Opportunity Information: Apply for HRSA 16 021
Apply for HRSA 16 021
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Ryan White HIV/AIDS Program Part A HIV Emergency Relief Grant Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.914 HIV Emergency Relief Project Grants.
- This funding opportunity was created on Aug 27, 2015 and posted on Aug 27, 2015.
- Applicants must submit their applications by Nov 2, 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 $620,079,915.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 53 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligibility for Part A grants depends in part on the number of confirmed AIDS cases within a statutorily specified metropolitan area. The Secretary of Health and Human Services uses the Office of Management and Budget s (OMB s) census based definitions of a Metropolitan Statistical Area (MSA) in determining the geographic boundaries of a RWHAP metropolitan area. HHS relies on the OMB geographic boundaries that were in effect when a jurisdiction was initially funded under Part A. For all newly eligible areas, the boundaries are based on current OMB MSA boundary definitions. The only exception is Ponce, Puerto Rico, which uses different boundaries than those that were in effect when that jurisdiction first received funding. The decision to change the boundaries for this particular TGA was the result of litigation, which is currently on appeal. HRSA has consistently maintained that the RWAHP legislation requires that geographic boundaries for EMAs and TGAs must remain fixed in time.Therefore, Part A recipients that are classified as an EMA or as a TGA and continue to meet the statutory requirements are eligible to apply for these funds. For an EMA, this is more than 2,000 cases of AIDS reported and confirmed during the most recent five calendar years, and for a TGA, this is at least 1,000, but fewer than 2,000 cases of AIDS reported and confirmed during the most recent period of five calendar years for which such data are available. Additionally, for three consecutive years, recipients must not have fallen below the required incidence levels already specified, and required prevalence levels (cumulative total of living cases of AIDS reported to and confirmed by the Director of the CDC, as of December 31 of the most recent calendar year for which such data are available) for an EMA, this is 3,000 living cases of AIDS, and for a TGA, this is 1,500 living cases of AIDS, or at least 1,400 (and fewer than 1,500) living cases
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Opportunity Summary:
The Ryan White HIV/AIDS Program (RWHAP) Part A HIV Emergency Relief Grant Program (HRSA-16-021) is a federal discretionary grant from the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB), designed to help metropolitan areas that have been hit hardest by HIV. The program provides direct financial assistance to eligible jurisdictions so they can build, strengthen, and expand a coordinated, community-based system of HIV care for low-income people with HIV and their families. Funding is intended to support a complete continuum of high-quality services, with an emphasis on getting people into care, keeping them in care, and improving health outcomes across the full HIV Care Continuum.
A central expectation of this opportunity is that local planning and funding decisions are driven by data. Recipients and planning bodies are expected to assess service needs and gaps within their area and then choose specific RWHAP service categories that will improve performance at key stages of the HIV Care Continuum (for example, linkage to care, retention in care, antiretroviral therapy access, and viral suppression). The program recognizes that comprehensive HIV care includes both core medical services and targeted supportive services, but supportive services must be tied to helping clients access and remain in primary HIV medical care and achieve better medical outcomes. HRSA/HAB also stresses the need for Part A jurisdictions to strengthen strategies that reach minority populations, including through the Minority AIDS Initiative (MAI) funding stream.
The application is expected to show how the jurisdiction used surveillance and program data to identify need, document unmet need, plan services, and validate the use of RWHAP funds. Needs assessments should not happen in a vacuum; applicants are encouraged to reference and align with other relevant local and federal HIV-related assessments and initiatives, including work supported by HRSA’s Bureau of Primary Health Care, the Centers for Disease Control and Prevention (CDC), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the U.S. Department of Housing and Urban Development (HUD). The announcement also reflects a policy push to find and engage people who are not yet in care, including those who are unaware of their HIV status, noting CDC estimates (as of late 2014) that more than 1.2 million people were living with HIV in the U.S. and about 14 percent did not know their status. The planning process must ensure that core medical services are adequately funded not only for people already receiving care, but also for those newly identified and linked to services.
Several compliance and program rules shape how funds can be used. Part A recipients must implement the Part A National Monitoring Standards at both the recipient and provider/subrecipient levels, and they are responsible for using the most current service definitions and standards when developing budgets, service plans, and projections. A major statutory requirement is that at least 75 percent of funds remaining after allowed administrative and clinical quality management set-asides must be spent on core medical services (as defined in the Public Health Service Act). If a jurisdiction believes it needs to spend less than that threshold on core medical services, it may request a waiver, but the waiver must follow HRSA’s published criteria and, for FY 2016, must include MAI funds or it will not be considered. The notice also flags process changes and emphasis areas, including that applicants should include a local HIV Care Continuum graph and narrative explaining how it is used for planning, and that unmet need requirements were updated in the solicitation. It also notes that “hold harmless” would not be applied for FY 2016 Part A awards, meaning awards would not be protected from reductions based on prior-year amounts under that provision.
Eligibility is limited to jurisdictions that meet statutory HIV/AIDS burden thresholds and are classified as either an Eligible Metropolitan Area (EMA) or a Transitional Grant Area (TGA). In general, EMAs must have more than 2,000 reported and confirmed AIDS cases over the most recent five-year period, while TGAs must have at least 1,000 but fewer than 2,000 cases over that same period, along with additional multi-year incidence and prevalence conditions to remain eligible. HRSA relies on Office of Management and Budget (OMB) metropolitan statistical area definitions to establish geographic boundaries, generally keeping boundaries fixed based on what applied when the area first received Part A funding (with a noted exception involving Ponce, Puerto Rico). Awards are made to eligible jurisdictions to support formula, supplemental, and MAI funding components, and service priorities are set locally through the planning process as long as statutory spending rules and program requirements are met.
For this funding cycle, HRSA projected 53 awards under CFDA 93.914, with an estimated total funding amount of $620,079,915. There is no cost sharing or matching requirement listed. The opportunity was posted August 27, 2015, with an application deadline of November 2, 2015, and it was later archived January 1, 2016. The announcement also requires execution of EMA/TGA Agreements and Compliance Assurances (signed by the CEO or designee) as part of the application package, reflecting the governance and accountability structure that comes with managing Part A funds.
Frequently Asked Questions (FAQs): RWHAP Part A HIV Emergency Relief Grant Program (HRSA-16-021)
What is the Ryan White HIV/AIDS Program (RWHAP) Part A HIV Emergency Relief Grant Program (HRSA-16-021)?
It is a federal discretionary grant opportunity administered by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB). It is designed to help metropolitan areas that have been hit hardest by HIV by providing direct financial assistance to eligible jurisdictions to build, strengthen, and expand a coordinated, community-based system of HIV care for low-income people with HIV and their families.
What is the main purpose of Part A funding?
The purpose is to support a complete continuum of high-quality HIV services, with an emphasis on getting people into care, keeping them in care, and improving health outcomes across the full HIV Care Continuum (such as linkage to care, retention in care, antiretroviral therapy access, and viral suppression).
Who is the intended population to be served?
The program is intended to support care for low-income people with HIV and their families in eligible jurisdictions.
Who is eligible to apply for this funding?
Eligibility is limited to jurisdictions that meet statutory HIV/AIDS burden thresholds and are classified as either an Eligible Metropolitan Area (EMA) or a Transitional Grant Area (TGA).
What are the case threshold requirements for an EMA?
In general, an EMA must have more than 2,000 reported and confirmed AIDS cases over the most recent five-year period.
What are the case threshold requirements for a TGA?
In general, a TGA must have at least 1,000 but fewer than 2,000 reported and confirmed AIDS cases over the most recent five-year period, along with additional multi-year incidence and prevalence conditions to remain eligible.
How are the geographic boundaries for EMAs and TGAs determined?
HRSA relies on Office of Management and Budget (OMB) metropolitan statistical area definitions to establish geographic boundaries. Boundaries are generally kept fixed based on what applied when the area first received Part A funding, with a noted exception involving Ponce, Puerto Rico.
How are local service priorities and funding decisions expected to be made?
A central expectation is that local planning and funding decisions are driven by data. Recipients and planning bodies are expected to assess service needs and gaps within their area and then select RWHAP service categories that will improve performance at key stages of the HIV Care Continuum.
What types of services can be supported under this opportunity?
The opportunity recognizes that comprehensive HIV care includes both core medical services and targeted supportive services. Supportive services must be tied to helping clients access and remain in primary HIV medical care and achieve better medical outcomes.
Is there a required spending percentage for core medical services?
Yes. A major statutory requirement is that at least 75 percent of funds remaining after allowed administrative and clinical quality management set-asides must be spent on core medical services (as defined in the Public Health Service Act).
Can a jurisdiction spend less than 75 percent on core medical services?
A jurisdiction may request a waiver if it believes it needs to spend less than the 75 percent threshold on core medical services. The waiver must follow HRSA's published criteria. For FY 2016, the waiver must include Minority AIDS Initiative (MAI) funds or it will not be considered.
What monitoring or compliance standards apply to recipients and providers?
Part A recipients must implement the Part A National Monitoring Standards at both the recipient and provider/subrecipient levels. Recipients are also responsible for using the most current service definitions and standards when developing budgets, service plans, and projections.
What is the Minority AIDS Initiative (MAI) in this program context?
MAI is a funding stream within Part A that emphasizes strengthening strategies that reach minority populations. HRSA/HAB stresses the need for Part A jurisdictions to strengthen strategies that reach minority populations, including through MAI.
What kinds of data are applicants expected to use in their application?
The application is expected to show how the jurisdiction used surveillance and program data to identify need, document unmet need, plan services, and validate the use of RWHAP funds.
Are applicants encouraged to align with other HIV-related assessments and initiatives?
Yes. Applicants are encouraged to reference and align with other relevant local and federal HIV-related assessments and initiatives, including work supported by HRSA's Bureau of Primary Health Care, the Centers for Disease Control and Prevention (CDC), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the U.S. Department of Housing and Urban Development (HUD).
Does the opportunity emphasize finding and engaging people who are not in care?
Yes. The announcement reflects an emphasis on finding and engaging people who are not yet in care, including those who are unaware of their HIV status. It references CDC estimates (as of late 2014) that more than 1.2 million people were living with HIV in the U.S. and about 14 percent did not know their status.
How should planning address people newly identified with HIV or newly linked to services?
The planning process must ensure that core medical services are adequately funded not only for people already receiving care, but also for those newly identified and linked to services.
What specific planning deliverable is highlighted for this funding cycle?
Applicants should include a local HIV Care Continuum graph and a narrative explaining how it is used for planning.
Were there any updates noted regarding unmet need requirements?
Yes. The notice indicates that unmet need requirements were updated in the solicitation.
What does it mean that "hold harmless" would not be applied for FY 2016 Part A awards?
It means awards would not be protected from reductions based on prior-year amounts under that provision for FY 2016.
What funding components are mentioned for Part A awards?
Awards are made to eligible jurisdictions to support formula, supplemental, and MAI funding components.
What is the CFDA number associated with this opportunity?
The opportunity is listed under CFDA 93.914.
How many awards and how much total funding did HRSA project for this cycle?
HRSA projected 53 awards with an estimated total funding amount of $620,079,915.
Is there a cost sharing or matching requirement?
No cost sharing or matching requirement is listed for this opportunity.
What were the key dates for this funding opportunity?
The opportunity was posted on August 27, 2015, with an application deadline of November 2, 2015. It was later archived on January 1, 2016.
What governance or assurance documents were required as part of the application?
The announcement requires execution of EMA/TGA Agreements and Compliance Assurances (signed by the CEO or designee) as part of the application package, reflecting the governance and accountability structure associated with managing Part A funds.
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