HIV/AIDS Bureau Division of State HIV/AIDS Programs (DSHAP)

1. HIV/AIDS BureauDivision of State HIV/AIDS Programs (DSHAP) Ryan White HIV/AIDS Program Part BTechnical Assistance Webinar FY 2014 RWHAP Part B Supplemental Funding Opportunity Announcement HRSA-14-048 April 9, 2014

2. DSHAP Mission: To provide leadership and support to States/Territories for developing and ensuring access to quality HIV prevention, health care, and support services. DSHAP Vision: Optimal HIV/AIDS Prevention, Care and Treatment for all.

3. Agenda

4. Objectives • To discuss the FY 2014 RWHAP States/Territories Part B Supplemental FOA • Provide pre-application Technical Assistance (TA) to Part B grantees • Answer questions related to the FOA

5. Presenter Harold Phillips Deputy Director Division of State HIV/AIDS Programs

6. Announcements & Updates

7. Announcements • Affordable Care Act • RSR Report • RWAP Part B Supplement FOA (HRSA-14-048)- Released • HRSA-HAB/CDC DHAP Dear Colleague Letter on Integrated Care and Prevention Plan • Upcoming Webinars • RSR Town Hall Webinar, April 16 • Quality Webinar Focuses on Care Continuum, April 17 • What’s Next? The Affordable Care Act and the Ryan White HIV/AIDS Program in a Post-Enrollment Environment” on Thursday, April 17,

8. HRSA’s five public health priorities: • Achieving Health Equity and Improving Outcomes • Linking/Integrating Public Health and Primary Care • Strengthening Research & Evaluation; Assuring Availability of Data and Supporting Health Information Exchange (HIE) • Assuring a Strong Public Health/Primary Care Workforce • Increasing Collaboration and Alignment of Programs Within HRSA and Among Our Partners

9. Question and Answer Session

10. Poll No. 1 Poll 1: False: HealthCare.Gov is a Consumers Portal for health insurance options for individuals, families and small businesses.

11. RWHAP States/Territories Part B Supplemental FOAAnnouncement Number: HRSA-14-048 • Harold Phillips, MRP • Deputy Director, Division of State HIV/AIDS Programs  • HIV/AIDS Bureau • Health Resources and Services Administration • Department of Health and Human Services

12. Purpose • Solicits applications for the Ryan White HIV/AIDS Program Part B Supplemental program. • Supplement the services otherwise provided by the State. • Determined by the applicant’s ability to demonstrate the need in the State based on an objective and quantified basis.

13. Summary of Funding • Approximately $15,500,000 is expected to be available for 2014 Part B Supplemental funding, of which up to approximately $4,500,000 will be used for priority funding. • The project & budget period is one (1) year: 9/30/2014 – 9/29/2015

14. Priority Funding Provision • $4,500,000 will be used for priority funding • Section 2620(c) of the PHS Act: The amount of Supplemental Funds disbursed to States under RW Part B to address the decline or disruption of services due to reductions in formula funding • Such a decline in funding compares the amount received in fiscal year 2014 to the amount received in fiscal year 2006 and a State’s assertion that such decline has had an impact on services available

15. 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 should explain why supplemental funding for health services is needed to provide necessary services for people living with HIV and AIDS in the State/Territory.

16. Poll No. 2 False: Ryan White Part B Supplemental Funds are subject to the Core Medical Services requirement. See page 2 of the FOA

17. Demonstrated Need • 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-related 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;

18. Demonstrated Need • 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;

19. Demonstrated Need • The prevalence of homelessness; • 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

20. Demonstrated Need • Impact of a decline in the amount received in formula funding on services available to all individuals with HIV/AIDS identified and eligible under the title. • Applicants should document the use of multiple data sets, such as HIV/AIDS epidemiologic data, co-morbidity data, poverty and insurance status data, current utilization data and assessments of emerging populations with special needs.

21. Important Note The Review Committee will be provided with the following attachments previously submitted with the X07 FOA 14-047: • ATT 1: Organizational Chart (if applicable) • ATT 2: Staffing Plan & job descriptions (if applicable) • ATT 3: Biographical Sketches (if applicable) • ATT 5: Epi Table and Narrative • ATT 8: Unmet Need Framework and Narrative

22. Additional Information • 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).

23. Caps on Expenses • 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.

24. Scoring of Applications • Objective Review Committee (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.

25. Who Can Apply? • 50 States/Territories are eligible to apply. • However any State or Territory that had more than 5 percent of their FY 2012 formula funds cancelled under sections 2618(a)(1) or 2618(a)(2)(F)(i), offset under section 2622 (e), or covered by any waivers under section 2622(c) for fiscal year 2012 are NOT ELIGIBLE • The following States/Territories are not eligible to apply to this FOA this year – Nebraska, the District of Columbia, Marshall Islands, Palau, U.S. Virgin Islands

26. Application and Submission • Application Due Date: May 28, 2014 at 11:59 P.M. EST • HRSA requires applicants for this funding opportunity announcement to apply electronically through Grants.gov. • All applicants are responsible for reading and complying with the instructions included in HRSA’s SF-424 Application Guide, available online at http://www.hrsa.gov/grants/apply/applicationguide/sf424guide.pdf • Section 4 of HRSA’s SF-424 Application Guide provides instructions for the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, and abstract. You must submit the information outlined in the Application Guide in addition to the program specific information in the FOA.

27. 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 forms are NOT included in the page limit. • Applications must be submitted prior to the deadline to be considered under this announcement. • See HRSA’s SF-424 Application Guide - Section 4.3 - Application Content Order for order of documents and attachments.

28. Poll No. 3 True: The HRSA’s SF-424 application guide provides instructions for budget and budget justification. See page 5 of FOA.

29. Additional Information • For States/Territories with current or potential shortfalls in ADAP resources, HAB strongly encourages grantees to prioritize 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

30. Agency Contacts • Program issues and/or technical assistance regarding this funding announcement may be obtained by contacting: Heather Hauck, Tel: 301-443-6547 Fax: 301-443-8143, Email: hhauck@hrsa.gov • Business, administrative, or fiscal issues related to this funding opportunity announcement by contacting: Karen Mayo Telephone: (301) 443-3555 Fax: (301) 594-4073 E-mail: KMayo@hrsa.gov

31. 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 withGrants.gov Contact Center Telephone: 1-800-518-4726 or E-mail: support@grants.gov iPortal: http://grants.gov/iportal

32. Poll No. 4 True: CAREWare is free, scalable software for managing and monitoring HIV clinical and supportive care and can be used to produce a completed Ryan White HIV/AIDS Services Report (RSR). See HAB website.

33. Priority Funding Provision Grantee Question QUESTION: On Pg. 18 of the FOA under “Funding Consideration” how do we know if we qualify when we don’t know what our FY 14 Award is? RESPONSE: We will notify those grantees that are eligible for priority funding in the next few weeks but well ahead of the Part B Supplemental application deadline.

34. Eligibility Grantee Question QUESTION: Need clarification on the "5% fund cancellation" ineligibility. Does that include a state grantee that is deobligated for not meeting the 75% obligation of award within 120 days after receipt?

35. Grantee Question RESPONSE:This is referring to the UOB penalty. If a State/Territory has UOB of their formula award which exceeds five percent, two penalties are imposed: 1. Future year award is reduced by amount of UOB less the amount of approved carryover; and 2. The grantee is not eligible for a future year supplemental award

36. Grantee Question QUESTION: The Project Abstract instructions for the Supplemental FOA are the same as the Formula FOA. • Are they really supposed to be the same? • Does HRSA want the identical project abstract as what was submitted with the formula award?

37. Grantee Question RESPONSE: 1. Yes. The instructions for the Project Abstract are outlined in Section 4.1 of HRSA’s SF-424 Application Guide. The application guide applies to all HRSA Funding Opportunity Announcements (FOA). 2. No. The Project Abstract you submit with this FOA should be a summary of your Part B Supplemental application.

38. Question and Answer Session

39. Thank You