Opportunity Information: Apply for HRSA 15 135

  • 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 Feb 4, 2015 and posted on Feb 4, 2015.
  • Applicants must submit their applications by Mar 23, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $4,338,613.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 12 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. 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.
Apply for HRSA 15 135

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Opportunity Summary:

The HIV Early Intervention Services Program Existing Geographic Service Areas (EISEGA) funding opportunity (HRSA-15-135) is a fiscal year 2015 grant competition run by the Health Resources and Services Administration (HRSA) under the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) authority (CFDA 93.918). Its core purpose is to fund outpatient HIV primary care for people living with HIV/AIDS who are low income, medically underserved, and often harder to reach through traditional health systems. The program emphasizes getting people into quality HIV medical care as early as possible, while also recognizing that patients may enter care at any stage of infection or at any point in life, from infants and children to older adults.

Applicants are expected to deliver a comprehensive continuum of outpatient HIV primary care services within a defined geographic service area tied to locations listed in the announcement (Appendix B). At minimum, proposed services must include: 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. In practice, HRSA is looking for programs that can identify people with HIV (or at high risk), connect them to care, provide ongoing clinical management in an outpatient setting, and link them to wraparound or specialty services that support long-term engagement and health outcomes.

A major structural feature of this competition is that it is tied to specific existing geographic service areas, but it is open both to current grantees seeking continuation (competing continuation applications) and to new organizations that want to take on service delivery in those same areas. Each applicant must clearly define the portion of the published service area they intend to cover, which can be the entire area or only a part of it. If an applicant proposes to serve less than the full listed service area, they must show how comprehensive care will still be available to everyone across the entire area through formal partnerships or coordination with other Ryan White providers. Where more than one applicant proposes work in overlapping geographic areas, HRSA expects applicants to justify the overlap by adding value, such as offering additional services, focusing on distinct vulnerable subpopulations, or strengthening and enhancing what already exists locally rather than simply duplicating it. New organizations, in particular, must demonstrate they will continue serving the existing patients and populations and will provide at least the same scope of services as the current grantee, which is meant to protect continuity of care.

The opportunity is explicitly built around a medical model of care. Grant funds must be used to provide HIV primary medical care in the proposed service area, and that clinical focus must be clearly reflected in the budget. Staffing and costs are expected to align with delivering primary medical care: positions like nurses, medical assistants, and dental hygienists may be included when they proportionately support primary care providers such as physicians, dentists, physician assistants, or nurse practitioners. HRSA also makes clear that providers must be properly credentialed and licensed to perform essential clinical functions including prescribing medications, ordering and interpreting tests and exams, assessing symptoms, treating patients, and following established Department of Health and Human Services HIV/AIDS clinical practice guidelines. Applicants are therefore expected to show not only that they offer services, but that they have the qualified clinical workforce and systems needed to deliver guideline-concordant HIV care.

Programmatically, applicants are expected to target Part C-supported services toward people living with HIV who face the greatest barriers to care, have the greatest unmet need, and/or show the largest gaps in access and retention, using local epidemiologic data and needs assessments to justify those priorities. The announcement highlights populations such as racial and ethnic minorities, youth, women (including pregnant women), people leaving incarceration, and people experiencing homelessness, while leaving room for applicants to identify additional local priority groups based on documented community conditions and disparities.

From an administrative and risk-management standpoint, HRSA signals that applicants must be able to handle federal fiduciary responsibilities. Organizations must demonstrate adequate financial capacity and controls to manage an award, deliver the proposed services, and remain compliant with federal requirements. The announcement also points applicants to federally approved HIV prevention and treatment guidelines (notably AIDSinfo as the referenced source at the time) and broader national HIV/AIDS strategy goals supported by HHS, HRSA, and the HIV/AIDS Bureau, encouraging applicants to explain how their approach advances those national priorities.

Key logistics included an anticipated 12 awards, an estimated total funding amount of $4,338,613, and no cost sharing or matching requirement. The opportunity was posted February 4, 2015, with an application deadline of March 23, 2015, and an archive date of May 22, 2015. Eligible applicants were broad and included state and local governments and agencies, Indian Tribes and tribal organizations (with or without federal recognition), as well as community-based and faith-based organizations, as long as they proposed to provide RWHAP Part C services in the specified geographic service areas and could meet the clinical, programmatic, and fiscal expectations described in the notice.

FAQs: HIV Early Intervention Services Program Existing Geographic Service Areas (EISEGA) (HRSA-15-135)

What is the EISEGA funding opportunity (HRSA-15-135)?

EISEGA (HRSA-15-135) is a fiscal year 2015 grant competition administered by the Health Resources and Services Administration (HRSA) under the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) authority (CFDA 93.918). It is designed to support outpatient HIV primary medical care and related early intervention services in specified existing geographic service areas.

What is the main purpose of this program?

The core purpose is to fund outpatient HIV primary care for people living with HIV/AIDS who are low income, medically underserved, and often harder to reach through traditional health systems. The program emphasizes getting people into quality HIV medical care as early as possible, while recognizing that patients may enter care at any stage of infection and at any point in life (including infants, children, and older adults).

What types of services must an applicant provide at minimum?

At minimum, applicants must propose a comprehensive continuum of outpatient HIV primary care services that includes:

  1. Targeted HIV counseling, testing, and referral
  2. Medical evaluation and clinical care
  3. Other primary care services
  4. Referrals to other needed health services

Is this program focused on outpatient care or inpatient care?

This opportunity is built around an outpatient medical model of care. Grant funds must be used to provide HIV primary medical care in an outpatient setting within the proposed service area.

Who is the program intended to serve?

The program is intended to serve people living with HIV/AIDS who are low income and medically underserved, particularly those who face the greatest barriers to care, have the greatest unmet need, and/or experience significant gaps in access and retention in care.

Are there priority populations identified in the announcement?

Yes. The announcement highlights priority populations such as racial and ethnic minorities, youth, women (including pregnant women), people leaving incarceration, and people experiencing homelessness. Applicants may also identify other local priority groups, as long as they are supported by local epidemiologic data and needs assessments.

What geographic areas can be served under this opportunity?

Applicants must propose services within defined existing geographic service areas tied to locations listed in the announcement (Appendix B). Each applicant must clearly define the portion of the published service area they intend to cover.

Can an applicant propose to serve only part of a listed service area?

Yes. An applicant may propose to serve the entire listed service area or only a part of it. If proposing less than the full service area, the applicant must show how comprehensive care will still be available to everyone across the entire area through formal partnerships or coordination with other Ryan White providers.

Can multiple applicants apply to serve overlapping geographic areas?

Yes. If more than one applicant proposes to work in overlapping geographic areas, HRSA expects applicants to justify the overlap by demonstrating added value, such as offering additional services, focusing on distinct vulnerable subpopulations, or strengthening and enhancing existing local services rather than duplicating them.

Is this competition only for current grantees, or can new organizations apply?

It is open to both current grantees seeking continuation (competing continuation applications) and new organizations seeking to deliver services in the same existing geographic service areas.

What expectations apply to new organizations applying for an existing service area?

New organizations must demonstrate that they will continue serving existing patients and populations in the service area and will provide at least the same scope of services as the current grantee. This is intended to protect continuity of care.

What does HRSA mean by a "medical model of care" in this program?

HRSA indicates that the program must be clinically centered on HIV primary medical care. The clinical focus should be clearly reflected in the applicant's approach and budget, with staffing and costs aligned to delivering primary medical care.

What kinds of staff positions are expected or allowable under the medical model described?

Staffing should proportionately support HIV primary care delivery. The announcement notes that positions such as nurses, medical assistants, and dental hygienists may be included when they support primary care providers such as physicians, dentists, physician assistants, or nurse practitioners.

Are there credentialing or licensing expectations for clinical providers?

Yes. HRSA states that providers must be properly credentialed and licensed to perform essential clinical functions, including prescribing medications, ordering and interpreting tests and exams, assessing symptoms, treating patients, and following established Department of Health and Human Services HIV/AIDS clinical practice guidelines.

Do applicants need to follow specific HIV clinical practice guidelines?

Applicants are expected to deliver guideline-concordant HIV care and are pointed to federally approved HIV prevention and treatment guidelines (with AIDSinfo referenced as the source at the time of the announcement).

How should applicants decide which populations or gaps to target?

Applicants are expected to use local epidemiologic data and needs assessments to justify targeting Part C-supported services to those with the greatest barriers to care, unmet needs, and gaps in access or retention.

What are the expectations around referrals and partnerships?

Applicants must provide referrals to other needed health services as part of the minimum required service set. Additionally, if an applicant proposes to cover only part of a service area, they must demonstrate formal partnerships or coordination that ensures comprehensive care access across the entire area.

What financial and administrative capacity is expected from applicants?

HRSA signals that applicants must be able to handle federal fiduciary responsibilities. Organizations must demonstrate adequate financial capacity and controls to manage the award, deliver proposed services, and remain compliant with federal requirements.

Does this opportunity require cost sharing or a match?

No. The announcement states there is no cost sharing or matching requirement.

How many awards and how much total funding were anticipated?

The opportunity anticipated 12 awards with an estimated total funding amount of $4,338,613.

When was the opportunity posted and what were the key dates?

The opportunity was posted on February 4, 2015. The application deadline was March 23, 2015. The archive date was May 22, 2015.

Who was eligible to apply?

Eligible applicants included state and local governments and agencies, Indian Tribes and tribal organizations (with or without federal recognition), and community-based and faith-based organizations, provided they proposed to deliver RWHAP Part C services in the specified geographic service areas and could meet the clinical, programmatic, and fiscal expectations described in the notice.

How does the program relate to national HIV priorities?

The announcement encourages applicants to explain how their approach advances broader national HIV/AIDS strategy goals supported by HHS, HRSA, and the HIV/AIDS Bureau, alongside the expectation to align care delivery with federally approved guidelines.

What does HRSA expect if an applicant is proposing services where providers already exist?

Where overlap occurs, HRSA expects applicants to show that their proposal strengthens and enhances local services rather than simply duplicating them, for example by adding services or focusing on distinct vulnerable subpopulations.

What is meant by a "comprehensive continuum" of outpatient HIV primary care services?

Based on the announcement, a comprehensive continuum includes identifying people with HIV (or at high risk) through targeted counseling/testing/referral, linking them to outpatient HIV medical care, providing ongoing clinical management, and ensuring connections through referrals to wraparound or specialty services that support long-term engagement and health outcomes.

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