ALN 93.918

Ryan White HIV/AIDS Program Part C Early Intervention Services (EIS)

Part C EIS funds outpatient HIV primary care and support services for low-income people with HIV in a defined service area. Applicants must deliver all five statutory EIS components, directly or through referrals and MOUs, and must address the entire service area listed in the NOFO. Competitions are open to current recipients and to new organizations that can take over the existing patient population.

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Program facts

Agency: Health Resources and Services Administration (HRSA), HIV/AIDS Bureau, U.S. Department of Health and Human Services
Assistance Listing: 93.918
Statutory authority: Sections 2651-2667 and 2693 of the Public Health Service Act (42 U.S.C. 300ff-51 to 300ff-67 and 300ff-121)
Award ceiling: Set per service area in the NOFO appendix; ceilings in the FY2025 limited competition ran from about $280,000 to $845,000 per year
Awards: Competitions are split by service area start date; the FY2025 limited existing service area NOFO (HRSA-25-052) offered about $3.1 million across 6 service areas
Period of performance: 3 years
Cost share: None required, but statutory spending floors apply: at least 50% of the award on EIS, at least 75% on core medical services and no more than 10% on administration
Cycle: HRSA runs separate EIS competitions for existing service areas (usually posted in spring with summer deadlines) and smaller limited competitions in the fall. The most recent EIS NOFOs were HRSA-25-002 to 25-004, closed June 17, 2024, and HRSA-25-052, closed December 10, 2024.

Program goals

Provide HIV counseling and targeted HIV testing to people at highest risk
Deliver periodic medical evaluations and antiretroviral therapy to prevent immune system deterioration
Link newly diagnosed and re-engaged people to care within one month
Improve retention in care and viral suppression across the service area

Scoring rubric

Criterion100 pts

Need12
HIV burden data for the target population compared with the full service area, subpopulations with the greatest need, gaps framed by the HIV care continuum, and a map of other RWHAP providers in the area.
Response: Approach25
A full continuum of core medical and support services, coordinated counseling and testing aimed at high-risk groups, linkage and retention systems, youth transition to adult care and tracked specialty referrals.
Response: Resolution of challenges5
Access to support and core services across the area; new applicants must show infrastructure and a 90-day transition plan for current patients.
Evaluation measures16
A staffed clinical quality management program, involvement of people with HIV, a feasible data collection plan, disparity analysis and a recent QI project with baseline and follow-up data.
Impact10
Measurable work plan objectives for access, testing, core services, ART and viral suppression, plus a viral suppression QI project.
Resources and capabilities27
Organizational information (20 points): HIV care experience, federal grants management, eligibility screening, qualified staff and 340B participation. Evaluation and technical support capacity (7 points): fiscal and MIS systems and a schedule of charges.
Support requested5
A budget that meets the 50% EIS, 75% core medical and 10% administrative cost requirements and stays at or below the service area ceiling.

Point values from the FY2025 EIS limited existing service area NOFO (HRSA-25-052). Confirm against the current EIS posting for your service area.

Eligibility

Public or nonprofit private entities proposing to serve a geographic service area listed in the NOFO appendix
Federally qualified health centers, Section 1001 family planning grantees other than states, and comprehensive hemophilia treatment centers
Rural health clinics and health facilities operated by or under contract with the Indian Health Service
Community-based organizations, clinics and hospitals providing EIS to people who acquired HIV through injection drug use
Nonprofit providers of comprehensive primary care to populations at risk of HIV, including faith-based organizations

Required attachments

Attachment 1: Proof of nonprofit status
Attachment 3: Staffing plan and biographical sketches for key personnel
Attachment 4: Request for funding preference
Attachment 5: Program-specific line-item budget
Attachment 7: Project organizational chart
Attachment 8: Signed RWHAP Part C EIS additional agreements and certifications
Attachment 9: Maintenance of effort documentation
Attachment 10: Map of service area
Attachment 11: Letters from the RWHAP Part A and/or Part B recipient of record
Attachment 13: Work plan
Attachment 15: Core medical services waiver request, if applicable

Formatting rules

80-page limit when printed; proof of nonprofit status and the indirect cost rate agreement do not count
HRSA standard format: 12-point readable font, single spacing, 1-inch margins, 8.5 x 11 page size
A separate application is required for each service area

Why applications lose points

Requesting more than the ceiling listed for the service area
Proposing to serve only part of the service area defined in the NOFO appendix
Budget allocations that miss the 50% EIS or 75% core medical services floors
Missing letters from the Part A or Part B recipient of record
New applicants without a credible plan to start HIV medical services within 90 days of award

How ELIXIR CONSUMERS helps with RWHAP Part C EIS

1.Builds the Need section from your RSR and surveillance data in the vault, with each care continuum figure cited to its source
2.Checks the line-item budget against the 50%, 75% and 10% statutory thresholds as you edit it
3.Drafts the work plan objectives from your current viral suppression and linkage baselines
4.Assembles the 15 attachments in NOFO order and flags missing Part A or Part B letters

How the NOFO Parser works

More healthcare breakdowns

Questions, answered

What are the five EIS services?

HIV counseling, targeted HIV testing, periodic medical evaluations and clinical services, therapeutic measures to prevent and treat immune deterioration and related conditions, and referrals to health and support services.

Can we get a waiver of the core medical services requirement?

Yes. Applicants seeking a waiver submit the request with the application as Attachment 15.

Is there a Part C program for organizations not yet providing HIV care?

HRSA also runs the Part C Capacity Development program, a separate one-year opportunity. The FY2026 notice (HRSA-26-061) expected $9 million in total.

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