Opportunity Information: Apply for HRSA 16 089
Apply for HRSA 16 089
- The HHS-HRSA in the health sector is offering a public funding opportunity titled "Ryan White HIV/AIDS Program Part F Dental Reimbursement Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.924.
- This funding opportunity was created on Jan 14, 2016 and posted on Jan 14, 2016.
- Applicants must submit their applications by Mar 22, 2016. (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 58 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Opportunity Summary:
The Ryan White HIV/AIDS Program (RWHAP) Part F Dental Reimbursement Program (DRP) is a Health Resources and Services Administration (HRSA) discretionary grant opportunity designed to strengthen access to oral health services for people living with HIV (PLWH) who are low-income, underinsured, or otherwise underserved. The basic idea is to help close gaps in dental care by partially reimbursing dental education programs for uncompensated or partially uncompensated HIV-related oral health services they already delivered. In addition to expanding patient access, the program also supports education and training by reinforcing the role that dental and dental hygiene training programs play in preparing students and residents to competently provide care for PLWH.
Eligibility is narrowly focused on accredited dental or dental hygiene education institutions that meet the statutory eligibility requirements for RWHAP Part F funding under section 2692(b)(1)(B) of the Public Health Service Act. A key requirement is accreditation by a program recognized by the Commission on Dental Accreditation (CODA). Rather than functioning like a forward-looking service expansion grant, this specific DRP competition reimburses certain unreimbursed costs incurred during a defined past service period: July 1, 2014 through June 30, 2015. In other words, applicants are seeking reimbursement for qualifying dental services provided to eligible patients during that timeframe, not proposing a new project that starts after award.
Operationally, applicants are expected to have clear, consistent, and equitable patient financial policies. That includes verifying patient financial status, using a sliding fee scale, and placing a cap on patient charges for HIV-related services. Programs must maintain a system for discounting patient charges through a published and readily available sliding discounted fee schedule. The sliding fee scale should be built using the most recent Federal Poverty Level guidelines, and programs must track both patient income information and the charges imposed, so that discounts are applied fairly and can be documented.
A central theme in the funding announcement is that the RWHAP functions as the payer of last resort (with an exception noted for programs administered by or providing services of the Indian Health Service). This means programs are expected to aggressively pursue reimbursement from other sources before relying on DRP-supported funds. Applicants must ensure that Medicaid-billable services are billed to Medicaid, and they are required to maximize reimbursement from private insurance, Medicaid, Medicare, CHIP, and any other third-party payers whenever those sources are available. Only after attempting those payment sources, and after billing clients for allowable amounts under the sliding fee scale, should RWHAP DRP support be used for remaining unreimbursed costs. Because DRP funds are limited, applicants must report unreimbursed costs specifically for services that were not paid by Medicaid, CHIP, or other public or private insurance.
The announcement also lays out detailed expectations around program income and financial stewardship. Programs must track and report all sources of service reimbursement as program income on the annual Dental Services Report, and all program income earned must be used to further the goals of the award: improving access to oral health care for low-income, underinsured, and underserved PLWH, and supporting the training of dental and hygiene students and dental residents to deliver dental care to PLWH. Program income generated as a result of awarded funds must be used in an additive manner, meaning it should supplement and expand services or training rather than replace existing spending. The notice also clarifies that other Ryan White grant funds (Parts A, B, C, and D), whether direct or indirect, are not considered program income, and services supported under Part F DRP cannot also be billed to Parts A, B, C, or D, reinforcing the non-duplication requirement.
From a grants management standpoint, applicants are expected to have sound financial systems with internal controls, asset safeguards, stewardship practices for federal funds, and adequate cash flow to sustain daily operations. If subrecipients are involved, recipients must monitor them to ensure compliance with program requirements and proper use of funds. Another important restriction is that DRP funds must be allocated to the accredited dental education program that actually provided the oral health services to eligible PLWH, with the explicit expectation that reimbursement will translate into expanded access to care.
Key administrative details in the listing include the funding opportunity number HRSA-16-089 (CFDA 93.924), a posting date of January 14, 2016, and a closing date of March 22, 2016. The opportunity anticipated about 58 awards, and the listing shows an award ceiling of $0, which typically signals that award amounts are determined by formula, available appropriations, or the volume of documented unreimbursed costs rather than a fixed maximum per applicant. Overall, the DRP is structured to reduce the financial burden on CODA-accredited dental education programs that serve underserved PLWH, while enforcing strong payer-of-last-resort rules, rigorous tracking of reimbursements and program income, and transparent patient financial policies centered on sliding fee discounts tied to federal poverty guidelines.
FAQs: Ryan White HIV/AIDS Program (RWHAP) Part F Dental Reimbursement Program (DRP)
What is the RWHAP Part F Dental Reimbursement Program (DRP)?
The RWHAP Part F Dental Reimbursement Program (DRP) is a HRSA discretionary grant opportunity intended to strengthen access to oral health services for people living with HIV (PLWH) who are low-income, underinsured, or otherwise underserved. It does this by partially reimbursing eligible dental education programs for certain uncompensated or partially uncompensated HIV-related oral health services they already provided during a defined past service period.
What is the main purpose of the DRP?
The program is designed to help close gaps in dental care access for underserved PLWH by reducing the financial burden on eligible dental and dental hygiene education programs that deliver HIV-related oral health services. It also supports education and training by reinforcing the role of training programs in preparing students and residents to provide competent care for PLWH.
Is this program meant to fund a new project or expansion starting after award?
No. This DRP competition is reimbursement-focused. Applicants seek reimbursement for qualifying unreimbursed costs from HIV-related oral health services that were delivered during a specific past timeframe, rather than proposing a new forward-looking service expansion project.
What is the eligible service period for reimbursement under this opportunity?
The defined past service period is July 1, 2014 through June 30, 2015. Applications are for reimbursement of qualifying services delivered during that timeframe.
Who is eligible to apply?
Eligibility is narrowly focused on accredited dental or dental hygiene education institutions that meet the statutory eligibility requirements for RWHAP Part F funding under section 2692(b)(1)(B) of the Public Health Service Act.
Is CODA accreditation required?
Yes. A key eligibility requirement is accreditation by a program recognized by the Commission on Dental Accreditation (CODA).
What types of patients does the DRP aim to help?
The DRP is intended to improve access to oral health services for people living with HIV (PLWH) who are low-income, underinsured, or otherwise underserved.
What does it mean that RWHAP is the "payer of last resort"?
It means DRP-supported funds should only be used after all other available payment sources have been pursued. Programs are expected to aggressively seek reimbursement from third-party payers and bill allowable client charges under their sliding fee policies before relying on DRP funds for remaining unreimbursed costs.
Are there any exceptions to the payer-of-last-resort rule?
The information provided notes an exception for programs administered by or providing services of the Indian Health Service.
What payment sources must be pursued before using DRP support?
Applicants must maximize reimbursement from private insurance, Medicaid, Medicare, CHIP, and any other third-party payers whenever those sources are available. Medicaid-billable services are expected to be billed to Medicaid.
What costs should applicants report as unreimbursed?
Because DRP funds are limited, applicants must report unreimbursed costs specifically for services that were not paid by Medicaid, CHIP, or other public or private insurance, after appropriate billing efforts and allowable patient charges under the sliding fee scale.
What patient financial policies are applicants expected to have?
Applicants are expected to maintain clear, consistent, and equitable patient financial policies. This includes verifying patient financial status, using a sliding fee scale, and placing a cap on patient charges for HIV-related services.
Is a sliding fee scale required?
Yes. Programs must maintain a system for discounting patient charges through a published and readily available sliding discounted fee schedule.
How should the sliding fee scale be constructed?
The sliding fee scale should be built using the most recent Federal Poverty Level (FPL) guidelines.
What documentation and tracking are expected for patient charges and discounts?
Programs must track patient income information and the charges imposed so that discounts are applied fairly, consistently, and equitably, and so that the application of discounts can be documented.
How does the DRP address uncompensated or partially uncompensated care?
The DRP is intended to partially reimburse dental education programs for uncompensated or partially uncompensated HIV-related oral health services that were delivered during the eligible service period, after other reimbursement sources and allowable patient charges have been applied.
What is "program income" in the context of this opportunity?
Programs must track and report all sources of service reimbursement as program income on the annual Dental Services Report. Program income is tied to service reimbursements and must be handled according to the program expectations described in the opportunity.
How must program income be used?
All program income earned must be used to further the goals of the award: improving access to oral health care for low-income, underinsured, and underserved PLWH, and supporting training of dental and hygiene students and dental residents to deliver dental care to PLWH.
What does it mean that program income must be used in an "additive manner"?
Program income generated as a result of awarded funds must supplement and expand services or training rather than replace existing spending.
Are other Ryan White grant funds considered program income for this program?
No. The notice clarifies that other Ryan White grant funds (Parts A, B, C, and D), whether direct or indirect, are not considered program income.
Can the same services be billed to DRP and to Ryan White Parts A, B, C, or D?
No. Services supported under Part F DRP cannot also be billed to Parts A, B, C, or D. This reinforces the non-duplication requirement described in the opportunity.
What financial management expectations apply to applicants?
Applicants are expected to have sound financial systems, including internal controls, safeguards for assets, stewardship practices for federal funds, and adequate cash flow to sustain daily operations.
What are the expectations if subrecipients are involved?
If subrecipients are involved, recipients must monitor them to ensure compliance with program requirements and proper use of funds.
Who must receive and use the DRP funds?
DRP funds must be allocated to the accredited dental education program that actually provided the oral health services to eligible PLWH, with the explicit expectation that reimbursement will translate into expanded access to care.
What is the funding opportunity number and CFDA number?
The funding opportunity number is HRSA-16-089, and the CFDA number is 93.924.
What were the posting and closing dates listed for this opportunity?
The posting date is January 14, 2016, and the closing date is March 22, 2016.
How many awards were anticipated?
The opportunity anticipated about 58 awards.
What does it mean that the award ceiling is listed as $0?
The listing shows an award ceiling of $0, which typically signals that award amounts are determined by factors such as a formula, available appropriations, or the volume of documented unreimbursed costs, rather than a fixed maximum per applicant.
What is the overall structure and focus of the DRP based on the listing?
The DRP is structured to reduce the financial burden on CODA-accredited dental education programs serving underserved PLWH by reimbursing certain qualifying unreimbursed costs from a defined past service period, while enforcing payer-of-last-resort rules, rigorous tracking of reimbursements and program income, and transparent patient financial policies centered on sliding fee discounts tied to Federal Poverty Level guidelines.
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