Opportunity Information: Apply for HRSA 15 026
Apply for HRSA 15 026
- 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 Aug 15, 2014 and posted on Aug 15, 2014.
- Applicants must submit their applications by Oct 15, 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 $55,015,957.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 121 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. Applicants must be public entities and nonprofit private entities that are a) Federally qualified health centers under section 330 of the Public Health Service Act (42 USCS 254b) as amended by section 5601, P.L. 111 148 b) Grantees under section 1001 (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 those persons infected with HIV through intravenous drug use or g) 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 States Medicaid 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 mus
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Opportunity Summary:
The HIV Early Intervention Services Program Existing Geographic Service Areas (EISEGA) funding opportunity (HRSA-15-026) is a Ryan White HIV/AIDS Program (RWHAP) Part C grant competition run by the Health Resources and Services Administration (HRSA) to fund outpatient HIV primary care and related early intervention services. It solicits both competing continuation applications from current providers and new applications from organizations that want to serve established, pre-defined geographic service areas listed in the program guidance (Appendix B). The overall intent is to strengthen and sustain a comprehensive outpatient HIV care continuum for low-income, vulnerable, and medically underserved people living with HIV (including women, infants, children, and youth), with an emphasis on getting people into care as early as possible while still allowing enrollment at any stage of disease or across the lifespan.
At its core, the program is designed to ensure that funded sites can deliver a complete outpatient HIV primary care model in their proposed service area. Applicants are expected to propose a comprehensive continuum of services that includes: (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 expectation is not simply to provide isolated services, but to organize care so that patients can move from testing and diagnosis into medical evaluation, ongoing HIV primary care, and linkage to additional services that support treatment adherence and overall health outcomes. Programs are also expected to align with federally recognized HIV prevention and treatment guidance, using HHS-endorsed clinical guidelines as the standard for care.
The competition is structured around maintaining access and continuity within existing service areas while still allowing new organizations to compete. Applicants must define the geographic area they propose to serve, which can be the full listed area or a portion of it. If an applicant proposes to cover only part of the published service area, the application must show how residents in the remainder of the area will still have access to comprehensive care, typically through formal partnerships or documented coordination with other Ryan White providers. Where service areas overlap, applicants are expected to justify why additional funding is warranted by proposing added value, such as delivering new or enhanced services, focusing on specific vulnerable populations, or filling documented gaps in the current system of care. For new applicants seeking to replace an existing grantee, the bar is explicit: they must identify which current grantee they intend to replace and demonstrate their ability to serve the existing patient population while providing at least the same scope of services.
A major operational requirement of this opportunity is that grant-supported activities and budgets reflect a true medical model of outpatient HIV primary care. The announcement emphasizes that Part C funds must be expended to provide HIV primary medical care in the proposed service area and that this should be evident in the staffing plan and budget justification. Support staff positions (for example, nurses, medical assistants, and dental hygienists) may be included, but they must be proportionate and complementary to the core medical providers who deliver primary clinical care (physicians, nurse practitioners, physician assistants, dentists, and similar licensed professionals). The program expects clinical capacity that can assess patients, order and interpret medically indicated tests, prescribe medications when appropriate, treat conditions, and make referrals consistent with HHS guidelines, with appropriate credentialing and licensure.
The target population focus is another key theme. Applicants are expected to use local epidemiologic data and needs assessments to show who in their area has the greatest unmet need, is hardest to reach, or experiences the largest gaps in HIV primary care. While the program is broadly for people living with HIV who are low-income and underserved, it specifically highlights populations such as racial and ethnic minorities, youth, women (including pregnant women), people recently released from incarceration, and people experiencing homelessness. Strong applications are expected to show how outreach, linkage, retention strategies, and service design are tailored to these groups and to local barriers to care.
Eligibility is broad but still specific to healthcare and community service entities capable of delivering outpatient HIV primary care. The opportunity allows applications from state and local governments and their agencies, Indian Tribes and tribal organizations (with or without federal recognition), and nonprofit and community-based organizations including faith-based groups. It also lists particular eligible provider 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-operated or contracted facilities, and other clinics, hospitals, and health facilities that provide early intervention services to people infected through intravenous drug use, as well as nonprofit entities that provide comprehensive primary care to populations at risk of HIV/AIDS. Applicants must document Medicaid provider status or document agreements with Medicaid providers for covered services, with a noted potential waiver for free clinics that do not charge for services and do not accept Medicaid, Medicare, or private insurance reimbursement.
From a grants management standpoint, HRSA makes clear that applicants must have the fiscal systems and internal capacity to manage federal funds and meet fiduciary responsibilities. In practical terms, this means demonstrating financial stability, appropriate controls, and the ability to carry out the proposed program with compliant budgeting and reporting. The opportunity does not require cost sharing or matching.
The funding opportunity was posted August 15, 2014, with an application deadline of October 15, 2014, and it supported FY 2015 awards. HRSA projected 121 awards with an estimated total funding amount of $55,015,957 under CFDA 93.918 (Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease). Award ceiling and floor were listed as $0 in the summary data, which typically signals that individual award amounts vary and are specified elsewhere in the full notice or determined by formula, service area needs, and available appropriations rather than a single fixed cap.
Overall, EISEGA is a geographically structured Part C competition aimed at preserving and strengthening outpatient HIV primary care capacity in specific existing service areas, while allowing competition that can bring improved coverage, better targeting of vulnerable groups, stronger care models, and documented coordination across providers. The central expectation is a comprehensive, guideline-aligned outpatient HIV primary care program with appropriate clinical staffing, demonstrated local need, and reliable financial and administrative capacity to manage federal grant funds.
Frequently Asked Questions (FAQs) - HIV Early Intervention Services Program Existing Geographic Service Areas (EISEGA) (HRSA-15-026)
1) What is the EISEGA funding opportunity (HRSA-15-026)?
EISEGA is a Ryan White HIV/AIDS Program (RWHAP) Part C grant competition administered by the Health Resources and Services Administration (HRSA). It funds outpatient HIV primary care and related early intervention services in established, pre-defined geographic service areas identified in the program guidance (Appendix B).
2) What is the main purpose of this program?
The intent is to strengthen and sustain a comprehensive outpatient HIV care continuum for low-income, vulnerable, and medically underserved people living with HIV. The program emphasizes getting people into care as early as possible, while still allowing enrollment at any stage of disease and across the lifespan.
3) Is this only for current grantees, or can new organizations apply?
The opportunity solicits both competing continuation applications from current providers and new applications from organizations that want to serve the published, pre-defined geographic service areas.
4) What types of services are applicants expected to propose?
Applicants are expected to propose a comprehensive continuum of outpatient services, including:
- Targeted HIV counseling, testing, and referral
- Medical evaluation and clinical care
- Other primary care services
- Referrals to other health services
The expectation is an organized model that supports movement from testing/diagnosis into medical evaluation, ongoing HIV primary care, and linkage to supportive services.
5) Does the program expect alignment with specific clinical standards or guidance?
Yes. Programs are expected to align with federally recognized HIV prevention and treatment guidance, using HHS-endorsed clinical guidelines as the standard for care.
6) Do applicants have to serve an entire published geographic service area?
No. Applicants must define the geographic area they propose to serve, which may be the full listed area or a portion of it.
7) What if an applicant proposes to serve only part of a published service area?
If an applicant proposes only part of the published service area, the application must show how residents in the remainder of the area will still have access to comprehensive care. This is typically addressed through formal partnerships or documented coordination with other Ryan White providers.
8) What happens if proposed service areas overlap with other providers?
Where service areas overlap, applicants are expected to justify why additional funding is warranted. The notice describes examples of added value such as new or enhanced services, focused efforts for specific vulnerable populations, or addressing documented gaps in the current system of care.
9) Can a new applicant apply to replace an existing grantee?
Yes, but the expectation is explicit: a new applicant seeking to replace an existing grantee must identify which current grantee they intend to replace and demonstrate the ability to serve the existing patient population while providing at least the same scope of services.
10) What is meant by a "true medical model" in this program?
HRSA emphasizes that Part C funds must be used to provide HIV primary medical care in the proposed service area, and this should be clearly reflected in the staffing plan and budget justification. The model is expected to have appropriate licensed clinical capacity to assess patients, order and interpret medically indicated tests, prescribe medications when appropriate, treat conditions, and make referrals consistent with HHS guidelines.
11) What clinical staffing expectations are described?
The program expects staffing centered on core medical providers who deliver primary clinical care (such as physicians, nurse practitioners, physician assistants, dentists, and similar licensed professionals). Support staff (for example, nurses, medical assistants, and dental hygienists) may be included, but must be proportionate and complementary to the core medical providers.
12) Who is the target population for services funded under EISEGA?
The program focuses on low-income, vulnerable, and medically underserved people living with HIV, including women, infants, children, and youth. It also highlights groups that may face greater barriers to care, such as racial and ethnic minorities, youth, women (including pregnant women), people recently released from incarceration, and people experiencing homelessness.
13) How are applicants expected to demonstrate need and program focus?
Applicants are expected to use local epidemiologic data and needs assessments to identify who has the greatest unmet need, is hardest to reach, or experiences the largest gaps in HIV primary care, and to show how outreach, linkage, retention strategies, and service design are tailored to those groups and local barriers.
14) What types of organizations are eligible to apply?
Eligibility includes state and local governments and their agencies, Indian Tribes and tribal organizations (with or without federal recognition), and nonprofit and community-based organizations including faith-based groups. The opportunity also lists eligible provider 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-operated or contracted facilities, and other clinics, hospitals, and health facilities providing early intervention services to people infected through intravenous drug use, as well as nonprofit entities providing comprehensive primary care to populations at risk of HIV/AIDS.
15) Are there Medicaid-related requirements for applicants?
Applicants must document Medicaid provider status or document agreements with Medicaid providers for covered services. The opportunity notes a potential waiver for free clinics that do not charge for services and do not accept Medicaid, Medicare, or private insurance reimbursement.
16) Does this grant require cost sharing or matching funds?
No. The opportunity states that it does not require cost sharing or matching.
17) What fiscal and administrative capacity is expected of applicants?
HRSA indicates applicants must have fiscal systems and internal capacity to manage federal funds and meet fiduciary responsibilities. This includes demonstrating financial stability, appropriate internal controls, and the ability to carry out the proposed program with compliant budgeting and reporting.
18) When was this funding opportunity posted and when were applications due?
The opportunity was posted on August 15, 2014, and the application deadline was October 15, 2014. It supported FY 2015 awards.
19) How many awards and how much total funding were projected?
HRSA projected 121 awards with an estimated total funding amount of $55,015,957.
20) What is the CFDA number associated with this opportunity?
The CFDA number listed is 93.918 (Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease).
21) Are there stated minimum or maximum award amounts?
In the summary data, the award ceiling and floor were listed as $0. This typically indicates individual award amounts vary and are specified elsewhere in the full notice or determined by factors such as service area needs and available appropriations rather than a single fixed cap.
22) What is the overall focus of the competition design?
The competition is structured to maintain access and continuity within existing service areas while allowing competition that can improve coverage, target vulnerable groups more effectively, strengthen care models, and coordinate across providers.
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