HRSA - Health Resources and Service Administration U.S. Department of Health & Human Services
Home
Questions
Order Publications
 
Grants Find Help Service Delivery Data Health System Concerns About HRSA

The HIV/AIDS Program: Caring for the Underserved

 

Part C: Early Intervention Services

Part C Early Intervention Services of the Ryan White HIV/AIDS Treatment Modernization Act of 2006 funds comprehensive primary health care in an outpatient setting for people living with HIV disease.
 
ELIGIBILITY

The following organizations may receive Part C grants:

  • Community Health Centers, Migrant Health Centers, and Health Care for the Homeless sites funded under Section 330 of the Public Health Service (PHS) Act
  • Family planning grantees (other than States) funded under Section 1001 of the PHS Act
  • Comprehensive Hemophilia Diagnostic and Treatment Centers
  • Federally qualified health centers funded under Section 1905(1)(2)(b) of the Social Security Act
  • Current public or private not-for-profit providers of comprehensive primary care for populations at risk for HIV
  • Faith-based and community-based organizations.
FUNDING

Since FY 1991, approximately $1.85 billion has been appropriated for Part C programs; the FY 2006 appropriation was $196.05 million. In FY 2006, 360 Part C EIS programs were funded.

Related Press Releases:

SERVICES
The Part C Program divides allowable costs among five Part C Cost Categories. These categories are Early Intervention Services Costs, Core Medical Services Costs, Support Services Costs, Quality Management Costs, and Administrative Costs.

Early Intervention Services Costs are those costs associated with the direct provision of medical care and make up at least 50 percent of a grantee budget. Services include:

  • Primary care providers
  • Lab, x-ray, and other diagnostic tests
  • Medical/dental equipment and supplies
  • Medical Case Management
  • Electronic Medical Records
  • Patient education, in conjunction with medical care
  • Transportation for clinical care provider staff to provide care
  • Other clinical and diagnostic services regarding HIV/AIDS and periodic medical evaluations of individuals with HIV/AIDS

Core Medical Services Costs include those listed above plus the following:

  • HIV Counseling
  • The following core medical services have historically been paid by Parts A or B (Titles I or II) but not Part C (Title III), and should only be provided by Part C with justification.
  • AIDS Drug Assistance Program
  • Health Insurance Premium and cost sharing assistance for low income individuals
  • Home health care
  • Hospice Services
  • Home and community-based health services as defined under Part B

Clinical Quality Management Costs are those costs required to maintain a clinical quality management program. With a HAB expectation that no more than 5 percent of the grant be spent on Clinical Quality Management, examples include:

  • Continuous Quality Improvement (CQI) activities
  • Clinical Quality management coordination
  • Data collection for clinical quality management purposes
  • Consumer involvement to improve services
  • Staff training/technical assistance (including travel and registration) to improve services- this includes the annual clinical update and the biennial All Grantee Meeting, as well as local travel to meetings not directly related to patient care

Support Services Costs are those costs for services that are needed for individuals with HIV/AIDS to achieve their medical outcomes. Support Services Costs include:

  • Patient transportation to medical appointments
  • Staff travel to provide support services
  • Outreach to identify people with HIV, or at-risk of contracting HIV, to educate them about the benefits of early intervention and link them into primary care
  • Translation services, including interpretation services for deaf persons
  • Patient education materials for general use
  • Participation in Statewide Coordinated Statement of Need process
  • Patient advocates to maintain access to care
  • Respite Care (historically paid by Parts A or B (Titles I or II) but not Part C (Title III), and should only be provided by Part C with justification)

Administrative Costs are those not directly associated with service provision. By law, no more than 10 percent of a Federal Part C EIS budget can be allocated to administrative costs. Examples of administrative costs include:

  • Indirect costs, which are allowed only if the applicant has a negotiated indirect cost rate approved by a recognized Federal agency. Indirect costs are those costs incurred by the organization that are not readily identifiable with a particular project or program, but are considered necessary to the operation of the organization and performance of its programs. All indirect costs are considered administrative for the Part C EIS program and therefore are subject to the 10 percent limitation on administrative expense.
  • Rent, utilities, and other facility support costs
  • Personnel costs and fringe benefits of staff members responsible for the management of the project (such as the Project Director and program coordinator), non-CQI program evaluation, non-CQI data collection/reporting, supervision, and other administrative, fiscal, or clerical duties
  • Telecommunications, including telephone, fax, pager and internet access
  • Postage
  • Liability insurance
  • Office supplies
  • Audits
  • Payroll/Accounting services
  • Computer hardware/software not directly related to patient care
  • Program evaluation, including data collection for evaluation