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.Apply for HRSA 21 060
- 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).
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FAQs: Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program - Existing Geographic Service Areas (HRSA-21-060, CFDA 93.918)
What is this grant opportunity?
This is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services, for the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas (HRSA-21-060, CFDA 93.918).
What is the main purpose of the Part C EIS Program funding?
The 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 improving health outcomes for people living with HIV within defined service areas.
Who is the program intended to serve?
The program is intended to serve people with HIV who are low income, uninsured, and otherwise underserved, within the defined geographic service areas assigned under the program.
What kind of setting or program model does HRSA expect applicants to operate?
HRSA expects an integrated outpatient HIV care entry point that identifies and evaluates patients, initiates appropriate treatment, supports ongoing engagement in care, and connects clients to other health care providers and supportive services when needs extend beyond what the clinic provides directly.
What required services must a funded recipient provide at a minimum?
At a minimum, applicants must deliver all of the following early intervention and clinical services tied to HIV diagnosis, care, and treatment:
- 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
- Referrals that connect people with HIV to appropriate health care providers and supportive services
Does the grant require both testing and treatment-related services?
Yes. The required minimum service set includes targeted HIV testing and also ongoing medical evaluations, clinical and diagnostic services for monitoring and treatment, and therapeutic interventions related to HIV care.
How does this opportunity define or emphasize early intervention services (EIS)?
Early intervention services are framed as services directly tied to HIV diagnosis, care, and treatment, and recipients must provide a specific minimum set of EIS and clinical services. The notice also specifies a statutory spending requirement that at least 50 percent of the award must be spent on EIS, with an important exception for certain activities (see the spending FAQ).
Are referrals and linkage to care treated as EIS for budgeting purposes?
The opportunity notes that counseling and referrals, including linkage to care, are treated differently and are excluded from the 50 percent EIS spending calculation.
What is meant by "geographic accountability" in this funding opportunity?
Applicants are required to cover the entire designated geographic service area assigned under the program. Applications must address the full scope of the service area, rather than only a subset of neighborhoods, clinics, or patient groups within it.
Where are the designated geographic service areas listed?
The NOFO refers to designated areas as "service areas" and states they are listed in Appendix B.
Can an applicant propose services for only part of the assigned service area?
No. The application must be written to address the full scope of the service area, not only a subset within it.
What if an organization wants to apply for more than one service area?
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.
Do all proposed services need to be directly connected to HIV?
Yes. All proposed services must be allowable under RWHAP rules and must be clearly connected to HIV diagnosis, care, and support.
What standards should clinical care follow under this program?
Programs are expected to follow established HIV clinical practice standards consistent with HHS guidelines, so funded care aligns with current evidence-based approaches to HIV treatment and management.
Where can applicants check what HRSA considers allowable RWHAP services?
Applicants are directed to the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02, which outlines allowable Ryan White core medical and support services and how they are defined for RWHAP purposes.
What are the key statutory spending requirements mentioned in the opportunity?
The opportunity highlights several statutory spending requirements that affect budgeting and tracking:
- At least 50 percent of the grant award must be spent on Early Intervention Services (EIS), with counseling and referrals (including linkage to care) excluded from this 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 the core medical services requirement rather than being separate from it.
- Administrative costs are capped at no more than 10 percent of total Part C grant funds.
How do EIS and core medical services requirements relate to each other?
EIS spending counts as a subset of the core medical services requirement. In other words, EIS is not treated as a separate bucket outside of core medical services for purposes of the 75 percent core medical services requirement.
What is the administrative cost limit for this grant?
No more than 10 percent of total Part C grant funds may be used for administration.
Is there a waiver option if an applicant cannot meet the core medical services expenditure requirement?
Yes. HRSA allows a waiver process for applicants that believe they cannot meet the core medical services expenditure requirement.
When can a waiver request be submitted?
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 a waiver request is submitted with the application, where should it be included?
If the waiver request is included with the application, it must be provided as Attachment 14.
What agency is offering this funding?
The funding is offered by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services.
What is the funding opportunity number and CFDA number listed?
The funding opportunity number is HRSA-21-060, and the CFDA number listed is 93.918.
What are the posting and closing dates mentioned for this opportunity?
The opportunity was posted with a creation date of April 6, 2020, and an original closing date of June 8, 2020.
How many awards were expected based on the source data?
The source data lists approximately 90 expected awards.
Is there a maximum (ceiling) award amount stated in the summary information provided?
The award ceiling is shown as 0 in the summary field provided, which typically indicates that the maximum award amount is not specified in that particular data extract. The full NOFO would need to be consulted to confirm any maximum award details.
What does the eligibility category "Others" mean here?
Eligibility is listed broadly as "Others," with additional clarification provided in the NOFO eligibility section. Prospective applicants would need to consult the full NOFO guidance to confirm whether their organization type and service area alignment meet HRSA requirements.
Are applicants required to demonstrate how they will connect clients to services beyond what they provide directly?
Yes. The required minimum services include referrals that connect people with HIV to appropriate health care providers and supportive services, and the program is described as an entry point that connects clients to the broader service network when needs extend beyond what the clinic provides directly.
Does the opportunity require both clinical and support components?
Yes. The focus is on comprehensive primary health care and related support services, including referrals and connections to supportive services, as part of an integrated outpatient program.
Why does the opportunity require covering the entire service area?
The 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.
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