Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas | HRSA 21 060

Opportunity Information: Apply for HRSA 21 060

The Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas grant (HRSA-21-060, 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 fund outpatient programs that deliver comprehensive primary health care and related support services for people with HIV who are low income, uninsured, and otherwise underserved. The focus is on improving access to timely HIV care, strengthening ongoing treatment engagement, and ultimately improving health outcomes for people living with HIV within defined service areas.

Funded recipients are required to provide a specific set of early intervention and clinical services tied directly to HIV diagnosis, care, and treatment. At a minimum, applicants must deliver HIV counseling; targeted HIV testing; ongoing medical evaluations and the clinical and diagnostic services needed to monitor and treat HIV; therapeutic interventions that prevent or slow immune system deterioration and address conditions arising from HIV; and referrals that connect people with HIV to appropriate health care providers and supportive services. In practice, this means the program is expected to function as an integrated outpatient HIV care entry point that not only identifies and evaluates patients, but also initiates and sustains appropriate treatment and connects clients to the broader service network when needs extend beyond what the clinic provides directly.

A key feature of this opportunity is its geographic accountability: applicants must cover the entire designated geographic service area assigned under the program (the NOFO refers to these as "service areas" and lists them in Appendix B). Applications must be written to address the full scope of the service area, rather than a subset of neighborhoods, clinics, or patient groups within it. Organizations seeking funding for more than one service area must submit separate applications for each service area and ensure each application is submitted under the correct funding opportunity number. This structure is designed to prevent gaps in coverage and to ensure that every funded area has a responsible provider (or network led by a responsible applicant) capable of delivering comprehensive outpatient HIV services across the whole geography.

All proposed services must be allowable under RWHAP rules and must be clearly connected to HIV diagnosis, care, and support. Programs are expected to follow established HIV clinical practice standards consistent with HHS guidelines, reinforcing that funded care should align with current evidence-based approaches to HIV treatment and management. For clarity on what HRSA considers allowable RWHAP core medical and support services, applicants are directed to the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02, which outlines the menu of permissible services and how they are defined for Ryan White purposes.

The announcement also highlights several statutory spending requirements that shape how budgets must be built and tracked. At least 50 percent of the grant award must be spent on Early Intervention Services (with the note that counseling and referrals, including linkage to care, are treated differently and excluded from that 50 percent EIS spending calculation). 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 spending counts as a subset of this core medical services requirement rather than something separate. Finally, administrative costs are capped: no more than 10 percent of total Part C grant funds may be used for administration. These thresholds are meant to keep the funding concentrated on direct medical care and the core clinical activities that drive HIV viral suppression and improved patient outcomes, while still allowing limited support for program operations and oversight.

For applicants that believe they cannot meet the core medical services expenditure requirement, HRSA allows a waiver process. 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 request is included with the application, it must be provided as Attachment 14. This is an important planning point because it affects both budget design and the narrative justification for how the program will still meet patient needs if spending distributions differ from the default statutory expectations.

From a logistics standpoint, the opportunity was posted with a creation date of April 6, 2020, and an original closing date of June 8, 2020, with approximately 90 expected awards listed in the source data. The award ceiling is shown as 0 in the summary field, which typically indicates that the maximum award amount is not specified in that particular data extract and would need to be confirmed in the full NOFO details. Eligibility is listed broadly as "Others" with additional clarification provided in the NOFO eligibility section, meaning prospective applicants need to consult the full guidance to confirm whether their organization type and service area alignment meet HRSA requirements.

• 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 90 candidate(s).
• Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).

Apply for HRSA 21 060

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