Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas | HRSA 25 003

Opportunity Information: Apply for HRSA 25 003

The Health Resources and Services Administration (HRSA) is offering grant funding through the Ryan White HIV/AIDS Program (RWHAP) Part C Early Intervention Services (EIS) Program for Existing Geographic Service Areas under three related funding opportunity numbers: HRSA-25-002, HRSA-25-003, and HRSA-25-004. This opportunity (listed in the source data as HRSA 25 003) is a discretionary grant in the health category (CFDA 93.918). The overall goal is to strengthen outpatient programs that deliver comprehensive primary health care and essential support services for low-income people with HIV, with a strong emphasis on early engagement in care and timely treatment. HRSA expects to make a large number of awards (111), and the original application closing date provided is June 17, 2024. The award ceiling is listed as 0, which typically signals that applicants should rely on the notice of funding opportunity details and service-area-specific guidance (often in an appendix) for actual funding levels rather than assuming a single capped maximum.

Programmatically, the grant is designed to ensure that people with HIV can access a full continuum of HIV-related care in an outpatient setting, especially those who are low-income, uninsured, or otherwise underserved. Funded recipients are required to deliver a defined set of early intervention services either directly in-house or by formally linking clients to services through referrals, contracts, or memoranda of understanding (MOUs). The required service components include: HIV counseling; targeted HIV testing; periodic medical evaluations for people with HIV along with clinical and diagnostic services that support HIV care and treatment; therapeutic measures that prevent and treat immune system deterioration and address conditions that arise from HIV; and referrals to appropriate health care and support service providers. In practice, this means awardees must be able to identify people at risk, diagnose HIV (or link to testing), rapidly connect people to medical care, maintain them in ongoing clinical monitoring, and ensure treatment and related services are aligned with current standards of care.

A major operational expectation is that all funded activities must be directly tied to HIV diagnosis, care, and support, and they must follow established HIV clinical practice standards 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 is the key reference that defines which core medical services and support services are allowable under the Ryan White program and how they are described. That reference matters because applicants need to build budgets and work plans that clearly map proposed activities to allowable service categories and to documented clinical standards.

Eligibility is structured around both geography and organization type. The competition is open to current RWHAP Part C EIS recipients as well as new organizations, but only for the specific geographic service areas listed in Appendix C. Because there are three funding announcement numbers with three different periods of performance, the correct announcement and performance period depend on the service area (again, tied to Appendix C). Applicants that want to serve more than one geographic service area are not allowed to bundle them into a single submission; they must submit a separate application for each proposed service area. This is important for planning because each application typically needs its own service-area needs description, staffing and partnerships, service delivery plan, budget, and performance approach tailored to that area.

The opportunity is open to U.S.-based public entities and nonprofit private entities, including a wide set of health and community-based providers recognized in section 2652(a)(1) of the Public Health Service Act. Examples listed include federally qualified health centers; certain family planning grant recipients (excluding states); comprehensive hemophilia diagnostic and treatment centers; rural health clinics; facilities operated by or under contract with the Indian Health Service; community-based organizations, clinics, hospitals, and other health facilities that provide EIS to people who contracted HIV through intravenous drug use; and nonprofit private entities that provide comprehensive primary care to populations at risk of HIV, including faith-based and community-based organizations. Native American tribal governments and tribal organizations are explicitly eligible. The broader eligibility list in the source data also includes various levels of government (state, county, city/township, special districts, and independent school districts) and nonprofits with or without 501(c)(3) status (excluding institutions of higher education), reflecting the program’s intent to fund the types of local systems and safety-net providers that routinely deliver outpatient HIV care.

The funding rules place clear constraints on how dollars must be spent, which shapes how applicants design their service mix and budgets. By statute, at least 50 percent of the total award must be spent on EIS costs, with an exception that counseling and referrals/linkage to care are not counted toward that EIS cost requirement in the same way. Separately, at least 75 percent of the award (after setting aside allowed amounts for administrative costs, planning and evaluation, and clinical quality management) must be spent on core medical services. HRSA notes that EIS is considered a subset within that 75 percent core medical services requirement, which signals that the clinical side of the program must remain dominant compared with non-medical supports. Administrative costs are capped: no more than 10 percent of the total Part C award may be used for administration. If an applicant believes it needs an exception to the core medical services spending requirement, it must submit a formal waiver request with the application as Attachment 15, following the requirements described in the program guidance.

In plain terms, this opportunity funds outpatient clinics and community providers to deliver or tightly coordinate early HIV intervention services and ongoing primary HIV medical care for low-income patients, using evidence-based standards and allowable Ryan White service categories. It is geographically targeted, requires separate applications per service area, and enforces strict spending ratios that prioritize direct clinical care and early intervention over administrative and non-medical expenditures.

• The 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 2024-04-16.
• Applicants must submit their applications by 2024-06-17. (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 111 candidate(s).
• Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Others.

Apply for HRSA 25 003

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