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Supporting the Continuum of Care: Building Ryan White Program Grantee Capacity to Enroll Eligible Clients in Affordable Care Act Health Coverage Programs

Program Name:Supporting the Continuum of Care: Building Ryan White Program Grantee Capacity to Enroll Eligible Activity Code:UF2 Application Available:6/28/2013
Application Deadline:8/12/2013 Created By:Roman, Ruth Created On:5/13/2013
Last Updated by:Hammond, Sarah Last Updated On:8/8/2013 Estimated Project Start Date:9/29/2013
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 Details of the changes posted in this announcement

Modification published on 08/08/2013
Deadline for this competition extended until August 12, 2013 at 11:59 PM.

Modification published on 06/28/2013
Publishing

 
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 Announcement Information

Announcement Number HRSA-13-281
Announcement Code
CFDA Number 93.145
Provisional No
Activity Code UF2
Competitive Yes
Fiscal Year 2013
 
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 Purpose

This announcement solicits applications for Supporting the Continuum of Care: Building Ryan White Program (RWHAP) Grantee Capacity to Enroll Eligible Clients in Affordable Care Act Health Coverage Programs.  Under the Affordable Care Act, options for health care coverage for Person Living With HIV and AIDS (PLWH)  are expanded through private insurance market reforms, an expansion of Medicaid eligibility, and the establishment of Health Insurance Marketplaces (also referred to as Exchanges).These health care coverage options may be reviewed at   http://hab.hrsa.gov/affordablecareact/keyprovisions.pdf. More general information about the Affordable Care Act may be found at www.healthcare.gov By statute, RWHAP funds may not be used for any item or service “for which payment has been made or can reasonably be expected to be made” by another payment source (Sections 2605(a)(6), 2617(b)(7)(F), 2664(f)(1) and 2671(i) of the Public Health Service (PHS) Act.).  This means that grantees and subgrantees must assure that they make reasonable efforts to secure non-RWHAP funds whenever possible for services to individual clients.  Grantees and their subgrantees are expected to vigorously pursue eligibility for other funding sources  (e.g., Medicaid, CHIP, Medicare, state-funded HIV/AIDS programs, employer-sponsored health insurance coverage, and/or other private health insurance, etc.) to extend finite RWHAP grant resources to new clients and/or needed services Grantees and subgrantees should also assure that individual clients are enrolled in any appropriate health care coverage whenever possible or applicable, and informed about the financial or coverage consequences[1] if they choose not to enroll.  Grantees and subgrantees are reminded that as new guaranteed issue requirements[2] take effect beginning January 1, 2014, PLWH will have access to private insurance plans --from which they historically have been excluded due to pre-existing condition discrimination.  Many states are also expanding their Medicaid programs.  Please note that the RWHAP will continue to be the payer of last resort and will continue to provide comprehensive HIV health care and supportive services not covered by, or limited under, public or private health insurance plans. The purpose of Supporting the Continuum of Care: Building Ryan White Program Grantee Capacity to Enroll Eligible Clients in ACA Supported Health Coverage is to build the capacity of RWHAP grantees and related providers to provide outreach to PLWH and to screen and enroll eligible PLWH in expanded health insurance during the annual open enrollment period beginning in October 2013. The announcement will fund one Cooperative Agreement to provide  technical assistance to accomplish three main objectives:  1. To assess RWHAP grantees’ technical assistance needs related to building capacity for outreach and enrollment of minority PLWH into expanded health insurance options; 2.  To work with HRSA, CDC, SAMSHA and CMS to assess best practices for minority client outreach and enrollment activities that would facilitate access to health care in the Medicaid expansion and Health Insurance Marketplaces (Exchanges); and 3.  Work with HHS agencies and national organization partners to develop strategies, tools, and trainings for RWHAP grantees to utilize for outreach and enrollment activities.  The geographic range of the proposal is nationwide and will focus on the racial and ethnic minority clients currently served by the RWHAP.  The main activities for the three objectives are:  To assess RWHAP grantees’ technical assistance needs related to building capacity for outreach and enrollment of minority PLWH into expanded health insurance options: Conduct a needs assessment of RWHAP grantees within the first two months of the cooperative agreement; and Share results with federal partners in HHS and other stakeholders. To work with HRSA, CDC, SAMSHA and CMS to assess best practices for minority client outreach and enrollment activities that would facilitate access to health care in the Medicaid expansion and Health Insurance Marketplaces (Exchanges): Review current and prior best practices e.g. Massachusetts and other state health care expansions, CHIP expansions, Medicare Part D; and Develop a matrix of best practice activities for minority client outreach and enrollment activities, Work with HHS agencies and national organization partners to develop strategies, tools, and trainings for RWHAP grantees to utilize for outreach and enrollment activities: Develop and deliver tools and trainings to RWHAP grantees from October 2013 and on an ongoing basis into 2015; and Maintain tools and trainings on website for sharing and future use. The time phase for this assessment is the first six months of the project. [1] Under the Affordable Care Act, starting in 2014, you must be enrolled in a health insurance plan that meets basic minimum standards. If you aren't, you may be required to pay an assessment. See HealthCare.gov, Glossary: Individual Responsibility, http://www.healthcare.gov/glossary/i/individualresponsibility.html [2] Guaranteed issue is a  requirement that health plans must permit you to enroll regardless of health status, age, gender, or other factors that might predict the use of health services.
 
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 Legislative Information

Sections 2606, 2619, 2654(b), and 2671(g) (42 U.S.C. §300ff-111) of the Public Health Service Act, as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (P.L 111-87) ; Consolidated and Further Continuing Appropriations Act, 2013
 
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 Application Information

Application Available 06/28/2013
Application Deadline 08/12/2013
Supplemental Application Deadline N/A
Explanation for Deadline N/A
Archive Date 09/27/2013
Letter of Intent Not required
Application Package SF424
FOA Available Yes
Competitive Application Types Supported New
Allow Electronic Submission N/A
Page Limit for Application
Attachments
80
Allow Multiple Applications
from an Organization from Grants.gov
No
Electronic Submission Instruction Electronic submission is/will be available in Grants.Gov
 
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 General Information

Projected Award Date N/A
Estimated Project Period N/A
Estimated Project Start Date 09/29/2013
Estimated Project End Date 09/28/2016
Estimated Amount of this Competition $1,900,000.00
Estimated Number of Awards 1
Estimated Average Size of Awards $0.00
Cost Sharing No
Cooperative Agreement Yes
 
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 Contact Information

Name Heather Hauck
Email hhauck@hrsa.gov
Phone Number (301) 443-6745
 
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 Download Information

Expand FOA (Guidance) Attachment (Minimum 0) (Maximum 1)
Document Name Size Date Attached Description
HRSA-13-281 finalREVISEDDEADLINE.pdf 228 kB 08/08/2013
HRSA-13-281 final.pdf 500 kB 06/28/2013
Expand Application Package (Minimum 0) (Maximum 1)
No documents attached
Expand User Guide (Minimum 0) (Maximum 1)
No documents attached


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