Opportunity Information: Apply for HRSA 22 015

The Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas (HRSA-22-015) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services. It is designed to support outpatient clinics and similar providers in delivering comprehensive HIV primary medical care and related support services to people with HIV who are low income, uninsured, and otherwise medically underserved. The overall intent is to improve access to timely HIV care, strengthen treatment outcomes, and reduce gaps in services within specific, pre-defined geographic areas.

Under this funding announcement, applicants are expected to deliver a defined set of EIS activities that form the backbone of early and ongoing HIV clinical care. These required activities include HIV counseling, targeted HIV testing, and ongoing medical evaluations that cover clinical and diagnostic services for HIV treatment and monitoring. Funded providers must also deliver therapeutic measures aimed at preventing immune system deterioration and treating HIV-related conditions, which generally aligns with consistent access to antiretroviral therapy and appropriate clinical management of comorbidities and opportunistic infections. In addition, recipients must ensure referrals for people with HIV to appropriate health care and support service providers when needs cannot be met directly. Importantly, the program allows flexibility in how services are arranged: they can be provided in-house or through formal referral relationships, contracts, or memoranda of understanding (MOUs), as long as the applicant can demonstrate reliable access to the full required service set.

A central feature of this opportunity is that it is tied to “existing geographic service areas” listed in the Notice of Funding Opportunity (NOFO), specifically in Appendix B. Applicants must propose to serve the entire designated service area they are applying for; partial coverage is not acceptable. Organizations that want to apply for more than one service area must submit separate applications for each area and ensure each submission corresponds to the correct funding opportunity number and service area requirements. This structure is intended to avoid fragmented coverage and to ensure that the full continuum of outpatient HIV care and support is available across each defined region.

All funded activities must be directly connected to HIV diagnosis, care, and support, and they must follow established HIV clinical practice standards consistent with HHS guidelines. HRSA also points applicants to the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02, which lays out the program’s allowable core medical and support services and provides standardized definitions. In practical terms, applicants need to show that their service model is clinically current, appropriately staffed and managed, and able to deliver or coordinate the RWHAP-allowable services that clients need to stay engaged in care and achieve viral suppression.

The NOFO also includes several statutory spending requirements that shape how award funds must be budgeted. At least 50 percent of the grant funds must be spent on EIS costs, though counseling and referrals/linkage to care are excluded from that 50 percent calculation. Separately, at least 75 percent of the award must be spent on core medical services after setting aside amounts for administrative costs, planning/evaluation, and clinical quality management (CQM); EIS is considered a subset within this broader core medical services requirement. Administrative costs are capped at no more than 10 percent of total Part C grant funds, reinforcing that the majority of funding should directly support patient care and clinical service delivery rather than overhead. If an applicant believes it cannot meet the core medical services spending threshold, it may request a waiver, but that request must be submitted with the application (identified in the NOFO as Attachment 15).

From a logistics standpoint, the opportunity is a grant (not a contract) under CFDA 93.918, with an expected number of awards listed as 145. The award ceiling is shown as 0 in the source data, which typically signals that the ceiling varies by service area or is otherwise specified elsewhere in the NOFO rather than as a single universal maximum. Eligibility is described broadly as “Others” with additional eligibility details provided in the full announcement, which is common for Ryan White opportunities that may include public or private nonprofit providers, community health organizations, clinics, and other entities capable of delivering outpatient HIV medical care and the required support functions in the defined service areas.

Overall, this funding opportunity supports organizations that can take responsibility for comprehensive outpatient HIV care across an entire designated region, meet clear service delivery requirements (counseling, targeted testing, medical evaluation and diagnostics, therapeutic treatment, and referrals), follow HHS clinical guidelines, and comply with strict spending rules emphasizing core medical services and limited administrative overhead.

  • 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 Mar 29, 2021.
  • Applicants must submit their applications by Jun 21, 2021. (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 145 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 22 015

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