I. General Information
5. Division of Service Systems (DSS) Overview
Chapter Summary TOP
Within the Health Resources and Services Administration’s (HRSA) HIV/AIDS Bureau (HAB), the Division of Service Systems has primary responsibility for the AIDS Drug Assistance Program (ADAP) under the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act Title II Program.
This chapter highlights the Division of Service Systems--its organization, programs, and personnel. The administration of the ADAP program is described, with emphasis on grantee monitoring by ADAP Branch staff.
The Division of Service Systems (DSS) administers Titles I, II, and the AIDS Drug Assistance Program (ADAP) of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. DSS is a division of the Health Resources and Services Administration’s (HRSA) HIV/AIDS Bureau (HAB).
Structure of DSS TOP
DSS is comprised of the Office of the Director and three branches: the AIDS Drug Assistance Program (ADAP) Branch, the Eastern Services Branch, and the Western Services Branch. These three branches work with the Office of the Director to administer Titles I and II (including ADAP) of the CARE Act.
For further information about these titles, please see Section 1, Chapters 2, and 4 in this manual.
Office of the Director
The Office of the Director (OD) administers DSS programs and activities and manages funds and other resources related to the provision of coordinated comprehensive HIV health care and support services. Specifically, the OD directs and manages the implementation of Parts A and B of Title XXVI of the Public Health Service Act, including Emergency Relief Grants (Title I), HIV CARE Grants (Title II), and State ADAPs.
Project officers within DSS are the primary contacts for information needed by grantees, planning councils, or other Title I or Title II representatives, including ADAP coordinators. Project officers can be reached at the following address:
HRSA, HIV/AIDS Bureau, Division of Service Systems
Project officers have principal responsibility for monitoring programmatic performance of grantees and orchestrating needed technical assistance. They work closely with HAB’s Office of Grants Management to monitor grantee expenditure of Titles I and II funds and to ensure compliance with various conditions of award. In fulfi lling their grantee responsibilities, project officers represent the concerns and perspectives of grantees in DSS and HAB initiatives. They actively participate on crosscutting issues within workgroups at the division, bureau, and agency levels.
Project officers communicate DSS policies and priorities to grantees for program
ADAP Branch Staff
ADAP Branch staff partner with DSS project officers to monitor ADAP programs through activities including site visits, telephone consultations, review of ADAP related submissions to DSS, and identification and provision of technical assistance. ADAP staff members are also responsible for tracking ADAP Monthly Report (AMR) submissions and aggregating this information to determine national trends in client utilization, program funding, and other characteristics of ADAPs.
Project officers and ADAP staff conduct regularly scheduled monitoring calls with States to review Title II and ADAP activities and assess any technical assistance needs. The following issues are frequently raised during these calls:
ADAP Monthly Report (AMR)
Best Price Concerns
Demographics/Review of AMR Trends
Requesting Technical Assistance TOP
Title I and Title II grantees and planning councils may request technical assistance from DSS. Such assistance may be provided by a DSS project officer, ADAP staff member, or through peer or other expert technical assistance provided through the Technical Assistance Contract (see Section VIII, “Available ADAP Technical Assistance Materials,” in this manual). Contact your project officer at DSS to request technical assistance.
Sources Used for This Chapter
HRSA, HIV/AIDS Bureau, Division of Service Systems. “Division of Service Systems (DSS) Overview.” Ryan White Care Act Title II Manual. Rockville, MD: U.S. Department of Health and Human Services, 1999; revised 2002.