Ryan White HIV/AIDS Program Part C Stakeholders Call - PowerPoint Presentation

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Ryan White HIV/AIDS Program Part C Stakeholders Call

April 5, 2016

Department of Health and Human Services

Health Resources and Services Administration

HIV/AIDS Bureau, Division of Community HIV/AIDS Programs

Division Director

: Mahyar Mofidi, DMD, Ph.D.

Deputy Director: Stacey Evans, Ph.D.Slide2

Agenda

Welcome and IntroductionsRWHAP Part C Funding Allocation StudyProgram UpdatesMaintenance of EffortProgram Income

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Introductions – HIV/AIDS Bureau

Associate

Administrator

Laura Cheever

Deputy

Associate

Administrator

Heather HauckSenior Advisors: CAPT Letitia Robinson, Jan Joyce

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Introductions – Division of Community HIV/AIDS Programs

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Director

Mahyar Mofidi

Deputy Director

Stacey EvansSlide5

Senior

Public Health Analyst:

Ralph Brisueno

Branch Chief

Mindy Golatt

Director

Mahyar Mofidi

Deputy Director

Stacey Evans

Western Branch

AK, AZ, CA, CO, HI, ID, MT, ND, NE, NV, OR, SD, UT, WA, WY

Midwest Branch

IA

, IL, IN, KY, MI MN, NE, OH, PA,

WI

Central Branch

AL, AR, KS, LA, MO, MS,

NM, OK, TN, TX

Southern

Branch

FL, GA, NC, SC

Northeastern Branch

CT, DC, DE, MA, MD, ME, NH, PR, RI, VA, VI, VT, WV

Senior Program Advisor

Stephanie Yun

Administrative Associates

Menina Reyes

Michael Eggleston

Public Health Analysts

Monica Farmer

Barbara Kosogof

Nichelle Lewis

Angela Smith

Lillian Bell

Kristin Williams

Atlantic Branch

NJ, NY

Branch ChiefMonique Hitch

Branch ChiefStephanie Bogan

Branch ChiefHanna Endale

Branch ChiefShaun Chapman

Public Health AnalystsCara AlexanderWendy CousinoFabrine FloydCatishia Mosley (Data)Cecilia Yin

Public Health AnalystsJohn FanningBrian FitzsimmonsTanya GrandisonKimberley HawkinsTamika MartinS. Nicole VaughnL. Andrea Zeigler

Public Health AnalystsLynda BishopMichael CarriganCypriana FowellTracey GanttPankaja PandaDana Varkis

Public Health AnalystsElizabeth GoodgerAkil PierreMonica SivillsStephanie StinesDiane TanmanRenata ThompsonTina Trombley

Public Health AnalystsAlex CalvoJohn EatonKaren GoodenRuby NevilleJose OrtizViven Walker-MarableDeborah Willis-Fillinger

Senior Public Health Analyst: Gail Kelly

Branch ChiefMarinna Banks-Shields

Senior Policy Advisor Michelle Li

Chief Nurse Consultant Carrie Jeffries

Health Resources and Services Administration

HIV/AIDS Bureau – Division of Community HIV/AIDS Programs

Revised 3.14.2016

HAB Vision:

Optimal HIV/AIDS care and treatment for all.

HRSA Scholar

Tyranny Smith-BullockSlide6

RWHAP Part C Funding Allocation Study: Introduction

Responsiveness to a Changing Healthcare LandscapeNational HIV/AIDS Strategy (2020)

lays out specific goals and priorities in the form of a five-year comprehensive national plan to collectively advance toward life-saving HIV goals.

Affordable Care Act

has transformed the healthcare landscape by providing new and increased coverage options to PLWH.

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Goals

Explore potential methodologies to align Part C funding with geographic and healthcare financing considerations and current indicators of need

Promote

programmatic results along the HIV care continuum

Outcome

A methodology that utilizes data to inform the allocation of funding targeted to need and improved health outcomes in a manner that promotes transparency and consistency

RWHAP Part C Funding Allocation Study

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Feedback opportunities

Stakeholder call Q&ADCHAP email: AskDCHAP@hrsa.govFuture information and feedback opportunities will be made available

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Questions?

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Program UpdatesNotice of Awards

Starts

FY 16 Partial

awards

Reporting Requirements

January

50

% of the totalRSR, FFR, Expenditure Reports

Allocation reports will be added on balance of award NoAs

April

40

% of the

total

RSR, FFR, Expenditure ReportsAllocation reports will be added on balance of award NoAs

May*50% of the total

RSR, FFR, Expenditure Reports

Allocation reports will be added on balance of award

NoAs

The partial award

total

does not include “Increasing Access to HIV Care and Treatment” (IAHCT) funding

The NOA does not indicate MAI designation

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Federal Financial Report (FFR)

Part

C

Budget period ends…

FFR

Due date listed on NOA

Carryover

Due Date(30 days after FFR)January Start12/31/20154/30/20165/31/2016April Start3/31/20167/30/2016 8/31/2016May Start 4/30/2016

7/30/20168/31/2016

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Questions?

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Program Income

&Maintenance of Effort

Jan Joyce

Senior Advisor for Grants Policy

HIV/AIDS BureauSlide14

Program Income

Policy Clarification Notice 15-03

Clarifications

Regarding the Ryan White HIV/AIDS Program and Program Income

Accompanying

FAQs

http://hab.hrsa.gov/manageyourgrant/policiesletters.html

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Program Income

Per 45 CFR §75.2, Program Income: Program income means gross income earned by the non-Federal entity that is directly generated by a supported activity or earned as a result of the Federal award during the period of performance except as

provided

on 45 CFR

§75.307(f

). Program income includes but is not limited to income from fees for services performed, the use or rental of [sic.] real or personal property acquired under Federal awards, the sale of commodities or items fabricated under a Federal award, license fees and royalties on patents and copyrights, and principal and interest on loans made with Federal award funds. Interest earned on advances of Federal funds is not program income. Except as otherwise provided in Federal statutes, regulation, or the terms and conditions of the Federal award,

program income does not include rebates, credits, discounts, and interest earned on any of

them.15Slide16

Program Income

Alternatives for use (45 CFR §75.307(e))

HRSA/HAB must specify the alternative and allowable use of program income on the

NoA

– ADDITION ALTERNATIVE

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Program Income

Program Specific Term(s

):

9. Programs are required to track and report all sources of service reimbursement as program income on the annual Federal Financial Report and in annual data reports. All program income earned must be used to further the objectives of the RWHAP program.

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Program Income

Use of Program Income – Part CTo support a comprehensive system of care for low-income individuals living with HIV…

Core medical services including EIS

Administrative

expenses, including planning and evaluation

Clinical quality management activities

Support Services

Not subject to statutory distribution requirements or caps (e.g., 10% admin, CQM, 75% core medical, 50% EIS, etc.)18Slide19

Program Income

Expenditure of Program IncomeTo the extent available, recipients and

subrecipients

must disburse funds available from program income, rebates, refunds, contract settlements, audit recoveries and interest earned on such funds before requesting additional cash

payments (45 CFR §75.305(b)(5)).

Estimate accrued program income and determine RWHAP funds that will be needed during current performance period

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Program Income

Reporting Program IncomeRecipients are required to track and account for all program income in accordance with 45 CFR § 75.302(b)(3). Recipients must report program income on their Federal Financial Report (FFRs

).

Additionally

, it is the responsibility of the recipient to monitor and track program income earned by

subrecipients

.

Subrecipients should retain program income for “additive” use within their own programs. Consequently, program income earned by subrecipients should not be reported on the recipient’s FFR. 20Slide21

Program Income

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SF-425 Federal Financial ReportSlide22

Maintenance of Effort

Part C – Early Intervention ServicesSlide23

Maintenance of Effort – Part C

Require recipients to maintain past spending at a

“fixed level”

Prevents

recipients from

substituting Federal funds for activities that would otherwise have been

non-federally funded

Not a 1:1 match!23Slide24

Maintenance of Effort – Part C

These statutory clauses are intended to ensure that Federal program funds increase service levels in the program area—rather than to provide financial relief to recipients by

allowing them to substitute Federal funds for current or planned expenditures to have been paid with

State or other non-Federal

funds.

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Maintenance of Effort – Part C

§ 2664(d) of the PHS ActMAINTENANCE OF SUPPORT.—The Secretary may not make a grant under this part unless the applicant for the grant agrees to maintain the expenditures of the applicant for

early intervention services

at a level equal to not less than the level of such expenditures maintained by the State for the fiscal year preceding the fiscal year for which the applicant is applying to receive the grant.

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Maintenance of Effort – Part C

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NON-FEDERAL

EXPENDITURES

Applicant’s FY

Prior to Application (Actual

)

Actual prior FY non-Federal funds, including in-kind, expended for EIS activities

proposed in this application. Amount: $_____________

Applicant’s Current

FY of Application (Estimated

)

Estimated current FY non-Federal funds, including in-kind, designated for

EIS activities

proposed in this application.

Amount:

$______________

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Maintenance of Effort – Part C

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NON-FEDERAL

EXPENDITURES

Baseline

FY

Prior to Application (Actual)

Actual prior FY non-Federal funds, including in-kind, expended for

EIS activities proposed in the competitive

application.

Amount: $_____________

Applicant’s FY Prior to

NCC

Submission (Actual)

Actual prior

FY non-Federal funds, including in-kind, designated for

EIS activities reported in this Non-Competing Continuation

progress report

.

Amount:

$______________

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Maintenance of Effort

Penalties for Non-CompliancePenalties for reducing effort would be a proportionate reduction in Federal funds, not total withdrawal of the

Part C award.

Federal funds would be reduced by no less than the same percentage reduction applied to

non-Federal expenditures

to ensure that the Federal Government’s share of program costs does not

increase

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Discussion

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