HIV/AIDS Bureau Division of State HIV/AIDS Programs (DSHAP)

HIV/AIDS BureauDivision of State HIV/AIDS Programs

(DSHAP)Ryan White HIV/AIDS Program Part

BTechnical Assistance Webinar

October 31, 2013

FY 2014 ADAP ERF Funding Opportunity

Announcement HRSA-14-049

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DSHAP Mission

To provide leadership and support to States/Territories for developing and ensuring access to quality HIV prevention, health care and support services.

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Agenda

Opening Remarks/ Announcements Heather Hauck

Question and Answer

Part B HRSA-14-049 Funding Opportunity Announcement

Heather Hauck

Questions and Answer

Closing Remarks Heather Hauck

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Presenter

Heather HauckDirector

Division of State HIV/AIDS Programs

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Announcements &

Updates

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Announcements

Important Deadlines:• Ryan White Part B HIV Care Grant Program FOA:

Deadline December 9, 2013 

Part B/ADAP (X07) Reporting Requirements:• Interim FFR SF-425 due: Nov. 28, 2013

• Grantees are unable to submit the report because the portal in EHB is missing

• ADAP Quarterly Report (AQR): due January 31, 2014

• Unobligated Balances (UOB) & Estimated Carryover: due January 31, 2014

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Announcements

• FY 2012 ADAP ERF (X09) FFR• Due into EHB January 30, 2014• Carryover Request due into EHB January

30, 2014• Budget Period July 1, 2012 – September 29,

2013 is not eligible for carryover• Budget Period August 1, 2012 – September

29, 2013 is eligible for carryover• Budget Period September 1, 2012 –

September 29, 2013 is eligible for carryover

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Announcements

Upcoming Technical Assistance Activities:

• Webinar on Changes to HAB Performance Measure Portfolio: November 6, 2013 1:00 – 2:00 pm EST

• Webinar on RSR Basics: November 6, 2013 2:00 – 3:00 pm EST

• Rescheduled Webinar on Enhancing Linkages to HIV Care in Jail Settings: November 19, 2013 1:30 pm EST

Core Medical Services Waiverhttp://www.gpo.gov/fdsys/pkg/FR-2013-10-25/pdf/2013-25276.pdf

Effective: September 23, 2013

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Questions

Funding Opportunity Announcement:

HRSA-14-049

FY 2014 Limited New CompetitionAIDS Drug Assistance Program (ADAP) Emergency Relief Funds

(ERF)

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Objectives

To provide pre-application technical assistance to applicants of the FY 2014 ADAP ERF Funding Opportunity Announcement.

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Summary of Funding

• Approximately $40 million – $75 million in ADAP ERF to fund up to 59 grantees

• Applicants may apply for a ceiling amount up to $11 million per year

• Project period of one (1) year starting April 1, 2014

• Application due date in grants.gov – November 25, 2013 11:59 p.m. EST

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FY 2014 FOA Changes

• FY 2014 ADAP ERF budget period (April 1, 2014 – March 31, 2015)

• New HRSA FOA template – please follow the specific headers in each section

• The SF-424 Application Guide is available at http://www.hrsa.gov/grants/apply/applicationguide/• Information on the National HIV/AIDS Strategy

(NHAS) is located in the SF-424 Application Guide

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• For States/Territories that can demonstrate need for additional resources to prevent, reduce or eliminate waitlists or implement “cost cutting” and/or “cost-saving” measures

Purpose

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• States with waiting list must use all funding awarded to remove clients from the waiting list.

• States that did not report a waiting list, must use funding to address “cost-cutting measures” and/or support the implementation of “cost-saving” measures during the project period to prevent a waiting list.

Purpose

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Cost-cutting measures :• Reductions in ADAP

financial eligibility below 300% of FPL

• Capped enrollment• Formulary reductions

with respect to ARVs• Restrictions with

respect to ADAP insurance eligibility criteria (i.e.,< 300% FPL)

Cost-saving measures: • Improved systems

and procedures for back billing Medicaid

• Improved client recertification

• Part B structural or operational changes such as collection of rebates, expanding insurance assistance

Purpose

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• HRSA has prioritized the following cost-containment strategies through its monitoring and technical assistance efforts:• Purchase of insurance, collection of rebates, back

billing of Medicaid, CMS data-sharing agreements for TrOOP expenditures, six-month re-certification, and controlling ADAP administrative costs.

Purpose

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Eligibility

• All 50 states, the District of Columbia, Commonwealth of Puerto Rico and U.S. Virgin Islands are eligible to apply if there has been a reported ADAP waiting list and/or cost containment measures since CY 2011.

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Cost Sharing/Matching

• Cost Sharing/Matching is NOT required for this program.

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Project Narrative

• New HRSA template: follow the headings and subheadings as the structure has been significantly reorganized.• Example: Resolution of Challenges,

Evaluation and Technical Support Capacity

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Introduction & Project Abstract

• Introduction:• Briefly describe how the State/Territory will

utilize ADAP ERF funds addressing a waiting list and/or cost cutting and/or cost savings measures

• Project Abstract:• See section 4.1.ix of HRSA’s SF-424

Application Guide

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Needs Assessment

• ADAP State/Territory Profile: • Submit as Attachment 1.• Appendix A: provides a description• ADAP profile for Fiscal Years 2011 & 2012• Sample format http://

hab.hrsa.gov/adapprofile

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Methodology

• Average Client Costs:• Medication and insurance assistance cost per

client

• FY 2014 ADAP ERF budget period (April 1, 2014 – March 31, 2015)

• States must provide step by step calculations and clearly identify all data elements required to complete the calculations

• Examples listed on pgs. 7-9 of FOA

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Methodology

• Previously awarded applicants:• If the amount requested in this application

is different from your program’s last awarded amount, please describe the factors which account for this difference.

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Methodology

• ORC Reviewers will review and determine:• Whether the average client cost calculation

submitted by applicants follow instructions provided;

• Whether the calculations are correct; if incorrect, the error will be identified along with its impact on the applicant’s calculations;

• Whether the applicant’s plan and budget request reflect their average cost calculations; and

• If applicable, whether in preparing the plan and budget, the applicant utilized the most recent number of individuals on the State’s waiting list reported to HRSA.

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Work Plan

• Planned Services & Implementation Plan:• Applicants may use table format similar to FY

2014 Part B Implementation Plan• Submit as Attachment 4. • The Implementation Plan estimated costs

should be based on the Average Monthly Client Medication Cost and/or Average Monthly Client Cost for Insurance Assistance for ADAP ERF budget period (April 1, 2014 – March 31, 2015)

• All cost calculations & budget amounts are subject to review by the ORC.

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Resolution of Challenges

• Describe specific actions taken to avoid, reduce, or eliminate a waiting list.

• The measures listed in the FOA (page 11) are examples of some required and some possible measures.

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Evaluation

• Provide a brief description of the anticipated impact of specific ADAP ERF funded activities on proposed or currently implemented cost containment and waitlist elimination.

• Provide a brief description of the methods in place to evaluate the effectiveness of the ADAP ERF Implementation Plan.

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Organizational Information

• Agency Oversight• Management/Administration of the ADAP• Organizational chart (Attachment 6)

• Budget• See instructions in section 4 HRSA’s SF-424

Application Guide• In Section B of SF-424A the budget categories

are Waiting List and Cost Containment

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Summary of Attachments

• Attachment 1: ADAP Profile• Attachment 2: Position Description for key

personnel• Attachment 3: Biographical Sketches for

key personnel

• Attachment 4: Implementation Plan• Attachment 5: Agreements and Compliance

Assurances• Attachment 6: ADAP Organizational Chart• Attachment 7-15: Other Relevant

documents

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Application and Submission

• HRSA requires applicants for this funding opportunity announcement to apply electronically through Grants.gov.

• Applicants must download the SF424 application package associated with this funding opportunity following the directions provided at Grants.gov.

• Application due date in grants.gov – November 25, 2013 11:59 p.m. EST

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Application Format Requirements

• The total size of all uploaded files may not exceed the equivalent of 40 pages when printed by HRSA. The 40-page limit includes the abstract, project and budget narratives, attachments, and letters of commitment and support.

• Attachments must be clearly labeled (see pg. 15 of the FOA).

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Application Review Information

Criterion

Description Score

1 NEED: Corresponds to Section IV’s Needs Assessment

20 points

2 RESPONSE: Corresponds to Section IV’s Resolution of Challenges and Introduction

40 points

3 EVALUATIVE MEASURES: Corresponds to Section IV’s Evaluation and Technical Support Capacity

10 points

4 RESOURCES/CAPABILITIES: Corresponds to Section IV’s Work Plan, Staffing Plan, and Biographical Sketches

20 points

5 SUPPORT REQUESTED: Corresponds to Section IV’s Budget, , Project Narrative, and Methodology

10 points

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Agency Contacts• Program issues and/or technical assistance

regarding this funding announcement may be obtained by contacting:Heather Hauck, Tel: 301-443-6547Fax: 301-443-8143, Email: [email protected]

• Business, administrative, or fiscal issues related to this funding opportunity announcement by contacting:Karen Mayo, Tel: (301) 443-3555Fax: (301) 594-4073, E-mail: [email protected]

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Application Assistance

• Applicants may need assistance when working online to submit their application forms electronically. Applicants should always obtain a case number when calling for support. For assistance with submitting the application in Grants.gov, contact Grants.gov 24 hours a day, seven days a week, excluding Federal holidays at:

Grants.gov Contact Center Telephone: 1-800-518-4726 (International Callers, please dial 606-545-5035) E-mail: [email protected] iPortal: http://grants.gov/iportal

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Questions