Part C HIV Early Inter erven entio tion n Servic ices es (EIS), - - PowerPoint PPT Presentation

Part C HIV Early Inter erven entio tion n Servic ices es (EIS), , Additio tiona nal l Servic ice e Area Competitio tition (Ponce, e, Puerto to Rico)

HRSA HRSA-14 14-135 35 Techni nical cal Assistan stance ce Confere erence nce Call March ch 11, 2014

DHHS HS/ / HRSA HIV/AIDS DS Burea eau Divis ision

• n of C

Comm mmunity unity HIV/ V/AI AIDS Pr Progr

• gram

ams s Dire rector: ctor: Polly y E. Ros

• ss,

s, M.D.

Fundin ing g Op Opport rtunit nity y Announce nceme ment nt (F (FOA OA) ) H HRS RSA-14 14-135 135

• 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 Area published in Appendix B of the FOA, pp. 46.

• Funding requests must not exceed the amount

listed in Appendix B.

2

HRSA SA-14 14-135 135 Ad Additional ditional Se Service vice Ar Area

• Applicants may propose to serve the entire

service area as a single entity or a portion of the available service area and demonstrate coverage of the entire service area with partners.

• HRSA’s goal is to ensure the delivery of

comprehensive HIV services to the entire area listed in Appendix B through either a single award or through multiple awards.

3

Ag Agenda enda

• HRSA-14-135 FOA, SF424 Application Guide
• Acronyms
• Part C EIS Overview
• National Initiatives – HIV Care Continuum, ACA
• Project Narrative
• Work Plan
• Budget
• Attachments
• Application Review by HRSA
• Grant Writing and Submission Tips
• Q & A

4

1) Program Specific Instructions

• Part C FOA HRSA-14-135 (“FOA”)

2) HRSA’s general guidance

• SF 424 Application Guide (“Application Guide”)
• link found in the FOA (pg. 16), recommended to

use the December 10, 2013 version

• An explanatory video of the Application Guide can be

found at http://ww.hrsa.gov/grants/apply/applicationguide/

5

Two Components of the HRSA14-135 Application

Ac Acrony

• nyms

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

6

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.

7

Fu Fundin nding g

• $1,200,000 is available for up to 5

awards.

• HRSA/HAB/DCHAP’s goal is to

ensure the delivery of comprehensive HIV services to the entire area listed in Appendix B through either a single award or through multiple awards.

8

El Eligibility igibility

• Existing Part C grantees and new organizations proposing

to serve the entire service area listed in Appendix B as a single entity or a portion of the available service area and demonstrate coverage of the entire service area with partners.

• 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

9

10

Continuum of HIV Care

Engagement in HIV/AIDS Care

Unaware of HIV Status (not tested or never received results) Know HIV Status (not referred to care; did not keep referral) May Be Receiving Other Medical Care But Not HIV Care Entered HIV Primary Medical Care But Dropped Out (lost to follow-up) In and Out of HIV Care

• r

Infrequent User Fully Engaged in HIV Primary Medical Care

Not in Care Fully Engaged

HHS Com

• mmo

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 became a reporting requirement for all RWHAP grantees from January ry 1, 2014: 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

11

Af Affordable fordable Care re Ac Act

• The RWHAP is the payer

r of last resort

• rt. 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

CA resource

• urces:
• http://www.healthcare.gov
• http://hab.hrsa.gov/affordablecareact/
• http://http://www.hab.hrsa.gov/affordablecareact/outreachenrollment.html

12

Pa Payer yer of f Last st Resort sort

• Applicant or contracted providers must

participate and be able to bill for all Medicaid covered services 2652(b)

• Grant funds should not be used for any

service for which payment has been or can reasonably expected to be made under any state compensation program, under an insurance policy, under any Federal or state health benefits program, except Indian Health Service, or on a pre-paid basis 2664(f)

13

Proj

• ject

ect Abs bstract: tract: A snapshot of the applicant’s program

• Provide a brief summary of the application
• Brief description of the proposed project
• The needs to be addressed
• Proposed services
• Population group(s) to be served
• Describe the proposed service area

Refer to SF 424 Application Guide on page 35 and FOA on page 1

14

Pr Project

• ject Narrative

rrative

• Introduction
• Needs Assessment
• Methodology
• Work Plan
• Resolution of Challenges
• Evaluation and Technical Support Capacity
• Organizational Information

15

Program

• gram Narrat

rative ive

Nee eeds ds Assessment sessment ha has Fou

• ur Ma

Majo jor Sec ections tions: :

• 1. HIV Seroprevalence & Surrogate Markers
• 2. Social Context of HIV/AIDS
• 3. Target Populations
• 4. Local HIV Service Delivery System and

Recent Changes

16

Program

• gram Narrat

rative ive HIV IV Seroprevalence

• prevalence

Tab able le (20 2011 11, , 20 2012 12)

• HIV incidence and prevalence
• AIDS incidence and prevalence
• Number testing positive and overall seroprevalence (%)

for HIV testing

• Highlight populations that show recent higher rates of HIV

Nar arrative rative

• Unmet need from Parts A or B grantee of record

17

Prog

• gram

ram Nar arrative: rative: So Socia ial l Con

• nte

text xt of

• f HIV

IV/AID /AIDS S

• Social and economic characteristics of the community and

impact of HIV services in your area

• Discuss primary health care systems and services in your area
• Describe the social context of HIV in your community, may

include percentages of:

• Minority population
• Homelessness
• Drug users
• Single heads of household
• Unemployment
• Adolescent (13-24)
• Uninsu

sured red

• Population below 100% of FPL
• Other factors influencing access to care

18

Prog

• gram

ram Nar arrative: rative: Ta Targe get t Po Popu pula lati tions

• ns

TABLE BLE ELEM EMENTS NTS

• Identify target populations
• Compare target population to the general population
• Address Communities of Color
• Demon

monstrate strate how w this addr dres esses es Nation

• nal

al HIV/ V/AI AIDS DS Strategy tegy goal al to redu duce ce HIV/AIDS S heal alth th disp sparit arities ies

• Include statistics on population most affected by epidemic
• Address insurance status
• Race/ethnicity, gender, age, and mode of transmission
• Indicate date and source of cited data
• Identify 2-year trends in specific groups (2011 and 2012)

19

Program

• gram Narrat

rative: ive:

Lo Local al Ser ervice vice Del eliv ivery ery Sys ystem tem

• Public and Private

vate HI HIV servi vice ce provi viders ers (includ uding ing your r agency) y) in t the area: a:

• Describe specific services provided and
• Number of unduplicated clients served annually
• Funding

ng Source ces s in support rt of HI HIV services vices

• Gaps in HIV services and barriers to care
• Describe changes in the health care delivery system

20

Organization Services Provided Clients

(Unduplicated)

Funding Sources& Amts Access Barriers to Care Service Gaps Good Life ASO HIV Testing and Counseling, Substance Abuse Counseling 300 Part A = $80,000 Part B= $60,000 County = $20,000 Known as AIDS Service

• rg– fear of

public exposure Need better protections for confidentiality

• Dr. Doolittle

Primary care for HIV+ 60 Private, for profit Does not accept Medicaid No access for Medicaid, low income persons General Hospital Primary medication Dental, adherence counseling, mental health, substance abuse treatment, nutritional services 1,200 Part A = $99,000 Limited access for persons outside of public trans limits Average 5 week waiting period

Sample Service Delivery Chart

21

Methodology: thodology:

Sc Scop

• pe

e of

• f Wo

Work

1) HIV Counseling, Testing, Referral, Partner Counseling,

and Linking to Care 2) Medical Evaluation and Clinical Care 3) Referral System 4) Other Core Medical Services 5) Support Services 6) Coordination and Linkages with Other HIV Programs

22

Coo

• ordina

dinatio tion n an and d Li Link nkag ages es

• Describe how you collaborate and coordinate with
• ther providers in the service area
• If you receive Part A and/or Part B funding:
• Part A or B letter: addressing why Part C EIS funds are

necessary to address the needs described in your application

• If you are unable to obtain a letter, provide an explanation
• At

Attac achme ment nt 10

23

Coordination

• rdination & Li

Linkages nkages

• If proposing to serve less than the entire

service area, provide a list of all

• rganizations who will sign major contracts

and/or memorandum of agreement

• Provide a brief description of the covered

activities that clearly outlines the roles of the partners

• Table format recommended
• MOA or MOU: list organizations and briefly

describe activities for Att ttac achment hment 11 11

24

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

25

Sample mple Wo Work k Plan an (1)

Acces ess to Care (Entire e HIV progr gram am) FY 2014 4 Objecti tive e (#

• nly)
• 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)

26

Sa Sample mple Wo Work k Pl Plan an (2)

Compreh prehen ensiv ive, e, Coordin

• rdinat

ated ed Prim imary ary HIV Medic dical l Care re Funde nded d by Part rt C FY 2014 14 Objec jectiv ive (# only ly) Total/ Subcontract

• 1. # of patients receiving
• 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 provided with medical nutrition screening
• 11. # of patients receiving Medical nutrition and therapy provided by

qualified clinician (dietician, medical provider RX)

• 12. # of clients receiving Treatment adherence services provided by

licensed clinician

• 13. # of patients receiving Medical case management, including written

plan of care

• 14. # of patients receiving Specialty referrals
• 15. If your approved budget lists support services to help individuals

achieve medical outcomes, list # for each service. Insert additional lines as needed.

27

Cli linica nical l Qua uali lity ty Ma Mana nage geme ment nt

Clinical al Quality ty Managem agement ent Progr gram am ( E Entire e HIV Progr gram am) FY 2014 4 Objecti tive e (#, %) %) 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

28

Res esoluti

• lution
• n of
• f Cha

hall llen enge ges

• Describe major challenges anticipated and

how you will address them.

• Describe total numbers of primary medical

care services served in the past two years (2010 and 2011) for the proposed service area

• Provide demographics of clients and

insurance status

• Describe the mechanisms that Ryan White

funding will be the payer of last resort

29

Sam ampl ple e Tab able le of

• f Dem

emog

• grap

raphics hics

FY 2011 (# only, ly, no %) FY 2012 (# only, ly, no %) Tota tal l number r of patie tients ts Number r of new w patie tients ts Number r of patie tients ts with th HIV versu sus s AIDS DS Race ce/ / Ethnici icity y distri stributio tion of PLWH: H: Hisp spanic/L ic/Latin tino, , white ite, , black, lack, other r (specify) cify) Age distr strib ibutio tion of PLWH: H: 0-12, , 13-24, , 25-44, , 45-65, , >65 years rs Number r of men/ women/ / transg sgenders rs Transmi smissio ssion Risk k Facto ctors: rs: MSM, , hete tero rose sexu xual, l, IDU, , peri rinata tal, oth ther Tota tal l number r of clien ients ts by insu suran rance ce statu tus Medica icaid id Medica icare re Priva vate te insu sura rance ce No insu suran rance ce Part rt A fundin ing (prim imary ry medica ical) l) Part rt B fundin ing (pri rimary ry medica ical) l) 30

Ev Evalu aluation ation and nd Technical chnical Su Support pport

• Your application should fully address your

evaluation activities including proposed clinical quality management (CQM) and information systems.

• CQM should include:
• Infrastructure—proposed goals, key leaders

and quality committee

• Performance Measurement—which indicators

will be tracked, how will data be collected?

• Quality Improvement—what is being proposed

to use for a model of improvement

31

In Information formation Sy Systems stems

• Descr

scribe be your ur cur urrent rent infor

• rmat

ation ion sys ystem tem and d your

• ur ability

ity to c coll llect ect and d repo port rt Part C r requ quired ired data a to in incl clud ude e the follow

• wing

ing:

• The number of existing and new patients
• Demographic profile of patients
• Epidemiological data
• Exposure and diagnostic categories
• The number of HIV infected individuals
• Third party program income
• Average costs of providing each service category
• El

Electron ctronic ic Heal alth h Records cords

• Office of National Coordinator for Health Information Technology (ONC)
• www.hrsa.gov/healthit/ehrguidelines.html
• Department of Health and Human Services “Meaningful Use”
• www.cms.gov/ehrincentiveprograms

32

Or Organizational anizational In Infor format mation ion

• Describe your organization’s capacity and

expertise to provide primary care by describing your administrative, fiscal, and clinical

• perations.
• How does a Part C EIS project fit within the

scope of the organization’s mission?

• The structure of your organization.
• At

Attac achm hment ent 13: Organizational Chart

33

Pa Part t C Bu Budg dget et Req equi uirem emen ents ts

• At least

t 50% of Part C budget must be allocated for EIS/Primary care services

• At least

t 75% of the Part C budget, after CQM and Administrative costs are subtracted, must be allocated for Core Medical Services

• Support Services are services used to achieve HIV

medical outcomes

• Reasonable % for Clinical Quality Management (CQM)
• Administrative costs, including indirect, are capped

at 10.0% 0% of the total EIS award amount

Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111- 87,October 30,2009), §2651(b)(2)-(c)(1)

34

Sam ampl ple e Par art t C Li Line ne It Item em Bu Budg dget et

35

Ear arly In

Inte terve rvention ntion Ser

ervices ces

• Licensed medical providers who

can assess, treat and refer

• Mental health
• Proportional medical support -

nurses, med assistants, etc.

• Nutrition screening and

treatment

• Laboratory, immunizations, and

diagnostic tests

• Substance abuse (outpatient )
• Adherence

monitoring/education provided by licensed clinician

• Specialty Care Services
• Dental care
• Travel to provide clinical care

36

Cor

• re

e Me Medi dical al Se Services vices

• Outpatient ambulatory HIV

care

• Health Insurance Premium

and Cost Sharing*

• HIV Pre and Post Test

Counseling, HIV test kits

• Home and Community

Based Services as defined under Part B*

• Medical Case

Management

• Home Health Care*
• AIDS Drug Assistance

Program Treatment*

• Hospice*

*Generally funded under Part B and not under Part C

37

Co Core re Me Medi dical cal Ser ervices ces

• HIV Pre and Post Test Counseling, HIV test

kits

• Medical Case Management

These se service ices s are catego gori rized zed under r Core Medical cal Servi vices ces only and and NOT EIS. S.

38

Cli linica nical l Qua uali lity ty Ma Mana nage geme ment nt (CQM QM)

• Costs to maintain a clinical

quality management program

• Staff training and TA
• Continuous Quality Improvement

activities

• Staff travel to the AGM and HAB

clinical Conferences

• CQM coordination
• Local Travel to improve services
• Data collection for clinical quality

management

• Participation in Statewide

Coordinated Statement of Need

• Consumer involvement activities • EMR/EHR*

*Costs s associa ciate ted d with h the use of EMR/EHR /EHR for CQM activi ivitie ties. s.

39

Su Supp ppor

• rt

t Se Services vices

• Local travel by staff to provide

support services

• Respite Care
• Outreach to identify people

with HIV or “at risk”

• Translation or interpretation

services

• Patient transportation for

medical appointments

• Non-medical case

management

• Peer support
• Eligibility Specialists
• Patient education materials

40

Adm dmin inistrat istrative ive

• Au

Audits its

• Payr

yroll/a l/acco ccount unting ing services rvices

• Cler

erica ical l Suppo port rt/Recept /Receptionist ionist

• Rent

nt, utilities, ies, and d other er facili lity ty supp ppor

• rt cost
• sts
• Compu

mputer er hard rdware are and d software tware

• EMR/EHR**

EHR** Include luded d in the 10% % Admin in cap

• Indirect

irect costs

• sts (with

th appro prove ved d Federal derally ly negot gotiat iated ed indirect irect cos

• st

rate te )*

• Po

Post stage age

• Liabil

bility ity insu suranc rance

• Teleph

ephone

• ne
• Program
• gram Coor
• rdinati

dination

• n
• Office

ce suppli pplies es

• Pers

rsonnel nnel Costs sts

• Clinic

ic Rece cepti ption

• nist

ist

41

Bu Budget: dget: Pa Parts rts

Budget Documents consist of four major parts:

• 1. Budget Information for Non-Construction

Programs (SF 424A)

• 2. Program-specific line item budget (table format

and PDF)

• 3. Budget (justification) narrative
• 4. Staffing Plan

42

Bu Budget dget

• See HRSA SF- 424 Application Guide section 4.1.iv

and v (pp. 25-30) and FOA section IV.2.iii (pp. 28- 32) for instructions on preparing the budget and budget justification narrative.

• Upload a Part C program specific line item budget

for Year One only in a PDF format as At Attach chmen ent t 2. This should include the 5 Part C EIS cost categories:

• -EIS, Core Medical Services, Clinical Quality

Management, Support Services, Administration

43

Bud udge get t Jus ustificatio tification n Narra arrative tive

• The Budget Justification Narrative should

explain what the allocations in the line item budget cover & how they are calculated.

• 424A , line item and budget justification

narrative should match

• Only need first year of the proposed project

period

44

Bu Budget dget Ti Tips

• List ALL staff names and position titles in budget

documents

• Be consistent with names and position titles across

documents

• Clearly describe every line-item allocation in the budget

justification narrative, specific to the cost category

• Include details of contracts, by cost category
• Include calculations for all items in the budget narrative

(unit cost, number of units, number of persons to be served)

Re Remember er Be Be Cl Clear r and Co Concise ise!

45

Bud udge get: t: Rem emin inders ders

• Applicants must submit a Year One line item

budget and justification narrative

• Complete Section B of SF-424A for the entire

project period

• The Business Official listed will be the DGMO

point of contact if an award is made. Ensure this is the appropriate contact in your agency or

• rganization.
• Verify contact information for the Business

Official.

46

Bu Budget: dget: St Staff ffing ing Pl Plan an

• Include all staff proposed for Ryan White

Part C program, key staff not funded by the grant, and staff providing HIV services.

• List education, training, HIV experience and

expertise

• Note language fluency and cultural

competence

• Provide roles, responsibilities, and FTE for

funding sources

47

Sta taffing ffing Plan an

• Upload as Attachment 4
• See FOA pg. 33 and Application Guide section

4.1.vi (pg. 34)

• Table format is strongly recommended.
• List key personnel specifically:
• Lead for quality management activities
• Program coordinator
• Staff managing and overseeing grant activities
• Staff monitoring activities of contractors
• Medical Director
• Provide all sources of funding with corresponding

time effort for each staff person

48

Sample St Staff ffing ing Plan

Name Educa ucation/ ion/ Creden edentia ials ls Title le FTE FTE Fundin nding g Sourc urce Exper perien ience Nurse Jones FNP Nurse Practitioner 1.0 1.0 Part C

2 years FNP, 8 years RN in hospital setting, less than 2 months HIV experience

Nurse Thomas RN Clinic Nurse Mgr 1.0 0.2 Part A 0.8 Part C

2 years RN with less than 1 month HIV experience

• Ms. Kona

Assoc Degree Admin. Assistant 1.0 1.0 Part A

4 years working in HIV clinic scheduling appts, making referrals, medical data entry

• Mr. Lewis

MSW Medical Case Mgr 1.0 1.0 Part B

3 years providing HIV medical case management

• Ms. Johnson

RD Contracted Registered Dietician 0.2 0.3 Part C 0.3 Part D 0.2 hospital 0.2 WIC program

2 years HIV nutritional Counseling and 20 years nutritional counseling experience

49

Sa Salary lary Limitation mitation Cap

• The Consolidated Appropriations Act, 2014,

Division H, § 203, Pub. L. 113-76 signed into law on January 17, 2014, incre reas ases es the Ex Executi utive ve Level el II salar ary y amount that may be awarded and charged to HRSA grants and cooperative agreements.

• Award funds may not be used to pay more

than $181,5 1,500 0 annually for an individual’s salary (exclusive of fringe).

• The salary limitation applies to sub-awards/

subcontracts.

50

Examp ample le: : Sal alar ary y Li Limi mitatio tation

• Individual’s full time salary: $350,000
• A

Amount

• unt that may

y be claimed aimed on the Federal deral gra rant nt

• Individual’s base full time salary adjusted to Executive Level II:

$181,500

50% of time will be devote

• ted

d to project ct Direct salary: $175,000 Fringe (25% of salary): $43,750 Total: $218,750 50% of time will be devote

• ted

d to project ct Direct salary: $90,750 Fringe (25% of salary): $22,687.50 Total: $113,437.50

51

Su Subcontractors bcontractors

• Contractors and sub-recipients providing services under

the Part C grant must adhere to the same legislative and programmatic requirements as the grantee.

• The grantee is accountable for the sub-recipient’s
• performance
• the appropriate expenditure of funds under the award
• and the other obligations of the Part C award.
• Grantees are required to annually monitor all

subcontractors.

• Subcontractors must register in SAM, report program

income, and report and validate program expenditures.

52

At Attachments tachments

• A list of Attachments is found on pages

32 - 34 in the FOA.

• Upload attachments in the order listed
• Attachments are not to be used as a

continuation of the project narrative.

• Unless otherwise noted, attachments

count toward the 80-page application limit.

• Label each attachment clearly.

53

At Attachments tachments

• Attachment 1

Table of Medicaid and Medicare numbers/ Clinic licensure

• Attachment 2

Year One Program Specific Line Item Budget

• Attachment 3 Negotiated Indirect Cost Rate Agreement (if

applicable)

• Attachment 4

Staffing Plan

• Attachment 5 Job Descriptions for Key Personnel vacant positions
• Attachment 6 Signed and Scanned Part C EIS Additional

Agreements and Assurances

• Attachment 7 Proof of non-profit status
• Attachment 8 Justification for funding preference (if applicable)
• Attachment 9 Map of Service Area
• Attachment 10

Letter(s) from Part A and/or Part B (if applicable)

• Attachment 11

List of provider organizations w/ MOUs

• Attachment 12

Work Plan Summary (1st year objectives)

• Attachment 13

Organizational Chart

• Attachment 14-15 Optional attachments

54

Fu Funding nding Pr Preference eference

• Applicants must meet all factors in Qualification #1 for 2011 and

2012 to qualify for Increased Burden, then if applicable, applicants may request preference for rural areas or underserved. Document in detail and upload as Attachmen chment 8.

• Quali

lificat fication ion 1: Incr creased eased Burd rden en

• Increased number and increased rate of HIV/AIDS Cases
• Lack of EIS services, from Parts A, B and C
• Increased number and increased rate of
• Other sexually transmitted diseases
• Tuberculosis
• Drug Abuse
• Co-infection of HIV and Hepatitis B or C
• Lack of primary care providers, other than the applicant
• Distance to service area with adequate HIV providers
• Patient travel time to that area
• Quali

lificat fication ion a: Rura ral l Areas eas

• Quali

lificat fication ion b: Underse derserved rved--

• - from
• m all EIS r

res esourc

• urces

es

55

Fu Funding nding Restriction strictions

• Inpatient Services
• Syringe Services
• Residential treatment
• Clinical research
• Nursing home care
• Cash payments to clients
• Purchase or improvement of real property
• Lobbying or Grant Writing

Services must be consistent with HAB Policy Notice # 10-02

http://hab.hrsa.gov/manageyourgrant/pinspals/eligible1002.html

Funds from Part C Grants May Not Support:

56

App ppli lica cation tion Sub ubmi missio ssion n Proces

• cess
• BEFORE

FORE registering at www ww.gr .gran ants. ts.go gov

• Obtain a Data Universal Number System (DUNS)

number

• Ensure an active System for Award Management

(SAM) registration

• Agency or Organization MUST

ST register

• nline at www

ww.g .gran rants. ts.go gov

57

Syste stem m of

• f Awar

ard d Ma Mana nage geme ment nt (SAM) M)

• Central Contractor Registration (CCR) transitioned to the

System for Award Management (SAM) at the end of July 2012.

• SAM reduces the burden on those seeking to do business

with the government. Vendors are able to log into one system to manage their entity information in one record, with one expiration date, through one streamlined business process.

• SAM

M informa

• rmation

tion mu must be updated ted at least st every ry 12 mo months hs to remain in activ ive e (for both h grantee tees s and sub-rec ecipi pient ents) s). . Refer to Application Guide, pp.18 18-21 21 for instructions on how to Register with the System for Award Management (SAM) (https://w ps://www.sa ww.sam.go .gov )

58

App ppli lica cation tion Sub ubmi missio ssion n Proces

• cess
• First:

st:

Register your organization

• Second:

d:

Register yourself or designee as the Authorized Organization Representative (AOR)

• Third:

d:

Get authorized by your agency to submit an application

Re Register ister at ww www. w.gra grants. nts.gov gov Click on “Get Registered”

Re Regist istration ration can take ke at least ast one mo month th Start art No Now! w!

59

App ppli lica cation: tion: Whe here e is is it it? ?

• Final Guidance located at www.

ww.gran rants. ts.go gov

• Also found at
• ww

www. w.hrsa.gov/gr rsa.gov/grants ants

• Announcement HRSA-14-135, CFDA 93.918

Application Instructions (FOA & Application Guide)

• Application Guide Package

www.hrsa.gov/grants/guideforreview/applicationgui deforreview.doc

• Adobe Reader 8.1.1 version or later

60

Gran ant t Su Subm bmission ission Ti Tips ps

• Read the FOA and the Application Guide

carefully and follow instructions.

• Include your agency name and the name of this

application on all pages (Part C EIS)

• Refer to the Application Guide, pg. 42, section

4.7. for additional Tips for Writing a Strong Application

• Apply early; don’t wait until the last minute in

case you run into challenges!

• Make sure the person who can submit for your
• rganization will be available
• Hav

ave e all l your ur pin numbe mbers s and passwo sswords ds hand ndy! y!

61

Do not t go ove ver r 80 page ge limit mit

• Convert the Year One line item budget into a

PDF file before uploading into Grants.Gov.

• Print your entire application before uploading

into Grants.Gov, so you can make sure you are not over the 80 page limit.

• An

Any ap appl plic icati ations

• ns ov
• ver

er th the e pa page ge li limi mit t wil ill l no not t be be r rev eviewe iewed!

• Your application will be automatically

rejected by Grants.Gov.

62

Trac acking king Gran ants. ts.Gov Gov Su Subm bmis issi sion

• ns
• Submission Receipt E-mail
• Submission Receipt (receive within 2 business days)
• “Track My Application” link
• Submission Validation E-mail
• 2nd e-mail from Grant.Gov validating your application

OR

• Rejection

jection with th errors rors

• Grantor Agency Retrieval Email
• Third e-mail from Grants.Gov
• HRSA has confirmed receipt of application package

Grants.Go ts.Gov v website te http http:// ://ww www.g w.gra rants.go nts.gov/ap v/appl plica icants/a nts/app pply_fo ly_for_g r_gra rants.jsp ts.jsp

63

Re Reques estin ting g a Waiver er

• Refer to Application Guide,

, pp. 24 24

• All applicants must submit through Grants.gov unless they
• btain a written exemption.
• Applicants must request an exemption in writing from

DGPWaivers@hrsa.gov, and provide details as to why they are technologically unable to submit electronically through the Grants.gov portal.

• Deadline extensions will not be granted for Grants.gov

verification errors, last-minute registration, or submission errors on the part of the applicant.

64

Reminders minders

• The application should be electronically

submitted in Grants.gov by Apr pril il 4, 4, 20 2014 14, 11:59 pm ET

• We recommend submission of the

application at least fo four ur business days before due date.

• Grants.gov Contact Center: 1-800-518-4726
• r support@grants.gov or

http://grants.gov/iportal (24/7 except Federal

holidays)

65

TH THANK ANK YOU OU

for the care and the commitment you give to people living with HIV/AIDS!!

66

Qu Questions? stions?

• Please use the Chat pod for any

questions you may have.

• If you prefer, we will have an audio

line for questions.

• Please listen to the operator for

instructions.

• We will answer questions in the
• rder we receive them.

67

Contacts ntacts

Pr Program am Lead

Stephanie Yun Senior Program Advisor HRSA/ HAB/ DCHAP Phone: 301.443.0349 E-mail: syun@hrsa.gov

DG DGMO O Lead

Olusola Dada

Grants Management Specialist

HRSA/OFAM/DGMO Phone: 301.443.0195 E-mail: odada@hrsa.gov

HAB TARGET CENTER https://careacttarget.org/

68