FY 2015 RWHAP Part B Supplemental Funding Opportunity Announcement HRSA-15-006 Ryan White HIV/AIDS Program Part B Technical Assistance Webinar May 13, 2015 HIV/AIDS Bureau Division of State HIV/AIDS Programs (DSHAP) HAB DSHAP Mission To provide leadership and support to States/Territories for developing and ensuring access to quality HIV prevention, health care, and support services. 2 Agenda Welcome Katherine Patterson RWHAP Announcements Heather Hauck Questions and Answers RWHAP Part B Reporting Requirements Yemisi Odusanya Questions and Answers RWHAP Part B Supplemental FOA Terri` Richards Questions and Answers Closing Remarks Heather Hauck 3 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. 4 Presenter Heather Hauck, MSW, LICSW Director Division of State HIV/AIDS Programs 5 Announcements & Updates 6 Question and Answer Session 7 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 FY 2015 RWHAP Part B (X07) and ADAP ERF (X09) Reporting Requirements Major changes from FY 2014 to FY 2015 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. 10 RWHAP FY 2015 X07 Reporting Requirements Changes 11 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. 12 Budget Narrative Spreadsheet 13 Budget Narrative Spreadsheet 14 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 1. Contact Info tab 2. Outreach tab 3. Education tab • “Extra Worksheet” tab has been removed. 15 MAI Plan & Annual Report 16 X07 Reporting Requirements Calendar FY 2015 Requirements Contents Submission Due to EHB RWHAP Part B MAI Annual Plan RWHAP Part B Program Terms Report FY 2015 RWHAP Part B MAI Annual Plan REVISED: SF 424A, FY 2014 Part B and MAI Planned Allocation Table, Budget Narrative, Implementation Plan, Consolidated List of Contracts (CLC), and Contract Review Certification (CRC) 75% obligation of grant funds (may use CRC as supporting documentation) Reporting Period: 4/1/2015 – 7/2 9 / 2015 FY 2014 RWHAP Part B UOB Estimates and Estimated Carryover Request June 29, 2015 June 29, 2015 Ryan White HIV/AIDS Program Services Report (RSR) Grantee Report CY 2015 RSR Grantee Report Reporting Period: 1/1/2015 – 12/31/ 2015 February 2, 2016 Date subject to change. Ryan White HIV/AIDS Program Services Report (RSR) Provider Reports CY 2015 RSR Provider Reports Reporting Period: 1/1/2015 – 12/31/ 2015 March 23, 2016 Date subject to change. Ryan White HIV/AIDS Program Services Report (RSR) Client-level Data Report CY 2015 RSR Client-Level Data Report Reporting Period: 1/1/2015 – 12/31/ 2015 Ryan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP) Data Report (ADR) CY 2015 ADR Client-Level Data Report Reporting Period 1/1/2015-12/31/2015 June 8, 2016 Date subject to change. FY 2015 ADR Grantee Data Report Reporting Period 4/1/2015-3/31/2016 June 8, 2016 Date subject to change. RWHAP Part B & MAI Final Expenditure Table FY 2015 RWHAP Part B & MAI Final Expenditure Table July 30, 2016 RWHAP Part B Annual Progress Report and WICY Expenditures Report RWHAP Part B MAI Annual Report Final Federal Financial Report (FFR) (SF425) Final FY 2015 RWHAP Part B Annual Progress Report and WICY E x p e n d i t u r e s R eport FY 2015 RWHAP Part B MAI Annual Report FY 2015 Final FFR and Carry Over (Carryover Request must be submitted within 30 days of FY15 Final FFR submission; by 8/29/16) July 30, 2016 Interim Federal Financial Report (FFR) (SF 425) RWHAP Part B Unobligated Balances (UOB) August 28, 2015 January 31, 2016 March 30, 2016 Date subject to change. July 30, 2016 July 30, 2016 17 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. 18 Certification of Annual Administrative Costs 19 RWHAP FY 2015 X09 Reporting Requirements Changes 20 X09 Program Terms Report • Program Terms Report: Due June 29, 2015 • Worksheet was modified to reflect work plan submitted in FY 2015 X09 application. 21 FY 2015 X09 Program Terms Report Work Plan 22 X09 Semi-Annual Report • Semi-Annual Progress Report: Due October 31, 2015 • Reporting period April 1, 2015September 30, 2015 23 FY 2015 X09 Semi-Annual Progress Report 24 X09 Annual Progress Report • Annual Progress Report: Due July 30, 2016 • Reporting period October 1, 2015March 31, 2016 25 FY 2015 X09 Annual Progress Report 26 RWHAP ADAP ERF Reporting Requirements Calendar 27 Question and Answer Session 28 RWHAP States/Territories Part B Supplemental FOA Announcement 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 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. 30 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. 31 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. 32 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. 33 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; 34 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 cooccurring 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; 35 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. 36 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. 37 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 38 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. 39 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 40 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 41 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. 42 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). 43 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 44 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). 45 Attachments Attachment No. 1 2* 3* 4* 5 6 7* 8 - 15 Description RWHAP Part B Supplemental Implementation Plan Table Staffing Plan and Job Descriptions for Key Personnel Biographical Sketches of Key Personnel Project Organizational Chart Tables and Charts Application Assertion Statement Core Medical Services Waiver Other Relevant Documents 46 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 47 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. 48 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. 49 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 yearMassachusetts, Maryland, Washington, D.C., Federated States of Micronesia, and Virgin Islands 50 Application and Submission • Application Deadline: June 29, 2015 at 11:59 PM Eastern Time. • HRSA requires applicants for this FOA to apply electronically through Grants.gov. • Section 4 of HRSA’s SF-424 Application Guide provides instructions for the budget, budget justification, staffing plan and personnel requirements, assurances, certifications, and project abstract. You must submit the information outlined in the Application Guide in addition to the program specific information below. 51 Application Format Requirements • The total size of all uploaded files may not exceed the equivalent of 40 pages when printed by HRSA. The 40-page limit includes the abstract, project and budget narratives, attachments, and letters of commitment and support. Standard OMB-approved forms are NOT included in the page limit. • Applications must be submitted and validated by Grants.gov prior to the deadline to be considered under this announcement. • See pages 38-41 of HRSA’s SF-424 Application Guide for table of contents and order of documents and attachments. 52 Agency Contacts • Program issues and/or technical assistance regarding this funding announcement may be obtained by contacting: Heather Hauck Telephone: (301) 443-6745 Fax: (301) 443-8143 E-mail: hhauck@hrsa.gov • Business, administrative, or fiscal issues related to this funding opportunity announcement may be obtained by contacting: Karen Mayo Telephone: (301) 443-3555 Fax: (301) 594-4073 E-mail: kmayo@hrsa.gov 53 Agency Contacts Applicants may need assistance when working online to submit their application forms electronically. Applicants should always obtain a case number when calling for support. For assistance with Grants.gov, Contact Center Telephone: 1-800-518-4726 or E-mail: support@grants.gov iPortal: https://grants-portal.psc.gov/Welcome.aspx?pt=Grants 54 Question and Answer Session 55 Thank You 56