1. Ryan White HIV/AIDS Program Part F – Special Projects of National Significance Pre-Application Technical Assistance Webinar HRSA Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services – Demonstration Sites June 14, 2017
Template for RWHAP discretionary grant programs. Information conveyed must be consistent with the NOFO. No new information (not contained in the NOFO) may be presented.
Amy Griffin, MSW, Public Health Analyst, Division of State HIV/AIDS Programs
Chau Nguyen, MPH, Public Health Analyst, Office of Training & Capacity Development
HIV/AIDS Bureau (HAB)
Health Resources and Services Administration (HRSA)

2. Welcome and Introductions
Harold Phillips
Adan Cajina
Amy Griffin
Chau Nguyen
Corliss Heath
Nadia Ibrahim
Aisha Muhammad
Beverly Smith
Director, HAB/OTCD
SPNS Branch Chief
DSHAP Project Officer
SPNS Project Officer
SPNS Health Scientist
Senior Policy Advisor, DOL
Management Analyst, HUD/OHH
HRSA Grants Management Specialist

3. Agenda HAB Vision and Mission Purpose of Funding Opportunity
Background
Award Information
Eligibility
Program Expectations
Application and Submission Information
Application Review Information
Application Submission Tips
Question and Answer

4. Acronyms DOL – Department of Labor
NOFO - Notice of Funding Opportunity (formerly FOA)
DUNS – Data Universal Numbering System
PLWH – People Living with HIV
EHB – Electronic Handbook
PO – Project Officer
ETAP – Evaluation and Technical Assistance Provider
RWHAP – Ryan White HIV/AIDS Program
HAB – HIV/AIDS Bureau
SAM – System for Award Management
HOPWA – Housing Opportunities for Persons With AIDS
SPNS – Special Projects of National Significance
HUD – Housing and Urban Development
SMAIF – Secretary’s Minority AIDS Initiative Fund
IRB – Institutional Review Board
GMS – Grants Management Specialist
TA – Technical Assistance
Include/revise as appropriate.

5. HIV/AIDS Bureau Vision and Mission
Optimal HIV/AIDS care and treatment for all
Mission
Provide leadership and resources to assure access to and retention in high quality, integrated care, and treatment services for vulnerable people living with HIV and their families

6. Funding and Collaboration
Developed in partnership with the U.S. Department of Labor (DOL) and the Department of Housing and Urban Development’s (HUD) Office of HIV/AIDS Housing (OHH)
Supported through funding from the U.S. Department of Health and Human Services (HHS), Secretary’s Minority AIDS Initiative Fund (SMAIF) and the Special Projects of National Significance (SPNS) Program
Please refer to pages i and 1-2 of the NOFO

7. Purpose – Demonstration Sites
To support the design, implementation, and evaluation of innovative interventions that coordinate HIV care and treatment, housing and employment services to improve HIV health outcomes for low-income, uninsured, and underinsured people living with HIV (PLWH) in racial and ethnic minority communities
To create a new or augment an existing coordinated services intervention that integrate HIV care, housing and employment services
To decrease the impact of the social determinants of health, such as unmet housing or employment needs, that affect long-term HIV health outcomes for PLWH impacted by employment and housing instability
Please refer to pages 1 to 2 of the NOFO
The Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services—Demonstration Sites award will support project components that either create a new or augment an existing coordinated services intervention that integrates HIV care, housing, and employment services. For the purposes of this initiative, a coordinated services intervention is broadly defined to include the joint management and delivery of RWHAP HIV care services, housing support, and employment services (i.e., DOL-funded services or other employment-related resources). The overall goal of this coordinated services intervention is to decrease the impact of the social determinants of health (such as unmet housing or employment needs) that affect long-term HIV health outcomes for PLWH impacted by employment and housing instability in racial and ethnic minority communities.

8. Please refer to pages 1 to 2 of the NOFO
Key Definitions
HIV care services are defined as all of the HIV care and treatment services allowable through the Ryan White HIV/AIDS Program (RWHAP). For more information regarding RWHAP eligible services see PCN #16-02 Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds
Employment Services are defined as all services designed to connect individuals to employment or to improve a person’s income through employment.
Housing Services are defined as the full range of rental and mortgage support services offered through the U.S. Department of Housing and Urban Development (HUD), including the Housing Opportunity for Persons with AIDS Program (HOPWA), to stabilize individuals and families experiencing unstable housing or homelessness. For more information on the HOPWA program go to:
Please refer to pages 1 to 2 of the NOFO
HIV care services are defined as all of the HIV care and treatment services allowable through the Ryan White HIV/AIDS Program (RWHAP). For more information regarding RWHAP eligible services see PCN #16-02 Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds
Employment Services are defined as all services designed to connect individuals to employment or to improve a person’s income through employment. Such services may include but are not limited to resume building, job search assistance, and resource rooms with internet and resume writing tools, job training or education programs, accessibility and special accommodation services for people with disabilities, etc. Applicants may reference Section VIII of this notice of funding opportunity (NOFO) entitled Other Information for a list of resources and programs offered through the U.S. Department of Labor (DOL).
Housing Services are defined as the full range of rental and mortgage support services offered through the U.S. Department of Housing and Urban Development (HUD), including the Housing Opportunity for Persons with AIDS Program (HOPWA), to stabilize individuals and families experiencing unstable housing or homelessness. For more information on the HOPWA program, applicants may visit the HUD website at In addition, please see the August 18, 2016 program letter, Using Ryan White HIV/AIDS Program Funds to Support Housing Services.
For more information on the HOPWA program go to:
HRSA HAB Program Letter Using Ryan White HIV/AIDS Program Funds to Support Housing Services. See: (August 18, 2016)

9. Background
Social determinants of health such as poverty, housing, and employment are associated with HIV-related health disparities
Of 533,000 clients received services from RWHAP-funded providers:
The majority were from racial/ethnic minority populations (47% African American; 23% Hispanic/Latino)
~65% of RWHAP clients were living at or below the federal poverty level (FPL)
An estimated 45-70% of PLWH remain unemployed, and among these as much as 40% feel ready and able to work
Please refer to page 6 to 7 of the NOFO
The background information presented in the next 3 slides appear in the NOFO on pages 6 and 7. It is presented here to help us frame the overall goals for this grant and for you to consider in crafting your Project Narrative.
Social determinants of health such as poverty, housing, and employment are associated with HIV-related health disparities, including health outcomes (e.g., viral suppression).
Of 533,036 clients receiving services by the RWHAP in 2015, the majority were black/African American (47.1 percent) and Hispanic/Latino (22.7 percent); percent were living at or below the federal poverty level (FPL)
Employment Background
Due to advances in HIV care and treatment, life expectancy rates have increased, and PLWH increasingly have the stamina to work and achieve self-sufficiency through employment. While it is important to acknowledge that some PLWH experience chronic disabilities that require special accommodation or limit the type of work accessible, entering or remaining in the workforce is an option for many. However, an estimated percent of PLWH remain unemployed, and among these as much as 40 percent feel ready and able to work.
Employment services such as vocational rehabilitation may help improve access to health care, reduce risky health behaviors, and reduce HIV stigma. Employment is associated with improved physical and mental health, and may help bolster long-term treatment adherence and viral suppression among PLWH. Moreover, employment can increase financial self-sufficiency and reduce reliance on publicly funded benefits and other services, including health care and supportive services currently provided by the RWHAP and other federal programs.
In a demographically representative survey of PLWH conducted by the National Working Positive Coalition, participants reported increases in treatment adherence and CD4 counts following entry into the workforce. Similar trends in HIV outcomes by employment were observed in a review of 28 studies; overall, employed respondents were more likely to report medication adherence compared to unemployed PLWH.

10. Ryan White Services Report*, 2015 RWHAP Clients by Housing Status
From HAB cleared slide deck
Additionally in 2015, our client level indicates that 9.8 percent had temporary housing and 5.0 percent had unstable housing situations.
This shows that while 85% of RWHAP clients are stably housed, ~15% of RWHAP clients remain temporarily or unstably housed and may be in need of additional housing support, a factor to consider in addressing unmet housing needs in your application.”.
*Source: HRSA. Ryan White HIV/AIDS Program Annual Client-Level Data Report Does not include clients receiving only AIDS Drug Assistance Program services

11. HIV, Homelessness, & Suppression
Ryan White Services Report, 2015 Viral Suppression by Housing Status
From HAB cleared slide deck
This slide shows Viral Suppression among Clients Served by the Ryan White HIV/AIDS Program, by Housing Status.
As you can see in 2015, 69.3% of clients with unstable housing achieved viral suppression, compared to 78.4% of clients with temporary housing and 84.6% of clients with stable housing.
Thus to help close this gap, your proposed project should try and lead to improvements in viral suppression rates by addressing both unmet housing needs and employment needs (as described in the earlier slide).
Note: N represents the total number of clients in the specific subpopulation.
Viral suppression: ≥1 OAMC visit during the calendar year and ≥1 viral load reported, with the last viral load result <200 copies/mL.

12. Please refer to page 9 of the NOFO
Award Information
Funding will be provided through a grant
Approximately $3,000,000 is available to fund up to 10 applicants
Applicants may request funding amounts of up to $300,000 for each year of the 3-year project period (September 30, – September 29, 2020).
Requests exceeding this amount will be deemed nonresponsive and will not be considered.
Funding beyond first year is dependent on the availability of appropriated funds
Please refer to page 9 of the NOFO

13. Allowable Uses of Award Funds
Funds may be used to support RWHAP core medical and support services that augment existing resources as well as the infrastructure supports needed to engage PLWH in housing and employment services
PCN #16-02 Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds
Funds may not be used to directly support:
Permanent Housing
Employment Services
Please refer to pages 2 to 3 of the NOFO
Hiring dedicated staff or re-organizing staff to coordinate housing, health care, and employment services for clients (e.g., care coordinators, coordinated case management, enhanced peer navigation services, etc.);
Increasing the efficiency of referral process and collaboration between HIV care, housing service and employment providers through data sharing, co-located services, and/or cross-training;
Streamlining intake and assessment forms across programs to increase efficiencies to better identify unmet needs and coordinate services for clients seeking housing, employment and HIV care services;
Dedicating staff for mobile support teams to assess and coordinate HIV care, employment and housing needs of PLWH experiencing homelessness and who are at risk for poor health, employment and housing outcomes;
Expanding IT capacity to support the coordination of HIV care, employment and housing services;
Augmenting existing coordinated HIV care, employment and housing systems to include support services;
Developing a jurisdictional approach by assigning a staff person at the Department of Health responsibilities for coordinating and developing referral processes for the RWHAP program and leveraging employment and HOPWA housing services;
Engaging HOPWA-funded transitional housing supports for RWHAP clients who are involved in education or employment opportunities; and,
Working across programs to find clients who are no longer engaged in care due to housing and employment insecurity, and utilizing existing systems to re-engage the client in care while promoting long-term retention through housing support and employment services.

14. Program Expectations - Demonstration Projects
Proposed interventions may include but not limited to the following examples:
Hiring dedicated staff (e.g., care coordinators, coordinated case management, enhanced peer navigation services, etc.) or re- organizing staff to coordinate housing, health care, and employment services
Streamlining intake and assessment forms across programs and increasing the efficiency of referral process
Expanding IT capacity to support the coordination of HIV care, employment and housing services;
Engaging HOPWA-funded transitional housing supports for RWHAP clients who are involved in education or employment opportunities; and,
Working across programs to find clients who are no longer engaged in care, and utilizing existing systems to re-engage the client in care through housing support and employment services
Please refer to pages 2 to 3 of the NOFO
Proposed interventions may include but are not limited to the following examples:
Hiring dedicated staff or re-organizing staff to coordinate housing, health care, and employment services for clients (e.g., care coordinators, coordinated case management, enhanced peer navigation services, etc.);
Increasing the efficiency of referral process and collaboration between HIV care, housing service and employment providers through data sharing, co-located services, and/or cross-training;
Streamlining intake and assessment forms across programs to increase efficiencies to better identify unmet needs and coordinate services for clients seeking housing, employment and HIV care services;
Dedicating staff for mobile support teams to assess and coordinate HIV care, employment and housing needs of PLWH experiencing homelessness and who are at risk for poor health, employment and housing outcomes;
Expanding IT capacity to support the coordination of HIV care, employment and housing services;
Augmenting existing coordinated HIV care, employment and housing systems to include support services;
Developing a jurisdictional approach by assigning a staff person at the Department of Health responsibilities for coordinating and developing referral processes for the RWHAP program and leveraging employment and HOPWA housing services;
Engaging HOPWA-funded transitional housing supports for RWHAP clients who are involved in education or employment opportunities; and,
Working across programs to find clients who are no longer engaged in care due to housing and employment insecurity, and utilizing existing systems to re-engage the client in care while promoting long-term retention through housing support and employment services.

15. Please refer to page 2 and pages 31 to 33 of the NOFO
Program Expectation - Employment Curriculum & Resources for Collaboration
This project builds upon HUD and DOL’s Getting to Work Initiative utilizing the agencies knowledge and experience
Key personnel including the Principal Investigator, Project Director, Evaluator, and project intervention staff must complete the Getting to Work: A Training Curriculum for HIV/AIDS Service Providers and Housing Providers
Applicants should use the information contained in the curriculum to design their interventions
Section VIII of the NOFO provides Additional Resources including those for housing and employment services
Please refer to page 2 and pages 31 to 33 of the NOFO
Employment Curriculum
In order to provide adequate technical assistance as subject matter experts to the demonstration sites, the ETAP recipient’s key personnel must obtain a certificate of completion for each of the three modules in HUD and DOL’s employment training curriculum entitled Getting to Work: A Training Curriculum for HIV/AIDS Service Providers and Housing Providers.
Key ETAP personnel include the Principal Investigator, Project Director, and Evaluator. In addition, the ETAP should be responsible for collecting demonstration sites’ staff certificates of completion for this curriculum. The information provided within the curriculum shall be used to inform the design of the demonstration sites’ interventions.
ETAP applicants must possess a thorough understanding of both the needs of PLWH in racial and ethnic minority communities experiencing unstable housing and employment barriers such as stigma, lack of access to housing and health care, limited employment or training/skills development opportunities, and other economic vulnerabilities that impact health outcomes for PLWH. Additionally, ETAP applicants should demonstrate an in-depth understanding of coordinated models of care that impact health disparities, as it relates to health, housing and employment outcomes for PLWH.

16. Program Expectations - Demonstration Sites
Applicants must demonstrate the ability to:
Serve racial and ethnic minority communities
Design and implement coordinated intervention
Participate in on-site and remote learning opportunities
Collect and submit evaluation data
Document implementation processes
Develop a sustainability plan
Participate in dissemination of materials to promote replication
Post-award, recipients must obtain and submit Institutional Review Board (IRB) approval on all evaluation activities, for implementation of data collection processes within the first six (6) months of the award
Please refer to pages 3, 4, 6, 13, 14 and 16 of the NOFO
You must demonstrate the ability to:
• Serve racial and ethnic minority PLWH at high risk for poor HIV health outcomes;
• Implement, within 6 months of the award, an innovative intervention that integrates HIV care, housing and employment services offered through HRSA’s RWHAP, HUD’s HOPWA Program, and DOL or other federal, state, or local employment service for PLWH;
• Participate in on-site and remote learning opportunities conducted by the evaluation and technical assistance provider (ETAP) (to be funded through a separate NOFO, HRSA );
• Work with the ETAP to develop and implement a multi-site evaluation plan;
• Collect and submit data to the ETAP to measure the impact of the coordinated intervention on the HIV care, housing and employment status of PLWH;
• Document implementation processes including action steps taken, lessons learned, successes and barriers encountered;
• Work with the ETAP to develop a sustainability and program integration plan that ensures the continuation of funded service strategies beyond the three-year project period; and,
• Participate in the development and dissemination of materials to promote the replication of successful interventions across the United States.
Re: IRB -- Explain that IRB documentation is not needed in the application, but will be required during the first 6 months of the initiative. 

17. Applicant Coordination of Service Partnerships
The project period from start to finish is 3-years; thus, successful applicants must be able to implement the integrated program intervention quickly!
This includes implementation, within 6 months of the award, of an innovative intervention that integrates HIV care, housing and employment services offered through HRSA’s RWHAP, HUD’s HOPWA Program, and DOL or other federal, state, or local employment service for PLWH
Therefore, applicants must demonstrate appropriate partnerships between RWHAP HIV care services and HOPWA/housing support services through either:
Dual HOPWA and RWHAP funding
Written agreements between RHWAP and HOPWA service providers
Partnerships must demonstrate:
Access to RWHAP and HOPWA Services;
Enrollment of clients and collection of required client-level data; and
Data reporting to the ETAP
Please refer to page 3 to 4 of the NOFO
The project period for this award is three years; therefore, successful applicants must be able to implement the integrated program intervention quickly.

18. Program Expectation - Working with the ETAP
A primary duty of the demonstration site will be to work with the ETAP recipient throughout the project period.
ETAP funded under companion NOFO HRSA : Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services – Evaluation and Technical Assistance Provider
ETAP responsibilities include:
Design and lead the implementation of the multi-site evaluation
Provision of technical assistance (TA) to the Demonstration Sites and RWHAP recipients and subrecipients
Lead dissemination of project findings and lessons learned
Please refer to page 4 to 6 of the NOFO
and HRSA NOFO to learn on the requirements for the ETAP
Because award recipients under both NOFOs (HRSA and HRSA ) will need to work together closely to be successful, HAB encourages you to read the companion announcement and be familiar with all program expectations within both NOFOs.

19. Multi-Site Evaluation - Key Performance Measures
HAB Core Performance Measures
Retention in HIV Medical Care
Antiretroviral Therapy (ART)
Viral Suppression
Housing Status
HOPWA Annual Progress Report (APR) measures
Consolidated Annual Performance and Evaluation Report (CAPER) Performance Measures
Employment Status
DOL Employment and Training Administration (ETA) Common Performance Measures
Please refer to pages 4-6 of the NOFO
Multi-Site Evaluation – Key Performance Measures
Key performance measures that must be included in the multi-site evaluation are outcomes of PLWH program participants along the HIV care continuum including:
• HAB Core Performance Measures, specifically:
o Retention in HIV Medical Care  Percentage of clients who had at least one HIV medical care visit in each six (6)-month period of the 24-month measurement period, with a minimum of 60 days between medical visits.
o Antiretroviral Therapy (ART) Among Persons in HIV Medical Care
 Percentage of clients prescribed ART for the treatment of HIV infection in the 12-month measurement period.
o Viral Suppression Among Persons in HIV Medical Care
 Percentage of clients with a viral load <200 copies/mL during the last test in the 12-month measurement period.
• Additional HAB Core Performance Measures, as needed
• Housing Status o Percentage of persons with an HIV diagnosis who were homeless or unstably housed receiving housing services in the 12 month measurement period
o HOPWA Annual Progress Report (APR) measures8/Consolidated Annual Performance and Evaluation Report (CAPER) Performance Measures9
o Other HUD measures, as appropriate
• Employment Status o Percentage of PLWH with unmet employment needs receiving employment services in the 12 month measurement period
o DOL Employment and Training Administration (ETA) Common Performance Measures, as appropriate10
o Other DOL measures, as appropriate

20. Application and Submission Information
Two Components of the NOFO:
HRSA Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services – Demonstration Sites focuses on the program- specific content, including goals, expectations, and requirements of the program
HRSA’s General Instructions
SF 424 Application Guide (“Application Guide”)
Links are found throughout the NOFO
Applicants must use both HRSA NOFO and the
SF424 Application Guide to successfully complete and
submit an application

21. Eligibility Information
Eligible applicants include entities eligible for funding under Parts A – D of Title XXVI of the PHS Act as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009
Eligible applicants also include public health departments and institutions of higher education, state and local governments, nonprofit organizations, faith-based and community-based organizations, tribes, and tribal organizations
Foreign entities are not eligible to apply
Cost sharing/matching is not required
Please refer to pages 9 to 10 of the NOFO

22. Application Package Applicants must include the following:
SF-424 Application for Federal Assistance
Project Abstract (uploaded in box 15 of the SF-424)
Project/Performance Site Location Form
Project Narrative (uploaded to the Project Narrative Attachment Form)
SF-424A Budget
Budget Narrative (uploaded to the Budget Narrative Attachment Form)
Attachments (Section IV 2. v. of NOFO)
Grants.gov Lobbying Form
SF-424B Assurances
Key Contacts
We will discuss the components of the application package highlighted in bold text.

23. Project Abstract Include:
Summary of the application including descriptions of the following:
Needs to be addressed
Proposed services
Population to be served
Statement of project structure and goals
Submission Notes:
Abstract must be single-spaced and no more than one page in length.
List at the top of the page:
Project Title
Applicant Organization Name
Address
Project Director Name
Contact Phone Numbers and Address
Website Address, if applicable
See pages 11 to 12 in the NOFO and 37 and 41 in the SF424 Application Guide

24. Project Narrative - Overview
The Project Narrative provides a comprehensive framework and description of all aspects of the proposed project. It contains the following seven (7) sections:
Introduction
Needs Assessment
Methodology
Work Plan
Resolution of Challenges
Evaluation and Technical Support Capacity
Organizational Information
Please refer to pages 12 to 18 in the NOFO

25. Project Narrative –Submission Notes
In order for reviewers to understand your proposal, ensure that the Project Narrative is succinct, self-explanatory and well-organized.
Clearly label all sections
Respond to all of the questions within in each of the sections.
Follow all submission guidelines as listed in the NOFO
Follow all submission guidelines and tips as outlined in SF424 Application Guide
Please refer to pages 12 to 18 in the NOFO and pages 37 to 42 in the SF424 Application Guide

26. Budget Requirements Budget information consists of three parts:
SF-424A Budget Information for Non- Construction Programs (included in the application package)
Line Item Budget. While the budget period is for one year, you must submit line item budgets for each of the 3 budget periods. Include as Attachment 7.
Budget justification narrative
Modify if a line item budget is not required.
See pages # to # in the NOFO, and # to # in the SF424 Application Guide

27. Budget Requirements: SF-424A
Complete Sections A – F of the SF-424A Budget Information – Non-Construction Programs form included with the application package for each year of the project period. The budget period is for 1 year. However, you must submit 1-year budgets for each of the subsequent budget periods within the requested project period at the time of application. In Section A use rows to provide the budget amounts for the first 4 years of the project. Enter the amounts in the “New or Revised Budget” column- not the “Estimated Unobligated Funds” column.

28. Budget Requirements: SF-424A
In Section B 6. Object Class Categories of the SF-424A, provide the object class category breakdown (i.e., line item budget) for each year of the project period specified in Section A. In Section B, use column (1) to provide category amounts for year 1 and use columns (2) through (4), if applicable, for subsequent budget years. If applicable for year 5, please submit a copy of Section B of the SF-424A as an Attachment (specific attachment number will be listed in the NOFO - not counted in the page limit).

29. Budget Requirements: SF-424A
Section C – Non-Federal Resources: complete only if Section III. 2. Cost Sharing/Matching of the NOFO indicates that cost sharing/matching is required. Lines 8-11 correspond to the first 4 years of the project. If applicable for year 5, please submit a copy of Section C of the SF-424A as an Attachment (specific attachment number will be listed in the NOFO).
Section D – Forecasted Cash Needs: If no cost sharing/matching is required, complete only line “13. Federal” in the first column titled “Total for 1st Year.” If cost sharing/matching is required, complete all three lines “13. Federal,” “14. Non-Federal,” and “15. Total (Sum of lines 13 and 14)” in the first column titled “Total for 1st Year.”
Section E – Budget Estimates of Federal Funds Needed for Balance of the Project:
Complete line 16 of the Future Funding Periods columns for the out years, with (b) First being the 2nd year, (c) Second being the 3rd year, etc.

30. Budget and Budget Justification- Submission Notes
Include sufficient narrative to justify the reasonableness of the support requested
Submit one-year budgets for each of the three project years.
Include both direct and indirect costs
Explain each cost element
Describe how each line item will support proposed project objective
Identify for all staff the % of FTE allocated, the full salary amount, and other funding sources leveraged to account for the full salary
Reference the SF-424 Application Guide for directions and writing tips for completing the budget and budget narrative.
Please refer to pages 18 to 19 of the NOFO and section 4.1.iv of SF-424 Application Guide

31. Budget and Budget Justification- Line Items to Consider
Because of the data collection and evaluation requirement, HAB suggests that proposed budgets and staffing plans include either through direct support or leveraged resources an evaluator and a data manager at suggested FTE levels:
Evaluator: 15% FTE
Data Manager: 25% FTE
Sites must attend annually a 2- day meeting with the ETAP, HRSA staff, and other demonstration sites in the Washington DC area. Include in each year’s budget travel costs and per diem for 3 key staff to attend.
Please refer to pages 18 to 19 of the NOFO

32. Salary Limitation
Please note that effective January 8, 2017, the salary rate limitation applicable to RWHAP domestic grants and cooperative agreements increased from $185,100 to $187,000.
The Consolidated Appropriations Act, 2017 (P.L ), Division H, § 202 states, “None of the funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism, at a rate in excess of Executive Level II.” Please see Section 4.1.iv Budget – Salary Limitation of HRSA’s SF-424 Application Guide for additional information.
As a reminder, RWHAP funds and program income generated by RWHAP awards may not be used to pay salaries in excess of the rate limitation.
When preparing your budget, please be mindful of legislation that limits salary amounts that may be charged to the award. This salary rate limitation is applicable to all HHS grants and cooperative agreements, including the RWHAP. This limitation is also applicable to subrecipients.

33. Please refer to pages 21 to 23 of the NOFO
Funding Restrictions
In addition to the general restrictions included in Section 4.1.iv of the SF-424 Application Guide, funds may not be used for the following:
Charges that are billable to third party payers (e.g., private health insurance, prepaid health plans, Medicaid, Medicare, HUD, etc.);
To directly provide housing or health care services (e.g., HIV care, counseling and testing) that duplicate existing services;
Purchase or construction of new facilities or capital improvement to existing facilities;
Purchase of or improvement to land;
Purchase of vehicles;
International travel;
Cash payments to intended RWHAP clients as opposed to non-cash incentives to encourage participation in evaluation activities;
Pre-Exposure Prophylaxis (PrEP) or Post-Exposure Prophylaxis (nPEP) medications or the related medical services. (Please note that RWHAP recipients and providers may provide prevention counseling and information to eligible clients’ partners – see RWHAP and PrEP Program Letter, June 22, 2016);
Syringe Services Programs (SSPs). Some aspects of SSPs are allowable with HRSA's prior approval and in compliance with HHS and HRSA policy. See services-programs/; or
To develop materials designed to directly promote or encourage intravenous drug use or sexual activity, whether homosexual or heterosexual.
See
Please refer to pages 21 to 23 of the NOFO
Include legislative distribution of funds requirements and any restrictions on indirect costs required by legislation and/or regulation, as applicable.

34. Please refer to pages 19 to 20 of the NOFO
Attachments
List of Attachments can be found in Section IV. 2. v. of the NOFO
Attachment 1: Project Organizational Chart (required)
Attachment 2: Staffing Plan and Job Descriptions for Key Personnel (required)
Attachment 3: Biographical Sketches of Key Personnel (required)
Attachment 4:Letters of Agreement, Memoranda of Understanding, and/or Description of Proposed/Existing Contracts, project-specific (if applicable)
Attachment 5: Work Plan (required)
Attachment 6: Logic Model (required)
Attachment 7: Line Item Budgets Spreadsheets for Years 1 through 3 (required)
Attachments 8-11: Other Relevant Documents (if applicable)
Please refer to pages 19 to 20 of the NOFO
This list includes all attachments as described in the NOFO. Please note next to each attachment we have indicated whether is required or should be attached only if applicable to your application.
Over the next couple of slides we are going to provide some general information about submitting your attachments as well as provide greater detail about each of the individual the attachments. Our goal is to provide clarity about what is expected in these attachments, to highlight how these Attachments relate to your Project Narrative, and specify where they tie the review criteria.
You can find this list on pages 19 and 20 of the NOFO

35. Please refer to pages 19 to 20 of the NOFO
Attachments
Upload attachments in the order specified to the Attachments Form in the application package
Label each attachment clearly
Unless otherwise noted, attachments count toward the page limit
Please refer to pages 19 to 20 of the NOFO
It is important that you clearly label each attachment and upload them in the order specified in the NOFO. Please note that unless otherwise indicated the attachments count toward your page limit.

36. Attachment 1 – Project Organizational Chart (Required)
The Project Organizational Chart depicts the organizational structure of the project, not the entire organization, and include subrecipients, contractors, partner organizations, and other significant collaborators
Brief graphic description of project organization as described in the Project Narrative (Section IV.2.ii of the NOFO, Organizational Information)
Will be considered as part of review criterion #5 Resources/Capabilities
Please refer to pages 16 to 17, pages 19 to 20, and pages of the NOFO
The Organizational Chart is a one page graphic describing the structure of the project. It should include all contractors , subrecipients and partner organizations responsible for deliverables. This information should be used to depict the organizational structure as detailed in the Organizational Information section of the project narrative. Attachment 1 is required and will be considered as part of Review Criterion #5, Resources/Capabilities.

37. Attachment 2 - Staffing Plan and Job Descriptions for Key Personnel (Required)
Describe education and experience qualifications, roles, and responsibilities of proposed project staff.
Include a description of your organization’s time keeping process.
Include information about any partnering agencies/staff contributing to project components, organizational structure or management of the project. (See Attachment 4)
Refer to the Project Narrative Section Organizational Information and Review Criteria # 5: Resources/Capabilities for more information about how Attachments 2 relate to the Project Narrative and application review process.
Please refer to pages 16 to 17, pages 19 to 20, and pages 26 to 27 of the NOFO and 4.1.vi of the SF-424 Application Guide

38. Attachment 3 – Biographical Sketches of Key Personnel (Required)
Include biographical sketches for persons occupying the key positions described in Attachment 2, not to exceed two pages in length per person.
Include information about any partnering agencies/staff contributing to project components, organizational structure or management of the project. (See Attachment 4)
Please refer to pages 16 to 17 and pages 19 to 20 of the NOFO and 4.1.vi of the SF-424 Application Guide
In the event that a biographical sketch is included for an identified individual who is not yet hired, please include a letter of commitment from that person with the biographical sketch. Biographical sketches should include, if applicable, training, language fluency, and experience working with racial and ethnic minority populations

39. Attachment 4– Letters of Agreement, Memoranda of Understanding, and/or Description(s) of Proposed/Existing Contracts (if applicable)
Provide documents that describe working relationships and/or resource commitments between your organization and other entities/programs leveraged or contracted to contribute to project components or project management
Describe the roles of those contributing agencies and any deliverables associated with them
LOAs, MOAs, and MOUs must be signed and dated
Include an LOA, MOU, MOA or description of proposed contract for all contributing partner agencies/personnel listed in Attachments 1-3 (Project Organizational Chart, Staffing Plan and Job Descriptions, and Biographical Sketches of Key Personnel)
If the applicant does not plan to contract or leverage resources or personnel to meet the requirements listed in the NOFO, then no LOAs, MOAs, MOUs, or additional descriptions are required.
Please refer to page 4, pages 16 to 17, page 20, and page 24 of the NOFO

40. Attachment 5 – Work Plan (Required)
Include for the entire project period:
Goals
Objectives
Action Steps
Staff Responsible
Timeline for Action Steps
Measurable Outcomes
Your Work Plan should include objectives and key action steps that are:
SPECIFIC
MEASUREABLE
ACHIEVABLE
REALISTIC &
TIME FRAMED
Recommend providing work plan in a table format
Please refer to page 14 to 15, page 20, and page 25 of the NOFO

41. Attachment 6 – Logic Model (Required)
A logic model is a one-page diagram that presents the conceptual framework for a proposed project and explains the links among program elements
The logic model should summarize the connections between the:
Goals
Assumptions
Inputs
Target Population
Activities
Outputs
Outcomes
Please refer to page 14 to 15, page 20, and page 25 of the NOFO

42. Refer to pages 18 and 20 of the NOFO
Attachment 7: Line Item Budget Spreadsheet (Required; below sample only)
Refer to pages 18 and 20 of the NOFO

43. Application Review Information
HRSA’s Division of Independent Review (DIR) is responsible for managing the objective and independent application review performed by a committee of qualified experts
Applications will be reviewed and rated based on the review criteria in Section V of the NOFO if they
are submitted by the published deadline
do not exceed the page limit
do not request more than the ceiling amount, and
pass the initial HRSA eligibility and completeness screening
The competitive objective review process is based solely on the merits of your application.  It is critical that you paint a clear picture of your proposed project and the capabilities that your organization brings to the work

44. Application Review Information
Review Criteria are used to review and rank applications. For this opportunity, there are 6 review criteria:
Criteria
Points
Criterion 1: Need 15
Criterion 2: Response 30
Criterion 3: Evaluative Measures 20
Criterion 4: Impact 10
Criterion 5: Resources/Capabilities
Criterion 6: Support Requested
Total Points
100
Adjust points per Section V of the NOFO. Note the importance of crafting the application with these criteria in mind.
Please refer to pages 23 to 27 of the NOFO

45. Application Review Crosswalk
Review Criteria correspond to the applicant’s written response to the Project Narrative and required attachments:
Project Narrative Section
Review Criteria
Project Abstract
(1) Need
Introduction
Needs Assessment
Methodology
(2) Response, (3) Evaluative Measures, and (4) Impact
Work Plan
(2) Response and (4) Impact
Resolution of Challenges
(2) Response
Adjust points per Section V of the NOFO. Note the importance of crafting the application with these criteria in mind.
Please refer to pages 17 to 18 of the NOFO

46. Application Review Crosswalk - Continued
Review Criteria correspond to the applicant’s written response to the Project Narrative and required attachments:
Project Narrative Section
Review Criteria
Evaluation and Technical Support Capacity
(3) Evaluative Measures
Organizational Information
(5) Resources/Capabilities
Staffing Plan
Project Organizational Chart
Budget and Budget Narrative
(6) Support Requested
Adjust points per Section V of the NOFO. Note the importance of crafting the application with these criteria in mind.
Please refer to pages 17 to 18 of the NOFO

47. Application Package: Where is it?
On HRSA’s website at
Click on the NOFO “apply at Grants.gov” link At
Search by opportunity number, or
CFDA
The Application Guide is available at de/sf424guide.pdf or click the links in the NOFO
The easiest way to find the NOFO is to go to the HRSA website address listed on the slide. It will take you directly to the Grants.gov website. Make sure to download both the NOFO (instructions) and the application package.
If you can see the application package, you are able to complete and submit grant applications on Grants.gov When applying through Grants.gov, you will be required to use Adobe Reader version 9 through 11 and limited versions of Adobe Reader DC in order to apply and download the application package. You can download Adobe Reader from Grants.gov, but you may need help from your information technology department if you do not have permission to install software on your computer.

48. Application Submission Tips
Read the NOFO and the SF-424 Application Guide carefully and follow instructions.
Include your agency name and the name of this program on all pages (RWHAP [insert name] Program).
Refer to section 4.7 of the Application Guide for additional Tips for Writing a Strong Application.
Apply early; do not wait until the last minute in case you run into challenges!
Make sure the person who can submit for your organization will be available.
Ensure SAM.gov and Grants.gov registration and passwords are current immediately!
Reminder: Do Not Go Over the 80 Page Limit.
Have all your PIN numbers and passwords handy!

49. Grants.gov Contact Information
When to contact Grants.gov Helpdesk
Error messages
Other technical issues
Application did NOT transmit to HRSA
If you have any submission problems, please contact Grants.gov immediately!
Grants.gov Contact Center (24/7 except Federal holidays):
, or or
Please note the Grants.gov contact information listed on the slide.
If you receive an error message, have other technical issues, or if your application was not transmitted to HRSA, contact the Grants.gov help desk right away.
DO NOT contact your Project Officer, the HAB staff, Grants Management Specialist, or the HRSA call center for assistance with the application submission issues. They will not be unable to provide you with any assistance!
The deadline is firm! So start your process early to avoid the time crunch!

50. Tracking Grants.gov Submissions
Your application must be submitted through grants.gov and successfully validated prior to the published application deadline.
Please keep in mind, the submission receipt you receive from Grants.gov after uploading the application does not necessarily mean that the application has been accepted by Grants.gov.
Your organization should receive four s from Grants.gov during a successful submission.
The first will be a submission receipt . We highly encourage you to utilize the “Track My Application” link found within this message to track your application status.
The second is the most crucial, the submission validation . This will notify you if the application has been validated and sent forward or has been rejected with errors. This second step can take up to 72 hours to process, so it is absolutely essential to submit your application at least 4 business days prior to the application due date. This will give your organization a chance to make any corrections and re-upload the application before the deadline.
The third you will receive is that the application has been moved forward to HRSA.
The fourth you will receive which is that the application has been given a HRSA tracking number.
If your organization application has been rejected before the due date submission ( #2), contact the Grants.gov help desk immediately for assistance in making corrections to permit you to re-upload the application and validate it before the deadline.
SF424 Application Guide, section 8.2.5

51. Grants.gov Message upon Application Upload
Thank you for submitting your grant application package via Grants.gov. Your application is currently being processed by the Grants.gov system. Once your submission has been processed, Grants.gov will send messages to advise you of the progress of your application through the system. Over the next 24 to 48 hours, you should receive two s. The first will confirm receipt of your application by the Grants.gov system, and the second will indicate that the application has either been successfully validated by the system prior to transmission to the grantor agency or has been rejected due to errors.”
“IMPORTANT NOTICE: If you do not receive a receipt confirmation and either a validation confirmation or a rejection message within 48 hours, please contact us. The Grants.gov Contact Center can be reached by at or by telephone at Always include your Grants.gov tracking number in all correspondence. The tracking numbers issued by Grants.gov look like GRANTXXXXXXXXX.”
Include this slide if brand new entities may be applying; otherwise, feel free to delete.
When you have submitted your application in Grants.gov, you will receive a confirmation which will read,
“Thank you for submitting your grant application package via Grants.gov. Your application is currently being processed by the Grants.gov system.”

52. Reminders
Applicants encouraged to send a Letter of Intent to Apply via by June 16, 2017 to
HRSA will not acknowledge receipt of letters
Include a brief description of the proposal
Your application must be electronically submitted through and successfully validated by Grants.gov no later than July 24, 2017 at 11:59 pm ET.
We recommend submission of the application at least four business days before the due date.

53. HRSA Contacts
Applicants who need additional information may contact: Program Contact Grants Contact Adan Cajina Beverly Smith Branch Chief Grants Management Specialist HRSA HIV/AIDS Bureau HRSA Office of Federal Assistance Management (301) (301)
If you have any programmatic questions related to the application, please contact the Program Contact. Please note that we cannot provide assistance for grants.gov-specific questions.
If you have any grants administration related questions, please contact the Grants Contact.

54. Q&A - Your Questions are Welcome!
We will now begin the question and answer period
We will alternate between questions from the Q&A chat pod and any operator assisted questions from the phone.
Thank you and we will be posting the slides and the transcript of Q&A on the HAB TARGET Center in five to seven business days.
HAB TARGET Website 41