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HIV/AIDS Bureau Division of State HIV/AIDS Programs (DSHAP). Ryan White HIV/AIDS Program Part B Technical Assistance Webinar October 31, 2013 FY 2014 ADAP ERF Funding Opportunity Announcement HRSA-14-049. - PowerPoint PPT Presentation
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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
2
DSHAP Mission
To provide leadership and support to States/Territories for developing and ensuring access to quality HIV prevention, health care and support services.
3
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
4
Presenter
Heather HauckDirector
Division of State HIV/AIDS Programs
5
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
10
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.
13
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
14
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
25
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.
29
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.
30
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
31
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
32
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
33
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
35
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]
36
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