Pa Part t C HIV IV Ea Early ly In Inte terve rvention ntion Se Services vices Existing isting Geo eogr grap aphic hic Ser ervice vice Area eas s (EISEGA), ISEGA), Ne New w and Co Competing eting Co Continuation inuation HRSA HRSA-14 14-059 59 Technical nical As Assist istance ance Co Confere erence nce Ca Call ll No Novemb mber er 13, 2013 DHHS HS/ / HRSA HIV/ V/AI AIDS DS Bu Burea eau Divis ision on of C Comm mmunit unity y HIV/AIDS S Program ograms s Dire rector: ctor: Polly y Ross ss, , M.D.
Ag Agenda enda • HRSA-14-059 FOA, SF424 Application Guide • Acronyms • Part C EIS Overview • Changes in FOA versions • National Initiatives – HIV Care Continuum, ACA • Program Narrative • Work Plan and Progress Report Summaries • Budget • Application Review by HRSA • Grant Writing and Submission Tips • Q & A 2
Fundin ing g Op Opport rtunit nity y Announce nceme ment nt (F (FOA OA) ) HRSA RSA-14 14-05 059 • This FOA solicits applications from existing grantees and new applicants for funding under the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) • Applicants must propose services for the Service Areas published in Appendix B of the FOA, pp. 48-53. • Funding requests must not exceed the amount listed for each Service Area in Appendix B.
Two Components of the HRSA14-059 Application 1) Program Specific Instructions • Part C FOA HRSA-14- 059 (“FOA”) 2) HRSA’s general guidance • SF 424 Application Guide (“Application G uide”) • link found in the FOA (pg. 16), recommended to use the September 9, 2013 version • An explanatory video of the Application Guide can be found at http://ww.hrsa.gov/grants/apply/applicationguide/ 4
Ac Acrony onyms ms Application Guide SF 424 Application Guide • • CQM Clinical Quality Management • DCHAP Division of Community HIV/AIDS Programs • DGMO Division of Grants Management Operations • DUNS Data Universal Number System • EHB Electronic Handbooks • EIS Early Intervention Services • FOA Funding Opportunity Announcement • GMS Grants Management Specialist • HAB HIV/AIDS Bureau • MAI Minority AIDS Initiative • PO Project Officer • RWHAP Ryan White HIV/AIDS Program • SAM System for Award Management 5
Part t C EIS IS Ov Overview rview • The purpose is to provide a comprehensive continuum of outpat atient nt HIV primary care services. • Required ed Servi vices ces include: • HIV Counseling, testing, and referral; • Medical evaluation and clinical care; • Other primary care services; and • Referrals to other health services. • Medica cal Model of Care • Assess • Treat • Refer • Provision of coordinated, comprehensive, culturally and linguistically competent services. 6
Changes anges in th the FO FOA 11/6/13 - Summary of Changes: For new applicants, Project Abstract should clearly state the grantee they intend to replace and the service area they are proposing to cover (pg. 16). In the Methodology Section of the Program Narrative, under Referral System, applicants should describe plans for outreach and enrollment of RWHAP clients into new health coverage options. Review Criterion 2 is updated to evaluate the quality of the response (pp. 21, 38). A program specific line item budget is only requested for Year One of the proposed project period (pg. 30). Attachment 7 (Proof of Non-Profit Status) is required for all applicants. Section V.2.- additional clarification is provided for applicants requesting a Funding Preference (pp.41-42).
El Eligibility igibility • Existing Part C grantees with project periods ending April 30, 2014 and • New organizations proposing to replace a current grantee. (Appendix B) • Public or private nonprofit entities, including but not limited to: : Federally Qualified Health Centers, rural health centers, health centers under the Indian Health Service, university medical centers and affiliated clinics, and faith- based or community-based organizations
Continuum of HIV Care Engagement in HIV/AIDS Care Not in Fully Care Engaged Unaware of Know May Be Entered HIV In and Fully HIV Status HIV Receiving Primary Out of Engaged (not tested or Status Other Medical HIV Care in HIV never (not Medical Care But or Primary received referred Care But Dropped Infrequent Medical results) to care; Not HIV Out User Care did not Care (lost to keep follow-up) referral) 9
HHS Com ommo mon n HIV IV In Indi dica cators tors • Seven common core HIV indicators were approved by Secretary Sebelius on June 28, 2013. • HRSA/HAB has incorporated the following six indicators in the 2014 RSR, which will be a reporting requirement for all RWHAP grantees beginning January 1, 2014: • HIV Positivity • Linkage to HIV Medical Care • Retention in HIV Medical Care • Antiretroviral Therapy (ART) in Persons in HIV Medical Care • Viral Load Suppression Among Persons in HIV Medical Care • Housing Status • More information is available at: http://www.aids.gov/pdf/hhs-common-hiv-indicators.pdf
Af Affordable fordable Care re Ac Act • The RWHAP is the payer of last resort. Grantees must assure that providers make reasonable efforts to secure non-RWHAP funds whenever possible for services to clients. • Grantees are expected to vigorously pursue enrollment into health care coverage for which their clients may be eligible under the Affordable Care Act (e.g., Medicaid, CHIP, Medicare, state-funded HIV/AIDS programs, employer- sponsored health insurance coverage, and/or other private health insurance options in the Marketplace). • ACA resources: http://www.healthcare.gov • http://hab.hrsa.gov/affordablecareact/ • http://http://www.hab.hrsa.gov/affordablecareact/outreachenrollment.html •
Pr Project oject Narrative rrative • Introduction • Needs Assessment • Methodology • Work Plan • Resolution of Challenges • Evaluation and Technical Support Capacity • Organizational Information
Wo Work k Pl Plan an Su Summary mmary • HRSA/HAB strongly recommends a table format for the summary of the proposed Work Plan. (FOA, pp. 24-26) • List measureable objectives for Year One • Include objectives for each sub-contractor when applicable • Action steps, evaluation methods, and person(s) responsible are not necessary. • Submit the Work Plan Summary as At Attac achm hmen ent t 12 12
Sample mple Wo Work k Plan an (1) Acces ess to Care FY 2014 4 (Entire e HIV progr gram am) Objecti tive e (# only) 1. Total number of patients 2. # New patients enrolled in care Couns nsel eling ng and Testing ng Funded ded by Part C FY 2014 4 Objecti tive (# only) 1. # Counseled and Tested 2. # Persons w/ positive HIV test results 3. # linked to HIV medical care w/in 3 months of diagnosis (from #2) 4. # of AIDS diagnoses w/in 3 months of diagnosis (from #2)
Sa Sample mple Wo Work k Pl Plan an (2) Compreh prehen ensiv ive, e, Coordin ordinat ated ed Prim imary ary HIV Medic dical l Care re Funde nded d FY 2014 14 Objec jectiv ive (# (# only ly) by Part rt C Total/ Subcontract A/B 1. # of patients receiving Medical Services 2. # of patients receiving Mental health screening 3. # of patients receiving Mental health treatment 4. # of patients receiving Substance abuse screening 5. # of patients receiving Substance abuse treatment 6. # of patients screened for Hepatitis B 7. # of patients screened for Hepatitis C 8. # of patients receiving treatment for Hepatitis C 9. # of patients receiving Oral health care 10. # of patients receiving Medical nutrition and therapy provided by qualified clinician (dietician, medical provider RX) 11. # of clients receiving Treatment adherence services provided by licensed clinician 12. # of patients receiving Medical case management, including written plan of care 13. # of patients receiving Specialty referrals 14. If your approved budget lists support services to help individuals achieve medical outcomes, list # for each service. Insert additional lines as needed.
Cli linica nical l Qua uali lity ty Ma Mana nage geme ment nt Clinical al Quality ty Managem agement ent Progr gram am FY 2014 4 Objecti tive e ( E Entire e HIV Progr gram am) (#, %) %) Provide measures your organization has selected for CQI, which should include more than 1 Core HIV Indicator. Insert additional lines as needed. For DHHS Core HIV Indicators: http://www.aids.gov/pdf/hhs-common-hiv-indicators.pdf; for the HAB performance measures: http://hab.hrsa.gov/deliverhivaidscare/habperformmeasures.html Number of persons with an HIV Diagnosis with a viral load <200 copies/mL at the last measurement Number of persons with HIV who had at least one HIV medical care visit in each 6 month period with at least 60 days between the visits. Number of persons with HIV who were prescribed ART
Su Summa mary ry Pr Progress ogress Report port • Existing grantees must provide data on Work Plan objectives and actual results for each year since the last competing application (2009 or later through September 30, 2013). • A table format is strongly recommended (FOA, pg. 27). • The Progress Report should provide individual sub-contractor performance data for each budget period as applicable.
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