April 5 2016 Department of Health and Human Services Health Resources and Services Administration HIVAIDS Bureau Division of Community HIVAIDS Programs Division Director Mahyar Mofidi DMD PhD ID: 708051
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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
2Slide3
Introductions – HIV/AIDS Bureau
Associate
Administrator
Laura Cheever
Deputy
Associate
Administrator
Heather HauckSenior Advisors: CAPT Letitia Robinson, Jan Joyce
3Slide4
Introductions – Division of Community HIV/AIDS Programs
4
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.
6Slide7
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
7Slide8
Feedback opportunities
Stakeholder call Q&ADCHAP email: AskDCHAP@hrsa.govFuture information and feedback opportunities will be made available
8Slide9
Questions?
9Slide10
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
10Slide11
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
11Slide12
Questions?
12Slide13
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
14Slide15
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
16Slide17
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.
17Slide18
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
.19Slide20
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
21
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.
24Slide25
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.
25Slide26
Maintenance of Effort – Part C
26
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
27
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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