Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas | HRSA 25 004

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.

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