Ryan White HIV/AIDS ProgramPart D--Women, Infants, Children, and Youth (WICY) Supplemental Funding(HRSA-19-026)Pre-Application Technical Assistance Conference CallNovember 15, 2018Mahyar Mofidi, DMD, Ph.D.Director, Division of Community HIV/AIDS Programs (DCHAP)HIV/AIDS Bureau (HAB)Health Resources and Services Administration (HRSA)

Agenda

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• HAB Vision and Mission• Purpose of Funding Opportunity• Award Information • Eligibility Information• Application and Submission Information • Application Review Information • Application Submission Tips• Question and Answer

Acronyms

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• Application Guide - SF-424 Application Guide

• CQM – Clinical Quality Management

• EHR – Electronic Health Records• GMS – Grants Management

Specialist• IPV – Intimate Partner Violence• HAB – HIV/AIDS Bureau• HRSA – Health Resources &

Services Administration

• NOFO – Notice of Funding Opportunity • PLWH – People Living With HIV• PrEP – Pre-exposure Prophylaxis• RWHAP – Ryan White HIV/AIDS

Program• SAM – System for Award Management• SAMHSA – Substance Abuse and

Mental Health Services Administration• SSP – Syringe Services Programs• WICY – Women, Infants, Children, and

Youth

HIV/AIDS Bureau Vision and Mission

VisionOptimal 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 living with HIV and their families

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Purpose

The purpose of this supplemental funding is to strengthen organizational capacity to respond to the changing health care landscape and increase access to high quality family-centered HIV primary health care services for low income, uninsured, and underserved WICY living with HIV.

Applicants may propose one activity in HIV Care Innovation: • Patient-Based Treatment Adherence • Motivational Interviewing • Transitioning Youth into Adult HIV Care • Intimate Partner Violence Screening & Counseling • Youth Stable Housing Collaboration

Please refer to page 1 of the NOFO

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Award Information

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• Approximately $3,000,000 is available to fund between 20-35 grants.

• Applicants may submit proposals for only one activity in the HIV Care Innovation category.

• Applicants may request funding amounts of up to $150,000 for the one year project period (8/1/19 - 7/31/20). Requests exceeding this amount will be deemed nonresponsive and will not be considered under this NOFO.

• Duplication of funded activities is not allowable.

• Applicants may propose an expansion of an activity currently supported with RWHAP Part D Supplemental or Part C Capacity Development funding; however, HRSA will not fund the same activity in FY 2019 that HRSA funded in FY 2018.

Please refer to page 5 of the NOFO

Eligibility Information

• Eligibility is limited to current RWHAP Part D WICY funded recipients.

• Cost sharing/matching is not required.• Multiple applications from an organization are not

allowable.

Please refer to pages 6 of the NOFO

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Application and Submission Information

Two Components of the NOFO:

1) Part D WICY Supplemental Funding NOFO HRSA-19-026 focuses on the program-specific content, including goals, expectations, and requirements of the program

2) HRSA’s General Instructions• SF 424 Application Guide (“Application

Guide”)• Links are found throughout the NOFO

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Application Package

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 Form• Project Narrative (uploaded to the Project Narrative Attachment

Form)• SF-424A Budget• Budget Narrative (uploaded to the Budget Narrative Attachment

Form)• Attachments (Section IV 2. v. of NOFO)• Grants.gov Lobbying Form• SF-424B Assurances• Key Contacts

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Project Abstract

• Indicate the project title as “FY 2019 RWHAP Part D Supplemental Funding” and include the following:

• Identification of the selected activity.• A summary of the proposed activity and its intended impact in

response to the changing health care landscape and increase access to high quality family-centered HIV primary health care services for low income, uninsured, and underserved WICY living with HIV.

• The funding amount requested for the one-year period of performance.

• Note: Abstract must be single-spaced and no more than one page in length.

See page 8 in the NOFO and Section 4.1 in the SF424 Application Guide

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Project Narrative

Sections:• Introduction• Needs Assessment• Methodology• Work Plan• Resolution of Challenges• Evaluation and Technical Support Capacity• Organizational Information

Please refer to pages 8 to 12 in the NOFO

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HIV Care Innovation: Choose Only One Activity

HIV Care Innovation:• Patient-Based Treatment Adherence• Motivational Interviewing• Transitioning Youth into Adult HIV Care• Intimate Partner Violence (IPV) Screening &

Counseling• Youth Stable Housing Collaboration

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Patient-Based Treatment Adherence

• Implement an innovative patient-based treatment adherence program supported by policies and procedures to provide long-term adherence support for chronically non-adherent patients, in particular patients with mental health, substance use disorder, and opioid use disorder issues, to address one or more stages of the HIV care continuum.

• For resources addressing this topic, access the Knowledge Network (https://knowledge.samhsa.gov/) located on the Substance Abuse and Mental Health Services Administration (SAMHSA) website.

Please refer to page 8 of the NOFO

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Motivational Interviewing

• Train staff to conduct motivational interviewing for PLWH who are also dealing with mental health, substance use, and opioid use disorder issues.

• Applicants must train direct care staff on how to assess clients for mental health and substance use disorders, and for treatment readiness.

• Develop policies and procedures in the clinical setting that address one or more stages of the HIV care continuum.

Please refer to page 8 of the NOFO

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Transitioning Youth into Adult HIV Care

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• Implement transition planning activities that include, but are not limited to, written policies, procedures, and staff training to assist youth in transitioning from pediatric to adult HIV medical care.

• Transition planning is a RWHAP Part D program requirement; therefore, this activity should focus on innovative approaches that build organizational capacity to effectively implement and manage the transition for the youth population (ages 13-24) and minimize negative impacts.

• The activity must address one or more of the stages of the HIV care continuum.

Please refer to page 9 of the NOFO

Intimate Partner Violence (IPV) Screening & Counseling

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• Implement IPV screening and counseling in the clinical setting and establish referral networks to community-based social services organizations.

• The activity must address one or more of the stages of the HIV care continuum.

• For resources addressing this topic, access the IPV toolkit on the HRSA Office of Women’s Health (OWH) website: (https://www.hrsa.gov/enews/past-issues/2017/october-05/mobilizing-against-domestic-violence.html?utm_campaign=enews09212017&utm_medium=email&utm_source=govdelivery)

Please refer to page 9 of the NOFO

Youth Stable Housing Collaboration

• Identify staff to coordinate services/referral and draft and implement a Youth Stable Housing Care Plan.

• Applicants must include other partner organizations to help with this collaborative initiative and create a network of housing and HIV service programs that will employ strategies to reach, engage, support, and house homeless youth.

• For resources addressing this topic, access the Department of Housing and Urban Development (HUD) Exchange website (https://www.hudexchange.info/programs/hopwa/) located on the U.S. HUD, Housing Opportunities for Persons With AIDS (HOPWA) website.

Please refer to page 9 of the NOFO

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Project Narrative - Introduction

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• Clearly indicate the proposed HIV Care Innovation activity.

• Describe the purpose of the proposed activity.

• Discuss why your local community and/or organization is in need of supplemental funds.

• If the proposed activity is an expansion of a previously funded HIV Care Innovation activity:

• Clearly describe how the proposed activity builds upon and furthers the objectives of the previously funded activity in maximizing impact.

Please refer to pages 9 and 10 in the NOFO

Project Narrative - Needs Assessment

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HIV Care Innovation activities:• Describe and document the target population(s) and their

unmet health care needs. • Describe the service needs based on your evaluation of the

gaps in the HIV care continuum for your target population(s) living with HIV your organization serves.

• Provide data on the five stages of the HIV care continuum for your target population(s) living with HIV using the most recent three calendar years of available data.

• Clearly define the numerator and the denominator for each stage.

Please refer to page 10 in the NOFO

Project Narrative - Methodology

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• PLWH Involvement: Describe how you will engage PLWH and/or organizations that represent them in the implementation of this activity, including decision-making.

• Collaboration and Coordination: Outline the partners needed, if applicable. Identify the tasks that each partner proposes to perform and the amount of funding, if any, you expect to allocate to the partner.

• Sustainability: Describe how you will maintain the efforts set forth in this activity after the period of federal funding ends. Also, describe how you intend to share or disseminate relevant information and/or products developed through the funded activity with other providers, stakeholders, and PLWH in the community and/or collaborators to this project.

Please refer to pages 10 to 11 of the NOFO

Project Narrative - Work Plan

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• Describe the activity’s goal, specify the objectives, and identify the key action steps that will be used to achieve the proposed activity for the 12-month period of performance of August 1, 2019 - July 31, 2020.

• Use a timeline that includes each step of the proposed activity and targeted date for completion and which identifies staff responsible for the steps.

• Identify the measures by which you will evaluate success.

• Provide the above information in a table format and submit in the application as Attachment 1.

Please refer to page 11 of the NOFO

Project Narrative - Work Plan

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SPECIFICMEASURABLE

ACHIEVABLEREALISTIC &

TIME FRAMED!

Your work plan should include objectives and key action steps that are:

Project Narrative - Resolution of Challenges

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• Discuss any challenges you anticipate encountering in the planning and implementation of the proposed project.

• Describe the specific activities or strategies you will use to mitigate or resolve anticipated challenges.

Please refer to page 11 of the NOFO

Project Narrative - Evaluation and Technical Support Capacity

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• Data Collection and Management• Describe the systems and processes that will support your

organization’s monitoring of the proposed activity. • Describe how your organization will collect, manage, and analyze

data.

• Project Evaluation• Describe the evaluation plan that will monitor ongoing processes

and progress toward the goals and objectives of the proposed activity.

• Describe the plan for the program performance evaluation that will contribute to continuous quality improvement.

• Describe how evaluation results will be shared internally with program staff and externally with key stakeholders (including PLWH) to improve program implementation and outcomes.

Please refer to pages 11 to 12 of the NOFO

Project Narrative - Organizational Information

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Organizational Capabilities

• Describe your organization’s capabilities that will contribute to successfully implement the proposed activity.

• Highlight key staff with relevant expertise and past experience with similar work.

• Describe your experience with fiscal management of grants and contracts.

Please refer to page 12 of the NOFO

Sample Staffing Plan

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Budget Requirements

Budget information consists of three parts:

1. SF-424A Budget Information for Non-Construction Programs (included in the application package)

2. Program-specific line item budget (Attachment 5)

3. Budget justification narrative

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See pages 12 to 14 in the NOFO, and 31 in the SF424 Application Guide

Budget Requirements: SF-424A

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Budget Requirements: SF-424A

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Salary Limitation

Please note that effective January 8, 2018, the salary rate limitation applicable to RWHAP domestic grants and cooperative agreements increased from $187,000 to $189,600. • The Consolidated Appropriations Act, 2018, Division H, §

202, (P.L. 115-141) 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.

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Salary Rate Limitation Example

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• Individual’s full time salary: $255,000.

• Amount that may be claimed on the federal RWHAP award due to the legislative salary limitation:

• Individual’s base full time salary adjusted to Executive Level II: $189,600

Funding Restrictions

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Please refer to pages 16 and 17 of the NOFO

• Charges that are billable to third party payors

• Directly provide health care services that duplicate existing services

• Clinical research• Nursing home care• Cash payments to

intended recipients of RWHAP services

• Purchase of or improvement to land

• Purchase or construction of new facilities or capital improvements

• PrEP medications and related medical services

• Purchase of sterile needles and syringes as part of an SSP

• Development of materials designed to promote or encourage intravenous drug use or sexual activity

• Foreign travel • Long-term activities

Attachments

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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 counttoward the page limit

Please refer to pages 14 to 15 of the NOFO

Application Review Information

• HRSA’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 they:

• are submitted by the published deadline• do 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.

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Application Review Information

• Review Criteria are used to review and rank applications. For this opportunity, there are 6 review criteria:

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Criteria PointsCriterion 1: Need 20Criterion 2: Response 25Criterion 3: Evaluative Measures 10Criterion 4: Impact 15Criterion 5: Resources/Capabilities 10Criterion 6: Support Requested 20Total Points 100

Please refer to pages 18 to 20 of the NOFO

Application Package: Where is it?

• On HRSA’s website at www.hrsa.gov/grants• Click on the NOFO “apply at Grants.gov” link

• At www.grants.gov• Search by opportunity number, HRSA-19-026 or• CFDA 93.153

• The Application Guide is available at https://www.hrsa.gov/grants/apply/applicationguide/sf424guide.pdf or click the links in the NOFO

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Application Submission Tips• Read 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 D WICY Supplemental Funding).• Refer to section 4.7 of the Application Guide for additional Tips for

Writing a Strong Application.• 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 all your PIN numbers and passwords handy!

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Grants.gov Contact Information

• When to contact Grants.gov Helpdesk• Error 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, or• support@grants.gov, or • https://grants-portal.psc.gov/Welcome.aspx?pt=Grants

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Tracking Grants.gov Submissions

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SF424 Application Guide, section 8.2.5

Reminders

• Your application must be electronically submitted through and successfully validated by Grants.gov no later than January 29, 2019, 11:59 pm ET.

• We recommend submission of the application at least four business days before the due date.

• Grants.gov Contact Center: • 1-800-518-4726 or support@grants.gov• (24/7 except Federal holidays)

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HRSA Contacts

Applicants who need additional information may contact:

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Monique HitchBranch Chief, DCHAPEmail: mhitch@hrsa.govPhone: 301.443.3944Web: hab.hrsa.gov

Adejumoke OladeleGrants Management Specialist, Division Grant Management OperationsOffice of Federal Assistance Management (OFAM)Email: aoladele@hrsa.govPhone: 301.443.0349Web: hab.hrsa.gov

Q&A - Your Questions are Welcome!

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HAB TargetHIV Website https://targethiv.org/calendar/webinar-and-call-archives

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