Opportunity Information: Apply for CDC RFA PS14 1410
Apply for CDC RFA PS14 1410
- The Centers for Disease Control and Prevention in the health sector is offering a public funding opportunity titled "Secretarys Minority AIDS Initiative Funding to Increase HIV Prevention and Care Service Delivery among Health Centers Serving High HIV Prevalence Jurisdictions" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.940 HIV Prevention ActivitiesHealth Department Based.
- This funding opportunity was created on Feb 4, 2014 and posted on Jan 21, 2014.
- Applicants must submit their applications by Mar 31, 2014 Application Deadline March 31, 2014, 1159 p.m. U.S. Eastern Standard Time, on www.grants.gov. Letter of Intent (LOI) Deadline N/A. Informational conference call for potential applicants N/A.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $7,800,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $850,000.00 in funding.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- The FOA is to support a service limited competition funding opportunity announcement for the following nine eligible state health departments. A total of four jurisdictions will be funded. The following organizations are eligible to apply Alabama State Department of Health California Department of Public Health Florida State Department of Health Maryland State Department of Health and Mental Hygiene Massachusetts Department of Public Health Michigan Department of Community Health New York State Department of Health South Carolina State Department of Health and Environmental Control Texas Department of State Health Services.
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Opportunity Summary:
This funding opportunity, titled "Secretarys Minority AIDS Initiative Funding to Increase HIV Prevention and Care Service Delivery among Health Centers Serving High HIV Prevalence Jurisdictions" (CDC RFA PS14-1410), was a discretionary cooperative agreement designed to strengthen how state health departments and community health centers work together to deliver HIV prevention and care in places with high HIV burden. The central aim was to improve collaboration so that communities most impacted by HIV, particularly racial and ethnic minority populations, would have expanded access to routine HIV testing, timely linkage to care, and ongoing treatment support. A major emphasis was improving outcomes for people living with HIV (PLWH), including increasing testing rates and raising the number of patients who achieve undetectable viral load through effective treatment and sustained engagement in care.
The program was built around a three-year project period in which funded state health departments would partner formally with health centers to develop, implement, and refine program models that could be replicated in other settings. The intent was not only to fund services, but also to build lasting capacity on both sides of the partnership: health departments improving their ability to coordinate and support service delivery across systems, and health centers expanding their ability to provide HIV-related services as part of primary care. By the end of the three years, partnerships were expected to show measurable improvements such as greater service reach in high-impact communities, stronger and more sustainable day-to-day practices for HIV service delivery, and better patient-level HIV outcomes.
A key feature of the initiative was the planned use of additional federal resources through the Secretarys Minority AIDS Initiative Fund (SMAIF). While the primary award went to state health departments, HRSA/BPHC intended to invite eligible health centers that were named as formal partners in a funded state application to apply for supplemental funding. That supplemental support was meant to help health centers increase on-the-ground capacity to integrate HIV services into their existing primary care programs, rather than treating HIV services as separate or isolated activities.
Health centers participating under this model were expected to deliver several core services. These included routine HIV testing, basic HIV care and treatment within primary care, and case management and care coordination for people living with HIV. The announcement also clarified that health centers were not expected to handle every level of clinical complexity on their own. Instead, they had to establish collaboration with HIV specialty care providers so that patients needing more advanced services could receive them either directly at the health center (if capacity exists) or through well-defined referral arrangements.
The FOA distinguished between "basic" and "complex" HIV care to set clear expectations for what a primary care-based health center should be prepared to manage. Basic HIV care and treatment was described as the management of stable HIV-positive patients who are antiretroviral therapy (ART) naive or on first-line ART, addressing common complaints, and making referrals when a patient needs more specialized management. Complex HIV care and treatment was described as care for patients on second-line, third-line, or salvage ART regimens; management of opportunistic infections or advanced HIV disease; and services related to Prevention of Mother to Child Transmission (PMTCT). This distinction reinforced the overall strategy: expand access to essential HIV services in primary care settings while ensuring seamless pathways to specialty care when medically necessary.
Technical assistance was also part of the design. Participating health centers were required to take part in HIV TAC activities, with the HIV Technical Assistance Center (TAC) led by an independent contractor funded by HRSA/BPHC through a competitive process. The purpose of this structure was to support implementation quality, help partnerships adopt effective practices, and encourage the development of models that could be sustained and replicated beyond the grant period.
From an administrative standpoint, the opportunity was managed by the Centers for Disease Control and Prevention (CDC) and carried CFDA number 93.940 (HIV Prevention Activities - Health Department Based). It offered an estimated total funding amount of $7.8 million, with individual awards ranging from $450,000 (floor) to $850,000 (ceiling). The program anticipated making four awards total. There was no cost sharing or matching requirement. Applications were submitted through Grants.gov, with the closing date extended from March 20, 2014 to March 31, 2014. The FOA described a service-limited competition restricted to a defined list of nine eligible state health departments: Alabama, California, Florida, Maryland, Massachusetts, Michigan, New York, South Carolina, and Texas, with only four jurisdictions ultimately funded.
In practical terms, the grant sought to move HIV prevention and care deeper into routine healthcare access points in the highest-burden jurisdictions by formalizing and improving coordination between public health agencies and health centers. The expected end result was a stronger, more connected service delivery system capable of reaching more people in heavily impacted communities, improving continuity of care for PLWH, and achieving better clinical outcomes such as viral suppression at higher rates.
Frequently Asked Questions (FAQs)
What is the title of this funding opportunity?
The opportunity is titled "Secretarys Minority AIDS Initiative Funding to Increase HIV Prevention and Care Service Delivery among Health Centers Serving High HIV Prevalence Jurisdictions" (CDC RFA PS14-1410).
What type of funding mechanism was it?
It was a discretionary cooperative agreement.
Which federal agency managed the opportunity?
The opportunity was managed by the Centers for Disease Control and Prevention (CDC).
What is the CFDA number for this program?
The CFDA number was 93.940 (HIV Prevention Activities - Health Department Based).
What was the main purpose of the grant?
The central purpose was to strengthen collaboration between state health departments and community health centers to improve HIV prevention and care service delivery in jurisdictions with high HIV burden, with a focus on expanding access to routine HIV testing, timely linkage to care, and ongoing treatment support.
Who was the program intended to benefit most?
The program emphasized improving services and outcomes for communities most impacted by HIV, particularly racial and ethnic minority populations, and improving outcomes for people living with HIV (PLWH), including higher testing rates and higher rates of undetectable viral load through effective treatment and sustained engagement in care.
What was the project period length?
The program was built around a three-year project period.
Who were the primary applicants/awardees?
The primary awards were made to state health departments, which were expected to partner formally with health centers.
How many total awards were anticipated?
The program anticipated making four awards total.
What was the estimated total funding amount?
The estimated total funding amount was $7.8 million.
What was the award range per recipient?
Individual awards ranged from $450,000 (floor) to $850,000 (ceiling).
Was cost sharing or matching required?
No. There was no cost sharing or matching requirement.
Was this an open competition?
No. The FOA described a service-limited competition restricted to a defined list of eligible state health departments.
Which jurisdictions were eligible to apply?
Eligibility was restricted to nine state health departments: Alabama, California, Florida, Maryland, Massachusetts, Michigan, New York, South Carolina, and Texas.
Were all eligible jurisdictions expected to be funded?
No. While nine state health departments were eligible, only four jurisdictions were ultimately funded.
How were applications submitted?
Applications were submitted through Grants.gov.
What was the application deadline?
The closing date was extended from March 20, 2014 to March 31, 2014.
What was the intended role of health centers in the program?
Partner health centers were expected to increase on-the-ground capacity to integrate HIV services into existing primary care programs, rather than treating HIV services as separate activities, and to deliver core HIV prevention and care services within a primary care setting.
What core services were health centers expected to deliver?
Health centers were expected to deliver routine HIV testing, basic HIV care and treatment within primary care, and case management and care coordination for people living with HIV.
Were health centers expected to provide every level of HIV clinical care?
No. Health centers were not expected to manage all clinical complexity independently; they were expected to establish collaboration with HIV specialty care providers so patients needing more advanced services could receive them either at the health center (if capacity exists) or through defined referrals.
What did the FOA mean by "basic" HIV care and treatment?
"Basic" HIV care and treatment was described as management of stable HIV-positive patients who are antiretroviral therapy (ART) naive or on first-line ART, addressing common complaints, and making referrals when specialized management is needed.
What did the FOA mean by "complex" HIV care and treatment?
"Complex" HIV care and treatment was described as care for patients on second-line, third-line, or salvage ART regimens; management of opportunistic infections or advanced HIV disease; and services related to Prevention of Mother to Child Transmission (PMTCT).
How did the program approach specialty HIV care needs?
The program reinforced expanding essential HIV services in primary care while ensuring seamless pathways to HIV specialty care through collaboration and referral arrangements for patients needing complex management.
What was the expected partnership outcome by the end of the project?
By the end of three years, partnerships were expected to show measurable improvements such as greater service reach in high-impact communities, stronger and more sustainable day-to-day practices for HIV service delivery, and improved patient-level HIV outcomes (including increased viral suppression).
What was the role of the Secretarys Minority AIDS Initiative Fund (SMAIF) in this program?
A key feature was planned use of additional federal resources through SMAIF. While the primary award went to state health departments, HRSA/BPHC intended to invite eligible health centers that were named as formal partners in a funded state application to apply for supplemental funding.
Who would have been eligible for the supplemental SMAIF-related funding?
Eligible health centers named as formal partners in a funded state health department application were the ones HRSA/BPHC intended to invite to apply for supplemental funding.
What was the purpose of the supplemental funding for health centers?
The supplemental support was meant to help health centers expand capacity to integrate HIV services into primary care, increasing on-the-ground delivery rather than isolating HIV services from routine care.
Was technical assistance included as part of the program design?
Yes. Participating health centers were required to take part in HIV TAC activities supported by an HIV Technical Assistance Center (TAC).
Who led the HIV Technical Assistance Center (TAC)?
The HIV TAC was led by an independent contractor funded by HRSA/BPHC through a competitive process.
What was the purpose of the HIV TAC requirement?
The TAC structure was intended to support implementation quality, help partnerships adopt effective practices, and encourage development of models that could be sustained and replicated beyond the grant period.
What was the broader strategy behind this grant?
The broader strategy was to move HIV prevention and care deeper into routine healthcare access points in the highest-burden jurisdictions by formalizing and improving coordination between public health agencies and health centers.
What kinds of end results did the FOA emphasize?
The FOA emphasized a stronger, more connected service delivery system capable of reaching more people in heavily impacted communities, improving continuity of care for PLWH, and achieving better clinical outcomes such as higher rates of viral suppression.
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