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Part C
Part C of the Ryan White HIV/AIDS Treatment Modernization Act of 2006 provides grants directly to service providers such as ambulatory medical clinics to support outpatient HIV early intervention services and ambulatory care.
Part C also funds planning grants, which support organizations in more effectively delivering HIV/AIDS care and services and capacity development grants to enhance a grantees capacity to develop, strengthen, or expand access to high quality HIV primary health care services for people living with HIV or who are at risk of infection in underserved or rural communities and communities of color.
To find out more information about the Part C grants, select one of the programs below:
Part C Early Intervention Services
The Part C Early Intervention Services component of the Ryan White HIV/AIDS Program funds comprehensive primary health care in an outpatient setting for people living with HIV disease.
Eligibility
The following organizations may receive Part C grants:
- Federally Qualified Health Centers funded under Section 1905(1)(2)(b) of the Social Security Act
- Family planning grantees (other than States) funded under Section 1001 of the Public Health Service Act
- Comprehensive Hemophilia Diagnostic and Treatment Centers
- Rural health clinics
- Health facilities operated by or pursuant to a contract with the Indian Health Service
- Community-based organizations, clinics, hospitals, and other health facilities that provide early intervention services to people infected with HIV/AIDS through intravenous drug use
- Nonprofit private entities that provide comprehensive primary care services to populations at risk of HIV/AIDS, including faith-based and community-based organizations.
Funding Considerations
- By law, no more than 10 percent of a Federal Part C EIS budget can be allocated to administrative costs.
- By law, At least 75 percent of the balance remaining after subtracting administration and clinical quality management, must be used for core medical services.
Services and Implementation
Grantees must allocate their costs according to the following five Part C cost categories: early intervention services, core medical services, support services, quality management, and administrative. Early intervention services and core medical services are required.
Early intervention services costs are those associated with the direct provision of medical care and make up at least 50 percent of a grantee budget. They include the following services:
- Primary care providers
- Lab, x-ray, and other diagnostic tests
- Medical and dental equipment and supplies
- Medical case management
- Electronic medical records
- Patient education when provided 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
- Certain core medical services that have historically been paid by Parts A or B and are only 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 required to maintain a clinical quality management program. Examples include
- Continuous quality improvement activities
- Clinical quality management coordination
- Data collection for clinical quality management purposes
- Consumer involvement to improve services
- Staff training and technical assistance (including travel and registration) to improve services (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 for services that are needed for people with HIV/AIDS to achieve their medical outcomes, such as the following:
- Patient transportation to medical appointments
- Staff travel to provide support services
- Outreach to identify people with 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 Part A or B; only provided by Part C with justification).
Administrative costs are those not directly associated with service provision. Examples of administrative costs are as follows:
- Indirect costs, which are those incurred by an organization that are not readily identified with a particular project or program but are considered necessary to the operation of the organization and performance of its programs. (They are allowed only if the applicant has a negotiated indirect cost rate approved by a recognized Federal agency.) All indirect costs are considered administrative for the Part C EIS program and are, therefore, subject to the 10 percent limitation on administrative expenses.
- 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 and reporting; supervision; and other administrative, fiscal, or clerical duties
- Telecommunications, including telephone, fax, pager, and Internet access
- Postage and office supplies
- Liability insurance
- Audits
- Payroll and accounting services
- Computer hardware and software not directly related to patient care
- Program evaluation, including data collection for evaluation.
Grantees
Grantees are organizations seeking to enhance their response to the HIV/AIDS epidemic in their area through the provision of comprehensive primary HIV medical care and support services.
Part C Planning Grants
Download Fact Sheet (92KB)
To order free copies of the 2008 Ryan White Grantee folder and fact sheets, call 1.888.ASK.HRSA or order online.
Background
The Part C Planning Grant program funds eligible entities in their efforts to plan for the provision of high-quality, comprehensive HIV primary health care services in rural or urban underserved areas and communities of color.
Planning grant funds are intended for a period of 1 year. Planning grants support the planning process and do not fund any service delivery or patient care.
Eligibility
Eligible applicants must be public or private nonprofit entities that are or intend to become a comprehensive HIV primary care provider. Current Ryan White HIV/AIDS Program Part C Early Intervention Services and Part D Program grant recipients are eligible only if they are proposing to open a new program. Faith-based and community-based organizations are also eligible.
Fundable Activities
Part C planning grants may include the following activities:
- Identifying key stakeholders and engaging and coordinating with potential partners in the planning process
Gathering a formal advisory group to plan for the establishment of services. - Conducting an in-depth review of the nature and extent of the need for HIV primary care services in the community (including a local epidemiological profile, an evaluation of the community’s service provider capacity, and a profile of the target population).
- Defining the components of care and forming essential programmatic linkages with related providers in the community.
- Researching funding sources and applying for operational grants
Part C Capacity Development Grants
The Part C Capacity Development Grant Program is designed to assist public and nonprofit entities in their efforts to strengthen their organizational infrastructure and to enhance their capacity to develop, enhance, or expand access to high-quality HIV primary health care services for people living with HIV or who are at risk of infection in underserved or rural communities.
For the purposes of the grant program, capacity development is defined as activities that promote organizational infrastructure development that will lead to the delivery or improvement of HIV primary care services.
Eligibility
Applicants must be public or private nonprofit entities that are or intend to become comprehensive HIV primary care providers. Current Ryan White Programs service providers, as well as faith-based and community-based organizations, are eligible to apply for funding.
Funding Considerations
Activities supported by this program are not intended for long-term activities. Instead, the activities should be of a short-term nature and should be completed by the end of the 1-year project period.
Implementation
Fundable activities may include but are not limited to the following:
Management Systems
- Identifying, establishing, and strengthening clinical, administrative, managerial, and management information system structures.
- Developing a financial management unit of the organization that is capable of managing multiple sources of funding for HIV primary care services.
Service Delivery Systems
- Increasing the capability of an organization to oversee its HIV service provision, including development of an organizational strategic plan for HIV care, education of board members about the HIV program, and staff training and development on HIV care.
- Purchasing clinical supplies and equipment for the purpose of developing, enhancing, or expanding HIV primary care services (e.g., purchase of dental chairs and equipment to begin an HIV dental clinic; modification of a ventilation system to accommodate TB care).
- Gathering necessary documents and applying for Medicaid certification and if applicable, appropriate state clinic licensure.
- Developing an organizational strategic plan to address managed care changes or changes in the HIV epidemic in a community.
Evaluation Systems
- Developing and implementing a clinical continuous quality improvement program.
Cultural Competency
- Developing a cultural competency training program aimed at staff or other HIV provider partners.
- Increasing the capability of an organization to implement or manage consumer involvement.
Self-Management
- Developing a patient self-management support program that emphasizes the patient's role in the management of his or her health.
Grantees
Grantees are organizations seeking to expand their capacity to respond to the HIV/AIDS epidemic in their area.
Direct grants to primary care providers have been funded from the time Ryan White CARE Act legislation first passed.
Quick Facts
Early Intervention Services
The FY 2010 appropriation for Part C EIS was $206.8 million.
Since FY 1991, approximately $1.85 billion has been appropriated for Part C programs.
In FY 2009, 253 organizations received grants totaling approximately $187.1 million.
Of the 2,157 providers submitting data to HAB for 2008: 444 received Part C funds.
Capacity Development Grants
In FY2009, 20 grants were awarded for $1.58 million.
Funded activities included electronic medical records systems, medical and dental equipment, and staff training.
Part C Publications
Technical Assistance TARGET Center Library 
To order free copies of the 2010 Ryan White Grantee folder and fact sheets, call 1.888.ASK.HRSA or order online.