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  Funding Opportunity Details
 
 -289696-FY19 HIV Core Medical and Support Services
  HIV, STI and Hepatitis Services
  Application Deadline: 02/06/2019 4:00 PM
 
 
Award Amount Range: Not Applicable
Project Start Date: 04/01/2019
Project End Date: 03/31/2020
Award Announcement Date: 03/05/2019
Eligible Applicant: Current Providers
Program Officer: John McMullen
Phone: 515-281-6646 x
Email: john.mcmullen@idph.iowa.gov
Categorical Area: Health, Prevention/Treatment
 
 
Description
 
 

It is the responsibility of the Applicant to review all attachments listed in the section below, including the Request for Application (RFA).

The issuance of the RFA in no way constitutes a committment by IDPH to award a contract.

Excerpts from the RFA

1.01 Purpose

The purpose of this RFA is to provide guidance for current contractors to submit continuation applications to the Iowa Department of Public Health (referred to as Department) to renew service provision as described by and within the project period established by the RFP #58817019. Services covered by this application include providing care and support services to people living with HIV (PLWH).

1.02 Project and Contract Period

FY19 is the third year of a four-year project period. The Department expects the contract period to be a one-year term from April 1, 2019, to March 31, 2020.  Continued funding during the defined project period is dependent on approval of the continuation application, contractor performance and compliance with general and special conditions of the contract, availability of project funds, program modifications, or any other grounds determined by the Department to be in the Department’s best interest.

The issuance of this RFA in no way constitutes a commitment by Department to award a contract.

1.03  Eligible Applicants

Applicants must meet each of the following eligibility requirements for consideration.

Eligible Applicants

Only current contractors are eligible to submit a continuation application under this RFA.

Current contractors:

  • Cedar AIDS Support System

  • Dubuque Visiting Nurse Association

  • Genesis Health System

  • Linn County Community Services

  • Nebraska AIDS Project

  • North Iowa Community Action Organization

  • Primary Health Care, Inc.

  • Siouxland Community Health Center

  • The Project of the Quad Cities

  • University of Iowa Infectious Diseases

 

Electronic Communication Requirements

Applicant is required to maintain and provide to the Department, upon application, a current and valid email account for electronic communications with the Department.

Official email communication from the Department regarding this application will be issued from iowa.grants@webgrantsmail.com. Applicants are required to assure these communications are received and responded to accordingly.

1.04 Service Delivery Area

Refer to the RFP #58817019, page 5, for service delivery area parameters. Any changes in the current service delivery area must adhere to these instructions. Any service delivery area changes for this RFA must be agreed to by existing contractors and applicable boards of health, and approved by the Department. Submit requests to John McMullen at john.mcmullen@idph.iowa.gov. Written approval must be obtained prior to submitting a continuation application.  All applicants are required to provide services to eligible

individuals living with HIV regardless of their counties of residence.

1.05 Funding

The source of funding is United States Department of Health and Human Services, Health Resources and Services Administration (HRSA).

Applicants may apply for up to $6,300,000 for the total contract period. Actual total awards and individual contract funding levels may vary from that listed or funding may be withdrawn completely, depending on availability of funding or any other grounds determined by the Department to be in the Department’s best interests.

Available funding categories are listed below. Refer to Attachment F, along with the list of eligible applicants, for each category of funding and amount available.

Case Management

Case management is an essential service provided in Iowa through four Ryan White service categories. This category of funding is required for the organizations listed below. If any of these four services is being funded by another entity and the applicant is not requesting funding from the Department, the applicant must describe how those levels of case management are being provided in the work plan portion of this application. Funding amounts available for case management services are listed below. The recommended caseload has been removed. Applicants are encouraged to work with the Department to determine an appropriate range of client-to-case-manager ratios.

Supplies that directly support the provision of case management services (e.g., printing, office supplies and computer equipment for case management staff, staff cell phone expenses) should be included in the case management service categories (Medical Case Management, Non-Medical Case Management, Brief Contact Management, Maintenance Outreach Support Services). Applicant should divide supply costs between the Ryan White based on the percentage of staff time devoted to each service category. For example, if 50% of case management funding is assigned to Medical Case Management, 50% of supplies should be assigned to Medical Case Management.  

Applicants are eligible to apply for the amount listed below for case management. If necessary, applicants may request funding in excess of the amounts listed below. The applicant must provide a strong justification for funds requested above the amount listed. Applicants are asked to request funds in a fiscally responsible manner to meet the needs of their client population.

 

Cedar AIDS Support System

$130,000

Dubuque Visiting Nurses Association

$85,000

Genesis Health Systems

$0

Linn County Community Services

$265,000

Nebraska AIDS Project

$105,000

North Iowa Community Action Organization

$85,000

The Project at Primary Health Care

$600,000

Siouxland Community Health Center

$150,000

The Project of the Quad Cities

$215,000

University of Iowa Infectious Diseases

$305,000

 

Other Core and Support Services

Other core and support services include those services needed to achieve the best medical outcomes for PLWH.  All applicants are eligible to apply for this category of funding. Refer to section 2.01 of this RFA for a complete list of services. Applicants applying for case management services are required to provide the following other core and support services:

  • Health Insurance Premium and Cost Sharing,

  • Housing Services

  • Emergency Financial Assistance (essential utilities such as gas, electric, water should be budgeted in the Emergency Financial Assistance service), and  

  • Medical Transportation.

 

Supplies that directly support the provision of  core and support services (e.g. printing, office supplies for staff) should be included in the the respective service lines.

Applicants are eligible to apply for the amount listed below for other core and support services. If necessary, applicants may request funding in excess of the amounts listed below.  The applicant must provide a strong justification for funds requested above the amount listed. Applicants are asked to request funds in a fiscally responsible manner to meet the needs of their client population.

 

Cedar AIDS Support System

$90,000

Dubuque Visiting Nurses Association

$125,000

Genesis Health Systems

$300,000

Linn County Community Services

$250,000

Nebraska AIDS Project

$125,000

North Iowa Community Action Organization

$50,000

The Project at Primary Health Care

$855,000

Siouxland Community Health Center

$170,000

The Project of the Quad Cities

$240,000

University of Iowa Infectious Diseases

$855,000



Infrastructure Development

Infrastructure development funding is available to assist in efforts to strengthen organizational infrastructure to increase the capacity to develop, enhance, or expand access to quality services for PLWH. Activities included in infrastructure development include:

  • Quality management activities

  • Data management activities

  • Planning and coordination activities

 

The following applicants are eligible to apply for this category of funding. Applicants are eligible to apply for the amount listed below. If necessary, applicants may request funding in excess of the amounts listed below.  The applicant must provide a strong justification for funds requested above the amount listed. Applicants are asked to request funds in a fiscally responsible manner to meet the needs of their client population.

 

Genesis Health Systems

$50,000

The Project at Primary Health Care

$200,000

Siouxland Community Health Center

$40,000

The Project of the Quad Cities

$40,000

University of Iowa Infectious Diseases

$200,000

 

Prevention with Positives

Implementing prevention programs with PLWH has been proven as an effective way to prevent the spread of HIV. The Centers for Disease Control and Prevention (CDC) have released interventions that have demonstrated the potential to reduce new HIV infections among PLWH. Applicants are not required to implement CDC interventions. Interventions available include individual- and

group-level behavioral interventions and medication-adherence strategies. Applicants may use

the interventions available through the Effective Interventions website (see Section 6 – Links) as guidance for developing prevention with positive programming. The interventions can be implemented fully, or the applicant may propose innovative initiatives.

Funding is available for prevention interventions in the “Other Core and Support” category.  All requests should be included in that category. All interventions must align with a Ryan White Service line listed in the “Other Core and Support” or “Case Management” categories. For example,  activities for the intervention CLEAR would be budgeted in the Non-Medical Case Management category; pharmacist and nursing medication adherence services activities would be budgeted in the Medical Case Management category; and appointment reminder and follow-up for missed appointments by support staff would be budgeted in the Referral for Health Care and Support Services category.

 

The Project at Primary Health Care

$155,000

These amounts were added to the “Other Core and Support” category.

Siouxland Community Health Center

$20,000

University of Iowa Infectious Diseases

$105,000

 

Field Benefit Specialist/Field Liaison Funding

Field Benefit Specialists (FBS) or Field Liaisons deliver education, outreach, and in-person benefit coordination for PLWH. The funding in this category includes staff salary, benefits, and mileage to provide services to clients. Costs associated with training should be included in the Capacity Building category. Supplies that directly support the provision of  FBS services (e.g., printing and office supplies for staff) should be included in this funding category. The following applicants are required to apply for this category of funding and are eligible to apply for up to the amount listed below:

Cedar AIDS Support System

$36,000

Dubuque Visiting Nurses Association

$36,000

Linn County Community Services

$68,500

Nebraska AIDS Project

$36,000

North Iowa Community Action Organization

$36,000

The Project at Primary Health Care

$68,500

Siouxland Community Health Center

$36,000

The Project of the Quad Cities

$68,500

University of Iowa Infectious Diseases

$68,500

 

Capacity Building

Capacity building opportunities are available to staff in the applicants’ HIV programs. Applicants are required to include the following trainings/meetings in the amount requested. Please include travel, meal reimbursement, registration fees, and lodging in your request:

  • Case Management Certification – Two day, in-person training in Lincoln, Nebraska.  This training is required for all new case management staff who have not previously completed certification.

  • HIV in Iowa - two day, in-person training in Des Moines. This training is required for all new staff funded by Ryan White Part B.

  • Quality Management Team Meetings – Four (4), 1-day in-person meetings in Des Moines. These meetings are required for all members of the statewide QM Team. Over nights may or may not be necessary.

  • Data Manager Training – Two (2), one-day, in-person trainings in Des Moines. These trainings are required for Data Managers at the following applicant organizations (TPQC, UIHC, PHC, and SCHC).

  • Field Benefit Specialist Training/Meetings – Two (2), two-day, in-person trainings in Des Moines. These meetings are required for all FBS staff at applicant organizations.

  • Field Benefit Specialist - One regional Centers for Medicare and Medicaid Services (CMS) training. These meetings are required for all FBS staff at applicant organizations.

  • Applicants may request up to  one (1) national conference per staff position within applicant's HIV programs. Staff members must have twelve (12) months of employment within the applicant’s HIV program to be eligible to attend a national conference. Staff positions funded through multiple contracts with the Bureau of HIV, STD, and Hepatitis (e.g., Integrated Testing Services) may still only request one (1) national conference per calendar year per person.    

The Department will not reimburse travel amounts in excess of limits established by the Iowa Department of Administrative Services, State Accounting Enterprise. Current in-state maximum allowable amounts are:

  • Food - $8.00/breakfast, $12.00/lunch, $23.00/dinner

  • Lodging – Maximum $93 plus taxes per night

  • Mileage – Maximum of $0.39 per mile.

To obtain out-of-state travel amounts, please contact Karen Quinn to request allowable amounts for specific locations.

The following applicants are eligible to apply for this category of funding. Applicants are eligible to apply for the amount listed below. If necessary, applicants may request funding in excess of the amounts listed below.  The applicant must provide a strong justification for funds requested above the amount listed. Applicants are asked to request funds in a fiscally responsible manner to meet the needs of their client population.

Cedar AIDS Support System

$10,000

Dubuque Visiting Nurses Association

$10,000

Genesis Health Systems

$10,000

Linn County Community Services

$20,000

Nebraska AIDS Project

$10,000

North Iowa Community Action Organization

$5,000

The Project at Primary Health Care

$30,000

Siouxland Community Health Center

$20,000

The Project of the Quad Cities

$20,000

University of Iowa Infectious Diseases

$30,000



Supplies

 

Funding is available to provide applicants with general office supplies that do not directly support the provision of services, such as supplies for staff meetings, postage for agency newsletters, etc.

 

The following applicants are eligible to apply for this category of funding. Applicants are eligible to apply for the amount listed below. If necessary, applicants may request funding in excess of the amounts listed below.  The applicant must provide a strong justification for funds requested above the amount listed. Applicants are asked to request funds in a fiscally responsible manner to meet the needs of their client population.

 

Cedar AIDS Support System

$2,000

Dubuque Visiting Nurses Association

$2,000

Genesis Health Systems

$2,000

Linn County Community Services

$2,000

Nebraska AIDS Project

$2,000

North Iowa Community Action Organization

$2,000

The Project at Primary Health Care

$2,000

Siouxland Community Health Center

$2,000

The Project of the Quad Cities

$2,000

University of Iowa Infectious Diseases

$2,000

 

Administrative Costs

Administrative or indirect costs may not exceed 10% of the total direct costs. Indirect costs should include general organization expenses, such as executive management time, finance, human resources, or other support services efforts. Additionally, indirect may include liability insurance and facility costs such as rent/lease, postage, telephone, utilities, etc.  

1.06 Schedule of Important Dates (All times and dates listed are local Iowa time.)

The table below lists critical dates in the application and contract award process. Contractors are encouraged to review the entire RFA for detailed information about events, dates, times and sites.

EVENT

DATE

RFA Issued

January 3, 2019

Written Questions and Responses

 

Round 1 Questions Due

Interim Responses Posted by

January 9, 2019

January 16, 2019

Final Questions Due

Final Cumulative Responses Posted by

January 23, 2019

January 30, 2019

Applications Due

February 6, 2019

Post Notice of Intent to Award

March 5, 2019

 

 
 
 
 
 Attachments
 
 Click on the File Name to open attachment
 
Description File Name File Size
A. HIV and Medical Support Services FY19 RFA A. HIV and Medical Support Services FY19 RFA .pdf 271 KB
B. IowaGrants Registration Instructions B. IowaGrants Registration Instructions Updated 2016.pdf 873 KB
C. IDPH Application Instruction Guidance C. IDPH Application Instruction Guidance 2016.pdf 1.9 MB
D. General Conditions DRAFT Contract RFA 2019 D. General Conditions DRAFT Contract RFA 2019.pdf 213 KB
E. Draft Review Tool FY19 RFA E. Draft Review Tool FY19 RFA .pdf 98 KB
F. Funding Table F. Funding Table .pdf 164 KB
G. HIV Core and Medical Support Services RFA Amendment #1 G. HIV Core and Medical Support Services RFA Amendment #1.pdf 124 KB
 
 
 Website Links
 
 Click on the URL to go to website
 
URL Description
http://idph.iowa.gov/finance/funding-opportunities/general-conditions 1. IDPH General Conditions 7-1-2016
http://hab.hrsa.gov/sites/default/files/hab/Global/service_category_pcn_16-02_final.pdf 2. Health Resources and Services Administration's Ryan White Service Definitions
http://effectiveinterventions.cdc.gov/ 3. Centers for Disease Control and Prevention?s Effective Interventions
 
 
Questions
 
 
Submitted Date Question Answer
01/07/2019 I copied our personnel from FY18 RFA. However, it does not allow me to delete people, options to add or edit only - is there a way to delete? Click on the blue link in the first column, entitled "Title/Position Description." That will give you the opportunity to delete that entry.
01/07/2019 I also copied our sub contracts and I can't delete if we don't plan to pursue in next RFA? Click on the blue link in the first column, entitled "Subcontractor Identified." That will give you the opportunity to delete that entry.
01/07/2019 Do we list potential paid staff w/ new sub-contracts we plan to pursue or add to plan and budget justification only section? Personnel employed by sub-contracted organizations are not included on the Personnel form of the application. The Subcontract form should be completed and costs associated with the subcontract included in the HIV Core Medical and Support Services Budget. The narrative provided with the budget should clearly identify services provided by the applicant and services provided by the sub-contractor. A sample budget narrative is below:

Housing Services Client Assistance - monthly rent 20 clients x $500/month x 5 months = $50,000
Sub-contracted agency Client Assistance - monthly rent 5 clients x $500/month x 6 months = $15,000
Total Housing Services = $65,000
01/08/2019 Pg. 12, Section 1.07 Technical Assistance: -Who is the preferred contact person/phone number if there are questions regarding program-specific components? The contact is Biz McChesney, 515-242-5149.
01/09/2019 Is there an outreach services goal? Yes, the RFA has been amended to add a goal for Outreach Services. Please see the amendment dated 1/10/19 and the updated section 2.03 of the RFA.
 
 
 
 
 
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