Ryan White Part B Community Re-entry Support
CSFA Number: 482-00-1350
Agency Name
Department Of Public Health (482)
Agency Identification
IDPH: Office of Disease Control
Agency Contact
Michael Gaines
(217) 524-5983
Michael.Gaines@illinois.gov
Short Description
This project plans for and provides coordinated HIV-related prevention, care and support services for people re-entering communities from Department of Corrections, Cook and Will County jails. These efforts will reduce HIV risk, increase access to HIV care, address unmet needs, reduce the number of people out of care, promote geographic parity in access to HIV services, and ensure re-entry clients remain in primary medical care and adhere to treatments. This project plans for and provides coordinated HIV-related prevention, care and support services for people reentering communities from prisons and jails. These efforts will reduce HIV risk, increase access to HIV care, address unmet needs, reduce the number of people out of care, promote geographic parity in access to HIV services, and ensure People Living With HIV remain in primary medical care and adhere to treatments. Illinois Community Reentry is a leader in Illinois’ efforts to ensure that people living with and at risk for HIV transition smoothly from incarceration to community. The Community Reentry Project (CRP), has worked since 2009 to coordinate and build a comprehensive system of HIV prevention, care and support services for adults returning from jails and prisons in Illinois. The Community Reentry Project (CRP) is a coordinated multi-stakeholder reentry project that includes government and non-government providers of public health, corrections, medical and behavioral health, and human services; as well as an array of other stakeholders invested in the health and well-being of reentry populations, their families and communities. Since 1999, CRP has developed and refined a model reentry program for people living with HIV and those at highest risk for HIV. CRP’s success is based on its ability to identify and address the health, social and criminogenic needs of clients through highly trained Corrections Case Managers (CCMs) who provide services through a coordinated, region-wide case management system. CRP provides or leverages a host of other services through the partner organizations which include outreach, health education, screening and testing; family reunification; substance abuse treatment; ID procurement; primary medical care; and training and technical assistance. These interventions are largely provided in community based settings State-wide, though some services are provided within Cook County Jail (CCJ) and others are initiated while people are still incarcerated in Illinois Department of Corrections (IDOC) facilities.
Federal Authorization
42 U.S.C. 300ff-21 32, 300ff-121, and 42 U.S.C. 243(c).", "authorization Types
Illinois Statue Authorization
N/A
Illinois Administrative Rules Authorization
N/A
Objective
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.
Prime Recipient
Yes
UGA Program Terms
• The Grantee will provide HIV prevention education services, including the importance of knowing your status, to 3,175 detainees, reentry adults or adults in alternative sentencing programs. • The Grantee will provide 5000 discharge packets to reentry populations, which include information on the importance of knowing your status and testing locations. • The Grantee will provide corrections case management, and associated support services (e.g., transportation assistance, housing assistance) to facilitate access to and retention in medical services, to 155 reentry adults. • The Grantee will assure that at least 80% of the corrections case management clients are linked to medical care. • The Grantee will assist 750 clients in obtaining legal identification which is required for access to all medical and social services. • The Grantee will provide legal education and advocacy for 630 women living with and/or at risk for HIV who are pregnant or already mothers. • The Grantee will provide four trainings to a total of 50 participants to increase and enhance IDOC discharge planning staff and community-based provider’s knowledge of HIV treatment and reentry services. • The Grantee will convene and facilitate two statewide meetings to increase the number of organizations that are aware of reentry services and/or enhance the reentry services provided by community-based organizations and local health departments. What program-specific rules, terms, or conditions do our grantees need to know about to appropriately implement this program? • The Grantee will provide two trainings to a total of 30 participants in Re-entry Cultural Competency to raise awareness and build capacity to meet the HIV services and other needs of the population. • The Grantee will pilot one new (1) reentry and HIV/reentry training with one of the following audiences: probation, parole and juvenile. • The Grantee will convene and facilitate two (2) Statewide Reentry Conferences in order to increase the capacity of organizations to address the relationship between mass incarceration, HIV, public health and social justice. • The Grantee will conduct site visits twice a year to each sub grantee. The site visit will allow the Grantee to see backup programmatic documentation, meet project staff, and observe the setting that services are provided in. It also includes additional questions to help identify topics and issues that subcontractors would like assistance in or to discuss fully in future meetings. • The Grantee will provide fiscal oversight through monthly vouchers that the Grantee will use to track sub grantees spending. The Grantee has implemented new budget forms and voucher tracking tools that will further enhance the ability to assure money is spent appropriately. In addition, the Grantee will conduct one fiscal audit per site per year. The Grantee will monitor the intensive case management (ICM) Corrections Initiative."
Eligible Applicants
Nonprofit Organizations;
Applicant Eligibility
Non-profit orgranzation witha history work with re-entry population in Cook County and Will County
Beneficiary Eligibility
Services are provided to individuals who are HIV+ or high risk who were recently release
Types of Assistance
Formula Grants
Subject / Service Area
Public Safety
Credentials / Documentation
"Applicants should review the individual HRSA Notice of Funding Opportunity (NOFO) issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 45 CFR 75, Subpart E - Cost Principles applies to this program."
Preapplication Coordination
N/A
Application Procedures
"45 CFR 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov."
Criteria Selecting Proposals
Grants will be awarded to applicants that submit: (1) an acceptable detailed description of the HIV-related services provided in the State to individuals and families with HIV disease during the year preceding the year for which the grant is requested, and the number of individuals and families receiving such services; (2) a comprehensive plan for the organization and delivery of HIV health care and support services to be funded with assistance received under this part that shall include a description of the purposes for which the State intends to use such assistance; (3) an assurance that the public health agency administering the grant for the State will periodically convene a meeting of individuals with HIV, representatives of recipients receiving both HIV Emergency Relief and HIV CARE Grants, providers, and public agency representatives to develop a statewide coordinated statement of need; and (4) an assurance by the State that; (A) the public health agency that is administering the grant for the State will conduct public hearings concerning the proposed use and distribution of the assistance to be received; and (B) the State will (a) to the maximum extent practicable, ensure that HIV-related health care and support services delivered pursuant to a program established with assistance provided under this part will be provided without regard to the ability of the individual to pay for such services and without regard to the current or past health condition of the individual with HIV disease; (b) ensure that such services will be provided in a setting that is accessible to low-income individuals with HIV disease; (c) provide outreach to low-income individuals with HIV disease to inform such individuals of the services available; (d) for continuum of health insurance coverage, submit a plan to the Secretary that demonstrates that the State has established a program that assures that (d.1) such amounts will be targeted to individuals who would not otherwise be able to afford health insurance coverage; and (d.2) income, asset, and medical expense criteria will be established and applied by the State to identify those individuals who qualify for assistance under such program, and information concerning such criteria shall be made available to the public; (e) provide for periodic independent peer review to assess that quality and appropriateness of health and support services provided by entities that receive funds from the State; (f) permit and cooperate with any Federal investigations undertaken regarding programs; (g) maintain HIV-related activities at a level that is equal to not less than the level of such expenditures by the State for the 1-year period preceding the fiscal year for which the State is applying to receive a grant; and (h) ensure that grant funds are not utilized to make payments for any item or service to the extent that payment has been made.
Award Procedures
As required by the legislation, RWHAP Part B Base, ADAP Base, and Emerging Communities formula awards are based on the number of reported living cases of HIV/AIDS in the State or Territory in the most recent calendar year as confirmed by CDC and submitted to HRSA. Similarly, for recipients applying for Minority AIDS Initiative (MAI) formula funds, awards are based on the number of reported living minority HIV/AIDS cases for the most recent calendar year as confirmed by CDC and submitted to HRSA. ADAP Supplemental grants are awarded by formula based on living HIV/AIDS cases to states which meet any of the criteria listed in that section of the NOFO for the purpose of providing medications or insurance assistance for people with HIV. The ADAP Emergency Relief Funds (ERF) awards, for the purpose of cost containment activities for preventing, reducing or eliminating ADAP waiting lists, are disbursed via a formula based on a competitive application process with need based criteria listed in the NOFO. In a separate, competitive application process, RWHAP Part B Supplemental funds are disbursed based on criteria specified by the legislation. All qualified applications for ADAP ERF and Part B Supplemental funds will be forwarded to an objective review committee (ORC). Based on the recommendations of the ORC, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Award.
Deadlines
Reimbursements due the 30th of the month for prior months expenditures. Quarterly Reports due 30 days from the end of each Federal fiscal quarter.
Range of Approval or Disapproval Time
Not Applicable
Appeals
Not Applicable
Renewals
Grants are for a term of (3) Three years, on competitive year with optional of 2 renewal years as determined by the Program
Formula Matching Requirements
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
Uses and Restrictions
Eligible applicant organizations must comply with all applicable provisions of state and federal laws and regulations pertaining to nondiscrimination, sexual harassment and equal employment opportunity including, but not limited to: The Public Works Employment Discrimination Act (775 ILCS10/1 et seq.), The United States Civil Rights Act of 1964 (as amended) (42 USC 2000a-and 2000H-6), Section 504 of the Rehabilitation Act of 1973 (29 USC 794), The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.), and The Age Discrimination Act (42 USC 6101 et seq.).
Reports
"Please refer to the NOFO and Notice of Award for any applicable program, data, and fiscal reports. No cash reports are required." "Recipients must submit a Federal Financial Report (FFR) or SF 425 within 90 days after the end of the budget period. Expense reports are not applicable.""expenditure" "performance Monitoring"
Audits
"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."
Records
Recipients are required to maintain financial records 3 years after the date they submit the final Federal Financial Report (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
Account Identification
75-0350-0-1-550;
Obligations
Grant (Project Grants) FY 23$500,000; FY 24 est $500,000; FY 25 est $500,000;
Range and Average of Financial Assistance
FY 23: $50,000 - $,500,000 Average $500,000
Program Accomplishments
"The RWHAP AIDS Drug Assistance Programs (ADAPs) provided access to life-saving medications or assistance with health care coverage for 296,930 people with HIV in 2019 (an increase of 11,829 from the previous year). ADAPs have been successful in the efforts to engage and provide services to disproportionately impacted populations. Nearly three-quarters of ADAP clients are from racial/ethnic minority populations. In 2018, 39.1% of clients self-identified as Black/African American, 26.4% as Hispanic/Latino, and less than 2% each as Asian, American Indian/Alaska Native, Native Hawaiian/Pacific Islander, and people of multiple races. More than half of female ADAP clients are Black/African American. In addition, 43.5% of clients served by ADAPs have incomes below 100% of the Federal Poverty Level."
Regulations, Guidelines, and Literature
All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.
Regional or Local Assistance Location
N/A
Headquarters Office
Susan Robilotto, D.O., Director HIV/AIDS Bureau5600 Fishers Lane, Room Mail Stop 09W52, Rockville, MD 20857 Email:srobilotto@hrsa.gov Phone: (301) 443-6554
Program Website
http://www.hrsa.gov
Example Projects
Not Applicable
Published Date
12/11/2019
Funding By Fiscal Year
FY 2017 : $1,500,000
FY 2018 : $1,300,000
FY 2019 : $1,300,000
FY 2020 : $1,850,000
FY 2021 : $500,000
FY 2022 : $500,000
FY 2023 : $500,000
Federal Funding
Notice of Funding Opportunities
Agency IDAward RangeApplication Range
Agency IDGrantee NameStart DateEnd DateAmount
38780048KPublic Health Institute of Metropolitan Chicago04/01/202303/31/20261,500,000