Opportunity Information: Apply for HRSA 22 037

The Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services, released this discretionary grant opportunity to fund Ryan White HIV/AIDS Program (RWHAP) Part D services in existing, pre-defined geographic service areas. The program is focused on delivering family-centered HIV care in outpatient or ambulatory settings for low-income women, infants, children, and youth (often shortened to WICY). The central aim is to improve access to coordinated, comprehensive care that is culturally and linguistically appropriate, so that women and young people living with HIV, as well as infants exposed to or living with HIV, can receive consistent medical and support services that lead to better health outcomes.

The target populations are specifically defined and applicants are expected to be able to serve all of them within the service area they propose to cover. Eligible clients include women age 25 and older with HIV; infants from birth up to age 2 who are exposed to HIV or living with HIV; children ages 2 through 12 living with HIV; and youth ages 13 through 24 living with HIV. Because Part D is designed around a family-centered model, the expectation is not just isolated clinical visits, but coordinated care that accounts for the needs of the patient within the context of their family and household circumstances, especially when those circumstances affect appointment attendance, medication adherence, and long-term engagement in care.

The opportunity is limited to organizations proposing to operate in the specific “Existing Geographic Service Areas” listed in Appendix B of the notice. It is open both to current RWHAP Part D recipients (incumbents) and to new organizations that want to take over service delivery in one of those defined areas. A key requirement for new applicants is that they must be prepared to provide at least the same scope of comprehensive care and treatment services that the current Part D recipient is providing in that service area. In other words, an applicant cannot propose a reduced or narrower service package; they must demonstrate the capacity and partnerships needed to maintain the established breadth of services for the area. Another structural requirement is that the application must address the entire geographic service area as defined by HRSA. If an organization wants to apply for multiple service areas, it must submit a separate application for each area rather than bundling them into one submission.

Programmatically, HRSA makes clear that Part D funding is meant to support coordinated, comprehensive family-centered HIV medical care, and that recipients can deliver services directly and/or through formal arrangements such as contracts or memoranda of understanding (MOUs). “Family-centered HIV care” for this program is framed as outpatient or ambulatory care and explicitly includes behavioral health, nutrition services, and oral health services as part of the ambulatory care model. The notice also distinguishes specialty care, which includes specialty HIV care and other specialty medical services that are commonly needed in these populations, such as obstetrics and gynecology, hepatology, and neurology. This matters because applicants need to show how they will ensure access to both core outpatient HIV care and the specialty services that frequently determine whether patients remain stable and engaged in treatment.

Beyond clinical care, the announcement emphasizes a range of support services that help patients and families actually use and stay connected to care. Examples listed include family-centered services such as case management that address health care needs and support optimal outcomes; referral pathways for additional services such as inpatient hospital services, substance use disorder treatment, and mental health services; and referrals to other social and supportive services when appropriate. The notice also highlights enabling services that make participation possible, including efforts specifically designed to recruit and retain youth with HIV, a population that often faces unique barriers to ongoing care. Another required or strongly emphasized component is providing information and education to patients about opportunities to participate in HIV/AIDS-related clinical research, reflecting the “Access to Research” portion of the program’s title.

Applicants who submit a Part D application for one of the listed service areas may also apply for supplemental funding of up to $150,000 for FY 2022. This supplemental funding is one-year and is intended to strengthen organizational infrastructure in response to the changing health care landscape and to increase capacity to develop, enhance, or expand access to high-quality family-centered care for low-income WICY clients in the service area. In practical terms, this is positioned as a way to build or modernize the systems, staffing structures, workflows, or partnerships needed to deliver care effectively and keep pace with evolving care delivery expectations.

Administratively, the funding opportunity is identified as HRSA-22-037 under CFDA 93.153. It was posted November 1, 2021, with an original closing date of January 28, 2022. HRSA anticipated 114 awards, and the notice lists an award ceiling of 0, which typically signals that award amounts vary by service area or are otherwise determined by formula, historical funding levels, or programmatic considerations rather than a single published cap. The opportunity category is “discretionary,” the instrument type is “grant,” and it falls under the health funding activity category. For rules on what services and costs are allowable under the Ryan White program, the notice points applicants to Policy Clarification Notice (PCN) 16-02, which is the core reference HRSA uses to define allowable service categories and appropriate use of RWHAP funds.

  • 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 D Coordinated HIV Services and Access to Research for Women, Infants, Children, and Youth (WICY) 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): 93.153.
  • This funding opportunity was created on Nov 01, 2021.
  • Applicants must submit their applications by Jan 28, 2022. (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 114 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 22 037

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