Part C Capacity Development Program | Apply Online

Opportunity Summary:

The Part C Capacity Development Program (HRSA-13-169) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) under CFDA 93.918. It is aimed specifically at strengthening the ability of existing Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services grantees to improve how they deliver outpatient HIV primary health care. The core purpose is capacity building: helping public and nonprofit organizations shore up organizational infrastructure and expand access to high-quality HIV primary care for people living with HIV and people at risk, especially in underserved and rural communities. A key point in this announcement is that the funding is meant for short-term, clearly defined projects rather than ongoing operations. Proposed activities are expected to be completed within a one-year project period, and the program is framed as a way to make targeted upgrades that improve care delivery and access.

Applicants (limited to current Part C grantees) can propose one or both of two main types of projects. The first category focuses on Affordable Care Act (ACA) related outreach, enrollment, and client navigation efforts. HRSA highlights that getting Ryan White clients enrolled in available health insurance is critical, so this track supports work that builds an organization’s capacity to help clients understand coverage options and successfully obtain benefits. Allowable activities include building staff capability for benefits and eligibility counseling, including making referrals to other public and private programs clients may qualify for. It also includes strengthening enrollment and linkage services, such as identifying people with HIV, educating them about ACA-related benefits, and connecting them to HIV primary care. The announcement stresses that these outreach and enrollment activities should not duplicate services already paid for through other federal or state sources, which means applicants need to clearly explain the gap they are filling and how their work complements, rather than repeats, existing efforts.

The second category is infrastructure development, which supports targeted investments that enhance or expand a community’s continuum of outpatient HIV primary care by improving the underlying systems an organization uses to deliver care. A major allowable area is Electronic Health Records (EHR) implementation or enhancement to improve quality, safety, and efficiency. HRSA notes that any EHR purchased with federal funds must meet Office of the National Coordinator for Health Information Technology (ONC) certification requirements, and systems should be configured to support required HIV/AIDS Bureau (HAB) reporting (including the ability to report appropriate clinical data electronically). The opportunity also anticipates that Ryan White clinical providers will increasingly need certified EHRs, in part because many are required to participate in state Medicaid programs and because of broader federal “meaningful use” standards and incentives. In addition to purchasing and implementing EHRs, funds may support interfacing CAREWare with an EHR and enhancing EHR functions to proactively identify patients who have fallen out of care and to support enrollment of new patients into the HIV care system.

Infrastructure development funding can also support telehealth technologies designed to improve access and efficiency for eligible Ryan White populations, particularly relevant to rural or hard-to-reach communities. The announcement allows a range of clinical and non-clinical telehealth uses, such as transmission of medical images, sharing medical data for disease management, integrating systems, purchasing software that helps staff use telehealth effectively, and addressing client movement or access barriers. It also recognizes different telehealth modes including remote patient monitoring, real-time visits, and store-and-forward approaches. One explicit restriction is that telehealth funds under this program may not be used for prison or correctional settings. Beyond clinical technology, applicants may request support for financial management systems, including purchasing or implementing accounting or billing software that can handle multiple funding streams, track expenses by grant line item, strengthen third-party billing and reimbursement, and improve fiscal oversight and subrecipient monitoring. Applicants are expected to pair these upgrades with protocols and billing policies that reflect the improved system.

The FOA also permits certain targeted clinical equipment purchases tied to expanding HIV-related services. Examples include dental equipment to develop, enhance, or expand oral health capacity for people living with HIV (for instance, creating or expanding an HIV dental operatory or clinic). It also allows the purchase of colposcopy or anoscopy equipment to expand cervical and anal cancer screening and HPV-related diagnostic and treatment capacity for people living with HIV. For these screening-related equipment requests, HRSA expects applicants to demonstrate sustained provider capacity outside the grant (sufficient provider time/FTE not paid by this request), document clinical need (including reporting Pap smear volume and abnormal results from the current Part C project period), and explain how clinicians will maintain proficiency in performing these procedures after the budget period ends. This reflects the overall theme of the program: the grant can help you build or upgrade capacity, but the organization must show it can maintain and use that capacity effectively over time.

Funding and administrative details in the announcement indicate an expected 70 awards, with an award ceiling listed at $100,000 for this specific opportunity posting, no cost sharing or matching requirement, and a one-year project period for the funded activities. The broader authorizing statute cited (Public Health Service Act Section 2654) discusses planning and capacity development grants, including statutory preferences and certain limitations, such as prohibitions on using funds to purchase land or undertake major construction or permanent building improvements (minor remodeling is the exception). The statute also emphasizes that HRSA should give preference to entities serving rural areas or underserved populations, and the FOA reiterates that preference. Rural areas are generally described as those outside Metropolitan Statistical Areas (MSAs), though it notes rural communities can exist within the broader geographic boundaries of MSAs, and points applicants to HRSA’s rural determination tools. “Underserved populations” are framed as communities or subpopulations with documented gaps in HIV-related health services, and applicants are expected to define and support those gaps with local evidence.

Finally, the opportunity is positioned within the larger federal HIV policy landscape, particularly the National HIV/AIDS Strategy (NHAS). Applicants are encouraged to align capacity-building activities with NHAS goals: reducing new HIV infections, improving access to care and health outcomes for people living with HIV, and reducing HIV-related disparities. The announcement also reflects a push toward stronger coordination, consistent performance monitoring, and streamlined data reporting across federal programs. It references common indicators tracked across domains like HIV testing, linkage to care, retention, antiretroviral therapy, viral suppression, and housing status, many of which are supported through Ryan White reporting systems such as the Ryan White HIV/AIDS Program Services Report (RSR). In practical terms, this means the strongest proposals are likely to be those that show how a short-term investment in outreach/enrollment capacity or infrastructure (like EHR, telehealth, billing systems, or clinical equipment) will measurably improve linkage, retention, quality of care, and equity in access for rural and underserved communities served by existing Part C programs.

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