PreApplication Technical Assistance Webinar HRSA21055 July 30 2020 Division of Metropolitan HIVAIDS Programs DMHAP HIVAIDS Bureau HAB HIVAIDS Bureau Vision and Mission Vision Optimal HIVAIDS care and treatment for all ID: 805506
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Slide1
Ryan White HIV/AIDS Program Part A Pre-Application Technical Assistance Webinar HRSA-21-055July 30, 2020
Division of Metropolitan HIV/AIDS Programs (DMHAP)
HIV/AIDS Bureau (HAB)
Slide2HIV/AIDS Bureau Vision and MissionVision
Optimal HIV/AIDS care and treatment for all
MissionProvide leadership and resources to assure access to and retention in high quality, integrated care, and treatment services for vulnerable people with HIV and their families
2
Slide3Agenda
3
Purpose of Notice of Funding Opportunity
Award Information
Eligibility Application and Submission Information Application Review Information Application Submission TipsQuestion and Answer *Also included are a list of acronyms, knowledge checks, resources, and acknowledgements
Slide4Acronyms
4
CQM – Clinical Quality Management
DUNS – Data Universal Numbering System
EHB – Electronic Handbooks
EHR – Electronic Health Records
EIIHA – Early Identification of
Individuals with HIV/AIDS
HAB – HIV/AIDS Bureau
HRSA – Health Resources and Services Administration
GMS – Grants Management Specialist
LPAP – Local Pharmacy Assistance Program
MAI – Minority AIDS Initiative
MIS – Management Information System
NOFO – Notice of Funding Opportunity (formerly FOA)
PO – Project Officer
RWHAP – Ryan White HIV/AIDS Program
SAM – System for Award Management
Slide5Purpose of NOFOThis 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 people with HIV who are low-income through the provision of formula, supplemental, and Minority AIDS Initiative (MAI) funds
Please refer to page
1 of the NOFO
5
Slide6Updates in FY 2021 NOFONarrative Section: Evaluation and Technical Support Capacity: there are now only three Evaluative Measures.
Highlighted in this NOFO: As part of your FY 2021 annual progress report, due May 29, 2022, you will be asked to provide a narrative describing the impact of MAI-specific interventions on improving viral suppression and other HIV-related health outcomes for the MAI subpopulations identified in the NOFO Demonstrated Needs section.
6
Slide7Award InformationApproximately $620,000,000 available to fund up to 52 applicants
Approximately $10,800,000 will be used for priority funding and $53,000,000 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)
7
Please refer to page
7
of the NOFO
Slide8Eligibility InformationEligible 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
requiredApplicant may request up to the ceiling amount in Appendix B Maintenance of Effort Information (MOE) – Attachment 11
Please refer to pages 8 to 9 of the NOFO
8
Slide9Application and Submission Information
9
Two Components of the NOFO:
HRSA-21-055
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
Slide10Application Package
10
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 FormProject Narrative (uploaded to the Project Narrative Attachment Form)SF-424A BudgetBudget Narrative (uploaded to the Budget Narrative Attachment Form)Attachments (Section IV 2. v. of NOFO)
Grants.gov Lobbying Form
SF-424B Assurances
Key Contacts
Slide11Project AbstractThe project abstract should be single spaced, limited to one page, and include the following:
General Overview of the HIV epidemic
in the EMA/TGA, including
epidemiologic, demographic and geographic information. May present this in a table format System of Care in EMA/TGA, including core medical and support services, locations, client access, and special services for disproportionately affected populations
Overall Viral Suppression Rate for the EMA/TGAData on subpopulations that highlight disparities in this outcome measure
11
Please refer to page
11
of
the NOFO &
page
34
of the SF-424 Application Guide
Slide12Project NarrativeSections:Introduction
Needs Assessment
Methodology
Work PlanResolution of ChallengesEvaluation and Technical Support CapacityOrganizational InformationPlease refer to pages 12 to
31 of the NOFO
12
Slide13Project Narrative – Needs Assessment Demonstrated Need
13
Demonstrated Need includes:
Epidemiological Overview HIV Care Continuum
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
12
to
15
of the NOFO
Slide14Project Narrative – Needs Assessment Early Identification of Individuals with HIV/AIDS (EIIHA)
14
Please refer to page
15
of the NOFO
Slide15Project Narrative – Needs Assessment Local Pharmaceutical Assistance Program (LPAP)
15
Please refer to page
16
of the NOFO
This section
must
be completed
only
if an LPAP is newly funded. Please note the following:
The 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 16-02 for a complete list of LPAP requirements
See the
National Monitoring Standards and the LPAP letter
of clarification sent to RWHAP Parts A and B recipients on August 29, 2013.
Slide16Knowledge Check 1
16
Question
#1
Slide17Project Narrative – Methodology Impact of the Changing Health Care Landscape
17
Please refer to page
17
of the NOFO
Please describe the following:
Health care coverage options available to people with HIV in the jurisdiction
Impact of access to healthcare services and health outcomes
The effects changes in the health care landscape have on:
Service provision and the complexity of providing care to people with HIV
Changes in RWHAP Part A allocations
Slide18Project Narrative – MethodologyPlanning Responsibilities Planning and Resource Allocation
Administrative Assessment
Letter of Assurance from Planning Council Chair(s) or Letter of Concurrence from Planning Body
Resource InventoryPlease refer to pages 17 to
20 of the NOFO
18
Slide19Methodology - SAMPLE Attachment 5
19
Coordination of Services and Funding Streams Table
Funding Source
FY 2020 Funding Amount
Number of Agencies
Prevention Services
HIV Testing & Policy Alignment Efforts
PLWH/Partner Prevention Services
Condom Distribution
Core Medical-related Services
Outpatient/Ambulatory Health Services
AIDS Drug Assistance Program Treatment (Tx)
AIDS Pharmaceutical Assistance
Oral Health Care
Early Intervention Services
Health Insurance Premium &Cost-Sharing
Home Health Care
Home & Community-based Health Services
Hospice Services
Mental Health Services
Medical Nutrition Therapy
Medical Case Mgmt, incl. Tx Adherence
Substance Abuse Outpatient Care
Supportive Services
Non-Medical Case Management Services
Child Care Services
Emergency Financial Assistance
Food Bank/Home-delivered Meals
Health Education/Risk Reduction
Housing Services
Linguistic Services
Medical Transportation
Other Professional Services: Legal Services
Outreach Services
Psychosocial Support Services
Referral for Health Care & Support Services
Rehabilitation Services
Respite Care
Substance Abuse Services (residential)
Treatment Adherence Counseling
Dollar Amount
%
Part A
$
Part B
$
Part C
$
Part D
$
Part F
$
CDC
$
SAMHSA
$
HOPWA
$
Federal
$
State
$
Local
$
Total
$
100%
Slide20Project Narrative – Work PlanHIV 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
Baseline: Numerator/Dominator, %
Target: Numerator/Dominator, %
III. Retained
in Care
Increase percentage of
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.
Baseline: Numerator/Dominator, %
Target: Numerator/Dominator, %
IV.
Prescribed
ART
Increase percentage of
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.
Baseline: Numerator/Dominator, %
Target: Numerator/Dominator, %
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.
Baseline: Numerator/Dominator, %
Target: Numerator/Dominator, %
20
Please refer to pages
20
to
21
of the NOFO
Slide21Project Narrative – Work PlanFunding for Core & Support Services
Service Category Plan
Service Category Plan Table
RWHAP Part AMAI
Service Category Plan NarrativeCore Medical Services Waiver (if applicable)
21
Please refer to pages
21
to
22
of the NOFO
Slide2222
PART A
Service Category
Priority Number
2020 Allocated
2021 Anticipated
Funding Amount
UDC
Served
Service Unit Definition
Service
Units
Funding Amount
UDC
Served
Service Unit Definition
Service
Units
Example:
Outpatient Ambulatory Medical Care
2021-1
$2,000,000
2000
1 unit =
1 visit
4500
$1,200,000
1200
1 unit =
1 visit
3800
Example:
Medical Case Management
2021-2
$1,500,000
2500
1 unit =
1 visit
25,000
$2,000,000
2600
1 unit =
1 visit
30,000
Work Plan – SAMPLE Attachment 8
Service Category Plan Table
Slide2323
Work Plan - SAMPLE Attachment 8
Service Category Plan Table MAI
MAI
Service Category
Priority Number
2020 Allocated
2021 Anticipated
MAI Only
Funding Amount
UDC
Served
Service Unit Definition
Service
Units
Funding Amount
UDC
Served
Service Unit Definition
Service
Units
Target populations
Example:
Outpatient Ambulatory Medical Care
2021-2
$400,000
175
1 unit =
1 visit
500
$350,000
200
1 unit =
1 visit
400
Hispanic
Women
Child-bearing
Age
Example:
Medical Case Management
2021-1
$250000
150
1 unit =
1 visit
1500
$300000
150
1 unit =
1 visit
2000
Hispanic
Women
Child-bearing
Age
Slide24CORE MEDICAL SERVICES WAIVER
CORE
MEDICAL SERVICES WAIVER
Submission
Service Category Plan TableAllocation TableBefore ApplicationMatch Waiver RequestNot
Applicable for Application
With Application
Match Waiver Request
Match Waiver Request
After Application
Match Intended Waiver Request
Not Applicable for Application
24
Instructions for CMS Waivers can be found at:
https://hab.hrsa.gov/sites/default/files/hab/Global/13-07waiver.pdf
Please refer to page
22
of the NOFO
Slide25Knowledge Check 2
25
Question
#2
Slide26Project Narrative – Resolution of Challenges SAMPLE Table
26
Slide27Project Narrative - 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 patient care/outcomes/satisfaction, and/or change service delivery in the jurisdiction, including strategic long-range service delivery planning
27
Please refer to page
23
of the NOFO
Slide28Project Narrative - Organizational Information
Grant Administration
Program Organization
The individual responsible for the grant has at least 0.5 FTE allocated to RWHAP Part A
Grant Recipient AccountabilityMonitoringThird Party ReimbursementFiscal Oversight
Maintenance of Effort (MOE)
28
Please refer to pages
24
to
26
of the NOFO
Slide29Staffing Plan SAMPLE Table
29
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
0.15
0.15
0.25
0.45
Dr. Jones
MD
Medical Director
Oversight of clinic staff, SOPS and CQI projects
15-years providing HIV primary care
0.15
0.20
0.15
0.45
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
0.60
0.10
0.05
Vacant
MSW
Medical Case Manager
Treatment adherence training
0.50
0.50
Slide30Budget RequirementsBudget information consists of
two
parts:
SF-424A Budget Information for Non-Construction Programs (included in the application package)Budget Narrative/Justification
30
Please refer to pages
26
to
31
of the NOFO &
pages
17
to
31
of the SF-424 Application Guide
Slide3131Budget Requirements: SF-424A
Budget Information
Add info to
column (a)
Add CFDA #s to column (b)
Enter dollar amounts for column (a) - rows 1, 2, & 3
Totals auto- populate!
Totals cannot exceed amount in Appendix B of NOFO
Slide3232Budget Requirements: SF-424ABudget Categories
Totals auto- populate!
Columns auto- populate!
Enter object class category amounts into columns 1-3
Reminder: Total cannot exceed amount in Appendix B!
Slide3333Budget Requirements: SF-424AOther Budget Information
Please remember to complete items 21 & 22 in Section F
Slide34Budget Narrative/JustificationSAMPLE Table 1
34
Slide35Budget Narrative/JustificationSAMPLE Table 2
35
Slide36Salary LimitationThe current salary rate limitation applicable to RWHAP domestic grants and cooperative agreements increased from $192,300 in 2019 to
$197,300
in 2020
. The Departments of Health and Human Services, and Education and Related Agencies Appropriations Act, 2020 (P.L. 116-94), Division A § 202, 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.” 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.
36
Slide37Knowledge Check
37
Question
#3
Slide38Funding Restrictions
38
Cash payments to intended recipients of RWHAP services
International travel
Pre-exposure (PrEP) or post-exposure (PEP) prophylaxis medications or related medical services
Development of materials designed to promote or encourage intravenous drug use or sexual activity
Payment for any item or service that has been (or can be expected to be) paid by a state compensation program, insurance policy, federal or state health benefits program, or any entity that provides health services on a prepaid basis
Syringe Services Programs*
Construction*
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:
*Discuss with your HAB project officer.
Please refer to pages
35
to
36
of the NOFO
Slide39Attachments
39
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
32
to
33
of the NOFO
Slide40Attachments - Maintenance of Effort (MOE)
43
Please refer to page
33
of the NOFO
Slide41Application Review InformationHRSA’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
theyare submitted by the published deadlinedo 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
41
Please refer to pages
36 to 41
of the NOFO
Slide42Application Review InformationReview criteria are used to review and rank applications. For this opportunity, there are six review criteria:
42
Criteria
Points
Criterion 1: Need
66
Criterion 2: Response
12
Criterion 3: Evaluative Measures
2
Criterion 4: Impact
10
Criterion 5: Resources/Capabilities
5
Criterion 6: Support Requested
5
Total Points
100
Please refer to pages
36
to
41
in the NOFO
Slide43Application Package: Where is it?On HRSA’s website at https://www.hrsa.gov/grants/
Click on the “Apply for a Grant” link for info.
At
https://www.grants.gov/ Search by opportunity number (HRSA-21-055) orCFDA Number: 93.914The Application Guide is available at
https://www.hrsa.gov/sites/default/files/hrsa/grants/apply/applicationguide/sf-424-app-guide.pdf or click the links in the NOFO
43
Slide44Application Submission TipsRead 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 your PIN numbers and passwords handy!
44
Slide45Grants.gov Contact InformationWhen to contact Grants.gov HelpdeskError 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)1-800-518-4726, Send an email to: support@grants.gov,
or visithttps://grants-portal.psc.gov/Welcome.aspx?pt=Grants 45
Slide46Tracking Grants.gov Submissions
46
SF-424 Application Guide, section 8.2.5
The Grants.gov Contact Center can be reached by email at support@grants.gov, or by telephone at 1-800-518-4726
Submission Type
E-mail
Subject
Time
Frame
Sent by
Recipient
Competing
Application
1
st
e-mail
Submission Receipt
Within
48 hours
Grants.gov
AOR
2
nd
e-mail
Most Crucial
Submission Validation Receipt
OR
Rejected with Errors
Within 48 hours
Grants.gov
AOR
3
rd
e-mail
Grantor Agency Retrieval Receipt
Within hours of second
e-mail
Grants.gov
AOR
4
th
e-mail
Agency
Tracking number assignment
Within 3 business days
Grants.gov
AOR
Slide47RemindersYour application must be electronically submitted through and successfully validated by Grants.gov no later than
October 7, 2020,
11:59 p.m. EDT.We recommend submission of the application at least four business days before the due date.
47
4 days before
Due date!
Slide48Contact InformationApplicants who need additional information may contact:
48
Olusola Dada
Grants Management Specialist
Division of Grants Management Operations, OFAM
ODada@hrsa.gov
(301) 443-0195
Grants Contact
Chrissy Abrahms Woodland
Director, Division of Metropolitan HIV/AIDS Programs
CAbrahms@hrsa.gov
(301) 443-1373
Program Contact
Slide49Q&A - Your Questions are Welcome!
49
HAB TargetHIV Website
https://www.targethiv.org/searches/webcasts
52
Slide50Thank you for attending and Thanks to the following HRSA HAB Staff…..DMHAP NOFO Workgroup Members:Durkia Hudson, CDR Holly Berilla, LCDR Andy Tesfazion, Mae Rupert, Deborah Medina, Emerson Evans, Sera Morgan, Michael Carrigan, Sonya Hunt Gray, Kristina Barney, Marean Duarte, LCDR Jessica Kreger, and LCDR Jonathon Fenner
Presenters:
Chrissy Abrahms-Woodland, Director, DMHAP
LCDR Jonathon Fenner, Public Health Analyst, DMHAPDurkia Hudson, Public Health Analyst, DMHAPEmerson Evans, Public Health Analyst, DMHAP
50
Slide5151
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