1. HIV/AIDS Bureau Division of State HIV/AIDS Programs (DSHAP)
FY 2015 RWHAP Part B Supplemental
Funding Opportunity Announcement
HRSA
Ryan White HIV/AIDS Program Part B Technical Assistance Webinar
May 13, 2015
HIV/AIDS Bureau Division of State HIV/AIDS Programs (DSHAP)

2. HAB DSHAP Mission
To provide leadership and support to States/Territories for developing and ensuring access to quality HIV prevention, health care, and support services.

3. Agenda Welcome Katherine Patterson RWHAP Announcements Heather Hauck
Questions and Answers
RWHAP Part B Reporting Requirements
Yemisi Odusanya
RWHAP Part B Supplemental FOA
Terri` Richards
Closing Remarks

4. Objectives
To discuss the changes in the FY15 RWHAP Part B Reporting Requirements
To discuss the FY 2015 RWHAP States/Territories Part B Supplemental FOA
Provide pre-application Technical Assistance (TA) to RWHAP Part B grantees.
Answer Questions related to the FOA.

5. Heather Hauck, MSW, LICSW Director Division of State HIV/AIDS Programs
Presenter
Heather Hauck, MSW, LICSW Director Division of State HIV/AIDS Programs
Preview June 24th FFR webinar

6. Announcements & Updates

7. Question and Answer Session

8. FY 2015 RWHAP Part B Reporting Requirements
Yemisi Odusanya, MPH
Senior Program Advisor,
Division of State HIV/AIDS Programs
HIV/AIDS Bureau
Health Resources and Services Administration, Department of Health and Human Resources

9. FY 2015 RWHAP Part B (X07) and ADAP ERF (X09) Reporting Requirements
Major changes from
FY 2014 to FY 2015

10. FY 2015 Overall Report Changes
Instruction pages now standardized.
Gray cells on spreadsheets indicate formulas
Please review all reporting requirements with your Project Officer now.

11. RWHAP FY 2015 X07 Reporting Requirements Changes

12. X07 Program Terms Report Program Terms Report: Due June 29, 2015
Program Terms Report Instructions now contain detailed instructions for completing the SF-424A form.
Standard Outcomes Measures document:
Needed to complete Implementation Plan (Block 6).
Contains web links to ensure most current standard outcomes measures.
Budget Narrative spreadsheet:
Now a multi-tabbed spreadsheet (Part B Base, ADAP, MAI, Emerging Communities).
Must complete all applicable tabs of spreadsheet.
Information will not carry over from one spreadsheet to another with the exception of budget spreadsheet totals.

13. Budget Narrative Spreadsheet

14. Budget Narrative Spreadsheet

15. MAI Plan & Annual Report
FY 15 MAI Plan Due June 29, 2015
FY 15 MAI Annual Report Due July 30, 2016
Spreadsheet now contains three tabs vs. four tabs
Contact Info tab
Outreach tab
Education tab
“Extra Worksheet” tab has been removed.

16. MAI Plan & Annual Report

17. X07 Reporting Requirements Calendar
FY 2015 Requirements
Contents
Submission Due to EHB
RWHAP Part B MAI Annual Plan
FY 2015 RWHAP Part B MAI Annual Plan
June 29, 2015
RWHAP Part B Program Terms Report
REVISED: SF 424A, FY 2014 Part B and
MAI Planned Allocation Table, Budget Narrative, Implementation Plan, Consolidated List of Contracts (CLC), and Contract Review Certification (CRC)
Interim Federal Financial Report (FFR) (SF 425)
75% obligation of grant funds
(may use CRC as supporting documentation) Reporting Period: 4/1/2015 – 7/29/2015
August 28, 2015
RWHAP Part B Unobligated Balances (UOB)
FY 2014 RWHAP Part B UOB Estimates and Estimated Carryover Request
January 31, 2016
Ryan White HIV/AIDS Program Services Report (RSR) Grantee Report
CY 2015 RSR Grantee Report
Reporting Period: 1/1/2015 – 12/31/2015
February 2, 2016
Date subject to change.
Ryan White HIV/AIDS Program Services Report (RSR) Provider Reports
CY 2015 RSR Provider Reports
March 23, 2016
Ryan White HIV/AIDS Program Services Report (RSR) Client-level Data Report
CY 2015 RSR Client-Level Data Report
March 30, 2016
Ryan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP) Data Report (ADR)
CY 2015 ADR Client-Level Data Report
Reporting Period 1/1/ /31/2015
FY 2015 ADR Grantee Data Report
Reporting Period 4/1/2015-3/31/2016
June 8, 2016
RWHAP Part B & MAI Final Expenditure Table
FY 2015 RWHAP Part B & MAI Final Expenditure Table
July 30, 2016
RWHAP Part B Annual Progress Report and WICY Expenditures Report
Final FY 2015 RWHAP Part B Annual Progress Report and WICY Expenditures Report
RWHAP Part B MAI Annual Report
FY 2015 RWHAP Part B MAI Annual Report
Final Federal Financial Report (FFR) (SF425)
FY 2015 Final FFR and Carry Over
(Carryover Request must be submitted within 30 days of FY15 Final FFR submission; by 8/29/16)

18. Certification of Aggregate Administrative Costs
Please review the note at the bottom of the Certification of Aggregate Administrative Cost Spreadsheet.
Calculations are provided for line 5 and 6, however one FTE can be entered instead of a % if receive minimum allotment for line 6.

19. Certification of Annual Administrative Costs

20. RWHAP FY 2015 X09 Reporting Requirements Changes

21. X09 Program Terms Report Program Terms Report: Due June 29, 2015
Worksheet was modified to reflect work plan submitted in FY 2015 X09 application.

22. FY 2015 X09 Program Terms Report Work Plan

23. X09 Semi-Annual Report
Semi-Annual Progress Report: Due October 31, 2015
Reporting period April 1, 2015-September 30, 2015

24. FY 2015 X09 Semi-Annual Progress Report

25. X09 Annual Progress Report
Annual Progress Report: Due July 30, 2016
Reporting period October 1, 2015-March 31, 2016

26. FY 2015 X09 Annual Progress Report

27. RWHAP ADAP ERF Reporting Requirements Calendar

28. Question and Answer Session

29. RWHAP States/Territories Part B Supplemental FOA Announcement Number: HRSA-15-006
Terri` Richards, MPH
Project Officer, Division of State HIV/AIDS Programs 
HIV/AIDS Bureau
Health Resources and Services Administration
Department of Health and Human Services
Today we will be discussing the Part B Supplemental Grant Program’s FOA. As we go through the slide set, I will reference the specific sections of the FOA and highlight the relevant content.

30. Purpose
Solicits applications for the Ryan White HIV/AIDS Program Part B Supplemental Grant Program.
Supplements the HIV care and treatment services provided by the States/Territories.
Determined by the applicant’s ability to demonstrate the need in the State/Territory based on an objective and quantified basis.
The purpose of Ryan White HIV/AIDS Part B Supplemental funding is to supplement HIV care and treatment services provided by the State or Territory and is awarded based upon the applicant’s ability to substantiate additional need, which we will discuss later.

31. Summary of Funding
Approximately $61,000,000 is expected to be available for 2015 Part B Supplemental funding, of which up to approximately $5,200,000 will be used for priority funding.
The project and budget period is one (1) year, September 30, 2015 through September 29, 2016.
Page i of the FOA provides the summary of funding
The Part B Supplemental funding amount is based upon the FY 15 funding appropriation.

32. Priority Funding Provision
Section 2620(c) of the PHS Act: The amount of Supplemental Funds disbursed to States/Territories under RWHAP Part B to address the decline or disruption of services related to the decline in the amount of formula funding.
Such a decline in funding compares the amount received in fiscal year 2015 to the amount received in fiscal year 2006 and a State’s assertion that such decline has had an impact on services available to eligible PLWH in the state.
Page 1 of the FOA discusses the Priority Funding Provision
Grantees who are eligible for priority funding should include an assertion for priority funding in ATTACHMENT 6: Applicant Assertion Statement.

33. RWHAP Part B Supplemental
The State/Territory must demonstrate the severity of the HIV/AIDS epidemic in the State/Territory by using:
Quantifiable data on HIV epidemiology, co-morbidities, cost of care, the service needs of emerging populations, unmet need for core medical services, and unique service delivery challenges.
Applicants must explain why supplemental funding is necessary to provide HIV care and treatment services for PLWH in the State/Territory.
Applicants must describe how supplemental funding will support viral load suppression and achieve positive client level health outcomes.
As mentioned earlier, applicants must substantiate the need for supplemental funding. Applicants must provide quantifiable data, discuss the service needs for people living HIV, and describe how supplemental funding will support viral load suppression and positive health outcomes.

34. Demonstrated Need
The State/Territory must demonstrate the severity of the HIV/AIDS epidemic in the State/Territory by using:
The current prevalence of HIV/AIDS
The unmet need for HIV-related services as determined by section 2617(b) of the PHS Act;
An increasing need for HIV/AIDS services, including relative rates of increase in the number of living cases of HIV/AIDS;
Increases in the number of living cases of HIV/AIDS within new or emerging subpopulations;
Pages 1-2 of the FOA discuss factors for demonstrating need and listed on the next few slides.

35. Demonstrated Need (cont’d)
Relevant factors related to the cost and complexity of delivering health care to individuals with HIV/AIDS in the eligible area;
The impact of co-morbid factors, including co-occurring conditions including high rates of sexually transmitted infections (STIs), Hepatitis, Tuberculosis, substance use, severe mental illness, and other co-morbid factors;
The prevalence of homelessness;

36. Demonstrated Need (cont’d)
The prevalence of individuals who were released from Federal, state or local prisons during the preceding three years and had HIV/AIDS on the date of their release;
Relevant factors that limit access to health care including geographic variation, adequacy of health insurance coverage and language barriers; and
Impact of a decline in the amount of RWHAP Part B funding received on services available to all individuals with HIV/AIDS identified and eligible for RWHAP services.

37. Demonstrated Need
Applicants must provide a narrative and data to support the service categories chosen to respond to the demonstrated need(s), the implementation plan, and the request for funds.

38. Important Notes New OMB Uniform Guidance
Effective December 26, 2014
Supersedes and streamlines previous OMB Circulars
75% Core Medical Services Expenditure
Failure to meet requirement requires a waiver
Pages 2-3 of the FOA include “Important Notes” applicants should be aware of.
•On December 26, 2013, the Office of Management and Budget (OMB) published new guidance for Federal award programs, the new OMB Uniform Guidance. The Guidance supersedes and streamlines requirements from OMB Circulars and is a key component of a larger Federal effort to more effectively focus Federal grant resources on improving performance and outcomes while ensuring the financial integrity of taxpayer dollars. The new OMB Uniform Guidance became effective for HHS Awards on December 26, 2014.
•The X08 Supplemental Grant funding is subject to the 75% core medical services requirement. Grantees not meeting the 75 percent core medical services expenditure requirement will be subject to the financial penalty associated with this requirement. If a grantee anticipates less than 75 percent expenditures in core medical services, the grantee may submit a core medical services waiver in accordance with the guidance provided in the FOA.

39. Background
Authorized by the Ryan White HIV/AIDS Program legislation, Section 2620(b) of the PHS Act.
Funds are subject to the Core Medical Services requirement per Section 2620(e) and Section 2612(b)(1) of the PHS Act.
The RWHAP Part B Supplemental Program is authorized by the Ryan White HIV/AIDS Program legislation, Section 2620(b) of the PHS Act. The Part B Supplemental funding is an extension of activities under the X07 grant. Therefore, it is also subject to the 75/25 Core Medical Services requirement. 75 % of grant funds must be used for Core Medical Services. As mentioned in the previous slide, grantees anticipating less then 75 % expenditures in core medical services may submit a core medical services waiver.

40. Background Support of the Affordable Care Act Implementation
RWHAP budget resources for outreach and enrollment efforts
HIV Care Continuum
RWHAP grantees are to utilize RWHAP Part B funds to achieve better outcomes in the jurisdiction’s HIV continuum of care
The Background Section on pages 2-5 of the FOA includes information that will assist applicants in understanding and completing this year’s grant application:
Support of the Affordable Care Act Implementation
Here you will find helpful information about ways in which you can use your existing RWHAP budget resources for outreach and enrollment efforts to support enrollment activities for RWHAP clients into private health insurance plans through the Health Insurance Marketplace and into Medicaid in their jurisdictions.
HIV Care Continuum
Grantees are encouraged to work with their stakeholders to improve health outcomes along their continuum of care by identifying people infected with HIV, linking them to HIV primary care, accomplishing lifelong retention in HIV medical care, and ultimately HIV viral load suppression.

41. Background Integrated Data Sharing and Utilization
Integrated HIV data sharing and utilization approaches
HIV/AIDS Clinical Performance Measures
HIV/AIDS Clinical Performance Measures and Common HIV Core Indicators
Integrated Data Sharing and Utilization
Here you will find information on integrated data sharing and utilization approaches that further the goals of the NHAS and improving outcomes on the HIV Care Continuum such as complete CD4/VL reporting to the State and Territorial Health Departments surveillance systems to identify cases, classify stage of disease at diagnosis, and monitor disease progression..
HIV/AIDS Clinical Performance Measures
HAB has worked with other agencies within the HHS to develop Common HIV Core Indicators to assist in assessing outcomes along the continuum. HAB encourages grantees to use the HIV/AIDS Clinical Performance Measures and Common HIV Core Indicators in the use and implementation of the core clinical performance measures.

42. Needs Assessment
Narrative and data must support the service categories chosen to respond to the demonstrated need(s), the implementation plan, and the request for funds.
On page 9 is the Needs Assessment section.
Applicants should only respond to sections that are relevant to their request for RWHAP Part B Supplemental funding. For example, you would only respond to the HIV/AIDS Epidemiologic Data section if you were applying for RWHAP Part B Supplemental Funds due to an increasing number of cases or trends in your jurisdiction.

43. Early Identification of Individuals with HIV/AIDS (EIIHA)
RWHAP Part B Supplemental funding may be used to support the strategy, plan, and data collection as it relates to how the State/Territory will identify individuals living with HIV/AIDS who are unaware of their status (EIIHA).
Because Part B Supplemental Funding is intended to Supplement the HIV care and treatment services provided by the States/ Territories, DSHAP encourages grantees to assess current activities and programs under your X07 grant and how determine they might be enhanced/expanded by supplemental funding. For example, EIIHA-X08 funds can be used to support the strategy, plan and data collection as it relates to how the State/Territory will identify individuals living with HIV/AIDS who are unaware of their status.

44. ADAP
For States/Territories with current or potential shortfalls in ADAP resources, HAB strongly encourages grantees to prioritize RWHAP Part B Supplemental funds to augment ADAP program resources when the following exist:
ADAP Waiting Lists
Capped Enrollment
Reductions in ADAP formulary
Reduction in Percentage of FPL Eligibility
Other ADAP Program Restrictions within the jurisdiction
Likewise, grantees are also strongly encouraged to use X08 Supplemental funding to address potential shortfalls within your ADAP Program. If your program has experienced an ADAP Waiting List, Capped Enrollment, Reductions in ADAP formulary., Reduction in Percentage of FPL Eligibility, and/or other ADAP Program Restrictions within the jurisdiction, supplemental funding should be prioritized towards your ADAP Resources.

45. Caps on Expenses
RWHAP Part B grantee administrative costs may not exceed 10% of the total Part B grant award including the Part B Supplemental.
Planning and Evaluation costs may not exceed 10% of the total Part B grant award. Collectively, Grantee Administration, and Planning and Evaluation may not exceed 15% of the total Part B award.
RWHAP Part B Clinical Quality Management costs may not exceed 5% of the total Part B grant award or $3,000,000 (whichever is the lesser amount).
Like the X07 grant, the X08 grant is subject to cap on expenses. As you know, HAB recently issued PCN #15-01 on the 10% Admin Cost Cap so please be sure to review that when developing the X08 budgets.
Grantees should use their best estimates in preparing budgets for the application. When submitting your revised budget for approval, after Part B Supplemental funds have been awarded, you must adhere to these costs caps.
Note: Cost sharing/Matching is not required for this program.

46. Attachments Attachment No. Description 1
RWHAP Part B Supplemental Implementation Plan Table 2*
Staffing Plan and Job Descriptions for Key Personnel 3*
Biographical Sketches of Key Personnel 4*
Project Organizational Chart 5
Tables and Charts 6
Application Assertion Statement 7*
Core Medical Services Waiver
8 - 15
Other Relevant Documents
Grantees should clearly label all attachments.
Attachment numbers 2-4 only have to be resubmitted if there have been changes since the submission of (X07) award.
If you are applying for a Core Medical Services Waiver, please include it as Attachment 7.

47. Important Note
The Objective Review Committee will be provided with the following attachments previously submitted RWHAP Part B FOA (HRSA ):
ATT 1: Project Organizational Chart
ATT 2: Staffing Plan & Job Descriptions for Key Personnel
ATT 3: Biographical Sketches of Key Personnel
ATT 5: HIV/AIDS Epidemiology Table and Narrative
ATT 8: Unmet Need Framework Table and Narrative
The Object Review Committee will be provided the following attachments from your earlier submission of HRSA (X07). Again, you are not required to resubmit these attachments unless there have been changes in key personnel or your organization since your X07 award.

48. Funding Restrictions
Section 2681(c) of the PHS Act requires that, “as a condition of receipt of funds, a State shall provide assurances to the Secretary that health support services funded under this title will be integrated with other such services, that programs will be coordinated with other available programs (including Medicaid), and that the continuity of care and prevention services of individuals with HIV/AIDS is enhanced.” Therefore, the expectation is that these funds are used to supplement other Federal grant or State funds.
This award is subject to the funding restrictions as described in the SF-42 Application Guide and p of the FOA. Please Note: X08 funding must be used to supplement other federal grant and/or state funds. The funding restriction in bullet e on p. 20 reiterates this requirement.

49. Scoring of Applications
The review criteria provided in the FOA are the basis upon which the Objective Review Committee (ORC) will evaluate the application.
ORC scores will be used to establish the rank order for the awarding of funds.
Once the applications have been ranked by the ORC, award amounts are determined on a formula based on the ORC score and the grantee’s number of living HIV/AIDS cases.
Please see section 5.3 of the HRSA SF-424 Application Guide

50. Who Can Apply? 59 States/Territories are eligible to apply.
However any State or Territory that had more than 5 percent of their FY 2013 formula funds cancelled under Section 2622(e) for FY 2013, are not eligible to apply for the FY 2015 Part B Supplemental Funding.
Therefore the following States/Territories are not eligible to apply to this FOA this year-Massachusetts, Maryland, Washington, D.C., Federated States of Micronesia, and Virgin Islands
Due to the UOB penalties under Part B X07 award there are some states who cannot apply under this announcement.

51. Application and Submission
Application Deadline: June 29, 2015 at 11:59 PM Eastern Time.
HRSA requires applicants for this FOA to apply electronically through Grants.gov.
Section 4 of HRSA’s SF-424 Application Guide provides instructions for the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, and project abstract. You must submit the information outlined in the Application Guide in addition to the program specific information below.
Applicants must download the SF424 application package associated with this funding opportunity following the directions provided.
All applicants are responsible for reading and complying with the instructions included in HRSA’s SF-424 Application Guide.

52. Application Format Requirements
The total size of all uploaded files may not exceed the equivalent of 40 pages when printed by HRSA. The 40-page limit includes the abstract, project and budget narratives, attachments, and letters of commitment and support. Standard OMB-approved forms are NOT included in the page limit.
Applications must be submitted and validated by Grants.gov prior to the deadline to be considered under this announcement.
See pages of HRSA’s SF-424 Application Guide for table of contents and order of documents and attachments.
HRSA strongly urges applicants to print their application to ensure it does not exceed the 40-page limit.

53. Agency Contacts
Program issues and/or technical assistance regarding this funding announcement may be obtained by contacting:
Heather Hauck Telephone: (301)
Fax: (301)
Business, administrative, or fiscal issues related to this funding opportunity announcement may be obtained by contacting:
Karen Mayo Telephone: (301)
Fax: (301)

54. Agency Contacts
Applicants may need assistance when working online to submit their application forms electronically. Applicants should always obtain a case number when calling for support.
For assistance with Grants.gov, Contact Center Telephone: or
iPortal:

55. Question and Answer Session

56. Thank You