Capacity Building in the Ryan White HIV/AIDS Program to Support Innovative Program Model Replication

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This notice solicits applications for a new three-year Special Projects of National Significance (SPNS) initiative entitled Capacity Building in the Ryan White HIV/AIDS Program to Support Innovative Program Model Replication. This Notice of Funding Opportunity (NOFO) responds to recent changes in the HIV epidemic and the need to find effective solutions that improve health outcomes along the HIV care continuum for people living with HIV (PLWH). During recent years, a number of innovative interventions have demonstrated effective responses that contribute to ending the HIV epidemic. Ryan White providers who have developed these evidence-informed interventions have produced replication manuals and other tools to assist organizations and jurisdictions interested in adapting and/or replicating such interventions. This NOFO seeks to build the capacity of Ryan White HIV/AIDS Program (RWHAP) recipients and subrecipients to replicate effective models of care., with a particular focus on RWHAP jurisdictions identified as disproportionately affected by HIV By building capacity and encouraging the implementation or replication of effective models of care, the RWHAP intends that these jurisdictions will bring recent innovations to scale, thus improving systems of care, reducing health disparities, improving outcomes along the HIV care continuum, and ultimately contributing towards meeting the goals and objectives of the National HIV/AIDS Strategy. HRSA anticipates the following outcomes from this SPNS initiative: • Greater facility among RWHAP recipients and subrecipients in targeted disproportionately-affected jurisdictions to use and integrate innovative program service models, tools, interventions, and manuals, using the allowable service categories outlined in Policy Clarification Notice (PCN) 16-02, "Eligible Individuals and Allowable Uses of Funds;"1 • Increased awareness and knowledge among targeted RWHAP recipients and subrecipients about the value-added benefits of evidence-informed interventions, the RWHAP repository of innovative interventions, methodologies for adoption and replication, anticipated challenges, and resources available for implementing these innovative interventions; • Increased system-level capacity for adoption of innovative, evidence-informed interventions that provide comprehensive, high-quality, culturally competent HIV screening, care, and treatment (i.e., medical and support services) for persons living with HIV who are not, or fully, engaged in the health care system; • Greater capacity within the RWHAP to disseminate innovative interventions; and • Diminished disparities among PLWH with regard to linking into HIV care, re-engagement and retention in HIV care, access to HIV care, and viral load suppression. 1 HIV/AIDS Bureau, HRSA, 2016, https://hab.hrsa.gov/sites/default/files/hab/program-grants-management/ServiceCategoryPCN_16-02Final.pdf. HRSA-19-040 2 This initiative is designed to complement ongoing efforts that HRSA is supporting under HRSA-19-030 Ryan White HIV/AIDS Program (RWHAP) Access, Care, and Engagement Technical Assistance Center (ACE TA Center). The main objectives of HRSA-19-030 are: 1) Building the capacity of RWHAP recipients and their subrecipients through tools, training, and technical assistance (TA) to enroll and engage PLWH in expanded health care coverage; and 2) Ensuring that RWHAP funding remains a payer of last resort. The full NOFO may be read at: https://www.grants.gov/web/grants/search-grants.html?keywords=HRSA-19-030.

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