The purpose of this funding is providing family-centered care involving outpatient or ambulatory care (directly or through contracts) to women, infants, children, and youth with HIV/AIDS, and may be used to provide additional support services to patients and families.

and family members through

credit:

the provision of coordinated, comprehensive, culturally and linguistically competent, family-centered services.

Funds will be used to support programs that provide primary medical care and: (1) Link established systems of care to coordinate service delivery and ensure that HIV-infected women, infants children, and youth have access to the existing and emerging HIV treatments that can make a difference; (2) Implement HIV prevention programs for the transmission of HIV from mother to child; (3) Educate clients about the opportunities for participation in clinical research and other research activities; and (4) Address the intensity of service needs, high costs, and other complex barriers to comprehensive care and research experienced by medically underserved and challenging populations.

In FY 07, a total of 90 project grants were awarded, which included 17 Youth Services Initiative grants? It is estimated that a total of 90 projects will be funded in FY 08 and FY 09.

Uses and Use Restrictions

All funds granted must be expended solely for carrying out the approved project in accordance with application guidelines, the conditions of award and the applicable cost principles.

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Eligibility Requirements

Applicant Eligibility

Public and nonprofit private entities that provide primary care services, either directly or by another entity that is linked with the grantee, either through a contract, written partnership, or other formal agreement.

Proof of nonprofit status is required for nonprofit organizations.

Primary care providers must show proof of Medicaid eligibility.

Beneficiary Eligibility

Women, infants, children, and youth with HIV/AIDS and their affected family members.

Credentials/Documentation

Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.

Aplication and Award Process

Preapplication Coordination

This program is eligible for coverage under E.O.

12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office of official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

Grant applications and required forms for this program can be obtained from Grants.gov. Please visit the Grants.gov Web site at www.grants.gov to both find and apply for all Federal grant opportunities. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the HIV/AIDS Bureau. The Associate Administrator has the authority to make final selections for awards.

Award Procedures

After approval by the Associate Administrator, the Division of Grants Management Operations prepares a Notice of Grant Award and issues the award.

Deadlines

www.hrsa.gov.

Authorization

Public Health Service Act, Title XXVI, Part D, as amended, Public Law 109-415, Ryan White Care HIV/AIDS Treatment Modernization Act of 2006.

Range of Approval/Disapproval Time

From 90 to 120 days.

Appeals

None.

Renewals

Grants may be made for up to 5-year project periods, subject to availability of funds. After initial awards, projects may be renewed contingent upon submission and approval of a continuation application.

Assistance Considerations

Formula and Matching Requirements

None.

Length and Time Phasing of Assistance

Awards are made annually, subject to availability of funds. Initial awards will be made for 1 year and continuation awards may be made for an additional 4 years.

Post Assistance Requirements

Reports

Annual program reports, annual program service reports and special reports must be submitted as required.

Grantees must submit a Financial Status Report on SF 269 within 90 days after the end of the budget period.

The grantee must also submit an annual program data report, due March 15 each year, covering the just ended January 1 - December 31 calendar year.

Beginning in Fiscal Year 2009, grantees must submit an Allocations Report, 60 days after the notice of grant award, and an Expenditures Report within 90 days after the end of the budget period, (OMB 0915-0318) A final Financial Status Report and final progress report must be submitted 90 days after the end of the project period.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

All records must be maintained until expiration of 3 years from the date of submission of the final expenditure report. If questions remain following the 3-uear period, such as those raised as a result of an audit or an on-going enforcement action, recipients must retain records until the matter is completely resolved.

Financial Information

Account Identification

75-0350-0-1-550.

Obigations

(Grants) FY 07 $66,778,587; and FY 08 est $68,578,587; and FY 09 est $68,578,587.

Range and Average of Financial Assistance

$230,384 to $2,569,004; $766,222.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.

Information Contacts

Regional or Local Office

Maria Rios, MD, Division of Community Based Programs/HIV/AIDS Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 7A-30, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-3995.

Headquarters Office

Grants Management Office: Rick Goodman, Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 11A-16. Health Services Branch: (301) 443-2385; Research and Training Branch: (301) 443-3099; Government and Special Focus Branch: (301) 443-3288.

Criteria for Selecting Proposals

Criteria are included in the program guidance materials provided with application kits. Contact the HRSA Grant Application Center for details.