IDPH: Office of Disease Control

The Ryan White Part B Lead Agent Grants are awarded to HIV Care Connect regional offices to provide HIV medical and support services to low-income, uninsured, or underinsured people in Illinois living with HIV disease. People living with HIV/AIDS are disproportionately minority, low-income, and suffer from co-morbidities such as mental illness and substance abuse and this grant will help the Agency meet its goal of addressing health disparities in Illinois and ensuring equitable access to services for people living with HIV/AIDS.

42 U.S.C. 300ff-21 32, 300ff-121, and 42 U.S.C. 243(c). & AIDS Housing Opportunity Act, 42 U.S.C. 12901 et seq.

N/A

Ryan White Care Act

To provide States and localities with the resources and incentives to devise long-term comprehensive strategies for meeting the supportive housing needs of low-income persons and their families living with HIV/AIDS in order to prevent homelessness and sustain housing stability for HOPWA program beneficiaries. & To enable States and Territories to improve the quality, availability, and organization of a comprehensive continuum of HIV/AIDS health care, treatment, and support services for eligible individuals with Human Immunodeficiency Virus (HIV) disease.

Yes

The Grantee will provide the following services and agrees to act in compliance with all State and federal statutes and administrative rules applicable to the provision of services pursuant to this Agreement. The grant application submitted by Grantee related to this Agreement is hereby incorporated and made a part of this Agreement. The Grantee shall: * As the Lead Agent for Region 7 Northeastern Illinois HIV Care Connect, Collar Counties, the Grantee shall implement, provide, and coordinate a continuum of quality outpatient primary health care and essential support services for persons and families with HIV disease involving both funded and unfunded entities in Region 7. The Grantee will provide the following services to eligible clients, ensuring that Health Resources and Services Administration (HRSA) and U.S. Department of Housing and Urban Development (HUD) funds are the payer of last resort, and will agree to act in compliance with all state and federal statutes and administrative rules applicable to the provision of services to the grant agreement. • Prioritize and allocate funds to any of the essential core services allowable by HRSA, in accordance with local needs assessment. Core services not funded must be ensured to be available in the region, and a resource directory for services not funded must be on file with the Lead Agent and available to clients for referral. Current core services definitions are available at: https://hab.hrsa.gov/sites/default/files/hab/Global/programmonitoringpartb.pdf • Prioritize and allocate funds to any of the support services allowable by HRSA, in accordance with local needs assessment. Current support services definitions are available at: https://hab.hrsa.gov/sites/default/files/hab/Global/programmonitoringpartb.pdf • The Grantee will collaborate with local continuum(s) of care to increase accessibility to critical services for low income persons living with HIV disease. • At a minimum, the Grantee must be able to demonstrate that Part B primary care, supportive services, medical, dental, and mental health are consistent with HHS HIV/AIDS guidelines for adults, adolescents, pediatrics, perinatal exposure, non-occupational exposure, primary medical care worker exposure, opportunistic infections and tuberculosis. Current treatment guidelines are available at: http://www.aidsinfo.nih.gov • The Grantee will require that all Part B funded service providers have a cultural and linguistic competence training or materials, as defined by HRSA as “a set of congruent behaviors, attitudes, and policies that come together in a system or agency or among professionals and enable that system, agency, or those professionals to work effectively in cross-cultural and linguistically diverse situations. The National Standards for Culturally and Linguistically Appropriate Services in Health Care published by the U.S. Department of Health and Human Services is available at: http://www.omhrc.gov/CLAS • The Grantee will coordinate with the regional IDPH HIV Prevention Program to implement and provide Partner Services. Grantee will coordinate with the IDPH HIV Prevention Lead Agency and hold at least quarterly meetings throughout the grant term to document a strategy to identify and inform individuals who are unaware of their status, and refer and/or link into care where indicated within 30 days of HIV diagnosis, as stated in the National HIV/AIDS Strategy (NHAS) 2020 goals and indicators of progress, which are available at: https://www.aids.gov/federal-resources/national-hiv-aids-strategy/nhas-update.pdf • By the end of the grant term, the Grantee will assist the Department in administering the Client Satisfaction Survey electronically made available to all clients receiving a service in the region from the Ryan White Program. • The Grantee will assume responsibility for monitoring grant funds to ensure 95% or greater of the total award is expensed by the end of the grant period. If the Lead Agency anticipates exceeding 5% of unexpended grant funds by the end of the grant period, the Project Director will submit a de-obligation request to the Department in writing, by the specified deadline. • The Grantee will assume responsibility for the distribution of funds to subgrantees for the provision of services as specified in the Department’s Ryan White Part B Manual and in accordance with the work plan, budget, and subgrants on file with and approved by the Section. • The Grantee will execute subgrants for services and submit signed copies to the Section, along with the Subgrantee Authorization Form, no later than 30 days after the execution of said subgrant. Each subgrant shall identify the subgrantee and shall include scope of services, budget period, detailed budget, Medicaid provider number for all Medicaid-covered services or proof of application for Medicaid certification, and current mailing address. No reimbursement may be sought before the Section has received signed copies of the subgrants, along with the Subgrantee Authorization Form for each subgrant. Subgrantees providing Outpatient/Ambulatory Health Services must submit unmet need data to the Department, in the format specified by the Surveillance Unit at the time of the request. Cooperation and participation of all subgrantees providing Outpatient/Ambulatory Health Services must comply with Department Medical Monitoring Project requests. The Grantee will: • Actively participate in Quality Management programming, as guided by the Department. • permit annual programmatic and fiscal site monitoring visits to be scheduled with a minimum of 30 days’ notice from the Department (unless mutually agreed upon differently in writing) and to be conducted in a manner that will provide minimal disruption in the provision of services which includes facilitating the process by assisting in arranging record reviews, interviews with service recipients and program staff, subgrantee site visit records, and other reasonable requests necessary to adequately monitor grantee activities. Findings and/or recommendations from site monitoring visits will be fully addressed in corrective action plans (CAPs) as directed in Department guidance. a. The Grantee will develop a Quality Management Plan, consistent with the IDPH Quality Management Plan format, to be updated (minimally) on an annual basis and submitted to IDPH Quality Management staff on or before March 31 of every year. b. The Grantee, or their program designee, will participate in statewide Quality Management discussions as scheduled and implement Quality Improvement initiatives as directed by the Department. c. The Grantee will collaborate with IDPH Quality Management staff as necessary to coordinate Quality Management activities. d. The Grantee will collect their program data for Quality Assurance monitoring and develop at least one formal Quality Improvement initiative annually, in addition to participation in any statewide Quality Improvement initiatives. When developed, all Quality Improvement reports and activities must be provided to the IDPH Quality Management program. e. Medical Case Managers will participate in all Department required trainings, which may include (but may not be limited to) the annual IDPH HIV/STD Conference, cultural competency, data security and confidentiality, and all medical case manager required trainings, as deemed necessary by the Department. f. The Project Director, or pre-approved representative by the Department, will participate in all Department required trainings, which may include (but may not be limited to) Ryan White Part B Advisory Group meetings, Integrated Planning Group meetings, the annual IDPH HIV/STD Conference, cultural competency, data security and confidentiality, and all medical case manager required trainings, as deemed necessary by the Department, and disseminate relevant information to appropriate staff and subgrantees. g. The Grantee will provide Ryan White Part B budgets, quarterly progress reports, final progress reports, and any other required reports or information to the Department, using the Section’s specified formats, by the Section’s specified deadlines. h. The Grantee will maintain all financial and service records in such a way as to demonstrate compliance with the agreement. Grantee shall make said records available for inspection by the Department upon request. Financial and service records shall be maintained for four years after termination of this agreement.\ i. The Grantee will enter and maintain all Department required client-level, service utilization, and contract management data into the Section approved database system, Provide® Enterprise within 15 business days of collection. j. The Grantee is prohibited from importing any information into Provide® Enterprise without written consent from the Department. k. The Grantee is prohibited from exporting any information from Provide® Enterprise without written consent from the Department. l. The Lead Agency will coordinate with the Department’s contracted Medical Benefit Manager (MBM) for the designated core services paid for on behalf of the Department through this contracted MBM. m. The Lead Agency will coordinate Retention Specialist duties and initiatives, as defined by the Department, in the respective region. n. The Lead Agency will have a minimum of two Client Representatives to act as a liaison between the local HIV community and the Illinois Ryan White Part B Program. o. All materials for publication must be approved by the Section prior to printing, broadcast or publications and use the Section approved HIV Care Connect logo(s). Upon approval by the Section, all brochures, booklets, flyers, journal articles, programs, advertisements (including but not limited to websites), prepared with funds from this grant must include the following statement: Funding for this (event, publication, etc.) was made possible by funds received from the Illinois Department of Public Health). p. The Grantee shall comply with the HRSA Ryan White program guidelines, requirements and policy clarification notices, which are available at: http://www.hab.hrsa.gov/manageyourgrant/files/programmonitoringpartb.pdf http://www.hab.hrsa.gov/manageyourgrant/files/fiscalmonitoringpartb.pdf http://www.hab.hrsa.gov/manageyourgrant/files/programmonitoringfaq.pdf https://hab.hrsa.gov/program-grants-management/policy-notices-and-program- letters The Grantee shall comply with the Illinois Department of Public Health Ryan White Part B program guidelines and standard operating procedures, which are available in Provide® Enterprise.

Government Organizations; Nonprofit Organizations;

HOPWA offers two types of awards: (1) Formula entitlement grants: Eligible states and qualifying cities, as defined in 24 CFR 574.3, qualifying for formula allocation under HOPWA. (2) Competitive grants: (a) States, units of local governments and nonprofit organizations for special projects of national significance; (b) States and units of local government that do not qualify for HOPWA formula allocations under the category of long-term grants; and (c) Nonprofit organizations are eligible to apply for projects of national significance as a grantee, but may also serve as a project sponsor under any competitive or formula grantees. Additional applicant eligibility may apply depending on the competitive grant opportunity. As required by the Appropriations Acts, HUD gives funding priority to the renewal of expiring permanent supportive housing projects. When funding is available for new competitive grants, there may be additional requirements for applicant eligibility established under the Notice of Funding Opportunity (NOFO).

There are two basic elements of HOPWA eligibility: ? Family has a least one person living with HIV/AIDS. This includes families where the only eligible person is a minor. Medical verification of status is required; and ? Total household income is less than 80% of the Area Median Income (AMI), as defined by HUD. There are two basic elements of HOPWA eligibility: ? Family has a least one person living with HIV/AIDS. This includes families where the only eligible person is a minor. Medical verification of status is required; and ? Total household income is less than 80% of the Area Median Income (AMI), as defined by HUD. A person living with HIV/AIDS or a family member regardless of income is eligible to receive HOPWA housing information services. Any person living in proximity to a community residence is eligible to participate in that residence's community outreach and educational activities regarding HIV/AIDS

Formula Grants

Healthcare

Grantees must certify they meet program requirements and applicable federal requirements. Grantees and project sponsors must comply with 2 CFR Part 200.

Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372. Contact the headquarters or regional location, as appropriate, for pre-application coordination details.

"2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program.\n(1) Formula entitlement grants: All HOPWA formula grantees must submit a Consolidated Plan and an Annual Action Plan that includes a comprehensive AIDS housing strategy that identifies and outlines how a community has identified local housing needs and how these federal resources will be targeted to address these local priorities. The Consolidated Plan and Annual Action Plan requirements are applicable for each of HUD's Community Planning and Development programs, including HOPWA. (2) Competitive grants: a. Requirements for renewing or replacing expiring permanent supportive housing grants are published through a HUD Notice that is issued annually (HUD's Appropriations Acts authorizes the Secretary to renew or replace all expiring contracts for permanent supportive housing that initially were funded under section 854(c)(3) of AIDS Housing Act from funds made available in FY2010 and prior fiscal years that meet all program requirements before awarding funds for new competitive grant applications). b. Funding announcements for new HOPWA competitive grants are published on grants.gov. Applications may be submitted electronically when new competitive HOPWA funding opportunities become available. The most recent competitive announcement was FR-6400-N-11 Fiscal Year (FY) 2020 Housing Opportunities for Persons With AIDS (HOPWA) Competitive Grant: Housing as an Intervention to Fight AIDS published on April 14, 2021.",

1) Formula entitlement grants: Each jurisdiction should submit its consolidated plan to HUD at least 45 days before the start of its program year. In no event will HUD accept a submission earlier than November 15 or later than August 16 of the federal fiscal year for which the grant funds are appropriated. The plan will be deemed approved 45 days after HUD receives the plan, unless before that date HUD has notified the jurisdiction that the plan is disapproved. If the plan is disapproved, the jurisdiction may revise or resubmit a plan within 45 days after the first notification of disapproval. HUD must respond to approve or disapprove the plan within 30 days of receiving the revisions or resubmission. (2) Competitive renewal/replacement grants: HUD publishes a renewal/replace Notice for eligible expiring permanent supportive housing grants annually. Eligible applicants are named in the Notice and must complete all submission requirement outlined in the Notice to receive funding. (3) Competitive grants awarded under a NOFO process: All application submission requirements are outlined in the NOFO. All submitted applications must include all required forms and narrative responses to the rating factors as described in the funding announcement.

For formula entitlement grants, the grantee's Consolidated Plan and Annual Action Plan are reviewed according to criteria set forth in 24 CFR 91. For competitive grants, applications are reviewed according to requirements set forth in the renewal/replacement Notice (for expiring permanent supportive housing grants) or NOFO rating factors (for new competitive grants).

Reimbursements due the 15th of the month for prior months expenditures. Quarterly Reports due 30 days from the end of each Federal fiscal quarter.

For formula entitlement grants, the grantee's Consolidated Plan and Annual Action Plan are reviewed according to criteria set forth in 24 CFR 91. For competitive grants, applications are reviewed according to requirements set forth in the renewal/replacement Notice (for expiring permanent supportive housing grants) or NOFO rating factors (for new competitive grants).

Formula allocations may not be appealed. Disapproved plans may be resubmitted in accordance with 24 CFR 91.500. HOPWA competitive NOFOs do not have appeal processes. However, application debriefing is available. Following the evaluation process, HUD will notify successful applicants of their selection for funding. HUD will also notify other applicants, whose applications were received by the deadline, but have not been chosen for award. For a period of at least 120 days, beginning 30 days after the public announcement of awards under the NOFO, HUD will provide a debriefing related to their application to requesting applicants. Information provided during a debriefing may include the final score the applicant received for each rating factor, final evaluator comments for each rating factor, and the final assessment indicating the basis upon which funding was approved or denied.

HUD issues an annual Notice that solicits applications for expiring permanent supportive housing renewal or replacement grant applications. Application deadlines vary during the fiscal year. The Performance Grant Agreement establishes a three-year period of performance that starts when the grant agreement is signed and ends three years thereafter. If a HOPWA grant is nearing expiration and grant funds remain unexpended, grantees may request and receive HUD approval for a twelve-month grant extension from the end of the period of performance indicated in the executed Performance Grant Agreement.

RWHAP Part B Base, ADAP Base and Emerging Communities awards are based on the number of reported living cases of HIV/AIDS cases in the State or Territory in the most recent calendar year as confirmed by CDC and submitted to HRSA. Similarly, for recipients applying for MAI formula funds, awards are based on the number of reported and confirmed living minority cases of HIV/AIDS for the most recent calendar year submitted to HRSA by CDC. The most recently completed calendar year ended December 31, 2019. ADAP

N/A

"HOPWA formula and competitive grantees are required to submit annual performance reports on grant expenditures, activities undertaken, program accomplishments, and beneficiary outcomes related to housing stability; homelessness prevention, and access to care and support. HOPWA formula program grantees must submit a Consolidated Annual Performance and Evaluation Report (CAPER) and competitive grantees must submit an Annual Progress Report (APR). These reports are due to HUD 90 days after the end of each program or operating year."},{"code":"cash","isSelected":true,"description":"Grantees draw down HOPWA funds from the Integrated Disbursement and Information System (IDIS). This is HUD's primary method of capturing financial and expenditure data from grantees."},{"code":"progress","isSelected":false,"description":"The Annual Progress Report (APR) is required of competitive grantees and provides more details in which to assess grantee performance in promoting the housing stability of program beneficiaries. In FY2016, all grantees ceased to use IDIS for reporting program activities and only submitted a paper-based APR. IDIS will continue to be used for financial transactions. "},{"code":"expenditure","isSelected":true,"description":"Through the APR/CAPER and IDIS draw down information, grantees provide reports on expenditures."},{"code":"performanceMonitoring","isSelected":true,"description":"HUD field offices conduct annual risk assessments of all program grantees to identify and target program compliance monitoring to be conducted during the federal fiscal year. In accordance with 2 CFR Part 200, grantees are required to monitor project sponsors for compliance with the HOPWA requirements."

In accordance with the provisions of 45 CFR 75, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted 45 CFR 75."

HOPWA grantees must maintain and make available to HUD for inspection financial records sufficient to ensure proper accounting and disbursing of grant amounts received. Each HOPWA grantee must ensure that records are maintained for a 4-year period to document compliance with program regulations.

86-0308-0-1-604;

(Formula Grants) FY 20$361,886,707.00; FY 21 est $415,998,000.00; FY 22 est $475,382,311.00; FY 19$393,000,000.00; FY 18$375,000,000.00; FY 17$356,000,000.00; FY 16$335,000,000.00; - Formula Entitlement(Project Grants (Discretionary)) FY 20$41,000,000.00; FY 21 est $43,000,000.00; FY 22 est $45,000,000.00; - Competitive Funds(Formula Grants (Apportionments)) FY 20$53,700,000.00; FY 21 FY 22 - Formula CARES Act Funds(Project Grants (Discretionary)) FY 20$10,000,000.00; FY 21 FY 22 - CARES Act Competitive

HOPWA formula grant awards: In FY2020, 140 HOPWA formula eligible metropolitan statistical areas received an estimated average award amount of $ $2,635,714.29. In FY2021, a new formula grantee was added: Winston-Salem, NC.HOPWA competitive grant awards: In FY2020, the 31 eligible permanent supportive housing renewal grants received award amounts between $421,113 and $1,445,197.00 with an average award amount of $1,155,340.48

It is estimated that 47,441 households will receive housing assistance and 101,390 will receive supportive services. In FY16, 53,108 households received housing assistance and 106,415 received supportive services. "},{"fiscalYear":2017,"description":"In FY17, an estimated 52,00 households will receive housing assistance and 104,000 will receive supportive services. "},{"fiscalYear":2018,"description":"In FY18, 50,310 households received housing assistance and 103,249 received supportive services."},{"fiscalYear":2019,"description":"In FY19, It is estimated that 50,100 households will receive housing assistance and 103,000 will receive supportive services.

The program regulations can be found at 24 CFR Part 574. Program guidance can be found at https://www.hud.gov/program_offices/comm_planning/hopwa.

Designated Community Planning and Development staff in HUD Headquarters and in local field offices as listed in Appendix IV of the Catalog.

Rita Harcrow451 7th Street SW, Washington, DC 20410 Email::Rita.U.Harcrow@hud.gov Phone: 202-402-5374

https://www.hudexchange.info/programs/hopwa/

14.218 Community Development Block Grants/Entitlement Grants; 93.914 HIV Emergency Relief Project Grants

Not Applicable.

1/1/1992

FY 2017 : $4,654,415
FY 2019 : $2,100,000
FY 2020 : $2,238,234
FY 2021 : $1,953,890
FY 2023 : $20,782,458