Opportunity Information: Apply for HRSA 25 052

The Health Resources and Services Administration (HRSA) funding opportunity HRSA-25-052 supports the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program in a set of limited, pre-defined geographic service areas. The main goal is to strengthen outpatient, community-based HIV care for low-income people with HIV by funding organizations that can deliver comprehensive primary medical care along with key support services that help people get diagnosed, enter care quickly, remain in care, and achieve the best possible health outcomes. The competition is structured around specific service areas listed in Appendix C, and the period of performance can differ depending on which area is being applied for. If an organization wants to serve multiple listed areas, it must submit a separate application for each one.

Funded providers are expected to deliver a defined package of early intervention services, either directly or through formal referral relationships such as contracts or memoranda of understanding (MOUs). At a minimum, successful applicants must ensure five core EIS functions are available: HIV counseling; targeted HIV testing; periodic medical evaluations for people with HIV including clinical and diagnostic services for HIV care and treatment; therapeutic measures to prevent and treat immune system deterioration and HIV-related conditions; and referrals to appropriate health care and support service providers. In practice, this means the program is not limited to testing or education alone. It is intended to connect people to ongoing outpatient HIV medical care and the wraparound supports needed to stay engaged in treatment.

All funded activities must be tied to HIV diagnosis, care, and support, and they must follow established HIV clinical practice standards consistent with current U.S. Department of Health and Human Services (HHS) guidelines. HRSA points applicants to the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02 as the central reference for what RWHAP considers allowable core medical services and support services. This matters for program design and budgeting because applicants need to map proposed services to allowable categories and show that they are delivering evidence-based HIV care and related supports in a compliant way.

The announcement also emphasizes statutory spending requirements that shape how award dollars can be used. First, at least 50 percent of the total award must be spent on EIS costs, with an explicit exception that counseling and referrals/linkage to care are not counted toward that 50 percent EIS expenditure requirement. Second, at least 75 percent of the award (after setting aside amounts for administrative costs, planning and evaluation, and clinical quality management, or CQM) must be spent on core medical services. HRSA notes that EIS is a subset within that broader 75 percent core medical services requirement, so budgets generally need to be heavily weighted toward medical care and clinical service delivery rather than non-medical activities. Third, no more than 10 percent of total award funds may be used for administrative costs. If an applicant believes it cannot meet the core medical services spending requirement, it may request a waiver, but the waiver request must be submitted with the application as Attachment 15.

Eligibility is limited to organizations that will provide RWHAP Part C EIS-funded services specifically within the geographic areas identified in Appendix C, and the competition is open both to current RWHAP Part C EIS recipients and to new, eligible applicants willing to operate in those areas. Eligible applicants must be based in the United States or certain U.S.-affiliated jurisdictions and freely associated states, including the Commonwealth of Puerto Rico, Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Applicants must be public entities or nonprofit private entities and must fit within the eligible organization types laid out in section 2652(a)(1) of the Public Health Service (PHS) Act. Examples listed in the opportunity include federally qualified health centers, family planning grant recipients (other than states), comprehensive hemophilia diagnostic and treatment centers, rural health clinics, Indian Health Service-operated or contracted facilities, community-based organizations and health facilities providing EIS (including for people who acquired HIV through intravenous drug use), and nonprofit entities providing comprehensive primary care to populations at risk of HIV, including faith-based and community-based organizations. Native American tribal governments and tribal organizations are also explicitly eligible.

From the source details provided, this is a discretionary grant (CFDA 93.918) administered by HRSA, with an original application deadline of 2024-12-10 and an expectation of about six awards. The notice lists an award ceiling of 0, which typically indicates that the maximum award amount is not specified in that field and applicants should rely on the full notice and service-area specifics for funding levels and performance periods. Overall, the opportunity is designed to maintain or expand access to outpatient HIV early intervention and ongoing treatment in specific service areas, with strict requirements to prioritize core medical care, limit administrative overhead, and ensure services align with federal HIV clinical standards.

  • The 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: Limited 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 2024-10-08.
  • Applicants must submit their applications by 2024-12-10. (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 6 candidate(s).
  • Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Others.
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FAQs: HRSA-25-052 RWHAP Part C Early Intervention Services (EIS)

What is HRSA-25-052?

HRSA-25-052 is a Health Resources and Services Administration (HRSA) funding opportunity supporting the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program in a limited set of pre-defined geographic service areas listed in Appendix C.

What is the main purpose of this funding opportunity?

The goal is to strengthen outpatient, community-based HIV care for low-income people with HIV by funding organizations that can provide comprehensive primary medical care along with key support services that help people get diagnosed, enter care quickly, remain in care, and achieve the best possible health outcomes.

Is this opportunity available everywhere in the U.S.?

No. The competition is limited to the specific geographic service areas identified in Appendix C. Applicants must propose to provide RWHAP Part C EIS-funded services within one of those listed areas.

If we want to serve more than one service area in Appendix C, can we submit one application?

No. If an organization wants to serve multiple listed geographic service areas, it must submit a separate application for each service area.

Does the period of performance stay the same for every applicant?

Not necessarily. The period of performance can differ depending on which service area is being applied for.

Who is eligible to apply?

Eligibility is limited to organizations that will provide RWHAP Part C EIS services in the geographic areas identified in Appendix C. The competition is open to both current RWHAP Part C EIS recipients and new eligible applicants willing to operate in those areas.

What types of organizations are eligible?

Eligible applicants must be public entities or nonprofit private entities and must fit within the eligible organization types described in section 2652(a)(1) of the Public Health Service (PHS) Act. Examples listed include federally qualified health centers, family planning grant recipients (other than states), comprehensive hemophilia diagnostic and treatment centers, rural health clinics, Indian Health Service-operated or contracted facilities, community-based organizations and health facilities providing EIS (including for people who acquired HIV through intravenous drug use), and nonprofit entities providing comprehensive primary care to populations at risk of HIV (including faith-based and community-based organizations).

Are tribal governments or tribal organizations eligible?

Yes. Native American tribal governments and tribal organizations are explicitly eligible.

Do applicants have to be located in the United States?

Applicants must be based in the United States or certain U.S.-affiliated jurisdictions and freely associated states. The eligible locations listed include the Commonwealth of Puerto Rico, Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

What services are funded under Part C EIS in this opportunity?

Funded providers are expected to deliver a defined package of early intervention services, either directly or through formal referral relationships such as contracts or memoranda of understanding (MOUs). At a minimum, applicants must ensure five core EIS functions are available to clients.

What are the five required core EIS functions?

The five core EIS functions that must be available are: HIV counseling; targeted HIV testing; periodic medical evaluations for people with HIV (including clinical and diagnostic services for HIV care and treatment); therapeutic measures to prevent and treat immune system deterioration and HIV-related conditions; and referrals to appropriate health care and support service providers.

Can an applicant provide some required EIS functions through referrals instead of directly?

Yes. The opportunity allows EIS functions to be delivered either directly or through formal referral relationships such as contracts or MOUs.

Is this program mainly for HIV testing and education?

No. The program is not limited to testing or education alone. It is intended to connect people to ongoing outpatient HIV primary medical care and the wraparound supports needed to stay engaged in treatment.

Do funded activities have to be related to HIV?

Yes. All funded activities must be tied to HIV diagnosis, care, and support.

What clinical standards must providers follow?

Services must follow established HIV clinical practice standards consistent with current U.S. Department of Health and Human Services (HHS) guidelines.

What is PCN 16-02 and why does it matter?

HRSA points applicants to the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02 as the central reference for what RWHAP considers allowable core medical services and support services. This matters for program design and budgeting because applicants need to align proposed services with allowable categories and demonstrate compliant, evidence-based HIV care and related supports.

Are there spending requirements that affect how we build the budget?

Yes. The announcement includes statutory spending requirements that shape how award dollars can be used, including minimum spending levels for EIS and core medical services and limits on administrative costs.

What is the 50% EIS spending requirement?

At least 50% of the total award must be spent on EIS costs. However, the notice states that counseling and referrals/linkage to care do not count toward that 50% EIS expenditure requirement.

Do counseling and referrals/linkage to care count toward the 50% EIS requirement?

No. The announcement explicitly states that counseling and referrals/linkage to care are not counted toward the 50% EIS expenditure requirement.

What is the 75% core medical services spending requirement?

At least 75% of the award (after amounts are set aside for administrative costs, planning and evaluation, and clinical quality management (CQM)) must be spent on core medical services.

How does EIS relate to the 75% core medical services requirement?

HRSA notes that EIS is a subset within the broader 75% core medical services requirement, so budgets generally need to be heavily weighted toward medical care and clinical service delivery rather than non-medical activities.

Is there a cap on administrative costs?

Yes. No more than 10% of total award funds may be used for administrative costs.

Can an applicant request a waiver of the core medical services spending requirement?

Yes. If an applicant believes it cannot meet the core medical services spending requirement, it may request a waiver. The waiver request must be submitted with the application as Attachment 15.

What is Attachment 15 used for?

Attachment 15 is used to submit a waiver request if the applicant cannot meet the core medical services spending requirement.

How many awards does HRSA expect to make under this opportunity?

Based on the provided details, HRSA expects to make about six awards.

What is the CFDA number for this program?

The opportunity is listed as CFDA 93.918.

Is this a discretionary grant or a formula grant?

This is described as a discretionary grant administered by HRSA.

What was the application deadline shown in the provided information?

The provided information lists an original application deadline of 2024-12-10.

Is there a maximum (ceiling) award amount?

The notice lists an award ceiling of 0, which typically indicates the maximum award amount is not specified in that field. Applicants are expected to rely on the full notice and service-area specifics for funding levels and the period of performance.

What is the overall program expectation for funded providers?

Funded providers are expected to maintain or expand access to outpatient HIV early intervention and ongoing treatment in the listed service areas, prioritize core medical care, limit administrative overhead, and ensure services align with federal HIV clinical standards.

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