Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas | HRSA 21 061

Opportunity Information: Apply for HRSA 21 061

The Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas (Funding Opportunity Number HRSA-21-061) is a discretionary grant opportunity administered by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services. Its central aim is to fund outpatient programs that deliver comprehensive HIV primary medical care along with key support services for people with HIV who are low income, uninsured, and otherwise underserved. The overall focus is on improving access to timely, high-quality HIV care and treatment and, ultimately, improving health outcomes across the communities covered by the funded service areas.

Funded recipients are expected to provide a defined set of EIS-related activities that support both early engagement and ongoing retention in HIV care. These required components include HIV counseling, targeted HIV testing, periodic medical evaluations and the clinical and diagnostic services needed for HIV care and treatment, therapeutic measures that prevent and treat immune system deterioration and address conditions arising from HIV, and referrals that connect people with HIV to appropriate medical and support service providers. The services are intended to be delivered in a coordinated, outpatient setting so that clients can move from diagnosis or re-engagement to consistent treatment and follow-up, rather than receiving fragmented care.

A major structural requirement of this opportunity is that applicants must cover an entire designated geographic service area, as defined by HRSA and listed in Appendix B of the Notice of Funding Opportunity. Applications that only propose to serve a portion of a listed service area do not meet the program expectation; the proposal must demonstrate how comprehensive primary health care and support services will be made available throughout the whole service area. Organizations that want to apply for more than one service area must submit separate applications for each area, and each application must be submitted under the correct funding opportunity number tied to that specific service area. This design reinforces the program goal that people with HIV, regardless of where they live within the defined service area, can access consistent and appropriate HIV services.

Program operations and service delivery must align with established HIV clinical practice standards and be consistent with U.S. Department of Health and Human Services HIV guidelines. In addition, allowable services are constrained to those that directly relate to HIV diagnosis, HIV medical care, and HIV-related support needs as recognized by the program. HRSA points applicants to HIV/AIDS Bureau Policy Clarification Notice (PCN) 16-02, which lists and describes RWHAP-allowable core medical and support services. In practice, this means applicants need to clearly map proposed activities to allowable service categories and show that the clinical approach and standards of care reflect current federal HIV treatment guidance.

The funding also comes with specific statutory spending requirements that shape how award dollars must be allocated. At least 50 percent of the grant funds must be spent on Early Intervention Services, with an important exception: counseling and referral activities (including linkage to care) do not count toward that 50 percent EIS spending threshold. Separately, at least 75 percent of the award must be spent on core medical services after setting aside funds used for administrative costs, planning and evaluation, and clinical quality management (CQM). Because EIS is considered a subset of core medical services, EIS spending generally supports meeting the core medical services requirement as well, but recipients still need to track spending carefully to remain compliant with both thresholds. Finally, administrative costs are capped: no more than 10 percent of total RWHAP Part C grant funds may be used for administration.

For organizations that anticipate difficulty meeting the core medical services spending requirement, HRSA allows applicants to seek a waiver. A waiver request can be submitted with the application, any time up to application submission, or later with the required non-competing continuation progress report. If the waiver is submitted with the application, it should be included as Attachment 14, following the NOFO instructions. This option is relevant for applicants operating in circumstances where meeting the statutory percentage for core medical services is not feasible, but it requires a formal request and justification under HRSA rules.

From an administrative perspective, the opportunity is associated with CFDA number 93.918 and anticipated 112 awards. The listing shows an award ceiling of 0, which typically indicates that the maximum award amount is not stated in the summarized field and may instead vary by service area or be specified elsewhere in the full NOFO materials. The opportunity was originally posted on April 6, 2020 with an original closing date of June 8, 2020, and it is categorized as a grant funding instrument under the health funding activity category. Eligibility is noted as "Others (see text field entitled Additional Information on Eligibility for clarification)," meaning applicants would need to consult the full eligibility language in the NOFO to confirm whether they qualify and under what conditions.

Overall, this grant opportunity is structured to maintain and strengthen existing Ryan White Part C EIS coverage across defined geographic service areas by funding outpatient providers that can deliver comprehensive, guideline-concordant HIV medical care plus the support functions that help people get diagnosed, start treatment, stay in care, and access needed referrals. The program is heavily driven by service area accountability and by statutory spending rules that prioritize direct medical care and early intervention activities while keeping administrative overhead limited.

• The Department of Health and Human Services, 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 Apr 06, 2020.
• Applicants must submit their applications by Jun 08, 2020. (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 112 candidate(s).
• Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).

Apply for HRSA 21 061

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