Opportunity Information: Apply for HRSA 22 014
The Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas grant (HRSA-22-014, CFDA 93.918) is a discretionary federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is designed to strengthen and sustain outpatient HIV care systems for people who are low income, uninsured, and otherwise underserved, with a specific emphasis on helping people get diagnosed, linked to care, started on effective treatment, and supported in staying in care. The program focus is practical and service-oriented: ensuring that communities within defined geographic areas have reliable access to comprehensive primary medical care and related support services for people with HIV.
Under this opportunity, applicants are expected to deliver a required set of EIS service components, either directly or through well-documented referral arrangements such as contracts or memoranda of understanding (MOUs). The required components include HIV counseling; targeted HIV testing; periodic medical evaluations for people with HIV along with the clinical and diagnostic services needed for treatment; therapeutic measures to prevent and treat immune system deterioration and to prevent and treat HIV-related conditions; and strong referral pathways that connect people with HIV to appropriate health care and support service providers. In practice, this means applicants need to show they can run or coordinate an integrated outpatient model that covers both the medical side (evaluation, labs, treatment, prevention of complications) and the navigation side (getting people connected to the services they need and keeping them engaged).
A central requirement of this notice is that applicants must cover the entire designated geographic service area assigned under the program (the specific service areas are listed in Appendix B of the Notice of Funding Opportunity). The application has to address how services will be delivered across that whole service area, not just a portion of it. Organizations applying to serve more than one of the listed service areas cannot bundle them together; they must submit a separate application for each service area and ensure each application is submitted under the correct funding opportunity number for that service area. The intention is to avoid fragmented coverage and to make sure each defined area has a clear, accountable provider responsible for comprehensive service delivery.
The NOFO also makes clear that funded activities must align with established HIV clinical practice standards and follow current HHS guidelines. Applicants are expected to propose only allowable RWHAP services and to structure programs consistent with HIV/AIDS Bureau guidance, including Policy Clarification Notice (PCN) 16-02, which lists and defines allowable core medical and support services. This is meant to ensure that funded programs are medically current, consistent across jurisdictions, and focused on proven approaches to improving HIV outcomes.
The funding comes with specific statutory spending requirements that shape how budgets must be built. At least 50 percent of the grant funds must be spent on EIS costs, with an important exception: counseling and referrals/linkage to care do not count toward that 50 percent EIS expenditure requirement. In addition, at least 75 percent of the award (after setting aside any amounts used for administration, planning and evaluation, and clinical quality management) must be spent on core medical services. EIS is considered part of core medical services, so EIS spending can help meet the 75 percent requirement, but recipients still must ensure the overall core medical services threshold is met. Administrative costs are capped tightly: no more than 10 percent of total Part C grant funds may be used for administration. If an applicant believes it cannot meet the core medical services spending requirement, it may request a waiver, but that request must be submitted with the application and included as Attachment 15.
From an administrative standpoint, this opportunity was posted March 29, 2021, with an original closing date of June 21, 2021. HRSA anticipated making a large number of awards (expected awards: 112). The award ceiling is listed as 0 in the source data, which typically indicates that funding levels vary by service area and are determined by HRSA rather than set as a single uniform maximum in the synopsis. Eligibility is listed broadly as "Others" with clarification provided in the full NOFO; in general, applicants should expect to demonstrate the capacity to provide or coordinate outpatient HIV primary care and support services across the entire assigned service area, with appropriate clinical infrastructure, referral networks, and compliance systems to meet Ryan White program requirements.
Overall, the grant is structured to maintain and improve HIV care capacity in existing service areas by funding providers that can deliver the full continuum of early intervention and ongoing outpatient HIV care. Success under this program hinges on demonstrating service-area-wide coverage, clinical quality and standards-based care, strong testing and linkage pathways, and a budget that meets the required allocations toward EIS and core medical services while staying within administrative caps.Apply for HRSA 22 014
- 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 Mar 29, 2021.
- Applicants must submit their applications by Jun 21, 2021. (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).
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Frequently Asked Questions (FAQs)
What is this grant opportunity?
This opportunity is the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas grant (HRSA-22-014, CFDA 93.918). It is a discretionary federal funding opportunity administered by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA).
What is the main purpose of the RWHAP Part C EIS Program under this notice?
The purpose is to strengthen and sustain outpatient HIV care systems for people who are low income, uninsured, and otherwise underserved. The program emphasizes helping people get diagnosed, linked to care, started on effective treatment, and supported in staying in care across defined geographic service areas.
What population is this program intended to serve?
The program is designed for people with HIV who are low income, uninsured, and otherwise underserved, with a strong emphasis on access to outpatient HIV primary medical care and related support services.
What types of services are applicants expected to provide?
Applicants are expected to deliver a required set of Early Intervention Services (EIS) components and to operate or coordinate an integrated outpatient model that includes both medical services (evaluation, diagnostics, treatment, prevention of complications) and navigation/referral functions (linkage to and engagement in care).
What are the required EIS service components under this opportunity?
The required EIS components include:
- HIV counseling
- Targeted HIV testing
- Periodic medical evaluations for people with HIV, including clinical and diagnostic services needed for treatment
- Therapeutic measures to prevent and treat immune system deterioration and to prevent and treat HIV-related conditions
- Referral pathways that connect people with HIV to appropriate health care and support service providers
Do applicants have to provide all required components directly?
No. Applicants may provide required components directly or through well-documented referral arrangements such as contracts or memoranda of understanding (MOUs). The expectation is that the application clearly demonstrates how the full set of required components will be delivered and coordinated.
What does it mean to cover the entire designated geographic service area?
Applicants must propose and describe service delivery across the full geographic service area assigned under the program (as listed in Appendix B of the Notice of Funding Opportunity). The application must address how services will reach and be accessible throughout the entire area, not only a portion of it.
Can an organization apply to serve more than one geographic service area with one application?
No. Organizations applying to serve more than one listed service area cannot bundle areas together. They must submit a separate application for each service area and ensure each application is submitted under the correct funding opportunity number for that service area.
Why does HRSA require whole-service-area coverage rather than partial coverage?
The stated intention is to avoid fragmented coverage and ensure each defined area has a clear, accountable provider responsible for comprehensive service delivery across that entire geographic area.
What clinical standards and guidelines must funded services follow?
Funded activities must align with established HIV clinical practice standards and follow current HHS guidelines. Applicants are also expected to structure programs consistent with HIV/AIDS Bureau guidance and propose only allowable RWHAP services.
What is PCN 16-02 and why does it matter for this grant?
Policy Clarification Notice (PCN) 16-02 is referenced as guidance that lists and defines allowable core medical and support services under RWHAP. Applicants are expected to align proposed services with this guidance to ensure funded activities are allowable and consistent with Ryan White program rules.
What are the key budget spending requirements in this NOFO?
The NOFO includes statutory spending requirements that shape how budgets must be constructed, including minimum spending on EIS and core medical services and a cap on administrative costs.
How much of the grant must be spent on EIS costs?
At least 50 percent of grant funds must be spent on EIS costs. However, counseling and referrals/linkage to care do not count toward this 50 percent EIS expenditure requirement.
Do counseling and referrals/linkage to care count toward the 50 percent EIS spending requirement?
No. The NOFO specifies an exception: counseling and referrals/linkage to care do not count toward the 50 percent EIS expenditure requirement, even though they are required EIS components for service delivery.
How much of the award must be spent on core medical services?
At least 75 percent of the award must be spent on core medical services after setting aside any amounts used for administration, planning and evaluation, and clinical quality management.
Does EIS spending help meet the 75 percent core medical services requirement?
Yes. EIS is considered part of core medical services, so EIS spending can help meet the 75 percent threshold. Recipients still must ensure the overall core medical services requirement is met based on the NOFO rules.
What is the administrative cost cap for Part C grant funds?
Administrative costs are capped at no more than 10 percent of total Part C grant funds.
What if an applicant cannot meet the core medical services spending requirement?
If an applicant believes it cannot meet the core medical services spending requirement, it may request a waiver. The waiver request must be submitted with the application and included as Attachment 15.
When was this opportunity posted and what was the original closing date?
The opportunity was posted on March 29, 2021, and the original closing date was June 21, 2021.
How many awards did HRSA expect to make?
HRSA anticipated making 112 awards.
Is there a maximum (ceiling) award amount listed?
The award ceiling is listed as 0 in the source data. This typically indicates that funding levels vary by service area and are determined by HRSA rather than being set as a single uniform maximum in the synopsis.
Who is eligible to apply?
Eligibility is listed broadly as "Others," with additional clarification provided in the full Notice of Funding Opportunity. Based on the program requirements described, applicants should expect to demonstrate capacity to provide or coordinate outpatient HIV primary care and related support services across the entire assigned service area, supported by appropriate clinical infrastructure, referral networks, and compliance systems to meet Ryan White program requirements.
What does HRSA appear to be looking for in a strong application?
Based on the NOFO description, strong applications clearly demonstrate (1) full coverage of the assigned geographic service area, (2) standards-based outpatient HIV primary medical care, (3) effective targeted testing and linkage/referral pathways, and (4) a budget that meets the EIS and core medical services spending requirements while staying within the administrative cap.
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