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 on of C Comm mmunity unity HIV/ V/AI AIDS Pr Progr ogram ams s Dire rector: ctor: Polly y E. Ros oss, 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
Two Components of the HRSA14-135 Application 1) Program Specific Instructions • Part C FOA HRSA-14- 135 (“FOA”) 2) HRSA’s general guidance • SF 424 Application Guide (“Application G uide”) • 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
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 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
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) 10
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 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: 11 http://www.aids.gov/pdf/hhs-common-hiv-indicators.pdf
Af Affordable fordable Care re Ac Act • The RWHAP is the payer r of last resort ort. 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 ources: http://www.healthcare.gov • http://hab.hrsa.gov/affordablecareact/ • 12 http://http://www.hab.hrsa.gov/affordablecareact/outreachenrollment.html •
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 oject 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 oject Narrative rrative • Introduction • Needs Assessment • Methodology • Work Plan • Resolution of Challenges • Evaluation and Technical Support Capacity • Organizational Information 15
Program ogram Narrat rative ive Nee eeds ds Assessment sessment ha has Fou our 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 ogram Narrat rative ive HIV IV Seroprevalence oprevalence 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 ogram ram Nar arrative: rative: So Socia ial l Con onte text xt of of 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 ogram ram Nar arrative: rative: ons Ta Targe get t Po Popu pula lati tions 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 onal 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 ogram 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
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