Opportunity Information: Apply for HRSA 10 225

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Part C EIS CATEGORICAL GRANT PROGRAM TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE" 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 Apr 28, 2010 and posted on Apr 28, 2010.
  • Applicants must submit their applications by May 28, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $451,362.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • This competition is open to organizations proposing to provide services in Lake County, IN, Sonoma County, CA, and New York, NY. Organizations must demonstrate that they will serve the existing patients, populations, scope of services and service areas formerly served by East Chicago Community Health Center, Sonoma County Health Services, and St. Vincent s Hospital Medical Center New York. Organizations must be public or private nonprofit entities that are a) Federally qualified health centers under section 1905(1)(2)(B) of the Social Security Act 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 Services f) community based organizations, hospitals and other health facilities that provide early intervention services to those persons infected with HIV/AIDS 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 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. Applicants must make reasonable efforts to participate in the Part B consortium if one exists for their geographic service area.
Apply for HRSA 10 225

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Opportunity Summary:

This grant opportunity (HRSA-10-225) is a discretionary Health Resources and Services Administration (HRSA) award under CFDA 93.918, designed to support the ongoing delivery of high-quality outpatient Early Intervention Services (EIS) and primary medical care for people living with HIV. The central goal is to make sure individuals with HIV infection can enter care earlier, stay connected to care, and receive coordinated services that fit into a broader local continuum of HIV prevention, testing, treatment, and support. A major program emphasis is expanding access to HIV primary care and related support services for communities of color, reflecting the disproportionate impact of HIV and persistent barriers to care in many minority communities.

The funded program model is outpatient-focused and requires comprehensive EIS components. At a minimum, EIS sites must provide HIV counseling and testing (including counseling associated with testing), counseling and education on living with HIV, and appropriate medical evaluation and clinical care. In addition to core medical care, the opportunity highlights the expectation that grantees provide or ensure access to essential support services that are commonly needed to achieve good HIV outcomes. These include oral health care, outpatient mental health services, outpatient substance abuse services, and nutritional services, along with appropriate referrals for specialty services when needs extend beyond what the EIS site can deliver directly. In practice, the grant is meant to support a well-coordinated service package where clinical care and supportive services work together to reduce delays in diagnosis, improve linkage to HIV care, encourage retention in care, and address co-occurring behavioral health or social factors that can interfere with treatment.

Eligibility is narrowly targeted and structured as a replacement or continuation of services in specific locations and for specific patient populations previously served by named providers. Applicants must propose to provide services in one of the following geographic areas: Lake County, Indiana; Sonoma County, California; and New York, New York. Beyond simply operating in these areas, applicant organizations must demonstrate that they will serve the existing patients, populations, scope of services, and service areas formerly served by East Chicago Community Health Center, Sonoma County Health Services, and St. Vincent's Hospital Medical Center New York. This makes the competition particularly relevant to organizations able to step into an established service footprint and maintain continuity of care for current patients.

The applicant types allowed are public or private nonprofit entities that fall into specified categories, including: federally qualified health centers; certain family planning grantees (other than states); comprehensive hemophilia diagnostic and treatment centers; rural health clinics; health facilities operated by or under contract with Indian Health Services; community-based organizations, hospitals, and other health facilities providing early intervention services to people infected with HIV/AIDS through intravenous drug use; and other nonprofit private entities that provide comprehensive primary care to populations at risk of HIV/AIDS, including faith-based and community-based organizations. The opportunity places strong operational readiness requirements on applicants. Applicants generally must document Medicaid provider status, though they may alternatively document formal agreements with Medicaid providers to ensure services covered under the Medicaid State plan are provided. There is a limited exception allowing this requirement to be waived for free clinics that do not charge for services and do not accept reimbursement from Medicaid, Medicare, or private insurance. Applicants must also document that they are fully licensed to provide clinical services as required by state and/or local rules, and both Medicaid status (or qualifying alternative/waiver) and licensure must be in place before submitting the application, not after award.

Coordination with other Ryan White HIV/AIDS Program components is also built into the expectations. Applicants must make reasonable efforts to participate in the Part B consortium if one exists in their service area, reinforcing the intent that EIS providers are not operating in isolation but instead are integrated into local planning and coordination structures for HIV services.

From an administrative standpoint, the opportunity was posted and created on April 28, 2010, with an original and current closing date of May 28, 2010, and an archive date of July 27, 2010. HRSA anticipated one award, with an estimated total funding amount of $451,362, and the funding instrument is a grant with no cost sharing or matching requirement. For access issues or assistance obtaining the full announcement, HRSA provided its call center contact (CallCenter@HRSA.GOV) and phone support through the HRSA Call Center.

Grant Opportunity HRSA-10-225 (CFDA 93.918) - Frequently Asked Questions

1) What is HRSA-10-225?

HRSA-10-225 is a discretionary Health Resources and Services Administration (HRSA) grant opportunity under CFDA 93.918. It is designed to support the ongoing delivery of high-quality outpatient Early Intervention Services (EIS) and primary medical care for people living with HIV.

2) What is the main goal of this grant?

The central goal is to help people with HIV infection enter care earlier, stay connected to care, and receive coordinated services that fit into a broader local continuum of HIV prevention, testing, treatment, and support.

3) Is there a specific program emphasis or priority population?

Yes. A major emphasis is expanding access to HIV primary care and related support services for communities of color, reflecting disproportionate HIV impact and persistent barriers to care in many minority communities.

4) What type of service model does the program require?

The program model is outpatient-focused and requires comprehensive EIS components delivered in a coordinated way alongside primary medical care and related supports.

5) What are the minimum required EIS components?

At a minimum, EIS sites must provide:

  • HIV counseling and testing (including counseling associated with testing)
  • Counseling and education on living with HIV
  • Appropriate medical evaluation and clinical care

6) Beyond core medical care, what support services are expected?

The opportunity highlights an expectation that grantees provide or ensure access to essential support services commonly needed for good HIV outcomes, including:

  • Oral health care
  • Outpatient mental health services
  • Outpatient substance abuse services
  • Nutritional services

7) Are referrals required for services the EIS site cannot provide directly?

Yes. The program anticipates appropriate referrals for specialty services when patient needs extend beyond what the EIS site can deliver directly.

8) What outcomes is the grant intended to support?

The grant is intended to support a coordinated service package that helps reduce delays in diagnosis, improve linkage to HIV care, encourage retention in care, and address co-occurring behavioral health or social factors that can interfere with treatment.

9) Who is eligible to apply?

Eligibility is limited to public or private nonprofit entities that fall into specified categories. Examples listed in the opportunity include:

  • Federally qualified health centers
  • Certain family planning grantees (other than states)
  • Comprehensive hemophilia diagnostic and treatment centers
  • Rural health clinics
  • Health facilities operated by or under contract with Indian Health Services
  • Community-based organizations, hospitals, and other health facilities providing early intervention services to people infected with HIV/AIDS through intravenous drug use
  • Other nonprofit private entities that provide comprehensive primary care to populations at risk of HIV/AIDS, including faith-based and community-based organizations

10) Is eligibility limited to certain geographic areas?

Yes. Applicants must propose to provide services in one of these geographic areas:

  • Lake County, Indiana
  • Sonoma County, California
  • New York, New York

11) Is it enough to be located in an eligible area?

No. Applicants must also demonstrate that they will serve the existing patients, populations, scope of services, and service areas formerly served by the named providers: East Chicago Community Health Center, Sonoma County Health Services, and St. Vincent's Hospital Medical Center New York.

12) What does the requirement to serve "existing patients and populations" mean in this announcement?

Based on the announcement language, the competition is structured as a replacement or continuation of services. Applicants are expected to step into an established service footprint and maintain continuity of care for the current patients and populations previously served by the named providers in the specified locations.

13) Are there operational readiness requirements related to Medicaid?

Yes. Applicants generally must document Medicaid provider status. Alternatively, they may document formal agreements with Medicaid providers to ensure services covered under the Medicaid State plan are provided.

14) Is there any exception to the Medicaid documentation requirement?

Yes. There is a limited exception that allows the requirement to be waived for free clinics that do not charge for services and do not accept reimbursement from Medicaid, Medicare, or private insurance.

15) When must Medicaid status (or qualifying alternative/waiver) be in place?

It must be in place before submitting the application, not after award.

16) Are there licensing requirements for applicants?

Yes. Applicants must document that they are fully licensed to provide clinical services as required by state and/or local rules.

17) When must licensure be in place?

Licensure must be in place before submitting the application, not after award.

18) Does the opportunity require coordination with other Ryan White HIV/AIDS Program components?

Yes. Applicants are expected to make reasonable efforts to participate in the Part B consortium if one exists in their service area, supporting integration into local planning and coordination structures.

19) What is the funding instrument for this opportunity?

The funding instrument is a grant.

20) Is cost sharing or matching required?

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

21) How many awards did HRSA anticipate making?

HRSA anticipated one award.

22) What was the estimated total funding amount?

The estimated total funding amount was $451,362.

23) What are the key dates listed for this opportunity?

The opportunity was posted and created on April 28, 2010. The original and current closing date was May 28, 2010. The archive date was July 27, 2010.

24) Who can be contacted for access issues or help obtaining the full announcement?

HRSA provided its call center contact for assistance: CallCenter@HRSA.GOV, with phone support available through the HRSA Call Center.

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