This announcement solicits applications for the fiscal year (FY) 2015 Ryan White HIV/AIDS Program (RWHAP) Part B Base, AIDS Drug Assistance Program (ADAP) Base, Pacific Island Jurisdiction Part B/ADAP Base, ADAP Supplemental, Minority AIDS Initiative (MAI), and Emerging Communities. The purpose of
this grant program is to assist States and Territories in developing and/or enhancing access to a comprehensive continuum of high quality HIV care and treatment for low-income people living with HIV (PLWH).
It supports the National HIV/AIDS Strategy (NHAS) goals of reducing HIV incidence, increasing access to care and optimizing health outcomes, and reducing HIV-related health disparities. A comprehensive continuum of care includes the thirteen (13) core medical services specified in the Public Health Service Act, Section 2612(b)(3) [42 U.S.C.
300ff-21(b)(3)], as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87).
Comprehensive HIV/AIDS care beyond these core services may include supportive services that meet the criteria of enabling individuals and families living with HIV/AIDS to access and remain in primary medical care to improve their medical outcomes. These core and appropriate support services assist PLWH in accessing treatment for HIV/AIDS infection that is consistent with the Department of Health and Human Services (HHS) Treatment Guidelines. (See http://www.aidsinfo.nih.gov). The Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) recognizes that the RWHAP Part B/ADAP grantees must use grant funds to support, develop and expand systems of care to meet the needs of PLWH. HAB requires RWHAP Part B/ADAP Programs to conduct needs assessments and use needs assessment data to make decisions on needed services to eliminate barriers faced by PLWH in accessing and remaining in medical care. Important Notes:
· In accordance with the RWHAP legislation (Section 2618(a)(2)(H)(v) of the Public Health Service (PHS) Act) and pending further direction or statutory provisions and/or appropriations language, hold harmless will not be a factor in the FY 2015 RWHAP Part B/ADAP awards.
· The Early Identification of Individuals with HIV/AIDS (EIIHA) requirements in this funding announcement have been updated and streamlined. Please review carefully when preparing this section of your application.
The following information will assist in understanding and completing this year¿s grant application:
· RWHAP Part B funds are subject to Section 2612(b)(1) of the PHS Act, which requires that not less than 75 percent of the funds be used to provide core medical services that are needed in the State/Territory for individuals with HIV/AIDS who are identified and eligible under the RWHAP. Core medical services and support services allowed under RWHAP Part B are limited to services that are needed for individuals with HIV/AIDS to achieve their medical outcomes as defined by the RWHAP.
The most recent service definitions can be found in the latest version of the National Monitoring Standards.
· Applicants seeking a waiver to the core medical services requirement must submit a waiver request either with this grant application, at any time up to the application submission, or up to 4 months after the start of the grant award for FY 201 5. Submission should be in accordance with the Federal Register Notice, Vol.
78, No.101, dated Friday, May 24, 2013, and may be found at http://www.gpo.gov/fdsys/pkg/FR-2013-05-24/pdf/2013-1235 4. pdf.
The HAB Policy 13-07, Federal Register Notice and Sample Letters can all be found at http://hab.hrsa.gov/manageyourgrant/policiesletters.html.
If submitting with the application, a core medical services waiver request should be included as Attachment 1 0. · Agreements and Compliance Assurances are included (Appendix A) with this funding opportunity announcement (FOA), and require the signature of the Chief Elected Official (CEO), or the CEO¿s designee; this document should be included as Attachment 9.