Opportunity Information: Apply for HRSA 23 119
The Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services (HHS), released this discretionary grant opportunity (HRSA-23-119) under the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program to expand services into new geographic service areas. The overall aim is to strengthen access to comprehensive outpatient HIV primary care and related support services for low-income people with HIV, especially in underserved communities where existing resources are not adequately meeting need. HRSA planned to fund up to 10 new service areas through this competition, with an award ceiling of $350,000 per award (CFDA 93.918).
A central feature of the opportunity is its focus on building or expanding a full outpatient EIS model that helps people move from risk or diagnosis into consistent, standards-based HIV care. Funded recipients are required to ensure five core EIS components are available: (1) HIV counseling, (2) targeted HIV testing, (3) periodic medical evaluations and clinical and diagnostic services for HIV care and treatment, (4) therapeutic measures that prevent and treat immune system deterioration and conditions arising from HIV, and (5) referrals for individuals with HIV to appropriate health care and support service providers. Programs can deliver these services directly or ensure access through formal arrangements such as referrals, contracts, or memoranda of understanding (MOUs), which matters for applicants that rely on partnerships for specialty care, diagnostics, or supportive services.
Eligibility is structured to encourage both continuity and expansion. Current RWHAP Part C EIS recipients may apply, and so may new organizations, as long as they are proposing to deliver RWHAP Part C EIS-funded services in a newly defined geographic service area. For this notice of funding opportunity (NOFO), a "new service area" is not just any community an applicant wants to serve; it must be a clearly defined geographic area with a demonstrated unmet need for comprehensive outpatient HIV primary care and support services for low-income underserved people with HIV, and that need must not be adequately covered by other funding sources. To avoid duplication, newly proposed service areas cannot geographically overlap with existing RWHAP Part C EIS service areas, which are listed in the NOFO's Appendix B. Applicants proposing more than one service area have to treat each one as its own proposal and submit a separate application for each area, which implies separate need justification, service design, and partnership documentation by geography.
Program design and service delivery are expected to align with established HIV clinical practice standards and HHS HIV treatment guidelines, reinforcing that this is not a flexible community health grant but a medically driven HIV care program tied to federal standards. Applicants are also directed to use the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02 as the reference point for what RWHAP considers allowable core medical and support services, ensuring proposed budgets and activities fit within Ryan White rules and definitions.
The NOFO also highlights statutory spending requirements that shape how award funds must be allocated. At least 50 percent of the total grant amount must be spent on EIS costs (with counseling and referrals/linkage to care excluded from what counts toward that EIS spending threshold). In addition, at least 75 percent of the award, after setting aside amounts for administrative costs, planning and evaluation, and clinical quality management (CQM), must be spent on core medical services. Since EIS is treated as a subset of core medical services, the budget must be constructed so that EIS and other core medical services together satisfy this requirement. Administrative costs are capped: no more than 10 percent of total RWHAP Part C grant funds can be used for administration. If an applicant believes they need an exception to the core medical services spending requirement, the NOFO allows a waiver request, but it must be submitted with the application as Attachment 15, meaning it is not something to address after award.
Key logistics from the source listing include the opportunity category (discretionary), funding instrument (grant), activity area (health), and basic timeline details from the original posting: it was created February 1, 2023, and originally closed April 3, 2023. Overall, the opportunity is designed to extend the RWHAP Part C EIS outpatient care model into clearly justified, non-overlapping new areas, using Ryan White rules to ensure most funding is devoted to direct HIV medical services and early intervention activities, supported by strong clinical standards, quality management, and formalized referral networks.Apply for HRSA 23 119
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Ryan White HIV/AIDS Program Part C Early Intervention Services Program: New Geographic Service Areas" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.918.
- This funding opportunity was created on Feb 01, 2023.
- Applicants must submit their applications by Apr 03, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $350,000.00 in funding.
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs): HRSA-23-119 RWHAP Part C Early Intervention Services (EIS) - New Geographic Service Areas
1) What is this grant opportunity?
This is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS). It is released under the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program and is identified as HRSA-23-119 (CFDA 93.918).
2) What is the main purpose of HRSA-23-119?
The purpose is to expand comprehensive outpatient HIV primary care and related support services into newly defined geographic service areas. The overall aim is to strengthen access for low-income people with HIV, especially in underserved communities where current resources are not adequately meeting need.
3) How many awards and service areas were planned under this competition?
HRSA planned to fund up to 10 new service areas through this competition.
4) What is the maximum award amount?
The award ceiling is $350,000 per award.
5) What type of funding instrument is used?
The funding instrument is a grant.
6) What activity area does this opportunity fall under?
The activity area is health.
7) What is meant by an "Early Intervention Services (EIS) model" in this NOFO?
The NOFO emphasizes building or expanding a full outpatient EIS model that helps people move from risk or diagnosis into consistent, standards-based HIV care. It is structured as a medically driven outpatient HIV care and early intervention approach, rather than a general community health grant.
8) What are the required core EIS components?
Funded recipients must ensure five core EIS components are available:
- HIV counseling
- Targeted HIV testing
- Periodic medical evaluations and clinical and diagnostic services for HIV care and treatment
- Therapeutic measures that prevent and treat immune system deterioration and conditions arising from HIV
- Referrals for individuals with HIV to appropriate health care and support service providers
9) Do applicants have to provide all EIS services directly?
No. Programs may deliver services directly or ensure access through formal arrangements such as referrals, contracts, or memoranda of understanding (MOUs). This is especially relevant for applicants relying on partnerships for specialty care, diagnostics, or supportive services.
10) Who is eligible to apply?
Eligibility includes:
- Current RWHAP Part C EIS recipients, and
- New organizations, as long as they propose to deliver RWHAP Part C EIS-funded services in a newly defined geographic service area.
11) What qualifies as a "new service area" under this NOFO?
A "new service area" must be a clearly defined geographic area with a demonstrated unmet need for comprehensive outpatient HIV primary care and support services for low-income underserved people with HIV. The unmet need must also not be adequately covered by other funding sources.
12) Can a proposed new service area overlap with an existing RWHAP Part C EIS service area?
No. Newly proposed service areas cannot geographically overlap with existing RWHAP Part C EIS service areas listed in the NOFO's Appendix B.
13) What if an organization wants to propose more than one new service area?
If proposing more than one service area, each service area must be treated as its own proposal and requires a separate application for each area. This implies separate justification of need, service design, and partnership documentation for each geography.
14) What clinical standards or guidelines must programs follow?
Program design and service delivery are expected to align with established HIV clinical practice standards and HHS HIV treatment guidelines, reinforcing that services are tied to federal clinical standards.
15) What Ryan White policy guidance is referenced for allowable services?
Applicants are directed to use the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02 as the reference for allowable RWHAP core medical and support services. Proposed budgets and activities are expected to fit within Ryan White rules and definitions reflected in that guidance.
16) Is there a minimum spending requirement for Early Intervention Services (EIS)?
Yes. At least 50 percent of the total grant amount must be spent on EIS costs. However, counseling and referrals/linkage to care are excluded from what counts toward this EIS spending threshold.
17) Is there a minimum spending requirement for core medical services?
Yes. At least 75 percent of the award must be spent on core medical services after setting aside amounts for administrative costs, planning and evaluation, and clinical quality management (CQM). Since EIS is treated as a subset of core medical services, budgets must be structured so EIS and other core medical services together satisfy this requirement.
18) Are administrative costs capped?
Yes. No more than 10 percent of total RWHAP Part C grant funds may be used for administration.
19) Can an applicant request a waiver from the core medical services spending requirement?
Yes. If an applicant believes an exception is needed, the NOFO allows a waiver request. The waiver request must be submitted with the application as Attachment 15 (not after award).
20) Why does the NOFO emphasize non-duplication of service areas?
The NOFO is designed to extend the RWHAP Part C EIS outpatient care model into new areas with unmet need, while avoiding duplication of existing RWHAP Part C EIS-funded geographic coverage. This is why applicants must propose non-overlapping areas and demonstrate unmet need that is not adequately addressed by other funding sources.
21) What are the posting and closing dates listed for this opportunity?
The source listing shows the opportunity was created on February 1, 2023, and originally closed on April 3, 2023.
22) What is the overall structure HRSA appears to be encouraging through this competition?
The competition is structured to support expansion into clearly justified, newly defined, non-overlapping service areas; require availability of all five EIS components (directly or via formal partnerships); and ensure most award funds support direct HIV medical services and early intervention activities under Ryan White requirements, with clinical quality management and adherence to federal clinical standards.
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