Ryan White HIV/AIDS Program Part D Coordinated HIV Services and Access to Research for Women, Infants, Children, and Youth (WICY) Limited Existing Geographic Service Areas | HRSA 22 156

Opportunity Information: Apply for HRSA 22 156

The Ryan White HIV/AIDS Program (RWHAP) Part D Coordinated HIV Services and Access to Research for Women, Infants, Children, and Youth (WICY) opportunity (HRSA-22-156) is a discretionary grant program run by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It is focused on improving access to coordinated, comprehensive HIV care for low-income women, infants, children, and youth in outpatient or ambulatory settings. In practical terms, the program is designed to make sure families affected by HIV can get medical care and related supports in a way that is organized, culturally and linguistically appropriate, and built around the needs of both the individual patient and the family unit.

The core purpose of Part D under this specific notice is to deliver family-centered HIV care for four specific groups: women age 25 and older living with HIV; infants up to age two who are exposed to HIV or living with HIV; children ages two through 12 living with HIV; and youth ages 13 through 24 living with HIV. Applicants are expected to propose a model of care that meets the needs of all these eligible populations within the service area they are applying to cover. The program emphasizes outpatient and ambulatory care as the hub of services, meaning applicants should be able to coordinate ongoing clinical care rather than relying primarily on episodic or inpatient-only approaches.

A key feature of this funding announcement is that it is limited to specific, predefined geographic service areas listed in Appendix B of the notice. The competition is open both to current Part D recipients and to new organizations, but it is not open-ended geographically; an applicant must apply to serve one of the listed service areas, and the application must cover the entire defined area rather than only a portion of it. If an organization wants to compete for more than one Appendix B service area, it must submit a separate application for each one. HRSA also makes clear that every applicant must demonstrate real operational capacity to serve the full WICY population in that area. For new applicants, there is an added expectation: they must be able to provide at least the same scope of comprehensive care and treatment services as the current Part D recipient serving that area, which effectively sets a minimum baseline for clinical and support service breadth.

The program is built around coordinated and comprehensive care, and applicants can deliver services directly or through formal partnerships, such as contracts or memoranda of understanding (MOUs). This structure matters because it allows a lead organization to assemble a network that can cover the full range of needs, including specialty and support services, while still maintaining accountability for coordination and patient outcomes. HRSA highlights the requirement that services be culturally and linguistically competent, which typically means applicants should demonstrate how they will communicate effectively with diverse communities, address barriers tied to language and culture, and design service delivery that is accessible and respectful.

In defining what funded care should look like, the notice distinguishes among family-centered outpatient/ambulatory care, specialty care, and support services. Family-centered care under Part D is described broadly and includes not only HIV medical care in clinic settings but also key outpatient services like behavioral health, nutrition, and oral health. Specialty care includes specialty HIV care as well as other specialized medical services commonly needed by the target populations, with examples such as obstetrics and gynecology, hepatology, and neurology. Support services may include family-centered case management and other coordinated service supports aimed at helping clients achieve optimal health outcomes. The announcement also stresses the importance of referrals, including referrals for inpatient hospital services, substance use disorder treatment, and mental health services, along with referrals to other social and support services when appropriate. Another explicit expectation is that programs provide additional services needed to help patients and families participate in care, including efforts specifically designed to recruit and retain youth with HIV, recognizing that youth often face unique barriers to consistent engagement in treatment.

A distinct component of Part D reflected in the title is “Access to Research.” Applicants are expected to provide information and education about opportunities to participate in HIV/AIDS-related clinical research. This does not necessarily mean an applicant must run clinical trials themselves, but it does mean they should be prepared to educate clients about research opportunities and connect them to appropriate options, aligning with the program’s broader goal of improving access to advances in HIV care.

This announcement also offers an optional, one-year supplemental funding opportunity of up to $150,000 in FY 2022 for applicants who are applying to serve one of the published Appendix B service areas. The stated purpose of this supplemental funding is to strengthen organizational infrastructure in response to the changing health care landscape and to increase capacity to develop, enhance, or expand access to high-quality family-centered care for low-income WICY clients. In other words, beyond paying for direct services, the supplemental funds are framed as a way to improve the underlying systems and capabilities (for example, staffing structures, care coordination processes, service integration, or operational improvements) that make high-quality care sustainable and scalable.

Administratively, the opportunity is cataloged under Assistance Listing (CFDA) 93.153 and was posted March 1, 2022 with an original closing date of March 31, 2022. The funding instrument is a grant, the activity category is health, and the notice anticipated four awards. The award ceiling is listed as 0, which typically signals that the ceiling is not stated in the summarized fields and applicants should rely on the full notice for budgeting expectations and allocation details. Eligibility includes public and state-controlled institutions of higher education and other entities as further described in the opportunity’s eligibility language.

Finally, the notice points applicants to Policy Clarification Notice (PCN) 16-02 for guidance on allowable services and uses of funds under the Ryan White HIV/AIDS Program. That reference is important because Part D programs must align proposed services, budgets, and cost categories with Ryan White rules, and HRSA expects applicants to design their service models and financial plans within those established program boundaries.

• 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 Part D Coordinated HIV Services and Access to Research for Women, Infants, Children, and Youth (WICY) Limited Existing Geographic Service Areas" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.153.
• This funding opportunity was created on Mar 01, 2022.
• Applicants must submit their applications by Mar 31, 2022. (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 4 candidate(s).
• Eligible applicants include: Public and State controlled institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).

Apply for HRSA 22 156

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