hrsa-25-064 and hrsa-25-065 Mod.pdf

Notice of Funding Opportunity

Application due October 22, 2024

HIV/AIDS Bureau Ryan White HIV/AIDS Program

Ending the HIV Epidemic in the U.S. – Technical Assistance Provider (HRSA-25-064) and Ending the HIV Epidemic in the U.S. – Systems Coordination Provider (HRSA-25-065) Opportunity number: HRSA-25-064 and HRSA-25-065

Modified 8/29/2024:

corrected NOFO announcement number in Step 1: Purpose Section

Contents Before you begin 4

Step 1: Review the Opportunity 5

Basic information 6

Summary 6

Key facts 6

Key dates 7

Funding details 7

Eligibility 7

Program description 9

Award information 13

Step 2: Get Ready to Apply 17

Get registered 18

Find the application package 18

Application writing help 18

Step 3: Write Your Application 20

Application contents and format 21

Step 4: Learn About Review and Award 35

Application review 36

Selection process 45

Award notices 45

Step 5: Submit Your Application 46

Application submission and deadlines 47

Application checklist 48

Contents 2

Step 6: Learn What Happens After Award 50

Post-award requirements and administration 51

Contacts and Support 54

Endnotes 57

Contents 3

Before you begin If you believe you are a good candidate for this funding opportunity, secure your SAM.gov and Grants.gov registrations now. If you are already registered, make sure your registrations are active and up-to-date.

SAM.gov registration (this can take several weeks) You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI).

See Step 2: Get Ready to Apply

Grants.gov registration (this can take several days) You must have an active Grants.gov registration. Doing so requires a Login.gov registration as well.

See Step 2: Get Ready to Apply

Apply by October 22, 2024 Applications are due by 11:59 p.m. Eastern Time on October 22, 2024.

To help you find what you need, this NOFO uses internal links. In Adobe Reader, you can go back to where you were by pressing Alt + Left Arrow (Windows) or Command + Left Arrow (Mac) on your keyboard.

Before you begin 4 https://sam.gov/ https://grants.gov/

Jump to a step

1. Review 2. Get Ready 3. Write 4. Learn 5. Submit 6. Award Contacts

Step 1:

Review the Opportunity

In this step

Basic information 6

Summary 6

Key facts 6

Key dates 7

Funding details 7

Eligibility 7

Program description 9

Award information 13

Basic information Health Resources and Services Administration

HIV/AIDS Bureau

Ryan White HIV/AIDS Program

Have questions? Go to Contacts & Support

Key facts Opportunity names:

Ending the HIV Epidemic in the U.S. – Technical Assistance Provider (HRSA-25-064) and Ending the HIV Epidemic in the U.S.

– Systems Coordination Provider (HRSA-25-065)

Opportunity numbers:

HRSA-25-064 and

HRSA-25-065

Announcement type:

Modification

Federal assistance listing:

93.145

Statutory authority: 42 USC § 243(c) and 42 U.S.C.

§§ 300ff-11 et seq. (§ 311(c) and title XXVI of the Public Health Service Act

Summary The Health Resources and Services Administration (HRSA) is accepting applications for fiscal year (FY) 2025 for Ending the HIV Epidemic in the U.S. –Technical Assistance Provider (TAP) (HRSA-25-064) and Ending the HIV Epidemic in the U.S. – Systems Coordination Provider (SCP) (HRSA-25-065). The overall purpose of this notice of funding opportunity is to undertake a series of activities to support the recipients of Ending the HIV Epidemic in the U.S. – Ryan White HIV/AIDS Program Parts A and B (HRSA-25-063) in meeting the goals of the Ending the HIV Epidemic in the U.S.

(hereafter referred to as the “EHE initiative”). The EHE initiative has four key strategies:

Diagnose, Treat, Prevent, and Respond. The two announcements under this funding opportunity are as follows:

• The Technical Assistance Provider (HRSA-25-064) is responsible for providing technical assistance (TA) to the recipients of HRSA-25-063 on implementation of work plan activities, innovative approaches, and interventions.

• The Systems Coordination Provider (HRSA-25-065) is responsible for assisting HRSA-25-063 recipients in collaborating, coordinating, and integrating their EHE initiative plans, funding sources, and programs with the existing HIV care delivery systems. In addition, the Systems Coordination Provider will assist in identifying existing and new stakeholders, as well as collate and disseminate best practices, innovative approaches, and interventions identified by the TAP that will advance recipients’ progress in meeting the goals of the EHE initiative.

HRSA will fund one organization under each announcement to ensure effectiveness and efficiency in the implementation of activities by HRSA-25-063 recipients to support treatment and response activities of the EHE initiative. The intent of the funding opportunity is to maximize the success in developing, implementing, coordinating, and integrating strategies, interventions, approaches, and services to achieve the goals of the EHE initiative. HRSA expects that the recipient(s) of these awards will collaborate to support the recipients of HRSA-25-063. You must apply to the correct announcement number (HRSA-25-064 or HRSA-25-065) that corresponds to the stated activities listed in this section. If you are applying for both announcement numbers, you must submit a separate application for each.

1. Review 2. Get Ready 3. Write 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 6 https://www.grants.gov/search-results-detail/354793 https://www.grants.gov/search-results-detail/354793 https://www.grants.gov/search-results-detail/354793

Key dates NOFO issue date: August 22, 2024

Informational webinar:

September 12, 2024 at 2:00 p.m. ET

Application deadline:

October 22, 2024

Expected award date is by:

February 1, 2025

Expected start date: March 1, 2025

Funding details Application types: New

Expected total available funding in FY 2025:

• $6,000,000 for HRSA-25-064

• $2,000,000 for HRSA-25-065

Expected number and type of awards: 1 cooperative agreement per funding announcement.

Funding range per award:

• $6,000,000 cooperative agreement for HRSA-25-064

• $2,000,000 cooperative agreement for HRSA-25-065

We plan to fund awards in five 12-month budget periods for a total 5- year period of performance from March 1, 2025, to February 28, 2030.

The program and awards depend on the appropriation of funds and are subject to change based on the availability and amount of appropriations.

Eligibility Who can apply You can apply if you are a:

• Public or nonprofit private entity, including institutions of higher education and academic health science centers involved in addressing HIV related issues on a national scope.

• Faith-based or community-based organization, Tribe, or tribal organization

Types of eligible organizations These types of domestic organizations may apply-“Domestic” means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, or the Republic of Palau.:

• Public institutions of higher education

• Private institutions of higher education

• Non-profits with or without a 501(c)(3) IRS status

• For-profit organizations, including small businesses

Step 1: Review the Opportunity 7

• State, county, city, township, and special district governments, including the District of Columbia, domestic territories, and the freely associated states

• Native American tribal governments

• Native American tribal organizations

Completeness and responsiveness criteria We will review your application to make sure it meets these basic requirements to move forward in the competition.

We will not consider an application that:

• Is from an organization that does not meet all eligibility criteria.

• Requests funding above the award ceiling shown in the funding range.

• Is submitted after the deadline.

Application limits You may not submit more than one application per announcement number. If you submit more than one application per announcement number, we will only accept the last on-time submission.

Cost sharing This program has no cost-sharing requirement. If you choose to share in the costs of the project, we will not consider it during merit review. We will hold you accountable for any funds you add, including through reporting.

Step 1: Review the Opportunity 8

Program description Purpose This notice announces the opportunity to apply for funding for the Ending the HIV Epidemic in the U.S. – Technical Assistance Provider (TAP) (HRSA-25-064) and Ending the HIV Epidemic in the U.S. – Systems Coordination Provider (SCP) (HRSA-25-065), as administered by the HRSA HIV/AIDS Bureau (HAB) in conjunction with the Ryan White HIV/AIDS Program (RWHAP) Parts A and B. The purpose of this program is to fund TA and systems coordination for the 48 counties, Washington, D.C., San Juan, Puerto Rico (PR), and seven states (hereafter referred to as “jurisdictions”) identified in and funded through HRSA-25-063 (the funded entities hereafter referred to as “recipients”).

The overarching goal for this initiative is to reduce new HIV infections in the United States.

To reduce the new HIV infections in the United States, the EHE initiative focuses on four key strategies:

• Diagnose all people with HIV as early as possible;

• Treat people with HIV rapidly and effectively to reach sustained viral suppression;

• Prevent new HIV transmissions by using proven interventions, including pre-exposure prophylaxis (PrEP) and syringe services programs (SSPs); and

• Respond quickly to potential HIV outbreaks to get needed prevention and treatment services to people who need them.

The role of HRSA HAB and its recipients under HRSA-25-063 is to focus on Treat and Respond. These recipients are encouraged to be creative as they design ways to use EHE initiative funds in conjunction with the current RWHAP Parts A and B systems of care and treatment to end the HIV epidemic in their jurisdictions. The funding directed to the recipients under HRSA-25-063 will allow jurisdictions to implement emerging, evidenced-informed, and/or evidence-based interventions to increase linkage, engagement, and retention in care in addition to funding the additional care and treatment needs of the newly identified and re-engaged individuals.

There will be multiple streams of federal resources focused on jurisdictions to help them meet the goals of the EHE initiative. These new and/or expanded resources are in addition to the existing federal HIV resources, creating the need for coordination to ensure the maximum impact of all available resources.

HRSA will award one cooperative agreement for each of the following announcement numbers: The TAP funded under HRSA-25-064 is responsible for providing TA to the recipients of HRSA-25-063 on implementation of work plan activities, innovative

1. Review 2. Get Ready 3. Write 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 9 https://www.hiv.gov/federal-response/ending-the-hiv-epidemic/overview https://www.hiv.gov/hiv-basics/hiv-prevention/using-hiv-medication-to-reduce-risk/pre-exposure-prophylaxis https://www.hiv.gov/hiv-basics/hiv-prevention/using-hiv-medication-to-reduce-risk/pre-exposure-prophylaxis approaches, and interventions. The SCP funded under HRSA-25-065 is responsible for assisting HRSA-25-063 recipients in coordinating and integrating their initiative plans, funding sources, and programs with the existing HIV care delivery systems. In addition, the SCP will assist in identifying existing and new stakeholders, as well as collate and disseminate best practices, innovative approaches, and interventions identified by the TAP that will advance recipients’ progress in meeting the goals of the initiative.

Background The HRSA Ryan White HIV/AIDS Program has five statutory funding parts that provide a comprehensive system of medical care, support, and medications for low-income people with HIV. The goal is better health results, and lower HIV transmission in priority groups.

The HIV care continuum is key to the program. It shows the journey of someone with HIV from diagnosis to effective treatment, leading to viral suppression. Achieving viral suppression boosts the patient’s quality of life and prevents HIV transmission.

This continuum also helps programs and planners measure progress and use resources effectively. We require you to assess your outcomes and work with your community and public health partners to improve outcomes across the HIV care continuum. To assess your program, review HRSA’s Performance Measure Portfolio.

Strategic frameworks and national objectives To address health challenges faced by low-income people with HIV, using national objectives and strategic frameworks is crucial. These frameworks include:

Healthy People 2030

National HIV/AIDS Strategy (NHAS) (2022–2025)

Sexually Transmitted Infections National Strategic Plan for the United States (2021–2025)

Viral Hepatitis National Strategic Plan for the United States: A Roadmap to Elimination (2021–2025)

These strategies offer guidance on the main principles, priorities, and steps for our national health response. They serve as a blueprint for collective action and impact.

Expanding the effort There have been significant accomplishments:

• From 2018 to 2022, HIV viral suppression among Ryan White program patients improved from 87.1% to 89.6%. For more, see the 2022 Ryan White Services Report

(RSR).

1. Review 2. Get Ready 3. Write 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 10 https://ryanwhite.hrsa.gov/about/parts-and-initiatives https://www.hiv.gov/federal-response/policies-issues/hiv-aids-care-continuum/ https://ryanwhite.hrsa.gov/grants/performance-measure-portfolio https://health.gov/healthypeople https://www.hiv.gov/federal-response/national-hiv-aids-strategy/national-hiv-aids-strategy-2022-2025 https://www.hhs.gov/programs/topic-sites/sexually-transmitted-infections/plan-overview/index.html https://www.hhs.gov/programs/topic-sites/sexually-transmitted-infections/plan-overview/index.html https://www.hhs.gov/hepatitis/viral-hepatitis-national-strategic-plan/national-viral-hepatitis-action-plan-overview/index.html https://www.hhs.gov/hepatitis/viral-hepatitis-national-strategic-plan/national-viral-hepatitis-action-plan-overview/index.html https://ryanwhite.hrsa.gov/sites/default/files/ryanwhite/data/rwhap-annual-client-level-data-report-2022.pdf https://ryanwhite.hrsa.gov/sites/default/files/ryanwhite/data/rwhap-annual-client-level-data-report-2022.pdf

• Racial, ethnic, age-based, and regional disparities in viral suppression rates have significantly reduced. For more, see the Annual Client-Level Data Report 2022.

• In February 2019, the Ending the HIV Epidemic in the U.S. (EHE) initiative launched to further expand federal efforts to reduce HIV transmission. For the RWHAP, the EHE initiative expands the program’s ability to meet the needs of clients, specifically focusing on linking people with HIV who are either newly diagnosed, diagnosed but currently not in care, or are diagnosed and in care but not yet virally suppressed, to the essential HIV care, treatment, and support services needed to help them reach viral suppression.

Using data effectively HRSA and CDC promote integrated data sharing and use for program planning, quality improvement, and public health action.

We encourage you to:

• Follow the Data Security and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted Disease, and Tuberculosis Programs.

• Create data-sharing agreements between surveillance and HIV programs.

• Progress towards NHAS goals through integrated data sharing, analysis, and use of HIV data by health departments.

• Complete CD4, viral load, and HIV nucleotide sequence reporting to the state and territorial health departments’ HIV surveillance systems. CDC mandates the reporting of all such data to the National HIV Surveillance System (NHSS).

• Use our interactive RWHAP Compass Dashboard to visualize reach, impact, and outcomes of the Ryan White program and to inform planning and decision making. The dashboard gives you a look at national, state, and metro area data and displays client demographics, services, outcomes, and viral suppression. It also includes data about clients in the AIDS Drug Assistance Program (ADAP).

• Develop data-sharing strategies with other RWHAP recipients and relevant entities to reduce administrative burden.

• Use electronic data sources to verify client eligibility when you can. See Policy Clarification Notice 21-02, Determining Client Eligibility & Payor of Last Resort in the Ryan White HIV/AIDS Program.

Program resources and innovative models We offer multiple projects and resources to help you. A full list of resources is available on TargetHIV. We urge you to learn about them and use them in your project. For some examples, see Helpful Websites.

1. Review 2. Get Ready 3. Write 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 11 https://ryanwhite.hrsa.gov/sites/default/files/ryanwhite/data/rwhap-annual-client-level-data-report-2022.pdf https://www.hiv.gov/federal-response/ending-the-hiv-epidemic/overview/ending-epidemic-timeline/ https://www.cdc.gov/sti/media/pdfs/PCSIDataSecurityGuidelines.pdf https://www.cdc.gov/sti/media/pdfs/PCSIDataSecurityGuidelines.pdf https://data.hrsa.gov/topics/hiv-aids/compass-dashboard https://ryanwhite.hrsa.gov/sites/default/files/ryanwhite/grants/pcn-21-02-determining-eligibility-polr.pdf https://ryanwhite.hrsa.gov/sites/default/files/ryanwhite/grants/pcn-21-02-determining-eligibility-polr.pdf https://targethiv.org/help/ta-directory

Program requirements and expectations In collaboration with HRSA HAB, the TAP funded under HRSA-25-064 will:

• Provide individual and combined technical assistance to recipients of HRSA-25-063 (e.g. intensive, communities of practices, webinars) on implementing and supporting jurisdictional work plans to ensure the maximum impact of EHE initiative activities while building upon the existing RWHAP infrastructure.

• Assess the effectiveness of EHE initiative activities developed to identify individuals who are newly diagnosed and engage people with HIV who are not in care and/or not virally suppressed.

• Monitor and evaluate the success and challenges of the EHE initiative at the jurisdictional level, adjusting and prioritizing types of TA, as needed, to maximize the success of all funded recipients.

• Collect the wide range of innovative practices and approaches identified as being successful and develop and disseminate implementation manuals and other dissemination resources that will allow implementation, replication, and adaptation of these interventions in other jurisdictions to meet the goals of the EHE initiative.

• Collaborate closely with the recipient of HRSA-25-065 to conduct combined TA to HRSA-25-063 recipients (e.g. intensive, communities of practices, webinars), disseminate implementation manuals and other dissemination resources, ensure clear communication and coordination of activities, and minimize duplication of efforts as it relates to support provided to HRSA-25-063 recipients.

In collaboration with HRSA HAB, the Systems Coordination Provider (SCP) funded under HRSA-25-065 will:

• Assist recipients of HRSA-25-063 with coordinating efforts related to the key strategies of the EHE initiative to ensure maximum impact of all available resources while building upon the existing RWHAP infrastructure. The planning and coordination process must be designed to prioritize recipients with the greatest need in the first year.

• Work with HRSA-25-063 recipients to scan the environment within their jurisdiction to identify new and existing key stakeholders and facilitate their participation in the EHE initiative planning. The SCP will be responsible for promoting synergy among recipients and identified stakeholders through meaningful collaborations as well as helping to achieve collective impact.

• Collaborate closely with each funded jurisdiction and with the TAP to coordinate TA needs that are identified through planning and community engagement, maximize opportunities for communication, and minimize duplication of efforts.

Step 1: Review the Opportunity 12

• Provide logistical and TA support for collaboration meetings with jurisdictional stakeholders.

• Collaborate closely with the TAP (HRSA-25-064) to conduct combined TA to recipients (ex. Intensive, communities of practices, webinars, etc.), disseminate implementation manuals, ensure clear communication and coordination of activities, and minimize duplication of efforts as it relates to support provided to HRSA-25-063 recipients.

• Collate and share a wide range of innovative practices and approaches that are successful in meeting the goals of the EHE initiative, initially to the recipients, and, by the beginning of year three, nationally (including to all RWHAP Parts).

• HRSA expects recipients to sustain key elements of their projects (e.g., strategies or services and interventions), which have been effective in addressing key strategies of the EHE initiative that have led to improved outcomes for the priority populations. A summary of the jurisdictions’ sustainability plans will be part of the reporting requirements for this project.

Award information Cooperative agreement terms Our responsibilitiesAside from monitoring and technical assistance, we also get involved in these ways:

• Make available experienced HRSA HAB personnel to inform, support, or participate in the design, planning, development, and/or delivery of cooperative agreement activities and materials.

• Ensure cooperative agreement activities build upon progress, success, and lessons learned by providing access to materials and information from previous work in this area.

• Coordinate communication and develop partnerships with personnel from HRSA, CDC, other federal agencies, and other federally funded programs.

• Participate in the design, development, direction, and/or delivery of procedures, strategies, tools, training, TA, and peer learning activities, including the process of selecting EHE recipients to receive targeted systems coordination and TA.

• Provide ongoing monitoring and review of the design, development, direction, and/or delivery of cooperative agreement activities, including procedures, evaluation measures, and quality improvement efforts for accomplishing the goals of the cooperative agreement.

• Review and provide substantive and stylistic input on cooperative agreement materials and activities.

Step 1: Review the Opportunity 13

• Make HRSA HAB staff available to support efforts of the targeted systems coordination and TA activities to meet the goals of the EHE initiative.

• Participate in cooperative agreement trainings, TA, or other meetings with EHE recipients, subrecipients, and other stakeholders.

• Inform methods for evaluating the process and outcome of cooperative agreement activities, and use findings to inform future work.

• Participate in the dissemination of cooperative agreement activities, progress, and results (e.g., formal or informal presentations to internal and external stakeholders, presentations at national or regional conferences), including best practices and lessons learned.

Your responsibilitiesYou must follow all relevant laws and policies. Your other responsibilities will include:

• Establish measures and methods for obtaining feedback from recipients, evaluating the process and outcome of cooperative agreement activities, and using feedback and evaluation findings to improve future work.

• In response to feedback from HRSA HAB, and/or recipients, modify approaches to the content, design, and/or delivery of strategies, tools, systems coordination activities, and TA to improve their quality, utility or effectiveness.

• Plan for sustainability of cooperative agreement activities or resources after the period of federal funding ends.

• Assist jurisdictions in analyzing barriers to accessing care and gaps that hinder successful model integration and collaboration.

• Provide HRSA HAB with a complete, updated, and accessible copy of all federally supported materials, including online content, prepared under this cooperative agreement in an electronic zip file format on an annual basis for the duration of the period of performance.

Applicants applying for the TAP (HRSA-25-064) have the following additional responsibilities:

• Assess the TA needs of recipients related to the overall goal of reducing new HIV infections within five years.

• Identify and describe common challenges and successes among recipients in their development and submission of EHE initiative plans and in their attainment of proposed EHE initiative goals. Use these findings to inform cooperative agreement activities and suggest opportunities for enhancing work in this area.

• Develop strategies, tools, and TA to support recipients in developing and improving methodologies that 1) align with prioritized populations, 2) support implementation of EHE initiative plans with their jurisdictions, and 3) support attainment of proposed goals.

Step 1: Review the Opportunity 14

• Conduct content analyses of the work plans submitted by recipients to inform development of strategies, tools, and TA; and to identify promising or best practices, tools, and tips.

• Assess and evaluate promising or best practices, tools, and tips to inform and guide the work of recipients in their attainment of proposed goals.

• Assemble evidence-based or informed programmatic information on a wide range of innovative strategies, techniques and approaches, and share that information with the SCP to disseminate to the recipients and the larger RWHAP community.

Applicants applying for the SCP (HRSA-25-065) have the following additional responsibilities:

• Identify key stakeholders and convene meetings to assist jurisdictions in leveraging new and existing partnerships and resources to help achieve EHE initiative goals.

• Assess the systems coordination needs of recipients related to the overall goal of reducing new HIV infections within five years.

• Develop opportunities for meaningful engagement and learning among peers across recipients. These methods and models should utilize or build upon existing platforms and engagement opportunities (e.g., national meetings or conferences).

• Ensure meaningful support and collaboration with key stakeholders in planning.

• Disseminate promising or best practices, tools, and tips to inform and guide the work of HRSA-25-063 recipients in their attainment of proposed goals.

• Disseminate project accomplishments, results from project evaluation activities, and other pertinent information nationally, to include all RWHAP recipients.

Funding policies & limitations Policies

• We will only make awards if this program receives funding. If Congress appropriates funds for this purpose, we will move forward with the review and award process.

• Support beyond the first budget year will depend on:

• Appropriation of funds

• Satisfactory progress in meeting the project’s objectives

• A decision that continued funding is in the government’s best interest

◦ Future year ceiling and award amounts may be adjusted to reflect any changes

◦ If we receive more funding for this program, we may:

Step 1: Review the Opportunity 15

• Fund more applicants from the rank order list

• Extend the period of performance

• Award supplemental funding

General limitations

• For guidance on some types of costs we do not allow or restrict, see Project

Budget Information in Section 3.1.4 of the Application Guide. You can also see 45 CFR part 75, or any superseding regulation, General Provisions for Selected Items of Cost. [1]

• You cannot earn profit from the federal award. See 45 CFR 75.400(g).

• The salary rate limitation imposed by the current appropriations act applies to this program. As of January 2024, the salary rate limitation is $221,900. Note this limitation may apply in future years and will be updated.

See Manage Your Grant for other information on costs and financial management.

Indirect costs Indirect costs are costs you charge across more than one project and that cannot be easily separated by project. For example, this could include utilities for a building that supports multiple projects. Learn more at 45 CFR 75.414, Indirect costs.

Indirect costs are determined using one of two methods:

Method 1 – Approved rate. You currently have an indirect cost rate approved by your cognizant federal agency at time of award.

Method 2 – De minimis rate. Per 45 CFR 75.414(f), if you have never received a negotiated indirect cost rate, you may elect to charge a de minimis rate. This rate is 10% of modified total direct costs (MTDC). 45 CFR 75.2 defines MTDC. You can use this rate indefinitely or until you negotiate a rate. If you use the de minimis rate, you must use it for all federal awards unless you negotiate a rate.

Program income Program income is money earned as a result of your award-supported project activities. You must use any program income you generate from awarded funds for approved project-related activities. Find more about program income at 45 CFR 75.307.

1. Review 2. Get Ready 3. Write 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 16 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=19 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/part-75#p-75.216(b) https://www.hrsa.gov/grants/manage-your-grant https://www.ecfr.gov/current/title-45/section-75.414 https://www.ecfr.gov/current/title-45/part-75#p-75.414(f) https://www.ecfr.gov/current/title-45/part-75#p-75.2(Modified%20Total%20Direct%20Cost) https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.307

Step 2:

Get Ready to Apply

In this step

Get registered 18

Find the application package 18

Application writing help 18

Have questions? Go to Contacts and Support.

Get registered SAM.gov You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI). SAM.gov registration can take several weeks. Begin that process today.

To register, go to SAM.gov Entity Registration and select Get Started. From the same page, you can also select the Entity Registration Checklist to find out what you’ll need to register.

When you register or update your SAM.gov registration, you must agree to the financial assistance general certifications and representations. You must agree to those for grants specifically, as opposed to contracts, because the two sets of agreements are different. You will have to maintain your registration throughout the life of any award.

Grants.gov You must also have an active account with Grants.gov. You can see step-by-step instructions at the Grants.gov Quick Start Guide for Applicants.

Find the application package The application package has all the forms you need to apply. You can find it online. Go to Grants Search at Grants.gov and search for opportunity number HRSA-25-064 or

HRSA-25-065.

After you select the opportunity, we recommend that you click the Subscribe button to get updates.

Application writing help Visit HHS Tips for Preparing Grant Proposals.

Visit HRSA’s How to Prepare Your Application page for more guidance.

See Apply for a Grant for other help and resources.

1. Review 2. Get Ready 3. Write 4. Learn 5. Submit 6. Award Contacts

Step 2: Get Ready to Apply 18 https://sam.gov/content/entity-registration https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://grants.gov/applicants/applicant-registration http://www.grants.gov/quick-start-guide/applicants https://www.grants.gov/search-grants https://www.hhs.gov/grants-contracts/grants/get-ready-for-grants-management/tips-for-preparing-grant-proposals/index.html https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application https://www.hrsa.gov/grants/apply-for-a-grant

Join the webinar For more information about this opportunity, join the webinar on September 12, 2024 at 2:00 p.m. ET. You can join at https://hrsa-gov.zoomgov.com/j/ 1611097055?pwd=RHZmS0FpM3o1S3pHRmlTc01VQWlsQT09

Meeting ID: 161 109 7055

Passcode: vL3wPM1c

If you are not able to join through your computer, you can call in at

1-833-568-8864 US Toll-free

Meeting ID: 161 109 7055

Passcode: 97649091

We will record the webinar. If you are not able to join live, you can replay it at TargetHIV website.

1. Review 2. Get Ready 3. Write 4. Learn 5. Submit 6. Award Contacts

Step 2: Get Ready to Apply 19 https://hrsa-gov.zoomgov.com/j/1611097055?pwd=RHZmS0FpM3o1S3pHRmlTc01VQWlsQT09 https://hrsa-gov.zoomgov.com/j/1611097055?pwd=RHZmS0FpM3o1S3pHRmlTc01VQWlsQT09 http://www.targethiv.gov/

Step 3:

Write Your Application

In this step

Application contents and format 21

Application contents and format Applications include five main components. This section includes guidance on each.

Application page limit: 40 pages

Submit your information in English and express whole number budget figures using U.S. dollars.

Make sure you include each of these:

Components Submission format

Project abstract Use the Project Abstract Summary form

Project narrative Use the Project Narrative Attachment form

Budget narrative Use the Budget Narrative Attachment form

Attachments Insert each in the Other Attachments form

Other required forms Upload using each required form

Required format

You must format your narratives and attachments using our required formats for fonts, size, color, format, and margins. See the formatting guidelines in Section 3.2 of the Application Guide.

Project abstract Complete the information in the Project Abstract Summary form. Include a short description of your proposed project. Include the needs you plan to address, the proposed services, and the population groups you plan to serve. For more information, see Section 3.1.2. of the Application Guide.

Indicate the project title as either “Ending the HIV Epidemic in the U.S. —Technical Assistance Provider” or “Ending the HIV Epidemic in the U.S —Systems Coordination Provider” and include the following information:

• A summary of the proposed activities for the announcement number under which you are applying (TAP or SCP).

1. Review 2. Get Ready 3. Write 4. Learn 5. Submit 6. Award Contacts

Step 3: Write Your Application 21 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=36 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=35

• A description of the intended impact of the TA or systems coordination activities (e.g., how the activities will support the recipients of HRSA-25-063 meet the goals of the EHE initiative).

• The funding amount requested for the five-year period of performance.

Project narrative In this section, you will describe all aspects of your project. Project activities must comply with the nondiscrimination requirements.

Use the section headers and the order listed.

Introduction For HRSA-25-064 TAP, See merit review criterion 1: Need

For HRSA-25-065 SCP, See merit review criterion 1: Need

Briefly describe the purpose of the proposed project. Include a description of how the proposed technical assistance or systems coordination activities will impact the overarching goal of the EHE initiative to significantly reduce new HIV infections in the focus jurisdictions within the five-year period of performance.

Need For HRSA-25-064 TAP See merit review criterion 1: Need

For HRSA-25-065 SCP See merit review criterion 1: Need

For both HRSA-25-064 TAP and HRSA-25-065 SCP

• Outline the community or organization’s needs you plan to address.

• Use and cite demographic data or literature and publications whenever possible to support the information provided. Data sources may include surveillance and epidemiology reports, profiles of state and local public health departments, needs assessment surveys, risk behavioral surveys, and other programmatic data.

In addition, HRSA-25-064 TAP applicants should:

• Describe your understanding of the factors driving incidence and prevalence rates of HIV in the targeted jurisdictions of the EHE initiative.

• Discuss the system-level gaps affecting:

• Access;

• Linkage;

• Retention; and

• viral suppression in those jurisdictions.

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• Discuss the need for change and innovation within existing treatment and referral networks to address disparities along the HIV care continuum and how these changes can prevent new HIV infections.

• Provide a summary that demonstrates a comprehensive understanding of the types of TA needed to help jurisdictions be successful in implementing strategies, interventions, approaches, and core medical and support services to achieve the goals of the EHE initiative, specifically focusing on treating and responding.

• Address key challenges and barriers, such as stigma, infrastructure, and the impact of social determinants of health.

• Provide a summary of the approaches needed to disseminate tools, best practices and lessons learned from the jurisdictions to other RWHAP jurisdictions, to increase their success in achieving the goals of the EHE initiative.

In addition, HRSA-25-065 SCP applicants should:

• Describe your understanding of the HIV health care landscape in the targeted jurisdictions of the EHE initiative, including any regional differences and challenges.

• Describe the need for, and barriers to, EHE recipient jurisdictions coordinating the funding, programs, and activities with the existing HIV care delivery systems.

• Describe the need for, and barriers to, EHE recipient jurisdictions coordinating the funding, programs, and activities with other relevant funders, partners, and systems (such as HRSA HAB AETCs, CDC, CMS, NIH CFARs, IHS, HUD, and SAMHSA) to meet the goals of the EHE initiative.

• Describe the need to identify new partners (including traditional and non-traditional partners) to reach, engage, and retain priority populations in HIV care and the potential challenges in engaging these new partners in the EHE initiative.

Approach For HRSA-25-064 TAP, See merit review criterion 2: Response

For HRSA-25-065 SCP, See merit review criterion 2: Response

• Tell us how you’ll address your stated needs and meet the program requirements and expectations described in this NOFO.

• As it makes sense, include strategies for ongoing staff training, teamwork, and information sharing. Also include strategies for outreach and collaboration efforts to involve patients, families, and communities.

• If it applies, include a plan to distribute reports, products, or project outputs to target audiences.

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• Propose a plan for continuing the project when federal funding ends. We expect you to keep up key strategies or services and actions that have led to improved practices and outcomes for the target population.

In addition, HRSA-25-064 TAP applicants should:

• Describe your approach to assessing TA needs for HRSA-25-063 recipients.

• Describe your approach to develop a TA plan for guiding each jurisdiction through the implementation of their work plan.

• Discuss your planned method to customize TA (ex. Intensive, community of practice, webinar, etc.) for each jurisdiction and identify existing barriers that affect their ability to implement the activities in their work plans.

• Specifically describe the methods you will use to provide TA on the implementation of effective and innovative strategies, interventions, approaches, and services to achieve the goals of the EHE initiative. A summary of activities is to be submitted via progress reports. Describe your plan to monitor and evaluate the success and challenges of the EHE initiative at the jurisdictional level and adjusting and prioritizing TA, as needed, to maximize the success of all funded recipients.

• Provide a detailed methodology for assessing the effectiveness of innovative strategies, interventions, approaches, and services.

• Describe the methodology and theoretical framework that will be used to assess and evaluate all jurisdictions funded by the EHE initiative. Define your plan for assisting the jurisdictions with developing sustainability plans, including budget projections for continued program integration and ongoing activities after the funding period ends.

In addition, HRSA-25-065 SCP applicants should:

• Describe the proposed approach for implementing system-level coordination and planning activities to maximize the impact of available resources within jurisdictions to address the key strategies of the EHE initiative.

• Describe proposed methods, including the development of effective tools and strategies, to identify and engage new and existing key stakeholders, partners, and decision makers in collaborating, integrating, communicating, and sharing information to meet the goals of the EHE initiative.

• Specifically, describe your approach to strengthen coordination and networks among and between the RWHAP and other federal, state, and local entities (i.e., CDC, CMS, NIH CFARs, IHS, HUD, SAMHSA, RWHAP Part A Planning Councils/ Bodies). Discuss how you will promote synergy among recipients and stakeholders through meaningful collaborations with the goal of achieving collective impact.

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• Describe your plan to collaborate closely with recipients as well as the TAP to maximize communication and coordination and minimize duplication of efforts.

Describe proposed methods to provide logistical and TA support (onsite and virtual) to recipients for collaboration meetings with identified stakeholders.

• Describe how you will facilitate both onsite and virtual meetings with these stakeholders and ensure a high level of participation throughout the duration of the TA. Discuss your approach to coordinating the publication and dissemination of the EHE recipient findings and lessons learned in conjunction with the designated HRSA staff. Define your plan for assisting the jurisdictions with developing sustainability plans as it relates to collaboration and systems coordination activities after the funding period ends.

High-level work plan For HRSA-25-064 TAP, See merit review criteria 2: Response & 4: Impact

For HRSA-25-065 SCP, See merit review criteria 2: Response & 4: Impact

• Describe how you will achieve each of the objectives during the period of performance.

• Provide a timeline that includes each activity and identifies who is responsible for each. As needed, identify how key stakeholders will help plan, design, and carry out all activities, including the application.

• The work plan should propose specific, measurable, achievable, realistic, and time-based (SMART) process and/or outcome objectives for each workplan activity.

• Include goals in the work plan for the entire proposed five-year period of performance.

• The detailed work plan should be included in Attachment 1

In addition, HRSA-25-064 TAP applicants should:

• Ensure the work plan focuses on the areas of TA identified in the Purpose section, is in scope, and demonstrates collaboration with partner agencies as applicable.

• Use a timeline that includes each activity and identifies responsible staff positions.

• As appropriate, identify meaningful support and collaboration with key stakeholders in planning, designing, and implementing all TA activities.

The work plan is a tool to manage the EHE initiative by measuring progress, identifying necessary changes, and quantifying accomplishments. The work plan should directly relate to your methodology and the program requirements of this announcement.

In addition, HRSA-25-065 SCP applicants should:

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• Include all aspects of planning and coordination, including identification of new and existing key stakeholders, and collaboration with jurisdictions and the TAP.

• Delineate the steps that you will use to establish collaboration and coordination of the various funding streams and programs, and integration with the existing RWHAP systems of care and treatment to end the HIV epidemic in jurisdictions.

• Ensure the work plan focuses on the three areas identified in the Purpose section (systems coordination, logistics, and dissemination), that it is national in scope, and demonstrates collaboration with partner agencies to address the key strategies of the EHE initiative. Use a timeline that includes each activity and identifies responsible staff.

• As appropriate, identify meaningful support of and collaboration with key stakeholders in planning, designing, and implementing all activities. Ensure objectives:

• describe key action steps or activities that will be undertaken to implement the project, including, but not limited to hiring and training appropriate staff (if applicable);

• establishing resource and stakeholder networks;

• establishing quality control mechanisms;

• development of onsite and virtual meeting processes; and

• coordinate and facilitate stakeholder and partner engagement in planning meetings.

Resolving challenges For HRSA-25-064 TAP, See merit review criteria 2: Response & 4: Impact

For HRSA-25-065 SCP, See merit review criteria 2: Response & 4: Impact

Discuss challenges that you are likely to encounter in developing your work plan and implementing TA and system coordination activities and explain approaches that you’ll use to resolve them.

Performance reporting, evaluation, and technical support capacity For HRSA-25-064 TAP, See merit review criteria 3: Performance reporting and evaluation & 5: Resources & capabilities

For HRSA-25-065 SCP, See merit review criteria 3: Performance reporting and evaluation & 5: Resources & capabilities

• Describe the expected outcomes (desired results) of the funded activities.

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• Describe your experience promoting synergy among various stakeholders leading to effective collaboration. Include details on the specific process(es) used to achieve impactful outcomes as a result of such collaborations.

In addition, HRSA-25-065 SCP applicants should:

• Describe any obstacles to engaging current HIV partners and identifying new/key partners and plans to address those obstacles.

• Describe the challenges that may arise when disseminating innovative tools and strategies to the jurisdictions as well as nationally; and

• Describe the challenges that jurisdictions may face with coordination activities, communicating with collaborators, and demonstrating sustainable coordination activities, and how you propose to address or overcome these barriers.

Program Evaluation

The evaluation should examine processes and progress towards goals, program objectives, and expected outcomes. Evaluations must follow the HHS Evaluation Policy, as well as the standards and best practices described in OMB Memorandum M-20-12.

Describe your plan to evaluate the project.

HRSA-25-064 TAP applicants should include:

• Your organization’s capacity to monitor and evaluate the success and challenges of the EHE initiative at the jurisdictional level, including adjusting and prioritizing TA as needed. Any obstacles to meeting the TA needs of the jurisdictions and plans to address those obstacles. Your organization’s experience in gathering data/ information and performing timely assessment and evaluation of TA activities to determine the TA needs of jurisdictions participating in the EHE initiative. Your organization’s plan for the program performance evaluation that will contribute to continuous quality improvement. The program performance evaluation should monitor ongoing processes and the progress towards reaching the goals and objectives of this TA project.

HRSA-25-065 SCP applicants should include:

• Your organization’s capacity to monitor and evaluate the successes and challenges of partner engagement for the EHE initiative at the jurisdictional level. Your organization’s experience in gathering data/information and performing timely evaluation of coordination activities to determine the coordination needs of jurisdictions participating in the EHE initiative. Your organization’s plan for the program performance evaluation that will contribute to continuous quality improvement. The program performance evaluation should monitor ongoing processes and the progress towards reaching the goals and objectives of the project.

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See Reporting for more information.

Program Infrastructure

HRSA-25-064 TAP applicants should describe your organization experience in:

• Providing TA for innovative interventions models and systemic approaches to improve the delivery of HIV services to people with HIV, especially to RWHAP and other HIV providers nationwide.

• Providing intensive TA and the scope and impact of such activities.

• Providing TA at a national level to recipients of RWHAP funding. Include your organization’s experience in assisting with the development of sustainability plans. These plans will ensure recipients can continue best practices and innovative approaches used to address the key strategies of the EHE initiative.

• Tailoring intervention plans and strategies for specific organizations, and subsequent adaptations of established intervention plans. Include information on your organization’s experience in supporting the diffusion and adaptation of effective innovations in new settings.

• Also describe your capacity to provide TA to recipients to implement and support jurisdictional work plans. Discuss any examples of previous projects that reflect the expertise of proposed staff in working collaboratively with RWHAP Part A and Part B recipients (i.e., Eligible Metropolitan Areas/Transitional Grant Areas and states).

HRSA-25-0645 SCP applicants should describe your organization’s:

• Experience in working with recipients to conduct environmental scans to identify new and existing key stakeholders in order to facilitate participation in EHE initiative planning.

• Capacity to assist…