Social Security Act Grantees under section 1001 (regarding family planning) other than States Comprehensive hemophilia diagnostic and treatment centers Rural health clinics Health facilities operated by or pursuant to a contract with the Indian Health Service Community based organizations, clinics, hospitals and other health facilities that provide early intervention services to those persons infected with HIV/AIDS through intravenous drug use or Nonprofit private entities that provide comprehensive primary care services to populations at risk of HIV/AIDS, including faith based and community based organizations. All applicants must document Medicaid provider status. Applicants may document formal agreements with Medicaid providers for provision of all services covered under the Medicaid State plan. 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, or private insurance. All applicants must document that they are fully licensed to provide clinical services, as required by their State and/or local jurisdiction. Medicaid provider status and licensure must be in place prior to submitting an application.
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Opportunity Summary:
The HIV Early Intervention Services (EIS Program) Service Area Competition Additional Service Area for Ponce, Puerto Rico (Funding Opportunity Number HRSA-14-135) was a fiscal year 2014 discretionary grant announcement from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), through the HIV/AIDS Bureau. It focused on expanding or strengthening Ryan White HIV/AIDS Program Part C Early Intervention Services in the Ponce service area by funding outpatient programs that can deliver early intervention and ongoing HIV primary care for people living with HIV who are low income and medically underserved. The core intent of Part C in this context is straightforward: build a strong outpatient, clinic-based medical home model so patients can be diagnosed, linked to care quickly, started on appropriate treatment, and supported over time with wraparound referrals that keep them engaged in care.
The program required applicants to propose a comprehensive continuum of outpatient HIV primary care services within the designated service area. Specifically, proposed services needed to include: (1) targeted HIV counseling, testing, and referral; (2) medical evaluation and clinical care; (3) other primary care services; and (4) referrals to other health services. The announcement emphasized that HIV primary care should begin as early as possible in the course of infection, but it also made clear that patients could enter the Part C EIS program at any point in the disease spectrum or at any point in their lifespan. In practical terms, that means applicants were expected to design programs that work both for newly diagnosed people who need rapid linkage and for people who may have been living with HIV for years but are out of care, unstable, or medically complex.
This was a service area competition tied to the geographic service areas described in the announcement’s Appendix B, with the additional service area being Ponce, Puerto Rico. HRSA encouraged applicants to cover the entire defined service area as a single coordinated entity. Organizations that proposed to cover only part of the service area were not automatically disqualified, but they had to prove they could still ensure access across the whole area through formal partnerships and coordination. HRSA’s stated goal was comprehensive service coverage for everyone in the full service area, not fragmented care limited to one neighborhood, facility, or sub-region.
A major theme in the announcement was that Part C funds are meant to support a true medical model of HIV care, not just supportive services in isolation. Under section 2651 of the Public Health Service Act and the award terms, grantees had to use grant funds to provide HIV primary medical care in the proposed service area, and the application budget had to clearly reflect that. The guidance allowed staffing for supportive clinical roles such as nurses, medical assistants, and dental hygienists, but only when those roles were structured to complement primary HIV medical care providers (for example physicians, dentists, physician assistants, or nurse practitioners). HRSA also stressed that funded providers must be properly credentialed and licensed and must be able to carry out core clinical functions such as prescribing medications, ordering medically indicated labs and exams, interpreting symptoms, treating patients, and referring appropriately, in line with federal treatment and prevention guidelines. Applicants were expected to align their clinical approach with federally approved HIV prevention and treatment guidance (the announcement pointed to AIDSinfo guidelines as a key reference source at the time) and to consider how their work supports national HIV/AIDS strategy goals and principles.
Eligibility for this competition was broad but still tied to statutory Part C requirements. Eligible applicants could include state or local governments and their agencies, Indian Tribes or tribal organizations (with or without federal recognition), and community-based or faith-based organizations, among others, as long as they met the Ryan White Part C statutory criteria. The eligibility description listed several qualifying entity types, such as federally qualified health centers, certain family planning grantees (other than states), comprehensive hemophilia diagnostic and treatment centers, rural health clinics, Indian Health Service facilities (or facilities operated under contract), and clinics, hospitals, and other health facilities that provide early intervention services to people infected through intravenous drug use, as well as nonprofit private entities providing comprehensive primary care to populations at risk of HIV. Beyond organizational type, the announcement imposed concrete administrative prerequisites: applicants had to document Medicaid provider status (or document formal agreements with Medicaid providers to cover Medicaid state plan services). A narrow waiver was noted for free clinics that do not charge for services and do not accept reimbursement from Medicaid, Medicare, or private insurance. Applicants also had to document that they were fully licensed to provide clinical services under applicable state and local requirements, and both Medicaid provider status and licensure had to be in place before submitting the application.
The funding details reflected a single-year competition cycle with multiple anticipated awards. HRSA estimated total funding at $1,200,000 and expected to make about 5 awards. The listed award ceiling was $1,200,000 and the award floor was $0, and there was no cost sharing or matching requirement. The CFDA number associated with the program was 93.918 (Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease). The opportunity was posted on March 3, 2014, with an application closing date of April 4, 2014, and it was later archived on June 3, 2014.
Finally, the announcement highlighted the operational expectations that come with federal funding. Applicants needed to demonstrate the financial capacity to manage federal funds responsibly and carry out fiduciary duties associated with an award. In other words, HRSA was not only looking for a sound clinical model, but also for organizations that could manage budgets, document allowable costs, meet grant conditions, and sustain compliant program operations. For help accessing the full announcement, HRSA directed applicants to the HRSA Grants Application Center and the HRSA Call Center (877-464-4772) and provided an email contact at CallCenter@HRSA.GOV.
Frequently Asked Questions (FAQs)
1) What is this funding opportunity?
This opportunity is the HIV Early Intervention Services (EIS Program) Service Area Competition Additional Service Area for Ponce, Puerto Rico (Funding Opportunity Number HRSA-14-135). It was a fiscal year 2014 discretionary grant announcement from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), through the HIV/AIDS Bureau.
2) What is the purpose of the Part C EIS funding in this announcement?
The purpose was to expand or strengthen Ryan White HIV/AIDS Program Part C Early Intervention Services in the Ponce, Puerto Rico service area by funding outpatient programs that can deliver early intervention and ongoing HIV primary care for people living with HIV who are low income and medically underserved. The intent emphasized a clinic-based medical home model so patients can be diagnosed, linked to care quickly, started on appropriate treatment, and supported over time with wraparound referrals that keep them engaged in care.
3) What service area does this competition cover?
The additional service area for this competition was Ponce, Puerto Rico, as described within the defined service areas referenced in the announcement (including Appendix B).
4) Does an applicant need to cover the entire Ponce service area?
HRSA encouraged applicants to cover the entire defined service area as a single coordinated entity. Proposals covering only part of the service area were not automatically disqualified, but applicants had to demonstrate how they would still ensure access across the whole area through formal partnerships and coordination. The stated goal was comprehensive coverage across the full service area rather than fragmented care.
5) What types of programs were expected to be funded?
The announcement focused on outpatient programs capable of delivering early intervention and ongoing HIV primary care. It emphasized that Part C funds are meant to support a true medical model of HIV care (a clinic-based, outpatient primary care approach), not supportive services offered in isolation.
6) What specific services were applicants required to propose?
Applicants were required to propose a comprehensive continuum of outpatient HIV primary care services within the designated service area. Proposed services needed to include:
- Targeted HIV counseling, testing, and referral
- Medical evaluation and clinical care
- Other primary care services
- Referrals to other health services
7) When should HIV primary care begin for patients served under this program?
The announcement emphasized that HIV primary care should begin as early as possible in the course of infection. At the same time, it made clear that patients could enter the Part C EIS program at any point in the disease spectrum and at any point in their lifespan.
8) Does the program only focus on newly diagnosed patients?
No. While rapid linkage for newly diagnosed people was a core expectation, the announcement also contemplated patients who may have been living with HIV for years but are out of care, medically complex, unstable, or otherwise in need of re-engagement and ongoing primary care support.
9) What did HRSA mean by a "medical home" model in this context?
In this announcement, the core intent was to build a strong outpatient, clinic-based medical home model where patients can be diagnosed, linked to care quickly, started on appropriate treatment, and supported over time, including through wraparound referrals that help keep patients engaged in care.
10) Are supportive services alone allowable under this Part C competition?
The announcement strongly emphasized that Part C funds are intended to support HIV primary medical care in the proposed service area. It framed the program as a medical model of HIV care rather than supportive services in isolation.
11) What did the announcement say about how funds must be used?
Under section 2651 of the Public Health Service Act and the award terms referenced in the announcement, grantees had to use grant funds to provide HIV primary medical care in the proposed service area, and the application budget needed to clearly reflect that.
12) What clinical staffing roles were allowed?
The guidance allowed staffing for supportive clinical roles (such as nurses, medical assistants, and dental hygienists) when structured to complement primary HIV medical care providers (for example physicians, dentists, physician assistants, or nurse practitioners).
13) What qualifications were required for providers delivering clinical care?
Funded providers were expected to be properly credentialed and licensed and able to carry out core clinical functions such as prescribing medications, ordering medically indicated labs and exams, interpreting symptoms, treating patients, and referring appropriately, consistent with federal treatment and prevention guidelines.
14) Were applicants expected to follow specific HIV treatment and prevention guidance?
Yes. Applicants were expected to align their clinical approach with federally approved HIV prevention and treatment guidance. The announcement pointed to AIDSinfo guidelines as a key reference source at the time and also noted the importance of considering how the work supports national HIV/AIDS strategy goals and principles.
15) Who was eligible to apply?
Eligibility was described as broad but tied to Ryan White Part C statutory requirements. Eligible applicants could include state or local governments and their agencies, Indian Tribes or tribal organizations (with or without federal recognition), and community-based or faith-based organizations, among others, as long as they met Part C statutory criteria.
16) What examples of qualifying entity types were listed?
The eligibility description included examples such as federally qualified health centers; certain family planning grantees (other than states); comprehensive hemophilia diagnostic and treatment centers; rural health clinics; Indian Health Service facilities (or facilities operated under contract); clinics, hospitals, and other health facilities providing early intervention services to people infected through intravenous drug use; and nonprofit private entities providing comprehensive primary care to populations at risk of HIV.
17) Was Medicaid provider status required at the time of application?
Yes. Applicants had to document Medicaid provider status or document formal agreements with Medicaid providers to cover Medicaid state plan services. This documentation had to be in place before submitting the application.
18) Was there any waiver related to Medicaid provider status?
A narrow waiver was noted for free clinics that do not charge for services and do not accept reimbursement from Medicaid, Medicare, or private insurance.
19) Were licenses required before applying?
Yes. Applicants had to document that they were fully licensed to provide clinical services under applicable state and local requirements, and licensure needed to be in place before submitting the application.
20) How much funding was available under this announcement?
HRSA estimated total funding of $1,200,000 for the competition.
21) How many awards were expected?
HRSA expected to make about 5 awards.
22) What were the award ceiling and floor?
The listed award ceiling was $1,200,000 and the award floor was $0.
23) Was cost sharing or matching required?
No. The announcement stated there was no cost sharing or matching requirement.
24) What was the CFDA number associated with this program?
The CFDA number was 93.918 (Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease).
25) What were the key dates for this opportunity?
The opportunity was posted on March 3, 2014. The application closing date was April 4, 2014. The announcement was later archived on June 3, 2014.
26) What financial and administrative capacity did applicants need to show?
Applicants needed to demonstrate the financial capacity to manage federal funds responsibly and carry out fiduciary duties associated with an award. The announcement emphasized that HRSA was looking for organizations with a sound clinical model and the ability to manage budgets, document allowable costs, meet grant conditions, and sustain compliant program operations.
27) Where could applicants get help or access the full announcement?
HRSA directed applicants to the HRSA Grants Application Center and the HRSA Call Center at 877-464-4772. An email contact was provided: CallCenter@HRSA.GOV.
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