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Catalog of Federal Domestic Assistance

Program Descriptions

93.918:  Grants to Provide Outpatient Early Intervention Services with Respect to HIV Disease

Popular Name: 

Objectives:  To increase the capacity of entities that provide comprehensive primary care services to persons with Human Immunodeficiency Virus (HIV) infection, or who are at-risk of infection, and to offer more early intervention services. The services will include increased counseling and testing, partner involvement in risk reduction, transmission prevention, appropriate primary care diagnostic and treatment services, and, as needed, case-management to ensure that individual service needs are met.

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

93.918 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  Eligible applicants are public and private nonprofit entities that are: health centers under Section 330 of the Public Health Service Act; family planning grantees under Section 1001 of the Public Health Service Act other than States; comprehensive hemophilia diagnostic and treatment centers; federally-qualified health centers under Section 1905(1)(B) of the Social Security Act; or a public or private nonprofit entity that provides comprehensive primary care services to populations at-risk of HIV disease.

Beneficiary Eligibility:  Persons infected with HIV or who are at high risk of HIV infection.

Credentials/Documentation:  Costs will be determined in accordance with DHHS Regulations, 45 CFR, Part 74, Subpart Q and 45 CFR Part 92.22. Grantees must provide satisfactory assurances and agreements as required by law.

93.918 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  Preapplication coordination is not required. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. The single point of contact for the State may be obtained from the Grants Management Branch, HIV/AIDS Bureau (HAB), Health Resources and Services Administration, 5600 Fishers Lane, Rm. 7-27, Rockville, MD 20857. This program is subject to the requirements of the Public Health System Impact Statement.

Application Procedure:  Applications are solicited by a program announcement in the Preview. Application forms and program guidance are available from the HRSA Grants Application Center. All applicants must submit PHS Form 5161, Application for Federal Assistance (nonconstruction), which incorporates the SF 424 application pages, fully documenting the need for and the proposed amount of the grant. All qualified applications will be forwarded to an objective review committee which will make recommendations to the Associate Administrator, HAB. The Associate Administrator has approval authority. This program is subject to the provisions of 45 CFR 92 for State and local governments and 45 CFR 74 for nonprofit organizations.

Award Procedure:  After approval by the Associate Administrator, the Grants Management Branch prepares a Grant Notice of Award and issues the award.

Deadlines:  Contact the Headquarters Office listed below for deadline dates.

Range of Approval/Disapproval Time:  From 60 to 90 days.

Appeals:  None.

Renewals:  None.

Criteria for Selecting Proposals:  Evaluations will be based on (1) applicant's assessment of community need for additional preventive and primary care services to those with, and at risk for, HIV infection; (2) applicant's ability to describe its role in addressing unmet needs; (3) appropriateness of the proposed budget; (4) comprehensiveness of existing and proposed services; (5) collaboration with other local city, county, State HIV-prevention and treatment activities; and (6) adequacy and completeness of applicant's program evaluation plan.

Examples of Funded Projects:  Grantees include health centers; family planning grantees under Section 1001 of the PHS Act other than States; comprehensive hemophilia diagnostic and treatment centers; federally-qualified health centers; and public and private nonprofit entities that provide comprehensive primary care services to populations at risk of HIV disease.

Range and Average of Financial Assistance:  The range is from $100,000 to $650,000; $350,000; planning grants are limited to $50,000.

93.918 RELATED PROGRAMS:

93.918 PROGRAM ACCOMPLISHMENTS:

93.918 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance:  Project Grants.

Obligations:  (Grants) EIS grants: FY 99 $86,107,000; FY 00 est $129,445,000; and FY 01 est $159,400,000. Planning grants: FY 99 $737,705; FY 00 est $3,943,000; and FY 01 est $4,303,000.

Budget Account Number:  75-0350-0-1-550.

Authorization:  Public Health Service Act, Title XXVI, Part C, Subparts II and III, Sections 2651-2667, as amended; Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, Public Law 101-381, 42 U.S.C. 300ff-51 - 330ff-67.

Regulations, Guidelines, and Literature:  Grants to State and local governments will be administered according to DHHS Regulations in 45 CFR 92. Grants to nonprofit private organizations are subject to DHHS Regulations in 45 CFR Part 74. All grantees use PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994 and HIV Program Guidance.

93.918 INFO CONTACTS:

Regional or Local Office:  Not applicable.

Headquarters Office:  Program Contact: Dr. Lois Eldred, Division of Community Based Programs, Title III, HIV/AIDS Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 7-90, Rockville, MD 20857. Phone: (301)443-0735 Grants Management Contact: Grants Management Branch, HIV/AIDS Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rm. 7-27, Rockville, MD 20857, Phone: (301) 443-2728.

(See Appendix IV for more contact info.)

93.918 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  This program has no statutory formula for the amount of the grant. The amount is negotiated based on costs of the proposed grant activities. Grantees are not required to match Federal funds under the grant; however, the level of nonfederal expenditures for early intervention services must be maintained at the level for the year prior to the grant award.

Length and Time Phasing of Assistance:  Grants may be made for up to 3-year project periods. Continued support, beyond the first year, is contingent upon satisfactory performance and the availability of Federal funds. Planning grants are limited to $50,000 and are funded for 1 or 2 years.

Uses and Use Restrictions:  Applications should be designed to improve the availability, accessibility and organization of ambulatory health services to persons infected with HIV or who are at high risk. Funds may not be used for acquiring property, used for inpatient or residential care, and no more than 7.5 percent of the Federal funds may be used for administrative costs.

93.918 POST ASSISTANCE REQUIREMENTS:

Reports:  Grantees must submit a Financial Status Report on SF 269 (long form) within 90 days after the end of the budget period. The grantee must also submit an annual program data report, due March 1 each year, covering the just-ended Jan. 1 - Dec. 31 calendar year. Additionally, each funded program must submit a 5-page progress report each year prior to the end of the budget period. A final financial status report and final performance report must be submitted 90 days after 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:  DHHS and the Comptroller General of the United States or any of their authorized representatives, shall have the right of access to any books, documents, papers, or other records of a grantee, subgrantee, contractor, or subcontractor, which are pertinent to the DHHS grant, in order to make audits, examinations, excerpts and transcripts. Grantees are required to maintain grant accounting records 3 years after the end of a budget period. If any litigation, claim, negotiation, audit or other action involving the records has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.