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Grant Community.com Catalog of Federal Domestic Assistance Program Descriptions |
CATALOG OF FEDERAL DOMESTIC
ASSISTANCE
93.917: HIV Care Formula Grants
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| PROGRAM AND AWARD | FINANCIAL AND INFORMATION CONTACTS |
| ELIGIBILITY REQUIREMENTS | FINANCIAL AND ADMINISTRATIVE INFO. |
| APPLICATION AND AWARD PROCESS | INFORMATION CONTACTS |
| RELATED PROGRAMS | ASSISTANCE CONSIDERATIONS |
| PROGRAM ACCOMPLISHMENTS | POST ASSISTANCE REQUIREMENTS |
Applicant Eligibility: All 50 States of the United States, and DC and U.S. Territories (and possessions) of the United States, the Commonwealths of Puerto Rico and the Northern Mariana Islands, the Virgin Islands, Guam, American Samoa and the Republic of the Marshall Islands.
Beneficiary Eligibility: Individuals and families with HIV disease.
Credentials/Documentation: OMB Circular No. A-87, Cost Principles for State and Local Governments and PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.
Preapplication Coordination: There is no preapplication submittal required. This program is excluded from coverage under E.O. 12372.
Application Procedure: Applicants will use the PHS Standard Form 5161-1 to apply for grants. Application materials will be mailed to eligible applicants, and may also be obtained by writing to: Grants Management Branch, HIV/AIDS Bureau, Rm. 7-27 Parklawn Bldg., 5600 Fishers Lane, Rockville, MD 20857, or by calling 301-443-5906.
Award Procedure: Applications will undergo an internal review process. Grants will be awarded to States who prepare and submit an application containing the required documents.
Deadlines: Contact Headquarters Office listed below for deadline dates.
Range of Approval/Disapproval Time: From 1 to 2 months.
Appeals: None.
Renewals: None.
Criteria for Selecting Proposals: Grants will be awarded to applicants that submit; (1) An acceptable detailed description of the HIV-related services provided in the State to individuals and families with HIV disease during the year preceding the year for which the grant is requested, and the number of individuals and families receiving such services; (2) a comprehensive plan for the organization and delivery of HIV health care and support services to be funded with assistance received under this part that shall include a description of the purposes for which the State intends to use such assistance; (3) an assurance that the public health agency administering the grant for the State will periodically convene a meeting of individuals with HIV, representatives of grantees receiving both HIV Emergency Relief and HIV CARE Grants, providers, and public agency representatives to develop a statewide coordinated statement of need; and (4) an assurance by the State that; (A) the public health agency that is administering the grant for the State will conduct public hearings concerning the proposed use and distribution of the assistance to be received; and (B) the State will (a) to the maximum extent practicable, ensure that HIV-related health care and support services delivered pursuant to a program established with assistance provided under this part will be provided without regard to the ability of the individual to pay for such services and without regard to the current or past health condition of the individual with HIV disease; (b) ensure that such services will be provided in a setting that is accessible to low-income individuals with HIV disease; (c) provide outreach to low-income individuals with HIV disease to inform such individuals of the services available; (d) for continuum of health insurance coverage, submit a plan to the Secretary that demonstrates that the State has established a program that assures that (1) Such amounts will be targeted to individuals who would not otherwise be able to afford health insurance coverage; and (2) income, asset, and medical expense criteria will be established and applied by the State to identify those individuals who qualify for assistance under such program, and information concerning such criteria shall be made available to the public; (e) the State will provide for periodic independent peer review to assess that quality and appropriateness of health and support services provided by entities that receive funds from the State; (f) the State will permit and cooperate with any Federal investigations undertaken regarding programs; (g) the State will maintain HIV-related activities at a level that is equal to not less than the level of such expenditures by the State for the 1-year period preceding the fiscal year for which the State is applying to receive a grant; and (h) the State will ensure that grant funds are not utilized to make payments for any item or service to the extent that payment has been made.
Examples of Funded Projects: Programs were funded to establish and operate HIV care consortia to provide a continuum of care to individuals and families with HIV disease; provide home and community-based care services; provide drug treatment; and provide assistance to assure the community of health insurance coverage.
Range and Average of Financial Assistance: The range is from $19,652 to $127,095,837; $13,146,376.
Federal Agency: HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Type of Assistance: Formula Grants.
Obligations: (Grants) FY 99 $709,904,300; FY 00 est $744,416,100; and FY 01 est $833,800,000.
Budget Account Number: 75-0350-0-1-550.
Authorization: Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, Title II, Public Law 101-381; Ryan White CARE Act Amendments of 1996, Public Law 104-146; 42 U.S.C. 300ff-21 et seq.
Regulations, Guidelines, and Literature: PHS Grants Policy Statement, DHHS (OASH) Publication No. 94-50,000, (Rev.) April 1, 1994. Program guidelines and instructions are included in the application kit which is available for the Grants Management Branch.
Regional or Local Office: Not applicable.
Headquarters Office: Program Contact: Douglas Morgan, Director, Division of Service Systems, HIV/AIDS Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 7A-55, Parklawn Bldg., 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-6745. Grants Management Contact: Ms. Glenna Wilcom, Grants Management Officer, Grants Management Branch, Office of Program Support, HIV/AIDS Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 7-27, Rockville, MD 20857. Phone: (301) 443-2280. Use the same numbers for FTS.
(See Appendix IV for more contact info.)
Formula and Matching Requirements: All States, the Commonwealth of Puerto Rico, DC, and U.S. territories are eligible to receive Title II grants. All Title II grants are determined by formula. The grant amount is determined by multiplying the amount appropriated for Title II, less any set-asides, by the distribution factor determined for the State or territory. This distribution factor is comprised of two components that are added together. The first component, the State Distribution Factor, is determined by dividing the estimated number of living AIDS cases for the State or territory by the estimated number of living AIDS cases for all States and territories and multiplying the result by .80. The second component, the Non-EMA Distribution Factor, is determined by dividing the estimated living AIDS cases in the State or territory but outside of EMAs within that State or territory by the sum of all estimated living AIDS cases within States or territories but outside EMAs within States or territories and multiplying the result by .20. Estimated living cases are determined by multiplying the number of reported AIDS cases for each of the most recent 10 years of data available by statutory weights and summing the results across the 10-year period. Due to the time required for CDC to obtain and check the data for accuracy and the need to have correspondence in the data periods for Title I formula awards and Title II awards, the ending date of the 10 year period will be June 30 of the year preceding the fiscal year for which grant awards are determined. States, Puerto Rico and DC receive the greater of the amount determined by applying the formula or $100,000 if the State has fewer than 90 estimated living AIDS cases or $250,000 if the State has at least 90 estimated living AIDS cases. There is no minimum grant amount for U.S. territories. To achieve this minimum grant amount, funds are redistributed from other States and territories in proportion to their distribution factors. In addition, States and territories receive the greater of the formula amount, considering the minimum grant amount, or an amount equal to a set statutory percentage of the amount the State or territory received in fiscal year 1996. To achieve this minimum grant amount, funds are redistributed from other States in proportion to their distribution factors. The proportion of the funds allocated within a State or territory to provide services to infants, children and women must be at least equal to the proportion of infants, children and women with AIDS in the State or territory to the population of individuals with AIDS in the State or territory.
Length and Time Phasing of Assistance: Grants are awarded for a 12-month budget period.
Uses and Use Restrictions: Funds received under a grant may be used to provide outpatient ambulatory health and support services to individuals with HIV disease, case management, substance abuse treatment and mental health treatment, and comprehensive treatment services, which shall include treatment education and prophylactic treatment for opportunistic infections, and inpatient case management services that prevent unnecessary hospitalization or that expedite discharge, as medically appropriate, from inpatient facilities; establish and operate HIV Care Consortia within areas most affected by HIV disease that shall be designed to provide a comprehensive continuum of care to individuals and families with HIV disease; provide home and community-based care services for individuals with HIV disease; provide assistance to assure the continuity of health insurance coverage for individuals with HIV disease; and provide therapeutics to treat HIV disease to individuals with HIV disease. A State shall use a percentage of the grant, determined by the percentage of infants, children, and women with acquired immune deficiency syndrome in the State, to provide health and support services to infants, children, and women with HIV disease, including treatment measures to prevent the perinatal transmission of HIV. Funds may not be used to purchase or improve land, or to purchase, construct or make permanent improvement to any building except for minor remodeling. Funds may not be used to make payments to recipients of services. A State may not use more than 10 percent of amounts received for planning and evaluation activities and may not use more than 10 percent of amounts received for administration. In addition, the total amount used for these activities cannot exceed 15 percent. If a State receives the minimum allotment, it may not use more than the amount required to support one full-time equivalent employee for these activities. Seventy-five (75) per cent of grant funds must be obligated within 120 days of the budget period start date.
Reports: Semiannual progress reports are required. The Financial Status Report is due 90 days following the end of each budget period. A final progress report and financial status report are due 90 days following the end of the project period.
Audits: "In accordance with the provisions of OMB Circular No. A-133 (Revised, June 24, 1997), Audits of States, Local Governments, and Non-Profit Organizations, nonfederal entities that receive financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133." In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.
Records: All financial and programmatic records, supporting documents, statistical records, and other records of grantees and subgrantees must be retained for a period of 3 years. For grants that are renewed at annual intervals, the retention period for the records of each funding period starts on the day the grantee or subgrantee submits to the awarding agency its single or last expenditure report for that period. The awarding agency and the Comptroller General of the United States, or any of their authorized representatives, shall have the right of access to any pertinent books, documents, papers, or other records of grantees and subgrantees which are pertinent to the grant, in order to make audits, examinations, excerpts and transcripts.
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