Opportunity Information: Apply for HRSA 21 062
The Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas grant (HRSA-21-062, CFDA 93.918) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services. Its central aim is to support outpatient programs that deliver comprehensive HIV primary medical care and related support services to people with HIV who are low-income, uninsured, and otherwise underserved. The overall focus is on improving access to high-quality HIV care, strengthening engagement and retention in care, and improving health outcomes across the full continuum from diagnosis through sustained treatment.
Applicants funded under this notice are expected to provide a defined set of early intervention services as core components of their model. These required activities include HIV counseling; targeted HIV testing; periodic medical evaluations for people with HIV along with needed clinical and diagnostic services to manage HIV care and treatment; therapeutic measures to prevent and treat immune system deterioration and to prevent and treat HIV-related conditions; and referrals that connect people with HIV to appropriate health care providers and support services. In practice, this means programs must be able to identify people at risk, diagnose HIV through targeted testing strategies, rapidly link those who test positive into ongoing clinical care, and provide continuing outpatient medical management consistent with current standards of care.
A key operational requirement is geographic coverage. Funding is tied to specific pre-defined geographic service areas listed in the NOFO's Appendix B, and an application must explicitly address the entire service area for which it is submitted. Programs are not allowed to propose partial coverage of a service area; they must demonstrate how they will deliver comprehensive primary health care and support services throughout the full designated area. If an organization intends to apply to serve more than one listed service area, it must submit a separate application for each service area and ensure each is filed under the correct funding opportunity number, effectively treating each service area as its own distinct competition.
The NOFO also emphasizes that all funded activities must be directly related to HIV diagnosis, care, and support, and services must align with established HIV clinical practice standards consistent with HHS guidelines. HRSA points applicants to the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02, which lays out the allowable RWHAP core medical and support services and provides definitions and descriptions that applicants must follow when designing budgets and service delivery plans.
Several statutory spending requirements shape how award funds must be allocated. At least 50 percent of the total grant amount must be spent on EIS activities, with an important caveat that counseling and referrals (including linkage to care) are excluded from that 50 percent calculation. In addition, after setting aside amounts for administrative costs, planning and evaluation, and clinical quality management (CQM), at least 75 percent of the remaining award must be spent on core medical services; EIS is considered a subset within that broader core medical services requirement. Administrative costs are capped, with no more than 10 percent of total RWHAP Part C grant funds permitted for administration. Together, these rules are designed to ensure that the bulk of funding supports direct clinical care and the clinical infrastructure needed to deliver high-quality HIV treatment in outpatient settings.
For applicants that believe they cannot meet the core medical services spending requirement, the NOFO allows a waiver process. A waiver request can be submitted with the application, at any time up to application submission, or later with the mandatory non-competing continuation progress report. If the waiver is included with the initial application, it must be provided as Attachment 14. This requirement signals that HRSA expects applicants to plan primarily around core medical service delivery, using waivers only when justified and properly documented.
Administratively, the opportunity was posted April 6, 2020, with an original closing date of June 8, 2020. The notice indicates an expectation of 146 awards, and the award ceiling is listed as 0, which typically indicates that a single fixed maximum award amount is not specified in the synopsis and may vary by service area and program circumstances. Eligibility is listed broadly as "Others" with further clarification referenced in the full NOFO. Overall, the funding opportunity is structured to maintain and strengthen existing Part C outpatient HIV care networks within specific geographic service areas, ensuring comprehensive coverage, adherence to federal clinical guidelines, and a strong emphasis on direct medical services and early intervention for people who face the greatest barriers to care.Apply for HRSA 21 062
- 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 146 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
1. What is this grant opportunity called?
This opportunity is the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas grant (HRSA-21-062, CFDA 93.918).
2. Which federal agency is offering this funding?
The grant is offered by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS).
3. What is the main purpose of the RWHAP Part C EIS Program under this notice?
The central aim is to support outpatient programs that provide comprehensive HIV primary medical care and related support services for people with HIV who are low-income, uninsured, and otherwise underserved. The overall focus is improving access to high-quality HIV care, strengthening engagement and retention in care, and improving health outcomes across the continuum from diagnosis through sustained treatment.
4. What type of care setting is supported by this program?
This notice is designed to support outpatient programs delivering HIV primary medical care and related support services.
5. Who is the intended patient population for services supported by this grant?
The funded services are intended for people with HIV who are low-income, uninsured, and otherwise underserved.
6. What early intervention services (EIS) are applicants required to provide?
Funded applicants are expected to provide a defined set of EIS activities as core components, including:
- HIV counseling
- Targeted HIV testing
- Periodic medical evaluations for people with HIV, including needed clinical and diagnostic services for HIV care and treatment management
- Therapeutic measures to prevent and treat immune system deterioration and to prevent and treat HIV-related conditions
- Referrals to connect people with HIV to appropriate health care providers and support services
7. What does "targeted HIV testing" imply in the context of this program?
Based on the notice description, programs are expected to identify people at risk and use targeted testing strategies to diagnose HIV, then rapidly link those who test positive to ongoing clinical care.
8. What are applicants expected to demonstrate operationally besides offering services?
Applicants are expected to show they can identify people at risk, diagnose HIV through targeted testing, rapidly link individuals who test positive into ongoing clinical care, and provide continuing outpatient medical management consistent with current standards of care.
9. How is geographic coverage handled under this opportunity?
Funding is tied to specific pre-defined geographic service areas listed in Appendix B of the NOFO, and an application must explicitly address the entire service area for which it is submitted.
10. Can an applicant propose serving only part of a listed geographic service area?
No. Programs are not allowed to propose partial coverage of a service area. Applicants must demonstrate how they will deliver comprehensive primary health care and support services throughout the full designated area.
11. What if an organization wants to apply for more than one geographic service area?
If an organization intends to apply to serve more than one listed service area, it must submit a separate application for each service area and ensure each is filed under the correct funding opportunity number. Each service area is treated as its own distinct competition.
12. Are there requirements about how funded activities must relate to HIV?
Yes. The NOFO emphasizes that all funded activities must be directly related to HIV diagnosis, care, and support.
13. Do services have to follow specific clinical standards or guidelines?
Yes. Services must align with established HIV clinical practice standards consistent with HHS guidelines.
14. What is HAB PCN 16-02 and why does it matter for applicants?
HRSA points applicants to the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02, which describes the allowable RWHAP core medical and support services and provides definitions and descriptions that applicants must follow when designing budgets and service delivery plans.
15. Is there a minimum amount of the award that must be spent on EIS activities?
Yes. At least 50 percent of the total grant amount must be spent on EIS activities.
16. Are counseling and referrals included in the 50 percent EIS spending calculation?
No. Counseling and referrals (including linkage to care) are excluded from the 50 percent EIS spending calculation.
17. Is there a requirement about spending on core medical services?
Yes. After setting aside amounts for administrative costs, planning and evaluation, and clinical quality management (CQM), at least 75 percent of the remaining award must be spent on core medical services. The notice also states that EIS is considered a subset within the broader core medical services requirement.
18. Is there a cap on administrative costs?
Yes. Administrative costs are capped at no more than 10 percent of the total RWHAP Part C grant funds.
19. What is clinical quality management (CQM) in the context of these spending rules?
The NOFO identifies CQM as one of the categories that must be set aside before calculating the requirement that at least 75 percent of the remaining award be spent on core medical services.
20. What happens if an applicant believes they cannot meet the core medical services spending requirement?
The NOFO allows a waiver process for applicants that believe they cannot meet the core medical services spending requirement.
21. When can a waiver request be submitted?
A waiver request can be submitted with the application, at any time up to application submission, or later with the mandatory non-competing continuation progress report.
22. Where should a waiver be included if it is submitted with the initial application?
If the waiver is included with the initial application, it must be provided as Attachment 14.
23. Is this opportunity intended to create new service areas or support existing ones?
Based on the notice description, this funding opportunity is structured to maintain and strengthen existing Part C outpatient HIV care networks within specific geographic service areas.
24. When was this funding opportunity posted and when did it close?
The opportunity was posted on April 6, 2020, with an original closing date of June 8, 2020.
25. How many awards does HRSA expect to make under this notice?
The notice indicates an expectation of 146 awards.
26. Is there a maximum (ceiling) award amount listed?
The award ceiling is listed as 0. In the synopsis, that typically indicates that a single fixed maximum award amount is not specified and may vary by service area and program circumstances.
27. What is the eligibility category shown in the synopsis?
Eligibility is listed broadly as "Others," with further clarification referenced in the full NOFO.
28. What does the "full continuum" focus mean for program design?
The notice describes an emphasis on outcomes across the continuum from diagnosis through sustained treatment, which implies applicants should be prepared to support targeted testing/diagnosis, rapid linkage to care, ongoing engagement and retention in care, and sustained outpatient clinical management.
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