Opportunity Information: Apply for HRSA 25 004

The Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas is a Health Resources and Services Administration (HRSA) discretionary grant competition announced under three related funding opportunity numbers: HRSA-25-002, HRSA-25-003, and HRSA-25-004. Together, these announcements support outpatient programs that deliver comprehensive primary health care and key support services for low-income people with HIV. The focus is on ensuring that people living with HIV, especially those who are uninsured and underserved, can access timely diagnosis-related services, enter care quickly, and stay engaged in clinically appropriate HIV treatment and ongoing medical management.

At its core, this funding is meant to strengthen or sustain early intervention and outpatient HIV care capacity within specific pre-defined service areas (listed in the opportunity’s Appendix C). The competition is open both to current RWHAP Part C EIS recipients and to new eligible organizations that propose to provide Part C EIS-funded services in those same geographic areas. Because the opportunity is tied to distinct geographic service areas, applicants who want to serve more than one area must submit a separate, complete application for each proposed service area. The funding announcements also come with different periods of performance depending on the particular service area, which is why the opportunity is packaged across the three announcement numbers.

Applicants that are funded must ensure five required service components are available to clients, either by providing them directly or by formal arrangements such as referrals, contracts, or memoranda of understanding (MOUs). These required components include: (1) HIV counseling, (2) targeted HIV testing, (3) periodic medical evaluations for individuals with HIV along with clinical and diagnostic services for HIV care and treatment, (4) therapeutic measures that prevent and treat immune system deterioration and address conditions arising from HIV, and (5) referrals for people with HIV to appropriate health care and support service providers. In practice, this means a funded Part C EIS site needs to function as a reliable entry point and medical home for outpatient HIV care, while also maintaining strong linkage and referral partnerships for services that may be outside the clinic’s direct scope.

Program-funded services must be clearly tied to HIV diagnosis, care, and support, and they must follow established HIV clinical practice standards consistent with U.S. Department of Health and Human Services (HHS) guidelines. HRSA points applicants to HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02, which lays out the list of allowable Ryan White core medical and support services and provides definitions and parameters for what can be supported with RWHAP funds. This matters for budgeting and program design, because applicants need to align proposed activities with what Ryan White allows and with the clinical standards HRSA expects funded providers to follow.

The opportunity also includes several statutory spending requirements that shape how award funds must be allocated. Under the Part C statute, at least 50 percent of the award must be spent on EIS costs, excluding counseling and referrals/linkage-to-care costs from that 50 percent calculation. In addition, at least 75 percent of the award (after setting aside amounts for administrative costs, planning and evaluation, and clinical quality management, or CQM) must be spent on core medical services; EIS is considered a subset within that core medical services requirement. Finally, administrative costs are capped: no more than 10 percent of the total Part C award may be spent on administration. If an applicant believes it needs a waiver from the core medical services expenditure requirement, the opportunity indicates that a waiver request must be submitted with the application as Attachment 15, and applicants are directed to the program requirements section for details on expectations and documentation.

Eligibility is broad but specific to public and nonprofit entities operating in the United States and fitting categories described in the Public Health Service Act. Eligible applicants include government entities (for example, state, county, city or township governments, special districts, and independent school districts) as well as nonprofit organizations with or without 501(c)(3) status (excluding institutions of higher education in the listed nonprofit categories). The notice also highlights specific provider types and community entities that may apply, such as federally qualified health centers (FQHCs), certain family planning grant recipients, comprehensive hemophilia diagnostic and treatment centers, rural health clinics, Indian Health Service-operated or contracted facilities, and community-based organizations, clinics, hospitals, and other health facilities providing EIS to people with HIV, including those who acquired HIV through intravenous drug use. Nonprofit private entities that provide comprehensive primary care services to populations at risk of HIV are also eligible, including faith-based and community-based organizations. Native American tribal governments and tribal organizations are explicitly eligible as well.

From an administrative standpoint, the opportunity is listed under Assistance Listing (CFDA) 93.918 and is administered by HRSA. The posted closing date in the source information is June 17, 2024. The listing indicates an expected 157 awards, and the award ceiling is shown as $0, which typically signals that the ceiling may vary by service area or be specified elsewhere in the full announcement materials rather than expressed as a single universal cap in the summary record. Overall, the grant is designed to maintain and expand outpatient HIV early intervention and ongoing care capacity in designated service areas, with strong emphasis on required EIS components, linkage/referral infrastructure, adherence to federal HIV clinical guidelines, and strict compliance with Ryan White spending rules for core medical services, EIS, and administrative cost limits.

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.918.
  • This funding opportunity was created on 2024-04-16.
  • Applicants must submit their applications by 2024-06-17. (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 157 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Others.
Apply for HRSA 25 004

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FAQs: Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program - Existing Geographic Service Areas

1. What is this funding opportunity?

This is a Health Resources and Services Administration (HRSA) discretionary grant competition for the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas. It supports outpatient programs that provide comprehensive primary health care and key support services for low-income people with HIV, with an emphasis on timely access to diagnosis-related services, rapid entry into care, and sustained engagement in clinically appropriate HIV treatment and ongoing medical management.

2. Which funding opportunity numbers (FOAs) are associated with this competition?

The competition is announced under three related funding opportunity numbers: HRSA-25-002, HRSA-25-003, and HRSA-25-004.

3. Why are there three related FOAs?

The opportunity is packaged across three FOAs because different geographic service areas may have different periods of performance. The three FOAs collectively cover the set of pre-defined service areas included in the opportunity materials.

4. What is the overall purpose of Part C EIS funding in this competition?

The funding is intended to strengthen or sustain early intervention and outpatient HIV care capacity in specific, pre-defined geographic service areas. Funded sites are expected to serve as a reliable entry point and medical home for outpatient HIV care while maintaining strong linkage and referral partnerships for services outside the clinic's direct scope.

5. Who is the funding designed to help?

The program is designed to support low-income people with HIV, particularly those who are uninsured and underserved, by improving access to timely diagnosis-related services, rapid linkage to care, and ongoing engagement in treatment and medical management.

6. Are the service areas open-ended, or are they pre-defined?

The service areas are pre-defined. Applicants must propose to provide Part C EIS-funded services in specific geographic service areas listed in the opportunity's Appendix C.

7. Can current Part C EIS recipients apply?

Yes. The competition is open to current RWHAP Part C EIS recipients for the existing geographic service areas.

8. Can new organizations apply if they are not current Part C EIS recipients?

Yes. New eligible organizations may apply as long as they propose to provide Part C EIS-funded services in the same pre-defined geographic service areas tied to the opportunity.

9. If an organization wants to serve more than one geographic service area, can it submit one application?

No. Because the opportunity is tied to distinct geographic service areas, an applicant that wants to serve more than one area must submit a separate, complete application for each proposed service area.

10. What are the required service components that funded applicants must ensure are available?

Funded applicants must ensure five required service components are available to clients, either directly or through formal arrangements (such as referrals, contracts, or memoranda of understanding (MOUs)):

  1. HIV counseling
  2. Targeted HIV testing
  3. Periodic medical evaluations for individuals with HIV, including clinical and diagnostic services for HIV care and treatment
  4. Therapeutic measures to prevent and treat immune system deterioration and to address conditions arising from HIV
  5. Referrals for people with HIV to appropriate health care and support service providers

11. Do applicants have to provide all required services onsite?

No. Applicants may provide the required components directly or ensure they are available through formal arrangements such as referrals, contracts, or MOUs.

12. What does HRSA expect a funded Part C EIS site to function like in practice?

HRSA expects a funded site to operate as a dependable entry point and medical home for outpatient HIV care and to maintain strong linkage and referral partnerships for services that are not provided directly by the clinic.

13. Are there clinical standards or guidelines that funded services must follow?

Yes. Program-funded services must be tied to HIV diagnosis, care, and support, and must follow established HIV clinical practice standards consistent with U.S. Department of Health and Human Services (HHS) guidelines.

14. What is HAB Policy Clarification Notice (PCN) 16-02 and why does it matter here?

HRSA references HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02 because it outlines allowable Ryan White core medical and support services and provides definitions and parameters for what can be supported with RWHAP funds. This guidance affects program design and budgeting by helping applicants align proposed activities with allowable uses of RWHAP funds.

15. What are the key spending requirements tied to Part C EIS awards?

The opportunity describes statutory spending requirements that shape how funds must be allocated, including minimum spending levels for EIS and core medical services and a cap on administrative costs.

16. What is the requirement for spending on EIS costs?

At least 50 percent of the Part C award must be spent on EIS costs, excluding counseling and referrals/linkage-to-care costs from that 50 percent calculation.

17. What is the requirement for spending on core medical services?

At least 75 percent of the award (after setting aside amounts for administrative costs, planning and evaluation, and clinical quality management (CQM)) must be spent on core medical services. The opportunity notes that EIS is considered a subset within the core medical services requirement.

18. Is there a cap on administrative costs?

Yes. Administrative costs may not exceed 10 percent of the total Part C award.

19. What if an applicant believes it needs a waiver from the core medical services expenditure requirement?

The opportunity indicates that a waiver request must be submitted with the application as Attachment 15. Applicants are directed to the program requirements section for details on expectations and documentation.

20. Who is eligible to apply?

Eligibility includes public and nonprofit entities operating in the United States that fit categories described in the Public Health Service Act. Eligible applicants include government entities and nonprofit organizations (with or without 501(c)(3) status), with the noted exclusion that institutions of higher education are excluded from the listed nonprofit categories referenced in the notice.

21. What types of government entities are eligible?

Examples of eligible government entities include state, county, city or township governments, special districts, and independent school districts.

22. What types of nonprofit organizations are eligible?

Eligible applicants include nonprofit organizations with or without 501(c)(3) status (excluding institutions of higher education in the listed nonprofit categories). The opportunity also notes that nonprofit private entities providing comprehensive primary care to populations at risk of HIV are eligible, including faith-based and community-based organizations.

23. Are tribal entities eligible to apply?

Yes. Native American tribal governments and tribal organizations are explicitly eligible.

24. What provider types does the notice highlight as potential applicants?

The notice highlights several provider types and community entities that may apply, including federally qualified health centers (FQHCs), certain family planning grant recipients, comprehensive hemophilia diagnostic and treatment centers, rural health clinics, Indian Health Service-operated or contracted facilities, and community-based organizations, clinics, hospitals, and other health facilities providing EIS to people with HIV (including those who acquired HIV through intravenous drug use).

25. Which agency administers this grant?

This grant is administered by the Health Resources and Services Administration (HRSA).

26. What is the Assistance Listing (CFDA) number for this opportunity?

The Assistance Listing (CFDA) number shown for this opportunity is 93.918.

27. What is the closing date listed in the provided information?

The posted closing date in the provided information is June 17, 2024.

28. How many awards are expected?

The listing indicates an expected 157 awards.

29. What is the award ceiling for this opportunity?

The award ceiling is shown as $0 in the summary record. This typically indicates the ceiling may vary by service area or be specified elsewhere in the full announcement materials rather than expressed as a single universal cap in the summary information.

30. What is the main compliance focus for funded projects?

The competition emphasizes compliance with required EIS components, strong linkage and referral infrastructure, adherence to federal HIV clinical guidelines consistent with HHS guidance, and strict compliance with Ryan White spending rules for EIS, core medical services, and administrative cost limits.

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