Department of Health and Human Services Health Resources and Services Administration

1. FY 2015 Ryan White HIV/AIDS Program Part AHIV Emergency Relief Grant ProgramTechnical Assistance CallAugust 12, 2014 Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau Division of Metropolitan HIV/AIDS Programs Speakers: Steven Young, Director Gary Cook, Deputy Director Michael Amoh Amelia Khalil Andrea Jackson Keisha Johnson Sera Morgan Helen Rovito Theresa Jumento

2. Welcome Purpose of Webinar Program Information Application Due Date and Award Date Highlights of FY 2015 Funding Opportunity Announcement (FOA) Section Overview Questions & Answers Program Contact Information Agenda

3. Purpose of the Webinar The purpose of this webinar is to provide: • Technical assistance • General information • Answers to questions received from all eligible metropolitan areas relative to HRSA-15-003

4. Program Information • Approximate funding for FY 2015 – $618,492,359.00 • Available to 52 grantees • Ryan White HIV/AIDS Program (RWHAP) legislation (Sec. 2603 (a)(4)) of the Public Health Service Act hold harmless will not be a factor in the FY 2015 Ryan White HIV/AIDS Program Part A awards • Information on RWHAP and the Affordable Care Act, along with Policy Clarification Notices, can be found at http://hab.hrsa.gov/affordablecareact/ • Information on the National HIV/AIDS Strategy (NHAS) is located in the SF-424 Application Guide

5. Due and Award Dates • Application Due Date September 19, 2014 by 11:59 PM EST • Project Period March 1, 2015 – February 29, 2016

7. Highlights FY 2015 FOA

8. Highlights FY 2015 FOA • Reorganized Needs Assessment • New Sections: • Impact of Affordable Care Act (ACA) • Minority AIDS Initiative (MAI) • Streamlined Methodology • Modified Workplan • New Section: • HIV Care Continuum

9. Highlights FY 2015 FOA • Clarified Evaluation and Technical Support Capacity of Clinical Quality Management (CQM) • Refined Organizational Information • Review Criteria Recalculated

10. Section Overview Needs Assessment

11. Section OverviewNeeds Assessment Jurisdictional Profile • Describe the population of persons with HIV/AIDS using epidemiological data • In section 1(1) of the jurisdictional profile, provide both HIV and AIDS incidence and prevalence for calendar years (CY) 2011, 2012, and 2013 • Sample table below illustrates how data may be presented in the FOA:

12. Section OverviewNeeds Assessment Demonstrated Need • 5 sections: Unmet Need, Early Identification of Individuals with HIV/AIDS (EIIHA), Unique Service Delivery Challenges, the Minority AIDS Initiative (MAI) and Impact of Funding • “New/Emerging Populations” • Include in FY 2015 FOA only if significant changes/ new communities were noted from previous FOAs • Unmet Need • Comprised of 3 sections: • CY 2013 Unmet Need estimate (Attachment 4) • Unmet Need trends (2011, 2012, 2013) • Description of how Unmet Need data are considered during planning and decision making process

13. Section OverviewNeeds Assessment Minority AIDS Initiative • New section in FY1205 FOA • Three (3) components: • Identify minority populations living with HIV and the specific sub-groups • Describe how MAI funds were considered during the planning process and service categories funded; describe how services differ from Part A services • Describe two (2) funded MAI activities

14. Section OverviewNeeds Assessment Early Identification of Individuals with HIV/AIDS (EIIHA) • Legislation • EIIHA Components • EIIHA Data • EIIHA FY 2015 Plan • EIIHA Scoring • FY 2013 Progress Report (not part of the FY 2015 FOA)

15. Section OverviewNeeds Assessment EIIHA - Part A Legislation • Part A Legislation Section 2602 (b)(4)(A)(B)(C)(D): • “…shall determine size and demographics of the estimated population of individuals with HIV/AIDS who are unaware of their HIV status” • “determine the needs of…individuals with HIV/AIDS who do not know their HIV status” • “develop a comprehensive plan…that includes – “ • “a strategy, coordinated as appropriate with other community strategies and efforts, including discrete goals, a timetable, and appropriate funding, for identifying individuals with HIV/AIDS who do not know their HIV status, making such individuals aware of such status, and enabling such individuals to use the health and support services”

16. Section OverviewNeeds Assessment EIIHA Components • EIIHA for FY 2015 will have 2 components: • EIIHA Data • FY 2015 EIIHA Plan

17. Section OverviewNeeds Assessment EIIHA • Select 3 target populations from FY 2014 EIIHA Plan • Provide data from January 1, 2014 – June 30, 2014 (or most recent 6-month period) • Definitions are outlined in the FOA • Data collection, analysis, usage

18. Section OverviewNeeds Assessment EIIHA • Describe the planned activities for FY 2015 • Include all populations for the EIIHA Plan • Describe how the overall FY 2015 EIIHA Plan contributes to the NHAS and White House Continuum of Care Initiative • Link: http://www.whitehouse.gov/the-press-office/2013/07/15/executive-order-hiv-care-continuum-initiative. • Describe how the EIIHA Plan for FY 2014 influenced the development of the plan for FY 2015

19. Section OverviewNeeds Assessment EIIHA • Select target populations for FY 2015 (may be previously described populations) • Describe plans to present, discuss, and/or disseminate the EIIHA Plan and outcomes of your plan activities to stakeholders(e.g., poster presentations, journal articles, presentations to planning bodies)

20. Section OverviewNeeds Assessment EIIHA Scoring • EIIHA section will be scored the same as in past FOAs • 33 points total • EIIHA Data – 14 points • EIIHA FY 2015 plan – 19 points

21. Section OverviewNeeds Assessment EIIHA Reporting Dates

22. Section OverviewNeeds Assessment Impact of Funding • Expanded section in FY15 FOA • Impact of the Affordable Care Act • Uninsured and poverty • Impact of insurance expansion • Outreach and enrollment • Marketplace options • Successes/Outcomes

23. Section OverviewNeeds Assessment Impact of Funding • Impact and response to reduction in Ryan White HIV/AIDS Program formula funding • Impact of co-morbidities on the cost and complexity of providing care • Coordination of services and funding streams

24. Section OverviewNeeds Assessment

25. Section Overview Methodology

26. Section OverviewLetter of Concurrence Planning councils (PC) and planning bodies (PB) must respond to the following: • FY 2014 formula, supplemental and MAI funds are being expended in keeping with PC or PB priorities • All Conditions of Award relative to the PC or PB have been addressed • Priorities were established by PC or PB in keeping with approved processes • Annual PC or PB training took place – include dates • PC or PB membership is reflective of the EMA/TGA ** Include plan and timeline for addressing each vacancy

27. Section OverviewCommunity Input Process Community Input Process • Description of priority setting and resource allocation process (PSRA) See a-j, pg. 19 • How data from Part A and other Federal programs was used during the PSRA processes • How these data may be linked to future health outcomes

28. Section Overview Workplan

29. Section OverviewWorkplan U.S. HIV Care Continuum Source: http://aids.gov/federal-resources/policies/care-continuum/

30. Section OverviewWorkplan HIV Care Continuum • Provide a graph which depicts the RWHAP Part A HIV Care Continuum in the EMA/TGA • Include baseline data for CY 2013 or the most recent calendar year for each stage of the HIV Care Continuum • Use Ryan White Services Report (RSR) data or any available data as a baseline for Ryan White HIV/AIDS Program-eligible individuals • Clearly cite data sets used • Clearly describe the numerator and denominator

31. Section OverviewWorkplan HIV Care Continuum Narrative which addresses how the HIV Care Continuum will be used in: • Planning, prioritizing, targeting and monitoring resources • Reducing health disparities • Reducing challenges and barriers around data sharing and collaboration with local, state and Federal partners

32. Section OverviewWorkplan Implementation Plan • Two components: • Service Category Table • HIV Care Continuum Table • Both sections are included as Attachment 9

33. Section OverviewWorkplan Attachment 9

34. Section OverviewWorkplan

35. Section OverviewWorkplan

36. Section Overview Resolution of Challenges

37. Resolution of Challenges • Discuss challenges encountered in integrating the HIV Care Continuum into the planning and implementation of your Part A program • Describe approaches used to resolve these challenges

38. Section Overview Organizational Information

39. Section OverviewOrganizational Information • Grantee Administration • Grantee Accountability • Program Oversight • Fiscal Oversight • 3rd Party Reimbursement • Maintenance of Effort • Budget and Budget Justification Narrative

40. Section OverviewOrganizational Information Budget Justification Narrative – Attachment 12 • Specific, detailed justifications for all allocated items in the program-specific line item budget • Clearly state how each object class category’s efforts and/or activities make a contributing impact to support the Part A HIV service delivery system • Applicants are strongly encouraged to use the suggested template, Budget Justification Narrative (Attachment 12), to respond to the Budget Justification Narrative section of the FOA. A sample of the suggested template is attached and will be available for download during the webinar

41. 1)Description of how the amounts requested for line item in the budget will support the achievement of the proposed objectives 2) Clearly explain how each activity impacts the Part A HIV service delivery system Section OverviewOrganizational Information Under the Personnel Object Class Category, all costs must include the name, position title, and FTE allotment. Budget Narrative

42. Section OverviewOrganizational Information Cost Categories - Salary Limitations Requirement (Appropriations Act 2013)

43. Section Overview Evaluation & Technical Support Capacity

44. Clinical Quality Management Section OverviewEvaluation and Technical Support Capacity • CQM section has four components: • CQM Infrastructure • CQM Program Performance Measures • CQM Program Quality Improvement • Data for Program Reporting

45. Review Criteria

46. Review Criteria 1

47. Review Criteria

48. EIIHA Review Criteria • Worth 33 points by legislative mandate • Focus on 3 targeted populations • Data (a-g) = 14 points ** Use January 1 – June 30 data** • EIIHA Plan = 19 points

49. Review Criteria New Items: • Impact of the Affordable Care Act – 4 points • Minority AIDS Initiative – 6 points • HIV Care Continuum and Implementation Plan – 8 points Items NOT Scored: • HIV Care Continuum Table • Applicants will not be penalized for not having access to the most recently requested data

50. Reporting Requirements