FY 2015 Ryan White HIV/AIDS Program Part A HIV Emergency Relief Grant Program Technical Assistance Call August 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, DirectorGary Cook, Deputy Director Michael AmohAmelia Khalil Andrea Jackson Keisha JohnsonSera Morgan Helen Rovito Theresa Jumento

Agenda 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

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

Program Information Approximate funding for FY 2015 – $618,492, Available to 52 grantees Ryan White HIV/AIDS Program (RWHAP) legislation (Sec (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 Information on the National HIV/AIDS Strategy (NHAS) is located in the SF-424 Application Guide

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

Highlights FY 2015 FOA

Reorganized Needs Assessment o New Sections:  Impact of Affordable Care Act (ACA)  Minority AIDS Initiative (MAI) Streamlined Methodology Modified Workplan o New Section:  HIV Care Continuum

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

Section Overview Needs 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: Section Overview Needs Assessment CY 2011CY 2012 CY 2013 IncidencePrevalenceIncidencePrevalenceIncidencePrevalence HIV AIDS

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” o Include in FY 2015 FOA only if significant changes/ new communities were noted from previous FOAs Unmet Need o 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 Section Overview Needs Assessment

Minority AIDS Initiative New section in FY1205 FOA Three (3) components: 1.Identify minority populations living with HIV and the specific sub-groups 2.Describe how MAI funds were considered during the planning process and service categories funded; describe how services differ from Part A services 3.Describe two (2) funded MAI activities Section Overview Needs Assessment

Early Identification of Individuals with HIV/AIDS (EIIHA) 1.Legislation 2.EIIHA Components a)EIIHA Data b)EIIHA FY 2015 Plan 3.EIIHA Scoring 4.FY 2013 Progress Report (not part of the FY 2015 FOA) Section Overview Needs Assessment

EIIHA - Part A Legislation Part A Legislation Section 2602 (b)(4)(A)(B)(C)(D): o “…shall determine size and demographics of the estimated population of individuals with HIV/AIDS who are unaware of their HIV status” o “determine the needs of…individuals with HIV/AIDS who do not know their HIV status” o “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” Section Overview Needs Assessment

EIIHA Components EIIHA for FY 2015 will have 2 components: 1.EIIHA Data 2.FY 2015 EIIHA Plan Section Overview Needs Assessment

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 Section Overview Needs 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 o Link: office/2013/07/15/executive-order- hiv-care-continuum-initiative. Link: 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 Section Overview Needs Assessment

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) Section Overview Needs Assessment EIIHA

EIIHA Scoring EIIHA section will be scored the same as in past FOAs o 33 points total  EIIHA Data – 14 points  EIIHA FY 2015 plan – 19 points Section Overview Needs Assessment

EIIHA Reporting Dates Funding Opportunity Announcements Progress ReportsProgress report due date FY 2015 FOA EIIHA Data – January 1-June 30, 2014 FY 2015 Progress Report EIIHA Data – January 1- December 31, FY 2014 FOA EIIHA Data-January 1-June 30, 2013 FY 2014 Progress Report EIIHA Data-January 1-December 31, 2013 July 30, 2015 FY 2013 FOA EIIHA Data-Partial 2012 FY 2013 Progress Report January –December 2012 July 30, 2014 Section Overview Needs Assessment

Impact of Funding Expanded section in FY15 FOA Impact of the Affordable Care Act 1.Uninsured and poverty 2.Impact of insurance expansion 3.Outreach and enrollment 4.Marketplace options 5.Successes/Outcomes Section Overview Needs 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 Section Overview Needs Assessment

Section Overview Methodology

Planning councils (PC) and planning bodies (PB) must respond to the following: 1.FY 2014 formula, supplemental and MAI funds are being expended in keeping with PC or PB priorities 2.All Conditions of Award relative to the PC or PB have been addressed 3.Priorities were established by PC or PB in keeping with approved processes 4.Annual PC or PB training took place – include dates 5.PC or PB membership is reflective of the EMA/TGA ** Include plan and timeline for addressing each vacancy Section Overview Letter of Concurrence

Section Overview Community 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

Section Overview Workplan

U.S. HIV Care Continuum Source: Section Overview Workplan

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

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 Section Overview Workplan

Implementation Plan Two components: o Service Category Table o HIV Care Continuum Table Both sections are included as Attachment 9 Section Overview Workplan

Attachment 9

Section Overview Workplan

Section Overview 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

Section Overview Organizational Information

Grantee Administration Grantee Accountability o Program Oversight o Fiscal Oversight 3 rd Party Reimbursement Maintenance of Effort Budget and Budget Justification Narrative Section Overview Organizational 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 Section Overview Organizational Information

Budget Narrative Under the Personnel Object Class Category, all costs must include the name, position title, and FTE allotment. 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 Overview Organizational Information

Cost Categories - Salary Limitations Requirement (Appropriations Act 2013) Salaries charged to HHS grants may not exceed $181,500 annually Individual’s base salary, exclusive of fringe benefits and outside income earned Applies to subcontracts

Section Overview Evaluation & Technical Support Capacity

Section Overview Evaluation and Technical Support Capacity CQM section has four components: 1.CQM Infrastructure 2.CQM Program Performance Measures 3.CQM Program Quality Improvement 4.Data for Program Reporting Clinical Quality Management

Review Criteria

1 CriterionPointsSubsets 1.Need67Jurisdictional Profile: 7 Demonstrated Need: 7 EIIHA : 33 Unique Service Delivery Challenges: 2 MAI: 6 Impact of Funding: Response15Planning & Resource Allocation: 6 Care Continuum and Implementation Plan: 8 Resolution of Challenges: 1 3. CQM5Infrastructure, Performance measurement & QI: 5 4.Resources/ Capabilities 10Program Organization: 2 Program Accountability: 8 5. Support Requested3Budget and MOE: 3 TOTAL100

Review Criteria2014 FOA2015 FOA C1: Need34 67 Includes EIIHA C2: Response1315 C3: Evaluative Measures55 C4: Resources/Capabilities10 C5: Support Requested53 C6: EIIHA33N/A TOTAL 100 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 EIIHA

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

Reporting Requirements

Questions & Answers

Program Contacts HAB/DMHAP Contact Steven R. Young, MSPH Director, Division of Metropolitan HIV/AIDS Programs 5600 Fishers Lane, 09W03 Rockville, Maryland Telephone: (301) Fax: (301) Please continue to submit specific questions through your assigned Project Officer. These will be combined with others with answers posted and circulated to all eligible areas. Technical Assistance Website: