Opportunity Information: Apply for HRSA 19 030
The Ryan White HIV/AIDS Program (RWHAP) Access, Care, and Engagement Technical Assistance Center (ACE TA Center) grant opportunity (HRSA-19-030) is a discretionary cooperative agreement offered by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), through its HIV/AIDS Bureau (HAB). The purpose of the award is to maintain and strengthen a national technical assistance center that helps Ryan White recipients and their provider networks better connect people living with HIV (PLWH) to health coverage and sustained HIV care. This opportunity continues work previously supported under HRSA-16-081 and is designed to respond to an evolving health care coverage environment where PLWH may face changing eligibility rules, enrollment processes, plan options, and cost-sharing requirements that can disrupt consistent care if not actively managed.
At its core, the ACE TA Center is meant to build practical capacity among RWHAP recipients and subrecipients so they can help PLWH understand, enroll in, and effectively use the full range of available health coverage options. The emphasis is not only on getting someone insured, but also on ensuring they can navigate the health care system in a way that supports long-term engagement in HIV medical care. That includes improving health literacy about how to access clinicians, use benefits appropriately, coordinate supportive services, and resolve common barriers such as plan transitions, documentation requirements, or difficulties understanding how to use coverage once enrolled.
Because this is a cooperative agreement, the funded organization is expected to work closely and collaboratively with HRSA HAB, operating at a national scale rather than serving a single locality. The ACE TA Center would typically provide structured technical assistance to RWHAP-funded organizations and their partners, which can include training, tools, tailored guidance, and dissemination of effective practices that help programs improve client engagement and coverage stability. The intended audiences span multiple roles involved in HIV service delivery and coverage assistance, including outreach workers, health educators, case managers, peer and health care navigators, certified application counselors and other enrollment assisters, as well as program administrators who set policies and oversee compliance.
The opportunity lays out several major goals for the center. One goal is to maximize PLWH engagement in health care by strengthening health literacy and practical navigation skills, helping clients understand how to enter care, stay connected to providers, and make use of both clinical and support services. Another goal is to increase awareness and understanding across recipients, subrecipients, providers, and PLWH regarding available coverage options, and to improve enrollment and utilization in the context of shifting health policy and insurance markets. The notice also highlights the need to identify or develop strategies and messaging that incorporate "Treatment as Prevention" principles, using the public health value of viral suppression and consistent treatment as a motivating framework for outreach and engagement efforts that keep people connected to care and coverage.
A further objective is to improve health outcomes across the HIV care continuum, meaning the center should support approaches that help people move from diagnosis to linkage to care, retention in care, and ultimately viral suppression, while also addressing the real-world coverage and system-navigation issues that can interrupt progress at any point in that continuum. Underlying all activities is the long-standing Ryan White requirement that RWHAP funds remain the payer of last resort. In practice, that means the technical assistance center should help programs build systems that prioritize using other available coverage and benefits first, while using Ryan White resources appropriately to fill gaps and ensure no one is left without access to needed HIV-related services.
Administrative details from the notice indicate the opportunity was created on October 15, 2018, with an original closing date of January 22, 2019. It is associated with CFDA number 93.145, anticipates a single award (ExpectedAwards: 1), and lists the award ceiling as 0 in the posted data (which often signals that the ceiling may be defined elsewhere in the full announcement or is not capped in the summary field). Eligibility is listed broadly as "Others," with clarification to be provided in the full eligibility section of the announcement. Overall, the grant is structured to support one national entity that can deliver coordinated, high-impact technical assistance to strengthen RWHAP programs ability to help PLWH secure and use health coverage, stay engaged in care, and achieve better health outcomes while preserving Ryan White funds for true coverage gaps.Apply for HRSA 19 030
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Ryan White HIV/AIDS Program (RWHAP) Access, Care, and Engagement Technical Assistance Center (ACE TA Center)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.145.
- This funding opportunity was created on Oct 15, 2018.
- Applicants must submit their applications by Jan 22, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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FAQs: RWHAP Access, Care, and Engagement Technical Assistance Center (ACE TA Center) (HRSA-19-030)
What is the ACE TA Center grant opportunity (HRSA-19-030)?
HRSA-19-030 is a discretionary cooperative agreement from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), through the HIV/AIDS Bureau (HAB). It supports the maintenance and strengthening of a national technical assistance (TA) center focused on improving access to health coverage, sustained HIV care, and ongoing engagement in care for people living with HIV (PLWH) served by the Ryan White HIV/AIDS Program (RWHAP).
Who is the federal awarding agency and program office?
The awarding agency is HRSA (within HHS), and the program office is HRSA's HIV/AIDS Bureau (HAB).
What type of funding mechanism is this?
This opportunity is a discretionary cooperative agreement, which means the funded organization is expected to work closely and collaboratively with HRSA HAB during the period of performance, rather than operating fully independently.
What is the main purpose of the ACE TA Center?
The purpose is to strengthen national capacity so RWHAP recipients and their provider networks can better connect PLWH to health coverage and sustained HIV care. The center is intended to help programs support clients not just with getting coverage, but also with keeping it and using it effectively to stay engaged in HIV medical care long-term.
How is this opportunity connected to prior funding?
This opportunity continues work previously supported under HRSA-16-081. The updated focus is designed to respond to an evolving health care coverage environment where eligibility rules, enrollment processes, plan options, and cost-sharing requirements may change and disrupt consistent care if not actively managed.
Why does the announcement emphasize an "evolving health care coverage environment"?
The notice highlights that PLWH may experience changing eligibility rules, enrollment processes, plan choices, and cost-sharing requirements. These shifts can interrupt coverage stability and consistent care unless programs have strong systems and practical tools to help clients navigate changes.
Is the center expected to operate locally or nationally?
The center is intended to operate at a national scale. The funded organization is expected to provide coordinated technical assistance broadly for RWHAP recipients and their networks, rather than serving a single city, county, or state.
Who is the technical assistance intended to help?
The primary beneficiaries of the TA are RWHAP recipients and subrecipients, along with their provider networks and partners. The ultimate goal is improved coverage stability and engagement in care for PLWH served by those programs.
Which staff roles and audiences are specifically mentioned as intended users of the TA?
The intended audiences include outreach workers, health educators, case managers, peer and health care navigators, certified application counselors and other enrollment assisters, and program administrators who set policies and oversee compliance.
What kinds of support might the ACE TA Center provide?
The notice describes structured technical assistance that may include trainings, tools, tailored guidance, and dissemination of effective practices. The focus is on helping programs improve client engagement and coverage stability, including practical problem-solving around real-world enrollment and utilization barriers.
Does the ACE TA Center provide direct medical care to clients?
The opportunity is framed as a technical assistance center that builds capacity among RWHAP-funded organizations and their partners. It is designed to strengthen systems and staff capabilities rather than being described as a direct clinical service provider.
What does "access, care, and engagement" mean in the context of this grant?
In this notice, it refers to helping PLWH understand coverage options, enroll and stay enrolled, and navigate the health care system in ways that support long-term engagement in HIV medical care. It includes improving health literacy and navigation skills so clients can find providers, use benefits, coordinate supportive services, and resolve barriers that could interrupt care.
What is meant by improving "health literacy" for PLWH?
The notice emphasizes practical health literacy related to coverage and care navigation, such as understanding how to access clinicians, use benefits appropriately, coordinate clinical and supportive services, and handle plan transitions, documentation requirements, and other common administrative hurdles after enrollment.
Does the notice focus only on getting people insured?
No. The emphasis is both on enrollment and on helping clients effectively use coverage once enrolled, so they can remain engaged in HIV care and avoid disruptions caused by plan changes, confusing processes, or cost-sharing requirements.
What are the major goals of the ACE TA Center described in the notice?
The notice highlights goals that include: maximizing PLWH engagement in health care by strengthening health literacy and navigation skills; increasing awareness and understanding of coverage options among recipients, subrecipients, providers, and PLWH; improving enrollment and utilization in a shifting policy and insurance market context; incorporating "Treatment as Prevention" messaging; and supporting improved health outcomes across the HIV care continuum up to viral suppression.
How does the notice describe the role of "Treatment as Prevention"?
The notice calls for strategies and messaging that incorporate "Treatment as Prevention" principles, using the public health value of viral suppression and consistent treatment as a motivating framework for outreach and engagement that keeps people connected to care and coverage.
How does the grant relate to the HIV care continuum?
The center is expected to support approaches that improve outcomes across the HIV care continuum, including progress from diagnosis to linkage to care, retention in care, and viral suppression. The notice emphasizes addressing coverage and system-navigation issues that can interrupt progress at any stage.
What does "payer of last resort" mean in this announcement?
The notice reiterates the Ryan White requirement that RWHAP funds remain the payer of last resort. In practice, the TA center should help programs build systems that prioritize use of other available coverage and benefits first, while using Ryan White resources appropriately to fill true gaps so clients can still access needed HIV-related services.
How many awards does HRSA expect to make under this opportunity?
The posted summary indicates a single expected award (ExpectedAwards: 1), meaning the opportunity is structured to support one national entity to deliver the technical assistance.
What is the CFDA number associated with this opportunity?
The notice is associated with CFDA 93.145.
When was the opportunity created and what was the closing date?
The summary information states the opportunity was created on October 15, 2018, and the original closing date was January 22, 2019.
What is the award ceiling for this opportunity?
The posted data lists an award ceiling of 0. The notice indicates this often means the ceiling may be defined elsewhere in the full announcement or is not capped in the summary field.
Who is eligible to apply based on the summary information?
Eligibility is listed broadly as "Others," with the note that more specific clarification is expected in the full eligibility section of the announcement.
What is the expected impact of funding a national ACE TA Center?
The notice anticipates a coordinated, high-impact technical assistance effort that strengthens RWHAP programs' ability to help PLWH secure and use health coverage, remain engaged in care, and achieve better outcomes, while preserving Ryan White funds for true coverage gaps consistent with payer-of-last-resort requirements.
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