1. Ryan White HIV/AIDS Program Part A Pre-Application Technical Assistance Conference Call HRSA September 12, 2017
Steven R. Young, MSPH
Director, Division of Metropolitan HIV/AIDS Programs (DMHAP)
HIV/AIDS Bureau (HAB)
Health Resources and Services Administration (HRSA)

2. Agenda HAB Vision and Mission Purpose of Funding Opportunity
Award Information
Eligibility
Application and Submission Information
Application Review Information
Application Submission Tips
Question and Answer

3. Acronyms CQM – Clinical Quality Management
MAI – Minority AIDS Initiative
MIS – Management Information System
DUNS – Data Universal Numbering System
NOFO – Notice of Funding Opportunity (formerly FOA)
EHB – Electronic Handbooks
EHR – Electronic Health Records
PLWH – People Living with HIV
EIIHA – Early Identification of
PO – Project Officer
Individuals with HIV/AIDS
RWHAP – Ryan White HIV/AIDS Program
HAB – HIV/AIDS Bureau
GMS – Grants Management Specialist
SAM – System for Award Management
LPAP – Local Pharmacy Assistance Program

4. HIV/AIDS Bureau Vision and Mission
Optimal HIV/AIDS care and treatment for all
Mission
Provide leadership and resources to assure access to and retention in high quality, integrated care, and treatment services for vulnerable people living with HIV and their families

5. Please refer to pages 1 to 2 of the NOFO
Purpose of NOFO
This notice solicits applications for the Ryan White HIV/AIDS Program (RWHAP) Part A HIV Emergency Relief Grant Program.
RWHAP Part A provides direct financial assistance to an eligible metropolitan area (EMA) or a transitional grant area (TGA) that has been severely affected by the HIV epidemic.
Grant funds assist eligible jurisdictions to develop or enhance access to a comprehensive continuum of high quality, community-based care for low-income people living with HIV (PLWH) through the provision of formula, supplemental, and Minority AIDS Initiative (MAI) funds.
Please refer to pages 1 to 2 of the NOFO

6. Updates in FY 2018 NOFO New - Appendix B Updated - Budget Section
Updated - Work Plan Requirements
Updated - Demonstrated Need Section
Unmet Need Requirements
Updated - Clinical Quality Management Section
New CQM Plan Submission

7. Please refer to pages 4 to 5 of the NOFO
Award Information
Approximately $619,617,500 available to fund up to 52 applicants
Approximately $9,572,100 will be used for priority funding and $51,208,700 will be used for MAI funding
Ceiling amounts for each EMA/TGA listed in Appendix B
Two-thirds of funds are formula based (determined by number of living HIV/AIDS cases). The remaining funds are discretionary supplemental awards based on the demonstration of additional need and MAI funding (determined by living cases of HIV among minorities)
Please refer to pages 4 to 5 of the NOFO

8. Eligibility Information
Eligible applicants include RWHAP Part A recipients that are classified as an EMA or as a TGA and continue to meet the status as an eligible area as defined in statute
Cost sharing/matching is not required
Applicant may request up to the ceiling amount in Appendix B
Maintenance of Effort Information (MOE) – Attachment 11
Please refer to pages 5 to 6 of the NOFO

9. Application and Submission Information
Two Components of the NOFO:
HRSA Ryan White HIV/AIDS Program Part A HIV Emergency Relief Grant Program focuses on the program-specific content, including goals, expectations, and requirements of the program
HRSA’s General Instructions
SF 424 Application Guide (“Application Guide”)
Links are found throughout the NOFO

10. Application Package Applicants must include the following:
SF-424 Application for Federal Assistance
Project Abstract (uploaded in box 15 of the SF-424)
Project/Performance Site Location Form
Project Narrative (uploaded to the Project Narrative Attachment Form)
SF-424A Budget
Budget Narrative (uploaded to the Budget Narrative Attachment Form)
Attachments (Section IV 2. v. of NOFO)
Grants.gov Lobbying Form
SF-424B Assurances
Key Contacts

11. See pages 8 in the NOFO and 37 in the SF424 Application Guide
Project Abstract
The project abstract should be single spaced and be limited to one page
Project abstract should include:
General Overview of HIV epidemic in the EMA/TGA, including epidemiologic, demographic and geographic information. May present in table format.
System of Care in EMA/TGA, including medical and support services, locations, client access, and special services for disproportionately affected populations
Overall Viral Suppression Rate for the EMA/TGA
Data on subpopulations that highlight disparities in this outcome measure
See pages 8 in the NOFO and 37 in the SF424 Application Guide

12. FY18 NOFO Narrative Overview
Needs Assessment
Demonstrated Need
Epidemiologic Overview
Co-occurring Conditions
Complexities of Providing Care
EIIHA LPAP
Methodology
Impact of the Changing Health Care Landscape Planning Responsibilities
Planning and Resource Allocation
Administrative Assessment
Letter of Assurance/Concurrence
Resource Inventory
Work Plan
HIV Care Continuum Table and Narrative
Funding for Core and Support Services
Please refer to pages 9 to 18 of the NOFO

13. FY18 NOFO Narrative Overview - Continued
Resolution of Challenges
Submit table with the headings:
Challenges/Barriers
Proposed Resolutions
Intended Outcomes
Current Status of Implementing RWHAP Part A and HIV Care Continuum
Evaluation and Technical Support Capacity
Clinical Quality Management
Organizational Information
Grant administration
MOE
Please refer to pages 18 to 21 of the NOFO

14. Needs Assessment - Demonstrated Need
Demonstrated Need includes statutorily required:
Epidemiological Overview
Co-occurring Conditions
Complexities of Providing Care
No new unmet need estimates are required
Supplemental funds will be targeted to:
Eligible areas where epidemiological data demonstrated HIV prevalence rates are increasing
Where there is documented demonstrated need and service gaps
Where there is a demonstrated disproportionate impact on vulnerable populations
Please refer to pages 9 to 13 in the NOFO

15. Needs Assessment – Early Identification of Individuals with HIV/AIDS (EIIHA)
Please refer to page 11 in the NOFO
Presentation of three target populations that are focus of EIIHA efforts
Description of planned or ongoing efforts to remove legal barriers to routine testing
Description and discussion of EIIHA Activities

16. Needs Assessment - Local Pharmaceutical Assistance Program (LPAP).
This section must be completed only if an LPAP is newly funded
LPAP section is not scored
LPAP may not be used to provide short-term or emergency medication assistance
Refer to the National Monitoring Standards and PCN for a complete list of LPAP requirements

17. Knowledge Check
Question #1

18. Methodology - Introduction
Impact of the Changing Health Care Landscape
Planning Responsibilities
Please refer to pages 12 to 15 of the NOFO

19. Methodology – Impact of Changing Health Care Landscape
Health care coverage options available to PLWH in the jurisdiction
Impact of access to healthcare services and health outcomes
The effects of changes in the health care landscape
Service provision and the complexity of providing care to PLWH
Changes in RWHAP Part A allocations

20. Methodology - Planning Responsibilities
Planning and Resource Allocation
Administrative Assessment
Letter of Assurance from Planning Council Chair(s) or Letter of Concurrence from Planning Bodies
Resource Inventory
Please refer to pages 13 to 15 in the NOFO

21. Methodology - SAMPLE Attachment 5

22. Work Plan
Your work plan should include objectives and key action steps that are:
SPECIFIC
MEASURABLE
ACHIEVABLE
REALISTIC &
TIME FRAMED!

23. Work Plan – HIV Care Continuum Table & Narrative
Stages of the
HIV Care
Continuum
Goal
Outcome
Service Category
I. Diagnosed
Increase percentage who are aware of their HIV status
Percentage of HIV positive tests in the measurement year
Baseline: Numerator/Dominator, %
Target: Numerator/Dominator, %
II. Linked to
Care
Increase percentage of
clients who attend a
routine medical care visit within 30 days of HIV diagnosis
Percentage of people diagnosed with HIV in a given calendar year that had one or more documented medical visits, viral load or CD4 tests within 3 months after diagnosis
III. Retained
in Care
clients retained in care
Percentage of diagnosed individuals who had two or more documented medical visits, viral load or CD4 tests, performed at least 3 months apart in the observed year.
IV. Prescribed
ART
clients with access to
prescribed HIV/AIDS
medications consistent
with PHS treatment
guidelines
Percentage of patients, regardless of age, with a diagnosis of HIV prescribed antiretroviral therapy for the treatment of HIV infection in the
measurement year.
V. Virally
Suppressed
Increase the number of
clients with a viral load of
<200 copies/mL at last test
in the 12-month
measurement period
Percentage of patients, regardless of age, with a diagnosis of HIV with a HIV viral load <200 copies/mL at last HIV viral load test in the measurement year.
Please refer to page 16 in the NOFO

24. Work Plan - Funding for Core and Support Services
Service Category Plan
Service Category Plan Table
RWHAP Part A
MAI
Service Category Plan Narrative
Core Medical Services Waiver (if applicable)
Please refer to pages 16 to 17 in the NOFO

25. Service Unit Definition
Work Plan - SAMPLE of Attachment 8
Service Category Plan Table
PART A
Service Category
Priority Number
2017 Allocated
2018 Anticipated
Funding Amount
UDC
Served
Service Unit Definition
Service
Units
Example:
Outpatient Ambulatory Medical Care
2017-1
$2,000,000
2000
1 unit =
1 visit
4500
$1,200,000
1200
3800
Medical Case Management
2017-2
$1,500,000
2500
25,000
2600
30,000

26. Service Unit Definition
Work Plan - SAMPLE of Attachment 8
Service Category Plan Table
MAI
Service Category
Priority Number
2017 Allocated
2018 Anticipated
MAI Only
Funding Amount
UDC
Served
Service Unit Definition
Service
Units
Target populations
Example:
Outpatient Ambulatory Medical Care
2017-2
$400,000
175
1 unit =
1 visit
500
$350,000
200
400
Hispanic Women
Child-bearing
Age 
Medical Case Management
2017-1
$250000
150
1500
$300000
2000
 Hispanic Women

27. Core Medical Services Waiver (if applicable)
Submission
Service Category Plan Table
Allocation Table
Before Application
Match Waiver Request
Not Applicable
With Application
Include with Waiver Request
Instructions for CMS Waivers can be found at:

28. Resolution of Challenges - SAMPLE Table

29. Evaluation and Technical Support Capacity
Clinical Quality Management
Describe how performance measure data are analyzed to evaluate for disparities in care, and actions taken in the last grant year to eliminate disparities
Describe how CQM data have been used to improve and/or change service delivery in the jurisdiction, including strategic long-range service delivery planning
Note: A CQM Plan will be required as a component of your Program Submission
Please refer to pages 18 to 19 in the NOFO

30. Knowledge Check
Question #2

31. Organizational Information
Grant Administration
Program Organization
Grant Recipient Accountability
Monitoring
Third Party Reimbursement
Fiscal Oversight
Maintenance of Effort (MOE) .
Please refer to pages 19 to 21 of the NOFO

32. Staffing Plan – SAMPLE Table
Name
Education/
Credentials
Title
Project Role
Experience
% FTE
Admin
CQM
MAI
HIV Services
Mrs. Doe
MPH
Program
Coordinator
Oversight of RWHAP award and project implementation
5 years as program coordinator, previously Data/CQM Manager for same entity
.15
.25
.45
Dr. Jones MD
Medical Director
Oversight of clinic staff, SOPS and CQI projects
15 years providing HIV primary care
.20
Ms. Kona
Associates
Degree
CQM Coordinator, Retention Specialist
Oversight of CQM Activities
4 years working in HIV clinic scheduling appointments, making referrals, medical data entry
.60
.10
.05
Mr. Torres
MSW
Medical Case Manager
Treatment adherence training
3 years providing HIV medical case management
.50

33. Budget Requirements Budget information consists of three parts:
SF-424A Budget Information for Non- Construction Programs (included in the application package)
Program-specific line item budget (Attachment 13)
Budget justification narrative
See pages 22 to 26 in the NOFO, and 20 to 34 in the SF-424 Application Guide

34. Budget Requirements: SF-424A
93.914 ` `
RWHAP Part A
HIV Emergency Relief Grant Program `
Cannot exceed amount in Appendix B

35. Budget Requirements: SF-424A

36. Budget Requirements: SF-424A

37. Line Item Budget

38. Line Item Budget

39. Budget Justification Narrative
Provide clear justification of costs explaining amounts requested for each line of the budget
Budget narrative should be submitted by funding type (Part A and MAI), and divided by the three RWHAP Part A cost categories: Administrative, CQM, and HIV Services
Descriptions must be specific to the cost category
For non-HIV services contracts, provide a clear explanation as to the purpose of each contract, how the costs were estimated, and the specific contract deliverables
Upload budget justification to Application Packet under Mandatory Budget Narrative Filename

40. Knowledge Check
Question #3

41. Salary Limitation
Effective January 8, 2017, the salary rate limitation applicable to RWHAP domestic grants and cooperative agreements is $187,000.
The Consolidated Appropriations Act, 2017, Division H, § 202, (P.L ) states, “None of the funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism, at a rate in excess of Executive Level II.” Please see Section 4.1.iv Budget – Salary Limitation of HRSA’s SF-424 Application Guide for additional information.
As a reminder, RWHAP funds and program income generated by RWHAP awards may not be used to pay salaries in excess of the rate limitation.

42. Salary Rate Limitation Example
Individual’s full time salary: $255,000
Amount that may be claimed on the federal RWHAP award due to the legislative salary limitation:
Individual’s base full time salary adjusted to Executive Level II: $187,000
50% of time will be devoted to project
Direct salary:
$127,500
Fringe (25% of salary):
$31,875
Total:
$159,375
50% of time will be devoted to project
Direct salary:
$93,500
Fringe (25% of salary):
$23,375
Total:
$116,875

43. Please refer to pages 29 to 30 in the NOFO
Funding Restrictions
In addition to the general funding restrictions included in Section 4.1 of the SF-424 Application Guide, funds may not be used for the following:
Cash payments to intended recipients of RWHAP services
Construction
International travel
PrEP or PEP medications or related medical services
Syringe Services Programs
Payment for any item of service that can reasonably be expected to be paid under any State compensation program, insurance policy, any Federal or State health benefits program, or by an entity that provides health services on a prepaid basis
Development of materials designed to promote or encourage intravenous drug use or sexual activity
Please refer to pages 29 to 30 in the NOFO

44. Please refer to pages 27 to 28 of the NOFO
Attachments
List of Attachments can be found in Section IV. 2. v. of the NOFO
Upload attachments in the order specified to the Attachments Form in the application package
Label each attachment clearly
Unless otherwise noted, attachments count toward the page limit
Please refer to pages 27 to 28 of the NOFO

45. Attachments - Maintenance of Effort (MOE)
Please refer to page 28 of the NOFO

46. Application Review Information
HRSA’s Division of Independent Review (DIR) is responsible for managing the objective and independent application review performed by a committee of qualified experts
Applications will be reviewed and rated based on the review criteria in Section V of the NOFO if they
are submitted by the published deadline
do not exceed the page limit
do not request more than the ceiling amount, and
pass the initial HRSA eligibility and completeness screening
The competitive objective review process is based solely on the merits of your application.  It is critical that you paint a clear picture of your proposed project and the capabilities that your organization brings to the work

47. Application Review Information
Review criteria are used to review and rank applications. For this opportunity, there are 6 review criteria:
Criteria
Points
Criterion 1: Need 66
Criterion 2: Response 16
Criterion 3: Evaluative Measures 2
Criterion 4: Impact 5
Criterion 5: Resources/Capabilities 6
Criterion 6: Support Requested
Total Points
100
Please refer to pages 31 to 35 in the NOFO

48. Application Package: Where is it?
On HRSA’s website at
Click on the NOFO “apply at Grants.gov” link At
Search by opportunity number (HRSA ), or
CFDA Number:
The Application Guide is available at e/sf424guide.pdf or click the links in the NOFO

49. Application Submission Tips
Read the NOFO and the SF-424 Application Guide carefully and follow instructions.
Include your agency name and the name of this program on all pages (RWHAP Part A HIV Emergency Relief Grant Program).
Apply early; do not wait until the last minute in case you run into challenges!
Make sure the person who can submit for your organization will be available.
Ensure SAM.gov and Grants.gov registration and passwords are current immediately!
Have all your PIN numbers and passwords handy!

50. Grants.gov Contact Information
When to contact Grants.gov Helpdesk
Error messages
Other technical issues
Application did NOT transmit to HRSA
If you have any submission problems, please contact Grants.gov immediately!
Grants.gov Contact Center (24/7 except Federal holidays)
, or or

51. Tracking Grants.gov Submissions
Submission Type
Subject
Time
Frame
Sent by
Recipient
Competing Application
1st
Submission Receipt
Within 48 hours
Grants.gov
AOR
2nd
Most Crucial
Submission Validation Receipt OR
Rejected with Errors
3rd
Grantor Agency Retrieval Receipt
Within hours of second
4th
Agency Tracking number assignment
Within 3 business days
SF424 Application Guide, section 8.2.5
The Grants.gov Contact Center can be reached by at or by telephone at

52. Reminders
Your application must be electronically submitted through and successfully validated by Grants.gov no later than October 30, 2017, 11:59 pm ET.
We recommend submission of the application at least four business days before the due date.
4 days before
Due date!

53. Applicants who need additional information may contact:
HRSA Contacts
Applicants who need additional information may contact:
Program Contact
Grants Contact
Steven R. Young, MSPH
Director, Division of Metropolitan HIV/AIDS Programs
(301)
Olusola Dada
Grants Management Specialist
Division of Grants Management Operations, OFAM
(301)

54. Q&A - Your Questions are Welcome!
HAB TARGET Website 54