HIV/AIDS Bureau
Division of State HIV/AIDS Programs (DSHAP)
Ryan White HIV/AIDS Program Part B
Technical Assistance Webinar
October 31, 2013
FY 2014 ADAP ERF
Funding Opportunity Announcement
HRSA-14-049
DSHAP Mission
To provide leadership and support to
States/Territories for developing and
ensuring access to quality HIV prevention,
health care and support services.
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Agenda
Opening Remarks/ Announcements
Heather Hauck
Question and Answer
Part B HRSA-14-049 Funding Opportunity
Announcement
Heather Hauck
Questions and Answer
Closing Remarks
Heather Hauck
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Presenter
Heather Hauck
Director
Division of State HIV/AIDS Programs
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Announcements
& Updates
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Announcements
Important Deadlines:
• Ryan White Part B HIV Care Grant Program FOA:
Deadline December 9, 2013
Part B/ADAP (X07) Reporting Requirements:
• Interim FFR SF-425 due: Nov. 28, 2013
• Grantees are unable to submit the report because the portal in
EHB is missing
• ADAP Quarterly Report (AQR): due January 31, 2014
• Unobligated Balances (UOB) & Estimated Carryover:
due January 31, 2014
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Announcements
• FY 2012 ADAP ERF (X09) FFR
• Due into EHB January 30, 2014
• Carryover Request due into EHB January 30,
2014
• Budget Period July 1, 2012 – September 29, 2013 is
not eligible for carryover
• Budget Period August 1, 2012 – September 29,
2013 is eligible for carryover
• Budget Period September 1, 2012 – September 29,
2013 is eligible for carryover
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Announcements
Upcoming Technical Assistance Activities:
• Webinar on Changes to HAB Performance Measure
Portfolio: November 6, 2013 1:00 – 2:00 pm EST
• Webinar on RSR Basics: November 6, 2013 2:00 – 3:00
pm EST
• Rescheduled Webinar on Enhancing Linkages to HIV
Care in Jail Settings: November 19, 2013 1:30 pm EST
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Core Medical Services Waiver
http://www.gpo.gov/fdsys/pkg/FR-2013-10-25/pdf/2013-25276.pdf
Effective: September 23, 2013
Questions
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Funding Opportunity Announcement:
HRSA-14-049
FY 2014 Limited New Competition
AIDS Drug Assistance Program (ADAP)
Emergency Relief Funds (ERF)
Objectives
To provide pre-application technical
assistance to applicants of the FY 2014
ADAP ERF Funding Opportunity
Announcement.
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Summary of Funding
• Approximately $40 million – $75 million in ADAP
ERF to fund up to 59 grantees
• Applicants may apply for a ceiling amount up to
$11 million per year
• Project period of one (1) year starting April 1,
2014
• Application due date in grants.gov – November
25, 2013 11:59 p.m. EST
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FY 2014 FOA Changes
• FY 2014 ADAP ERF budget period (April 1, 2014 –
March 31, 2015)
• New HRSA FOA template – please follow the
specific headers in each section
• The SF-424 Application Guide is available at
http://www.hrsa.gov/grants/apply/applicationguide/
• Information on the National HIV/AIDS Strategy (NHAS) is
located in the SF-424 Application Guide
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Purpose
• For States/Territories that can
demonstrate need for additional resources
to prevent, reduce or eliminate waitlists or
implement “cost cutting” and/or “costsaving” measures
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Purpose
• States with waiting list must use all funding
awarded to remove clients from the waiting list.
• States that did not report a waiting list, must use
funding to address “cost-cutting measures”
and/or support the implementation of “costsaving” measures during the project period to
prevent a waiting list.
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Purpose
Cost-cutting measures :
Cost-saving measures:
• Reductions in ADAP
financial eligibility below
300% of FPL
• Capped enrollment
• Formulary reductions with
respect to ARVs
• Restrictions with respect to
ADAP insurance eligibility
criteria (i.e.,< 300% FPL)
• Improved systems and
procedures for back
billing Medicaid
• Improved client
recertification
• Part B structural or
operational changes
such as collection of
rebates, expanding
insurance assistance
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Purpose
• HRSA has prioritized the following costcontainment strategies through its monitoring and
technical assistance efforts:
• Purchase of insurance, collection of rebates, back billing
of Medicaid, CMS data-sharing agreements for TrOOP
expenditures, six-month re-certification, and controlling
ADAP administrative costs.
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Eligibility
• All 50 states, the District of Columbia,
Commonwealth of Puerto Rico and U.S. Virgin
Islands are eligible to apply if there has been a
reported ADAP waiting list and/or cost
containment measures since CY 2011.
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Cost Sharing/Matching
• Cost Sharing/Matching is NOT required for
this program.
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Project Narrative
• New HRSA template: follow the
headings and subheadings as the
structure has been significantly
reorganized.
• Example: Resolution of Challenges, Evaluation
and Technical Support Capacity
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Introduction & Project Abstract
• Introduction:
• Briefly describe how the State/Territory will utilize
ADAP ERF funds addressing a waiting list and/or
cost cutting and/or cost savings measures
• Project Abstract:
• See section 4.1.ix of HRSA’s SF-424 Application
Guide
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Needs Assessment
• ADAP State/Territory Profile:
•
•
•
•
Submit as Attachment 1.
Appendix A: provides a description
ADAP profile for Fiscal Years 2011 & 2012
Sample format http://hab.hrsa.gov/adapprofile
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Methodology
• Average Client Costs:
• Medication and insurance assistance cost per client
• FY 2014 ADAP ERF budget period (April 1, 2014 –
March 31, 2015)
• States must provide step by step calculations and
clearly identify all data elements required to
complete the calculations
• Examples listed on pgs. 7-9 of FOA
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Methodology
• Previously awarded applicants:
• If the amount requested in this application is
different from your program’s last awarded
amount, please describe the factors which
account for this difference.
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Methodology
• ORC Reviewers will review and determine:
• Whether the average client cost calculation submitted
by applicants follow instructions provided;
• Whether the calculations are correct; if incorrect, the
error will be identified along with its impact on the
applicant’s calculations;
• Whether the applicant’s plan and budget request reflect
their average cost calculations; and
• If applicable, whether in preparing the plan and budget,
the applicant utilized the most recent number of
individuals on the State’s waiting list reported to HRSA.
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Work Plan
• Planned Services & Implementation Plan:
• Applicants may use table format similar to FY 2014
Part B Implementation Plan
• Submit as Attachment 4.
• The Implementation Plan estimated costs should be
based on the Average Monthly Client Medication
Cost and/or Average Monthly Client Cost for
Insurance Assistance for ADAP ERF budget period
(April 1, 2014 – March 31, 2015)
• All cost calculations & budget amounts are subject to
review by the ORC.
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Resolution of Challenges
• Describe specific actions taken to avoid,
reduce, or eliminate a waiting list.
• The measures listed in the FOA (page 11)
are examples of some required and some
possible measures.
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Evaluation
• Provide a brief description of the anticipated
impact of specific ADAP ERF funded activities
on proposed or currently implemented cost
containment and waitlist elimination.
• Provide a brief description of the methods in
place to evaluate the effectiveness of the ADAP
ERF Implementation Plan.
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Organizational Information
• Agency Oversight
• Management/Administration of the ADAP
• Organizational chart (Attachment 6)
• Budget
• See instructions in section 4 HRSA’s SF-424
Application Guide
• In Section B of SF-424A the budget categories are
Waiting List and Cost Containment
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Summary of Attachments
• Attachment 1: ADAP Profile
• Attachment 2: Position Description for key
personnel
• Attachment 3: Biographical Sketches for key
personnel
• Attachment 4: Implementation Plan
• Attachment 5: Agreements and Compliance
Assurances
• Attachment 6: ADAP Organizational Chart
• Attachment 7-15: Other Relevant documents
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Application and Submission
• HRSA requires applicants for this funding
opportunity announcement to apply
electronically through Grants.gov.
• Applicants must download the SF424 application
package associated with this funding opportunity
following the directions provided at Grants.gov.
• Application due date in grants.gov – November
25, 2013 11:59 p.m. EST
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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.
• Attachments must be clearly labeled (see pg.
15 of the FOA).
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Application Review Information
Criterion Description
Score
1
NEED: Corresponds to Section IV’s Needs
Assessment
20 points
2
RESPONSE: Corresponds to Section IV’s
Resolution of Challenges and Introduction
40 points
3
EVALUATIVE MEASURES: Corresponds to
Section IV’s Evaluation and Technical Support
Capacity
10 points
4
RESOURCES/CAPABILITIES: Corresponds to
Section IV’s Work Plan, Staffing Plan, and
Biographical Sketches
20 points
5
SUPPORT REQUESTED: Corresponds to
Section IV’s Budget, , Project Narrative, and
Methodology
10 points
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Agency Contacts
• Program issues and/or technical assistance
regarding this funding announcement may be
obtained by contacting:
Heather Hauck, Tel: 301-443-6547
Fax: 301-443-8143, Email: hhauck@hrsa.gov
• Business, administrative, or fiscal issues related to
this funding opportunity announcement by
contacting:
Karen Mayo, Tel: (301) 443-3555
Fax: (301) 594-4073, E-mail: KMayo@hrsa.gov
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Application Assistance
• 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 submitting the application in
Grants.gov, contact Grants.gov 24 hours a day, seven
days a week, excluding Federal holidays at:
Grants.gov Contact Center
Telephone: 1-800-518-4726 (International Callers, please
dial 606-545-5035)
E-mail: support@grants.gov
iPortal: http://grants.gov/iportal
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Questions
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