FY 2020 Ending the HIV Epidemic-Primary Care HIV Prevention Supplemental Funding Technical Assistance (HRSA-20-091)

Overview

Fiscal year (FY) 2020 Ending the HIV Epidemic—Primary Care HIV Prevention (PCHP) funding will supplement identified health centers’ current Health Center Program operational grant (H80) award. Health centers will use PCHP funding to expand HIV prevention services that decrease the risk of HIV transmission in geographic locations (PDF - 76 KB) identified by Ending the HIV Epidemic: A Plan for America, focusing on supporting access to and use of pre-exposure prophylaxis (PrEP). HRSA identified eligible health centers based on service delivery site location, and either existing Ryan White HIV/AIDS Program (RWHAP) funding or proximity to a RWHAP-funded organization.

Award recipients will achieve the following objectives:

1. Outreach: Engage new and existing patients in HIV prevention services, identifying those at risk for HIV using validated screening tools.
2. HIV Testing: Increase the number of new and existing patients tested for HIV.
   
   1. 2a. PrEP Prescriptions: For persons who test negative, provide HIV prevention education, and prescribe and support the use of clinically indicated PrEP.
   2. 2b. Linkage to Treatment: For persons who test positive, link them to HIV treatment. 
3. Partnerships: Establish new and/or enhance existing partnerships with health departments, and community and faith-based organizations to support identification of at-risk individuals, testing, linkage to treatment, and other activities that will help achieve the PCHP purpose and objectives.
4. Personnel: Within eight months of award, add at least 0.5 FTE personnel who will identify individuals for whom PrEP is clinically indicated and support their access to and use of PrEP.

Next Steps for Project Implementation

Respond to Conditions

If your PCHP notice of award includes a project condition, provide a response through HRSA Electronic Handbooks (EHBs) within 30 days. Contacts listed on your notice of award can provide guidance on information to include in your response.

Scope Adjustments and Changes in Scope

You must receive any necessary Scope Adjustment and/or Change in Scope approval before implementing a new service or service delivery method in support of your PCHP project. View the Scope of Project webpage and contact the project officer listed on your notice of award for guidance.

Tri-Annual Progress Updates

HRSA will notify PCHP award recipients when tri-annual progress updates, including guidance and technical assistance to support their completion, are available. Reporting resources will be posted to this webpage.

Application Resources

• PCHP Instructions
• Example Budget Narrative with Personnel Justification Table (PDF - 177 KB)
• Example Project Plan Form (PDF - 202 KB)
• Sample Staffing Impact Form (PDF - 156 KB)
• Sample Equipment List Form (PDF - 128 KB)
• PCHP Presentation for Applicants 
• PCHP EHBs User Guide for Applicants (PDF - 1.8 MB)
• PCHP Applicant Frequently Asked Questions (PDF - 208 KB)
• HRSA/BPHC HIV Resources (PDF - 192 KB): Compendium of clinical and operational strategies and tools to support HIV prevention and primary care, and their integration.
• Scope of Project Resources and Information (including details on Form 5A)
• UDS Resources
• HRSA/BPHC Strategic Partnerships (PCAs, NCAs, and HCCNs)

HIV References

• HRSA Ending the HIV Epidemic: A Plan for America Webpage: Summarizes HRSA’s involvement in a new HHS HIV initiative to end HIV in America, and features related federal resources and technical assistance tools.
• HIV and Health Centers Webpage: Summarizes the HRSA Health Center Program’s work integrating HIV testing, prevention, and treatment into other primary care and enabling services. Also provides HRSA-supported integration resources, technical assistance on HIV testing and PrEP, and promising practices for health centers.
• Ready, Set, PrEP: Summarizes a nationwide program led by the Department of Health and Human Services that provides PrEP at no cost to qualifying individuals. Also provides communications resources available for download and distribution.