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H H S Department of Health and Human Services
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Part C

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 (EIS) component of the Ryan White HIV/AIDS Program funds comprehensive primary health care in outpatient settings 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 providing comprehensive primary care to populations at risk of HIV/AIDS, including faith-based and community-based organizations.

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.

Services and Implementation
Grantees must allocate costs using the following Part C cost categories: EIS, core medical services, support services, quality management, and administration. EIS costs are those associated with the direct provision of medical care; they are required and must make up at least 50 percent of a grantee budget. They cover the following:

  • Primary care providers.
  • Lab, x-ray, and other diagnostic tests.
  • Medical and dental equipment and supplies.
  • Patient education in conjunction with medical care.
  • Transportation for clinical care providers to provide care.
  • Other HIV/AIDS-related clinical and diagnostic services and periodic medical evaluations of people with HIV/AIDS.

Core medical services costs are required and include those listed above as well as the following:

  • HIV post-test counseling.
  • Medical case management, including treatment adherence.
  • Certain core medical services historically paid by Parts A or B and 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 (CQM) costs are those required to maintain a CQM program. Examples include:

  • Continuous quality improvement (CQI) activities.
  • CQM coordination.
  • Data collection for CQM 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).
  • Electronic Medical Records: Data analysis for CQM.
  • Participation in the Statewide Coordinated Statement of Need process.

Support services costs are costs for services that are needed for clients to achieve their medical outcomes, for example:

  • 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.
  • Eligibility Specialist.
  • 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 are as follows:

  • Indirect costs—that is, costs for organizational operation and performance that are not readily identified with a particular project or program. (Indirect costs are allowed only if the applicant has a negotiated indirect cost rate approved by a recognized Federal agency.) Indirect costs are considered administrative for the Part C EIS program and are limited to 10 percent of total costs.
  • Rent, utilities, and other facility support costs.
  • Personnel costs and fringe benefits of staff 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.
  • Hardware and software not directly related to patient care.
  • Program evaluation, including data collection for evaluation.
  • Receptionist.
  • Electronic Medical Records: maintenance, licensure, annual updates, data entry.

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 administrative and CQM costs must be used for core medical services.
  • Approximately $205.6 million was appropriated in FY 2012.

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Part C Capacity Development Grants

The Part C Capacity Development Grant Program assists public and nonprofit entities in efforts to strengthen their organizational infrastructure and their capacity to develop, enhance, or expand access to high-quality HIV primary health-care services for people living with HIV/AIDS or at risk of infection in underserved or rural communities. For the purposes of the grant program, capacity development refers to activities that promote organizational infrastructure development leading 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.

Grantees
Grantees are organizations seeking to expand or enhance their capacity to respond to the HIV/AIDS epidemic in their area.

Implementation

Fundable activities include the following:

Management Systems

  • Identifying, establishing, and strengthening clinical, administrative, managerial, and management information system structures.
  • Developing a financial management unit to manage multiple funding sources for HIV primary care services.

Service Delivery Systems

  • Increasing organizational capability to oversee 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 licensing.
  • Developing an organizational strategic plan to address managed care changes or changes in the HIV epidemic
    in a community.

Retention in Care

  • Establishing or enhancing infrastructure for ensuring comprehensive HIV primary health care (e.g., develping a patient self management support program; use of social media; use of evaluative measures to ensure clinet retention in care).

Electronic Medical Records

  • Purchasing and implementing electronic medical records to improve the quality, safety, and efficiency of patient health care.

Telehealth

  • Purchasing and implementing telehealth technologies to improve the quality and efficiency of patient health care.

Dental Equipment for Expanding Dental Service Capacity

  • Purchasing dental equipment for the purpose of developing, enhancing, or expanding oral health-care services.

Colposcopy or Anoscopy Services and/or Provider Training

  • Purchasing colposcopy or anoscopy equipment for the purpose of delivering or expanding cervical and anal screenings for people living with HIV or AIDS. Funds may also be used to develop policies and procedures, as well as train staff on the use of the colposcopy or anoscopy equipment.

Cultural Competency

  • Developing cultural competency training programs aimed at staff or other HIV provider partners.

Funding Considerations
Program activities are intended to be short-term and should be completed by the end of the 1-year project period. Approximately $205.6 million was appropriated in FY 2012.

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Part C Resources

Questions and Answers about the Proposed FY 2015 Consolidation of the Ryan White HIV/AIDS Program Parts C and D (PDF - 341 KB)

A Living History: Get the back story image.

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 Exit Disclaimer

Part C Early Intervention Services Fact Sheet (PDF 54KB)

Part C Capacity Building Fact Sheet (PDF 34KB)