Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas | HRSA 22 011

Opportunity Information: Apply for HRSA 22 011

The Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program: Existing Geographic Service Areas grant (Funding Opportunity Number HRSA-22-011; CFDA 93.918) is a discretionary grant from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is designed to support outpatient settings that deliver comprehensive primary health care and related support services for people with HIV who are low income, uninsured, and otherwise underserved. The overall aim is to strengthen early access to HIV diagnosis and treatment, keep people engaged in care, and improve health outcomes across the full continuum of HIV services in the funded area.

Under this opportunity, applicants are expected to deliver a defined set of Early Intervention Services either directly or through formal partnerships such as referrals, contracts, or memoranda of understanding (MOUs). The required EIS components include HIV counseling; targeted HIV testing; periodic medical evaluations for people with HIV along with the clinical and diagnostic services needed for ongoing HIV care and treatment; therapeutic measures intended to prevent immune system deterioration and to prevent and treat HIV-related conditions; and referral of people with HIV to appropriate health care and support service providers. In practice, this means the funded program must be able to identify people who may have HIV, confirm diagnoses through testing strategies that are appropriately targeted, rapidly link and retain people in medical care, and ensure access to ongoing clinical management and supportive services that help patients maintain consistent treatment and stability.

A central feature of this notice is that it applies to "existing geographic service areas" defined by HRSA and listed in Appendix B of the Notice of Funding Opportunity (NOFO). Applicants must propose a service delivery plan that covers the entire designated service area, not just a portion of it, with the expectation that residents throughout the area have meaningful access to the funded outpatient HIV care and support system. If an organization intends to apply to serve more than one HRSA-designated service area, it must submit a separate application for each service area and use the correct funding opportunity number for each submission. The program structure is meant to ensure that services are coordinated and comprehensive across the full geography rather than concentrated only where the applicant already has a footprint.

All proposed activities and services must be directly connected to HIV diagnosis, care, and support, and they must align with established HIV clinical practice standards, specifically those consistent with U.S. Department of Health and Human Services (HHS) guidelines. HRSA also points applicants to the HIV/AIDS Bureau (HAB) Policy Clarification Notice (PCN) 16-02, which lays out what counts as allowable Ryan White services, including detailed definitions of core medical services and support services. This matters because budgets, staffing models, and contracts must map cleanly to what HRSA considers allowable under the program, and because spending must follow statutory requirements that prioritize direct clinical care.

The funding comes with several key spending rules that shape how applicants design their budgets. First, at least 50 percent of the total grant amount must be spent on EIS costs, with an explicit exception that counseling and referrals/linkage to care are not counted toward that 50 percent EIS spending requirement. Second, at least 75 percent of the award, after setting aside amounts for administrative costs, planning and evaluation, and clinical quality management (CQM), must be spent on core medical services. EIS activities are considered a subset within that broader core medical services requirement, so recipients must ensure their mix of services still meets the 75 percent core medical threshold. Third, administrative costs are capped: no more than 10 percent of total Part C grant funds may be used for administration. Taken together, these requirements push programs to devote the bulk of funds to direct patient care and clinically oriented services rather than overhead.

If an applicant believes it cannot meet the core medical services spending requirement, it may request a waiver, but the waiver request must be submitted with the application. The NOFO specifies that a core medical services waiver request should be included as Attachment 15 when submitted alongside the application. This signals that HRSA expects applicants to plan for compliance upfront and to justify, with documentation, any request to deviate from the standard spending distribution.

From an operational standpoint, this opportunity is geared toward organizations that can function as an outpatient HIV medical home or a central hub coordinating medical and support services across a defined area, including the ability to formalize referral networks and ensure continuity of care. It also implicitly requires capacity for program planning, evaluation, and clinical quality management, since those functions are specifically referenced in the spending requirements and are standard expectations in Ryan White-funded care systems. The notice lists an expected 90 awards, and while the award ceiling is shown as 0 in the source data (often indicating variable award sizes determined by HRSA rather than a fixed cap), applicants are still expected to build budgets that clearly comply with the statutory percentage requirements.

Key dates in the source information show the opportunity was created March 29, 2021, with an original closing date of June 21, 2021. The eligible applicant category is listed broadly as "Others (see text field entitled Additional Information on Eligibility for clarification)," which typically indicates HRSA provides specific eligibility rules in the NOFO itself (for example, types of clinical entities, community health organizations, or other qualifying providers), and applicants would need to confirm their eligibility status directly against that section.

In short, HRSA-22-011 funds established outpatient providers (and their partner networks) to deliver a complete package of early intervention and ongoing HIV clinical care and support services across designated existing service areas, with strict requirements that most dollars flow to core medical and EIS-related patient care, that services follow HHS clinical guidelines, and that the applicant takes responsibility for access and coverage throughout the entire HRSA-defined geography they propose to serve.

• The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.918.
• This funding opportunity was created on Mar 29, 2021.
• Applicants must submit their applications by Jun 21, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
• The number of recipients for this funding is limited to 90 candidate(s).
• Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).

Apply for HRSA 22 011

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