HIV/AIDS Bureau Division of State HIV/AIDS Programs (DSHAP)

1. HIV/AIDS BureauDivision of State HIV/AIDS Programs (DSHAP) FY 2015 RWHAP Part B Supplemental Funding Opportunity Announcement HRSA-15-006 Ryan White HIV/AIDS Program Part BTechnical Assistance Webinar May 13, 2015

2. To provide leadership and support to States/Territories for developing and ensuring access to quality HIV prevention, health care, and support services. HAB DSHAP Mission

3. Agenda

4. Objectives • To discuss the changes in the FY15 RWHAP Part B Reporting Requirements • To discuss the FY 2015 RWHAP States/Territories Part B Supplemental FOA • Provide pre-application Technical Assistance (TA) to RWHAP Part B grantees. • Answer Questions related to the FOA.

5. Presenter Heather Hauck, MSW, LICSW Director Division of State HIV/AIDS Programs

6. Announcements & Updates

7. Question and Answer Session

8. FY 2015 RWHAP Part B Reporting Requirements Yemisi Odusanya, MPH Senior Program Advisor, Division of State HIV/AIDS Programs HIV/AIDS Bureau Health Resources and Services Administration, Department of Health and Human Resources

9. FY 2015 RWHAP Part B (X07) and ADAP ERF (X09) Reporting Requirements Major changes from FY 2014 to FY 2015

10. FY 2015 Overall Report Changes • Instruction pages now standardized. • Gray cells on spreadsheets indicate formulas • Please review all reporting requirements with your Project Officer now.

11. RWHAP FY 2015 X07 Reporting Requirements Changes

12. X07 Program Terms Report Program Terms Report: Due June 29, 2015 • Program Terms Report Instructions now contain detailed instructions for completing the SF-424A form. Standard Outcomes Measures document: • Needed to complete Implementation Plan (Block 6). • Contains web links to ensure most current standard outcomes measures. Budget Narrative spreadsheet: • Now a multi-tabbed spreadsheet (Part B Base, ADAP, MAI, Emerging Communities). • Must complete all applicable tabs of spreadsheet. • Information will not carry over from one spreadsheet to another with the exception of budget spreadsheet totals.

13. Budget Narrative Spreadsheet

14. Budget Narrative Spreadsheet

15. MAI Plan & Annual Report • FY 15 MAI Plan Due June 29, 2015 • FY 15 MAI Annual Report Due July 30, 2016 • Spreadsheet now contains three tabs vs. four tabs • Contact Info tab • Outreach tab • Educationtab • “Extra Worksheet” tab has been removed.

16. MAI Plan & Annual Report

17. X07 Reporting Requirements Calendar

18. Certification of Aggregate Administrative Costs • Please review the note at the bottom of the Certification of Aggregate Administrative Cost Spreadsheet. • Calculations are provided for line 5 and 6, however one FTE can be entered instead of a % if receive minimum allotment for line 6.

19. Certification of Annual Administrative Costs

20. RWHAP FY 2015 X09 Reporting Requirements Changes

21. X09 Program Terms Report • Program Terms Report: Due June 29, 2015 • Worksheet was modified to reflect work plan submitted in FY 2015 X09 application.

22. FY 2015 X09 Program Terms Report Work Plan

23. X09 Semi-Annual Report • Semi-Annual Progress Report: Due October 31, 2015 • Reporting period April 1, 2015-September 30, 2015

24. FY 2015 X09 Semi-Annual Progress Report

25. X09 Annual Progress Report • Annual Progress Report: Due July 30, 2016 • Reporting period October 1, 2015-March 31, 2016

26. FY 2015 X09 Annual Progress Report

27. RWHAP ADAP ERF Reporting Requirements Calendar

28. Question and Answer Session

29. RWHAP States/Territories Part B Supplemental FOAAnnouncement Number: HRSA-15-006 • Terri` Richards, MPH • Project Officer, Division of State HIV/AIDS Programs  • HIV/AIDS Bureau • Health Resources and Services Administration • Department of Health and Human Services

30. Purpose • Solicits applications for the Ryan White HIV/AIDS Program Part B Supplemental Grant Program. • Supplements the HIV care and treatment services provided by the States/Territories. • Determined by the applicant’s ability to demonstrate the need in the State/Territory based on an objective and quantified basis.

31. Summary of Funding • Approximately $61,000,000 is expected to be available for 2015 Part B Supplemental funding, of which up to approximately $5,200,000 will be used for priority funding. • The project and budget period is one (1) year, September 30, 2015 through September 29, 2016.

32. Priority Funding Provision • Section 2620(c) of the PHS Act: The amount of Supplemental Funds disbursed to States/Territories under RWHAP Part B to address the decline or disruption of services related to the decline in the amount of formula funding. • Such a decline in funding compares the amount received in fiscal year 2015 to the amount received in fiscal year 2006 and a State’s assertion that such decline has had an impact on services available to eligible PLWH in the state.

33. RWHAP Part B Supplemental • The State/Territory must demonstrate the severity of the HIV/AIDS epidemic in the State/Territory by using: • Quantifiable data on HIV epidemiology, co-morbidities, cost of care, the service needs of emerging populations, unmet need for core medical services, and unique service delivery challenges. • Applicants must explain why supplemental funding is necessary to provide HIV care and treatment services for PLWH in the State/Territory. • Applicants must describe how supplemental funding will support viral load suppression and achieve positive client level health outcomes.

34. Demonstrated Need The State/Territory must demonstrate the severity of the HIV/AIDS epidemic in the State/Territory by using: • The current prevalence of HIV/AIDS • The unmet need for HIV-related services as determined by section 2617(b) of the PHS Act; • An increasing need for HIV/AIDS services, including relative rates of increase in the number of living cases of HIV/AIDS; • Increases in the number of living cases of HIV/AIDS within new or emerging subpopulations;

35. Demonstrated Need (cont’d) • Relevant factors related to the cost and complexity of delivering health care to individuals with HIV/AIDS in the eligible area; • The impact of co-morbid factors, including co-occurring conditions including high rates of sexually transmitted infections (STIs), Hepatitis, Tuberculosis, substance use, severe mental illness, and other co-morbid factors; • The prevalence of homelessness;

36. Demonstrated Need (cont’d) • The prevalence of individuals who were released from Federal, state or local prisons during the preceding three years and had HIV/AIDS on the date of their release; • Relevant factors that limit access to health care including geographic variation, adequacy of health insurance coverage and language barriers; and • Impact of a decline in the amount of RWHAP Part B funding received on services available to all individuals with HIV/AIDS identified and eligible for RWHAP services.

37. Demonstrated Need • Applicants must provide a narrative and data to support the service categories chosen to respond to the demonstrated need(s), the implementation plan, and the request for funds.

38. Important Notes • New OMB Uniform Guidance • Effective December 26, 2014 • Supersedes and streamlines previous OMB Circulars • 75% Core Medical Services Expenditure • Failure to meet requirement requires a waiver

39. Background • Authorized by the Ryan White HIV/AIDS Program legislation, Section 2620(b) of the PHS Act. • Funds are subject to the Core Medical Services requirement per Section 2620(e) and Section 2612(b)(1) of the PHS Act.

40. Background • Support of the Affordable Care Act Implementation • RWHAP budget resources for outreach and enrollment efforts • HIV Care Continuum • RWHAP grantees are to utilize RWHAP Part B funds to achieve better outcomes in the jurisdiction’s HIV continuum of care

41. Background • Integrated Data Sharing and Utilization • Integrated HIV data sharing and utilization approaches • HIV/AIDS Clinical Performance Measures • HIV/AIDS Clinical Performance Measures and Common HIV Core Indicators

42. Needs Assessment • Narrative and data must support the service categories chosen to respond to the demonstrated need(s), the implementation plan, and the request for funds.

43. Early Identification of Individuals with HIV/AIDS (EIIHA) • RWHAP Part B Supplemental funding may be used to support the strategy, plan, and data collection as it relates to how the State/Territory will identify individuals living with HIV/AIDS who are unaware of their status (EIIHA).

44. ADAP • For States/Territories with current or potential shortfalls in ADAP resources, HAB strongly encourages grantees to prioritize RWHAP Part B Supplemental funds to augment ADAP program resources when the following exist: • ADAP Waiting Lists • Capped Enrollment • Reductions in ADAP formulary • Reduction in Percentage of FPL Eligibility • Other ADAP Program Restrictions within the jurisdiction

45. Caps on Expenses • RWHAP Part B grantee administrative costs may not exceed 10% of the total Part B grant award including the Part B Supplemental. • Planning and Evaluation costs may not exceed 10% of the total Part B grant award. Collectively, Grantee Administration, and Planning and Evaluation may not exceed 15% of the total Part B award. • RWHAP Part B Clinical Quality Management costs may not exceed 5% of the total Part B grant award or $3,000,000 (whichever is the lesser amount).

46. Attachments

47. Important Note • The Objective Review Committee will be provided with the following attachments previously submitted RWHAP Part B FOA (HRSA-15-004): • ATT 1: Project Organizational Chart • ATT 2: Staffing Plan & Job Descriptions for Key Personnel • ATT 3: Biographical Sketches of Key Personnel • ATT 5: HIV/AIDS Epidemiology Table and Narrative • ATT 8: Unmet Need Framework Table and Narrative

48. Funding Restrictions • Section 2681(c) of the PHS Act requires that, “as a condition of receipt of funds, a State shall provide assurances to the Secretary that health support services funded under this title will be integrated with other such services, that programs will be coordinated with other available programs (including Medicaid), and that the continuity of care and prevention services of individuals with HIV/AIDS is enhanced.” Therefore, the expectation is that these funds are used to supplement other Federal grant or State funds.

49. Scoring of Applications • The review criteria provided in the FOA are the basis upon which the Objective Review Committee (ORC) will evaluate the application. • ORC scores will be used to establish the rank order for the awarding of funds. • Once the applications have been ranked by the ORC, award amounts are determined on a formula based on the ORC score and the grantee’s number of living HIV/AIDS cases.

50. Who Can Apply? • 59 States/Territories are eligible to apply. • However any State or Territory that had more than 5 percent of their FY 2013 formula funds cancelled under Section 2622(e) for FY 2013, are not eligible to apply for the FY 2015 Part B Supplemental Funding. • Therefore the following States/Territories are not eligible to apply to this FOA this year-Massachusetts, Maryland, Washington, D.C., Federated States of Micronesia, and Virgin Islands