Opportunity Information: Apply for HRSA 15 027
Apply for HRSA 15 027
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "HIV Early Intervention Services Program Existing Geographic Service Areas (EISEGA)" 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 Sep 10, 2014 and posted on Sep 9, 2014.
- Applicants must submit their applications by Nov 14, 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 $26,435,887.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 54 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- This competition is open to existing and new organizations proposing to provide RWHAP Part C funded services in the service areas described in Appendix B. Applicants must define their proposed service area, which may be a portion of or the entire published service area. Applicants proposing to serve less than all of the service area as listed in Appendix B must demonstrate the availability of comprehensive care and services to the entire service area through partners or other Ryan White Program providers. Applicants that have overlapping geographic service areas must propose to provide additional services, target specific vulnerable populations, and/or provide services that enhance the existing services in the area. New organizations must demonstrate that they will serve the existing patients, populations, and provide at least the same scope of services of the current grantee. New applicants must identify the grantee (listed in Appendix B) they intend to replace. 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.
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Opportunity Summary:
The HIV Early Intervention Services Program Existing Geographic Service Areas (EISEGA) funding opportunity (HRSA-15-027) is a Ryan White HIV/AIDS Program (RWHAP) Part C grant competition for fiscal year 2015 run by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB). It solicits both competing continuation applications from current providers and new applications from organizations seeking to operate Part C Early Intervention Services (EIS) in specific, pre-identified geographic service areas listed in Appendix B of the announcement. Overall, the program is designed to strengthen access to outpatient HIV primary care for people living with HIV/AIDS who are low income, medically underserved, and otherwise vulnerable, including women, infants, children, and youth.
At the center of this opportunity is the requirement to deliver a comprehensive continuum of outpatient HIV primary care services in the proposed service area. Applicants are expected to cover four core elements: targeted HIV counseling, testing, and referral; medical evaluation and clinical care; other primary care services; and referrals to other needed health services. The program emphasizes that HIV primary care should begin as early as possible after infection, but it also recognizes that people may enter care at any stage of disease and at any point in the lifespan. In practice, the grant is meant to support clinical, outpatient systems that can identify people with HIV, link them to care, and keep them engaged in ongoing medical management.
A key structural feature is how service areas are defined and how applicants handle geographic coverage. Applicants must clearly define their proposed service area and may choose to serve all or only part of the published area in Appendix B. If an applicant proposes to cover less than the full listed service area, they must show how the entire area will still have access to comprehensive services, typically through formal partnerships or coordination with other Ryan White providers. Where multiple applicants propose work in overlapping geographic areas, HRSA expects proposals to justify the overlap by offering added value: providing additional services, focusing on specific vulnerable populations, or otherwise enhancing what already exists locally rather than duplicating it.
The competition is open to both existing and new organizations, but new applicants face additional expectations because the announcement is tied to “existing geographic service areas.†A new organization must demonstrate that it will serve the existing patients and populations currently being served in that area and provide at least the same scope of services as the current Part C grantee. New applicants also have to explicitly identify which current grantee (from Appendix B) they intend to replace. This framing signals that HRSA is trying to preserve continuity of care in established service areas while still allowing competition to improve performance and reach.
The grant also makes clear that Part C EIS is fundamentally a medical model program and that funding must be used to deliver HIV primary medical care in the proposed service area, consistent with section 2651 of the Public Health Service Act and award terms and conditions. This requirement has direct implications for staffing and budgeting. Budgets are expected to reflect a provider-led clinical model where credentialed, licensed clinicians are able to assess patients, prescribe medications, order and interpret medically indicated tests and exams, treat conditions, and make appropriate referrals in line with Department of Health and Human Services (HHS) guidelines. Support roles like nurses, medical assistants, and dental hygienists may be included, but the announcement emphasizes that these positions should proportionately complement primary medical care providers such as physicians, dentists, physician assistants, or nurse practitioners.
Another major emphasis is targeting. Applicants are expected to focus RWHAP Part C-supported services on people living with HIV who are hardest to reach, have the greatest unmet need, and/or experience the biggest gaps in HIV primary care, using local epidemiologic data and needs assessments to justify priorities. The announcement explicitly calls out populations such as racial and ethnic minorities, youth, women (including pregnant women), people recently released from incarceration, and people experiencing homelessness, while leaving room for local applicants to identify additional high-need groups based on conditions in their service area.
Operational capacity and compliance are also central to competitiveness. Applicants are expected to demonstrate the financial capability to manage federal funds and execute fiduciary responsibilities, showing they are fiscally able to perform the duties and deliver the services described. Programs are expected to comply with federally approved HIV prevention and treatment guidelines, with AIDSinfo referenced in the announcement as a key source for current clinical guidance, and with broader national HIV strategy goals and principles supported by HHS, HRSA, and HAB.
From a funding and administrative standpoint, this is a discretionary grant opportunity under CFDA 93.918, “Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease.†HRSA anticipated 54 awards with an estimated total funding level of $26,435,887, and the announcement indicates no cost sharing or matching requirement. The opportunity was posted September 9, 2014, with an application closing date of November 14, 2014, and an archive date of January 13, 2015.
Eligible applicants are broad and include state and local governments and agencies, Indian Tribes and tribal organizations (with or without federal recognition), and community-based and faith-based organizations, as long as they propose to deliver RWHAP Part C services in the eligible service areas and meet the coverage, continuity, staffing, and fiscal expectations described above. For technical access issues with the full announcement, HRSA listed the HRSA Grants Application Center contact (Stephanie Yun) in Gaithersburg, Maryland.
Frequently Asked Questions (FAQs): HIV Early Intervention Services Program Existing Geographic Service Areas (EISEGA) - HRSA-15-027
What is the EISEGA (HRSA-15-027) funding opportunity?
EISEGA (HRSA-15-027) is a fiscal year 2015 grant competition under the Ryan White HIV/AIDS Program (RWHAP) Part C, administered by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB). It supports outpatient Early Intervention Services (EIS) for people living with HIV in specific, pre-identified geographic service areas listed in Appendix B of the announcement.
What is the main goal of this program?
The program is designed to strengthen access to comprehensive outpatient HIV primary care for people living with HIV/AIDS who are low income, medically underserved, and otherwise vulnerable. The announcement highlights the importance of reaching populations such as women, infants, children, and youth.
Who can apply for this grant?
Eligible applicants include state and local governments and agencies, Indian Tribes and tribal organizations (with or without federal recognition), and community-based and faith-based organizations. Applicants must propose to deliver RWHAP Part C services in the eligible service areas and meet the coverage, continuity, staffing, and fiscal expectations described in the announcement.
Is this opportunity only for current RWHAP Part C providers?
No. The competition solicits both (1) competing continuation applications from current providers and (2) new applications from organizations that want to operate Part C Early Intervention Services in the listed geographic service areas (Appendix B).
What are "existing geographic service areas" in this announcement?
They are specific, pre-identified service areas published by HRSA in Appendix B of the funding announcement. Applications must propose services in one or more of those listed areas.
Do applicants have to serve the entire geographic service area listed in Appendix B?
Not necessarily. Applicants may choose to serve all or only part of the published area. If an applicant proposes less than the full listed area, the application must explain how the entire area will still have access to comprehensive services, typically through formal partnerships or coordination with other Ryan White providers.
What does HRSA expect if multiple applicants propose services in overlapping geographic areas?
HRSA expects applicants to justify overlap by showing added value rather than duplication. Examples noted in the announcement include providing additional services, focusing on specific vulnerable populations, or otherwise enhancing what already exists locally.
What special requirements apply to new applicants?
Because the competition is tied to "existing geographic service areas," a new applicant must demonstrate that it will serve the existing patients and populations currently being served in that area and provide at least the same scope of services as the current Part C grantee. New applicants must also explicitly identify which current grantee (from Appendix B) they intend to replace.
What types of services are applicants expected to deliver?
Applicants are expected to provide a comprehensive continuum of outpatient HIV primary care services in the proposed service area. The announcement describes four core elements: (1) targeted HIV counseling, testing, and referral; (2) medical evaluation and clinical care; (3) other primary care services; and (4) referrals to other needed health services.
How does the program define the care model supported by Part C EIS funding?
The announcement emphasizes that Part C EIS is fundamentally a medical model program. Funds must be used to deliver HIV primary medical care in the proposed service area, consistent with section 2651 of the Public Health Service Act and the award terms and conditions.
What does the medical model expectation mean for staffing?
Budgets and staffing plans are expected to reflect a provider-led clinical model. The announcement indicates that credentialed, licensed clinicians should be able to assess patients, prescribe medications, order and interpret medically indicated tests and exams, treat conditions, and make appropriate referrals consistent with HHS guidelines. Support roles (for example, nurses, medical assistants, and dental hygienists) may be included, but they should proportionately complement primary medical care providers such as physicians, dentists, physician assistants, or nurse practitioners.
Does the program emphasize early entry into care?
Yes. The announcement states that HIV primary care should begin as early as possible after infection, while also recognizing that people may enter care at any stage of disease and at any point in the lifespan.
What populations should applicants prioritize?
Applicants are expected to focus Part C-supported services on people living with HIV who are hardest to reach, have the greatest unmet need, and/or face the biggest gaps in HIV primary care. The announcement calls out groups such as racial and ethnic minorities, youth, women (including pregnant women), people recently released from incarceration, and people experiencing homelessness, while allowing applicants to identify additional high-need groups based on local conditions.
What data should applicants use to justify targeting and service priorities?
The announcement states that applicants should use local epidemiologic data and needs assessments to justify which populations and gaps they are prioritizing within the proposed service area.
What expectations are there around linking people to care and keeping them engaged?
The opportunity is intended to support outpatient clinical systems that can identify people with HIV, link them to care, and keep them engaged in ongoing medical management within the proposed service area.
Are there compliance expectations tied to clinical guidelines?
Yes. Applicants are expected to comply with federally approved HIV prevention and treatment guidelines. The announcement references AIDSinfo as a key source for current clinical guidance, and it also ties expectations to broader national HIV strategy goals and principles supported by HHS, HRSA, and HAB.
What financial and grants management capacity must applicants demonstrate?
Applicants are expected to demonstrate financial capability to manage federal funds and execute fiduciary responsibilities, showing they are fiscally able to perform the duties and deliver the services described in the application.
Is cost sharing or matching required?
No. The announcement indicates there is no cost sharing or matching requirement for this opportunity.
What is the CFDA number and program title for this opportunity?
This is a discretionary grant opportunity under CFDA 93.918, titled "Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease."
How many awards and how much total funding were anticipated?
HRSA anticipated 54 awards with an estimated total funding level of $26,435,887.
When was the opportunity posted and when was the application due?
The opportunity was posted on September 9, 2014. The application closing date was November 14, 2014.
When was the opportunity archived?
The archive date listed in the announcement is January 13, 2015.
Where can applicants find the list of eligible geographic service areas?
The eligible, pre-identified geographic service areas are listed in Appendix B of the funding announcement.
What should an application include regarding the proposed service area?
Applicants must clearly define the proposed service area and explain how comprehensive outpatient HIV primary care services will be delivered across that area. If proposing partial coverage of the Appendix B area, the application should describe how the rest of the area will still have access to comprehensive services through partnerships or coordination.
Who was the technical contact listed for access issues with the full announcement?
For technical access issues with the full announcement, HRSA listed the HRSA Grants Application Center contact: Stephanie Yun in Gaithersburg, Maryland.
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