Opportunity Information: Apply for HRSA 13 264
Apply for HRSA 13 264
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Ryan White HIV/AIDS Program Part D Grants for Coordinated HIV Services and Access to Research for Women, Infants, Children, and Youth (WICY) Limited Competitive Service Areas (Georgia, Louisiana, and Western Pennsylvania)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth.
- This funding opportunity was created on Apr 3, 2013 and posted on Apr 3, 2013.
- Applicants must submit their applications by May 3, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 3 candidate(s).
- Eligible applicants include: Independent school districts Others (see text field entitled Additional Information on Eligibility for clarification) Native American tribal governments (Federally recognized) Native American tribal organizations (other than Federally recognized tribal governments) State governments Special district governments City or township governments Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education County governments.
- Eligible applicants include public or nonprofit private entities (including a health facility operated by or pursuant to a contract with the Indian Health Service) that propose to provide primary medical care (directly or through contracts or memoranda of
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Opportunity Summary:
This funding opportunity (HRSA-13-264, CFDA 93.153) is a fiscal year 2013 discretionary grant competition run by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), through the HIV/AIDS Bureau (HAB). It targets a limited set of competitive service areas in Georgia, Louisiana, and Western Pennsylvania, with an expectation of three total awards. Applications were posted April 3, 2013 and were due May 3, 2013 (archived July 2, 2013). The program does not require cost sharing or matching, and award floor/ceiling amounts are not specified in the notice.
The core purpose of the Ryan White HIV/AIDS Program Part D WICY grant is to ensure that women, infants, children, and youth living with HIV can get family-centered outpatient or ambulatory primary medical care when those services cannot be paid for by other sources. In practice, Part D dollars are meant to fill gaps after other payment options are pursued, helping medically vulnerable clients access consistent HIV medical care and the wraparound supports that make care workable. A major theme throughout the announcement is coordinated, comprehensive care that is culturally and linguistically competent, with a strong emphasis on improving access, retention in care, and measurable health outcomes for the four WICY target populations.
This competition is limited to new organizations proposing to deliver Part D-funded services in the specified geographic service areas (outlined in the announcement’s Appendix B). Applicants have to clearly define the service area they intend to cover, which can be the entire published service area or a portion of it. A key requirement for new applicants is demonstrating the capacity and intent to serve all eligible WICY clients within the proposed boundaries and to meaningfully serve each of the four target populations: women, infants, children, and youth. HRSA’s geographic approach is also designed to respond to changing HIV epidemiology and direct resources to areas of greatest need while avoiding duplication with existing Ryan White efforts.
Programmatically, grantees are expected to provide three broad categories of services: HIV primary medical care, specialty medical care (including specialty HIV care), and support services. Primary medical care is defined as outpatient/ambulatory care and explicitly includes behavioral health, nutrition services, and oral health/dental services as part of comprehensive HIV care. “Family-centered care” is framed as care that addresses the health needs of people living with HIV in the context of improving overall outcomes for the patient and family, rather than treating HIV in isolation. Specialty care includes clinical areas often required for complex HIV-related needs, such as obstetrics and gynecology, hepatology, and neurology. Support services can include family-centered case management, referrals to inpatient care, substance use treatment and mental health services, and other social/support services that help clients actually participate in care. The notice also highlights services designed to recruit and retain youth, and it requires education and information-sharing about opportunities to participate in HIV/AIDS clinical research.
HAB lays out detailed expectations for what a strong Part D program looks like. Applicants must use current HIV epidemiologic data to identify unmet needs and service gaps for each target population and then design coordinated services that directly address those gaps. They must show active linkage with CDC-funded counseling and testing activities and with Ryan White Parts A and B efforts so that diagnosed and undiagnosed people in the target populations are identified, linked to care quickly, and retained. Programs are expected to build or expand a coordinated local system of care that reliably provides state-of-the-art HIV treatment and supportive clinical services, and to maintain collaborative relationships with other Ryan White providers, federally funded projects, community health centers, and other primary care providers in the region. Consistency with statewide and local needs assessments is required, including participation in the Part B Statewide Comprehensive Statement of Need (SCSN).
The announcement includes specific population-focused requirements. Part D programs must demonstrate concrete strategies to recruit and retain women in primary HIV care, including attention to the different needs of pregnant women, women of childbearing age, and older women. For pregnant clients, programs are expected to focus on preventing perinatal HIV transmission and to have processes to track birth outcomes. Youth are another major priority: programs must recruit and retain youth ages 13 to 24, including behaviorally infected youth, and must document a transition plan to adult care. The notice is explicit that males over age 24 are not eligible for Part D-funded services, reinforcing that Part D is a targeted WICY program rather than a general adult service stream.
Quality, accountability, and data reporting are central to the grant. Grantees must operate a Clinical Quality Management (CQM) program and use HAB performance measures for quality improvement, monitoring clinical outcomes and process improvements, while also demonstrating consumer participation in evaluation activities. They also must submit HRSA/HAB client-level data reports and coordinate with other Ryan White providers to ensure reporting is unduplicated across the service area. Support services must be tightly linked to primary medical care and to measurable outcomes, with funding for support services proportional to the number of WICY clients receiving medical care through the applicant organization. Co-location of medical and support services is strongly encouraged because it typically improves retention, adherence, and overall engagement in care.
The funding also comes with clear administrative and payer-of-last-resort rules. Administrative costs are capped at 10 percent of the total annual award, and “administrative” is defined broadly as grant management/monitoring and other non-service or indirect-cost-related activities. Grantees must have systems to maximize reimbursement and collections for billable services, track program income, and show how that income expands or enhances HIV services. Ryan White funds are expected to be used only when payment cannot reasonably be expected from other sources, meaning grantees should bill Medicaid, CHIP, Medicare, and other public/private insurance first, and use sliding fee scales where appropriate. The funds cannot be used to supplement or top off what Medicaid/Medicare/insurance already pays, and applicants are expected to ensure Medicaid-billable services are billed to Medicaid.
There are also operational readiness expectations after an award is made. Clinical care, diagnostic services, periodic medical evaluations, and therapeutic measures to treat HIV must be available to patients within 90 days of the award start date, which effectively requires applicants to show they can hire clinical staff quickly, deliver HIV primary care, and bill for services. If the program will use contractors, signed contracts must be provided to HRSA within 60 days of the award, and those contracts must spell out the number of HIV-positive patients to be served (including counts by pregnant/non-pregnant women, children, youth, and exposed infants), Medicaid eligibility/provider status, provider compliance with Part D requirements, data sharing and unduplicated reporting commitments, and participation in CQM. Applicants (and subcontractors) are expected to document Medicaid provider status and appropriate clinic licensure (or explain why licensure is not required in their jurisdiction and how that is confirmed).
The announcement aligns Part D expectations with national HIV policy priorities, particularly the National HIV/AIDS Strategy (NHAS). It references a set of common monitoring indicators across seven domains: HIV testing, late diagnosis, initial linkage to medical care, retention/engagement, antiretroviral therapy, viral load suppression, and housing status. Because many of these indicators are captured through the Ryan White Services Report (RSR), HRSA emphasizes standardized reporting and performance tracking. Applicants are also expected to follow federally approved HIV prevention and treatment guidelines and are encouraged to integrate HIV prevention into routine medical care for people living with HIV, including behavioral risk screening, STI and pregnancy screening, behavioral interventions, and partner counseling and referral services (including partner notification). To further reduce perinatal transmission, the notice encourages strategies consistent with CDC and ACOG recommendations, such as rapid HIV testing for pregnant people in labor with unknown status or undocumented prenatal screening.
Finally, the opportunity highlights how shifting epidemiology has shaped Part D priorities beginning in FY 2012: perinatal transmission has declined dramatically, children now represent a small share of the U.S. epidemic, women (especially women of color) account for a significant portion of people living with HIV, and new infections are increasingly concentrated among adolescents and young adults, with young Black men who have sex with men noted as especially impacted. Within that context, Part D funding is framed as a way to ensure newly identified people living with HIV in these priority groups are linked to care, started on antiretroviral therapy with adherence support, and retained long-term. The notice also explains the Minority AIDS Initiative (MAI) component: a portion of Part D funding is designated to address disparities affecting racial and ethnic minorities, and MAI amounts are assigned by HRSA/HAB based on the percentage of proposed WICY clients who are from racial/ethnic minority communities, with the final MAI allocation documented in the Notice of Award.
Frequently Asked Questions (FAQs)
1) What is this funding opportunity?
This opportunity is the Ryan White HIV/AIDS Program Part D WICY (Women, Infants, Children, and Youth) grant competition, run by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), through the HIV/AIDS Bureau (HAB). The opportunity number is HRSA-13-264 and it is listed under CFDA 93.153 as a fiscal year (FY) 2013 discretionary grant competition.
2) What is the overall purpose of the Part D WICY program?
The purpose of Part D WICY funding is to ensure that women, infants, children, and youth living with HIV can access family-centered outpatient/ambulatory primary medical care when those services cannot be paid for by other sources. In practical terms, Part D dollars are intended to fill gaps after other payment options are pursued, helping medically vulnerable clients obtain consistent HIV medical care and the supports that make care possible.
3) Who are the target populations served under this grant?
The program is explicitly focused on four target populations: women, infants, children, and youth living with HIV. The announcement also emphasizes a strong focus on youth ages 13 to 24 and on preventing perinatal HIV transmission for pregnant clients.
4) Are any groups explicitly not eligible for Part D-funded services?
Yes. The notice is explicit that males over age 24 are not eligible for Part D-funded services. Part D is described as a targeted WICY program rather than a general adult service stream.
5) Which geographic areas are eligible in this competition?
This competition targets a limited set of competitive service areas located in Georgia, Louisiana, and Western Pennsylvania. The specific service areas are outlined in the announcement's Appendix B.
6) How many awards are expected to be made?
The announcement describes an expectation of three total awards.
7) Who can apply under this specific competition?
This competition is limited to new organizations proposing to deliver Part D-funded services in the specified geographic service areas identified in the announcement. Applicants must define the service area they intend to cover and demonstrate capacity and intent to serve all eligible WICY clients within the proposed boundaries, while meaningfully serving each of the four target populations.
8) Can an applicant propose to serve only part of an eligible service area?
Yes. Applicants must clearly define the service area they intend to cover, and the proposed service area can be the entire published service area or a portion of it.
9) What is meant by "family-centered care" in this opportunity?
Family-centered care is framed as care that addresses the health needs of people living with HIV in the context of improving overall outcomes for the patient and family, rather than treating HIV in isolation.
10) What categories of services are grantees expected to provide?
Grantees are expected to provide three broad categories of services: (1) HIV primary medical care, (2) specialty medical care (including specialty HIV care), and (3) support services.
11) How does the announcement define HIV primary medical care?
Primary medical care is defined as outpatient/ambulatory care and explicitly includes behavioral health, nutrition services, and oral health/dental services as part of comprehensive HIV care.
12) What kinds of services fall under specialty medical care?
Specialty care includes clinical areas often required for complex HIV-related needs. The notice gives examples such as obstetrics and gynecology, hepatology, and neurology.
13) What are examples of support services under Part D?
Support services can include family-centered case management, referrals to inpatient care, substance use treatment and mental health services, and other social/support services that help clients participate in care. The notice also highlights services designed to recruit and retain youth.
14) Does the program include expectations related to HIV/AIDS clinical research?
Yes. The announcement requires education and information-sharing about opportunities for clients to participate in HIV/AIDS clinical research.
15) What data must applicants use to plan their Part D services?
Applicants must use current HIV epidemiologic data to identify unmet needs and service gaps for each target population and then design coordinated services that directly address those gaps.
16) What coordination is expected with other HIV programs and providers?
Programs must show active linkage with CDC-funded counseling and testing activities and with Ryan White Parts A and B efforts to identify diagnosed and undiagnosed people in the target populations, link them to care quickly, and retain them. Grantees are expected to maintain collaborative relationships with other Ryan White providers, federally funded projects, community health centers, and other primary care providers in the region.
17) Are applicants expected to align with statewide or local needs assessments?
Yes. Consistency with statewide and local needs assessments is required, including participation in the Part B Statewide Comprehensive Statement of Need (SCSN).
18) What are the expectations for serving women in care?
Part D programs must demonstrate concrete strategies to recruit and retain women in primary HIV care. The notice calls for attention to the different needs of pregnant women, women of childbearing age, and older women.
19) What are the expectations for serving pregnant clients?
For pregnant clients, programs are expected to focus on preventing perinatal HIV transmission and to have processes to track birth outcomes.
20) What are the expectations for serving youth?
Youth are a major priority in the notice. Programs must recruit and retain youth ages 13 to 24, including behaviorally infected youth, and must document a transition plan to adult care.
21) What are the quality management requirements for grantees?
Grantees must operate a Clinical Quality Management (CQM) program and use HAB performance measures for quality improvement. This includes monitoring clinical outcomes and process improvements and demonstrating consumer participation in evaluation activities.
22) What reporting and data submission requirements are described?
Grantees must submit HRSA/HAB client-level data reports. They must also coordinate with other Ryan White providers to ensure reporting is unduplicated across the service area.
23) Are there requirements on how support services relate to medical care?
Yes. Support services must be tightly linked to primary medical care and to measurable outcomes. The notice also states that funding for support services must be proportional to the number of WICY clients receiving medical care through the applicant organization.
24) Is co-location of services required?
Co-location is strongly encouraged (not described as mandatory). The announcement notes co-location typically improves retention, adherence, and overall engagement in care.
25) Is cost sharing or matching required?
No. The opportunity does not require cost sharing or matching.
26) Are award floor and ceiling amounts specified?
No. The notice does not specify award floor or ceiling amounts.
27) What is the administrative cost cap?
Administrative costs are capped at 10 percent of the total annual award. The notice defines "administrative" broadly as grant management/monitoring and other non-service or indirect-cost-related activities.
28) What does "payer of last resort" mean for Part D funding?
Ryan White funds are expected to be used only when payment cannot reasonably be expected from other sources. Grantees should bill Medicaid, CHIP, Medicare, and other public/private insurance first, and use sliding fee scales where appropriate. The funds cannot be used to supplement or top off what Medicaid/Medicare/insurance already pays.
29) Are grantees expected to bill Medicaid for Medicaid-billable services?
Yes. Applicants are expected to ensure Medicaid-billable services are billed to Medicaid.
30) What are the expectations around reimbursement, collections, and program income?
Grantees must have systems to maximize reimbursement and collections for billable services, track program income, and show how program income expands or enhances HIV services.
31) How quickly must clinical services be available after the award starts?
Clinical care, diagnostic services, periodic medical evaluations, and therapeutic measures to treat HIV must be available to patients within 90 days of the award start date. This implies the applicant must be able to hire clinical staff quickly, deliver HIV primary care, and bill for services soon after the award begins.
32) What are the contracting requirements if a program uses contractors?
If contractors will be used, signed contracts must be provided to HRSA within 60 days of the award. Contracts must spell out: the number of HIV-positive patients to be served (including counts by pregnant/non-pregnant women, children, youth, and exposed infants); Medicaid eligibility/provider status; provider compliance with Part D requirements; data sharing and unduplicated reporting commitments; and participation in Clinical Quality Management (CQM).
33) What documentation is expected for Medicaid provider status and clinic licensure?
Applicants (and subcontractors) are expected to document Medicaid provider status and appropriate clinic licensure, or explain why licensure is not required in their jurisdiction and how that is confirmed.
34) What national policy priorities are referenced in the announcement?
The announcement aligns Part D expectations with national HIV policy priorities, particularly the National HIV/AIDS Strategy (NHAS).
35) What monitoring indicator areas are highlighted?
The notice references common monitoring indicators across seven domains: HIV testing, late diagnosis, initial linkage to medical care, retention/engagement, antiretroviral therapy, viral load suppression, and housing status.
36) Does the opportunity emphasize standardized reporting through Ryan White reporting systems?
Yes. The notice emphasizes standardized reporting and performance tracking, noting that many monitoring indicators are captured through the Ryan White Services Report (RSR).
37) Are applicants expected to follow specific HIV treatment and prevention guidelines?
Yes. Applicants are expected to follow federally approved HIV prevention and treatment guidelines and are encouraged to integrate HIV prevention into routine medical care for people living with HIV.
38) What kinds of HIV prevention activities are encouraged within routine care?
The notice encourages integration of HIV prevention into medical care, including behavioral risk screening, STI and pregnancy screening, behavioral interventions, and partner counseling and referral services (including partner notification).
39) What perinatal transmission prevention strategies are encouraged?
To further reduce perinatal transmission, the notice encourages strategies consistent with CDC and ACOG recommendations, such as rapid HIV testing for pregnant people in labor with unknown status or undocumented prenatal screening.
40) Why does the opportunity focus on these populations and areas?
The announcement explains that shifting HIV epidemiology has shaped Part D priorities beginning in FY 2012, including: dramatic declines in perinatal transmission; children representing a small share of the U.S. epidemic; women (especially women of color) accounting for a significant portion of people living with HIV; and new infections increasingly concentrated among adolescents and young adults. HRSA's geographic approach is described as a way to direct resources to areas of greatest need while avoiding duplication with existing Ryan White efforts.
41) What is the Minority AIDS Initiative (MAI) component mentioned in the notice?
A portion of Part D funding is designated under the Minority AIDS Initiative (MAI) to address disparities affecting racial and ethnic minorities. MAI amounts are assigned by HRSA/HAB based on the percentage of proposed WICY clients who are from racial/ethnic minority communities, with the final MAI allocation documented in the Notice of Award.
42) What were the key posting and due dates for this opportunity?
Applications were posted on April 3, 2013 and were due May 3, 2013. The opportunity is noted as archived on July 2, 2013.
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