To increase the capacity of entities that provide comprehensive primary care services to persons with Human Immunodeficiency Virus (HIV) infection, or who are at-risk of infection, and to offer more early intervention services.

The services will include increased counseling and testing, partner

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involvement in risk reduction, transmission prevention, appropriate primary care diagnostic and treatment services, and, as needed, case-management to ensure that individual service needs are met.

A capacity development program provides assistance to organizations wishing to develop an expanded HIV program, particularly in rural and underserved areas and communities of color.

In FY 07, 358 programs were funded and provided early intervention services, including primary and preventive care to over 150,000 people with HIV disease. Also in FY 07, we awarded 25 Capacity Development grants. Other accomplishments include the provision of technical assistance to existing grantees, continued support for efforts to improve the quality of care for persons living with HIV/AIDS, the development of clinical quality performance measures.

Uses and Use Restrictions

Applications should be designed to improve the availability, accessibility and organization of ambulatory health services to persons infected with HIV or who are at high risk.

Funds may not be used for acquiring property, used for inpatient or residential care, and no more than 10 percent of the Federal funds may be used for administrative costs.

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Eligibility Requirements

Applicant Eligibility

Eligible applicants are public and private nonprofit entities that are: federally qualified health centers under Section 1905(1)(2)(B) of the Social Security Act; grantees under Section 1001 (regarding family planning ) other than States; comprehensive hemophilia diagnostic and treatment centers; rural health clinics; health facilities operated by or pursuant to a contract with the Indian Health Service; community based organizations, clinics, hospitals and other health facilities that provide early intervention services to those persons infected with HIV/AIDS through intravenous drug use; or nonprofit private entities that provide comprehensive primary care services to populations at-risk of HIV/AIDS, including faith-based and community-based organizations.

Capacity development grants require that applicants be public or private non-profit organizations that are or intend to become HIV Primary Care Providers.

Beneficiary Eligibility

Persons infected with HIV or who are at high risk of HIV infection.

Credentials/Documentation

Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.

Aplication and Award Process

Preapplication Coordination

This program is eligible for coverage under E.O.

12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office of official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

Grant applications and required forms for this program can be obtained from Grants.gov. Please visit the Grants.gov Web site at www.grants.gov to both find and apply for all Federal grant opportunities. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Bureau of HIV/AIDS. The Associate Administrator has the authority to make final selections for awards.

Award Procedures

After approval by the Associate Administrator, the Division of Grants Management Operations prepares a Notice of Grant Award and issues the award.

Deadlines

www.hrsa.gov.

Authorization

Public Health Service Act, Title XXVI, Part C, as amended, Public Laws 106-345, 109-415, Ryan White Care Act Amendments of 2000 HIV/AIDS Treatment Modernization Act of 2006.

Range of Approval/Disapproval Time

From 120-180 days.

Appeals

None.

Renewals

None.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula for the amount of the grant. The amount is negotiated based on costs of the proposed grant activities. Grantees are not required to match Federal funds under the grant; however, the level of nonfederal expenditures for early intervention services must be maintained at the level for the year prior to the grant award.

Length and Time Phasing of Assistance

Early Intervention Services grants may be made for up to 5-year project periods. Continued support, beyond the first year, is contingent upon satisfactory performance and the availability of Federal funds. Capacity development grants may be funded at up to $150,000 for up to 3 years.

Post Assistance Requirements

Reports

Grantees must submit a Financial Status Report on SF 269 (long form) within 90 days after the end of the budget period.

The grantee must also submit the annual Care Act Data Report due March 15 each year, covering the just-ended January 1 - December 31 calendar year.

Beginning in Fiscal Year 2009, grantees must submit an Allocations Report, 60 days after the notice of grant award, and an Expenditures Report within 90 days after the end of the budget period, (OMB 0915-0318) Additionally, each funded program must submit a non-competing application each year prior to the end of the budget period.

A final financial status report and final performance report must be submitted 90 days after the end of the project period.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

All records must be maintained until expiration of 3 years from the date of submission of the final expenditure report. If questions remain following the 3-uear period, such as those raised as a result of an audit or an on-going enforcement action, recipients must retain records until the matter is completely resolved.

Financial Information

Account Identification

75-0350-0-1-550.

Obigations

EIS grants: FY 07 $180,191,123; FY 08 est $185,206,136; and FY 09 est $185,781,668. Capacity Development grants: FY 07 $2,069,202; FY 08 est $1,000,000; and FY 09 est 1,000,000.

Range and Average of Financial Assistance

$100,000 to $650,000; $350,000. Planning grants are limited to $50,000 and Capacity Development grants are limited to $150,000.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.

Information Contacts

Regional or Local Office

For Early Intervention Services Grants: Kathleen Treat, Division of Community Based Programs, HIV/AIDS Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 7A-30, Rockville, MD 20857. Telephone: (301) 443-7602. For Capacity Development Grants: Dora Ober at (301) 443-0759 or at the same address as above.

Headquarters Office

Grants Management Office: Rick Goodman, Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 11A-16. Health Services Branch: (301) 443-2385; Research and Training Branch: (301) 443-3099; Government and Special Focus Branch: (301) 443-3288.

Criteria for Selecting Proposals

Evaluations will be based on (1) Applicant's assessment of community need for additional preventive and primary care services to those with, and at risk for, HIV infection; (2) applicant's ability to describe its role in addressing unmet needs; (3) appropriateness of the proposed budget; (4) comprehensiveness of existing and proposed services; (5) collaboration with other local city, county, State HIV-prevention and treatment activities; and (6) adequacy and completeness of applicant's program evaluation plan.