Improving Care and Treatment Coordination: Focusing on Black Women with HIV – Demonstration Sites

Improving Care and Treatment Coordination: Focusing on Black Women with HIV – Demonstration Sites is sponsored by HRSA. Funds demonstration sites to design, implement, and evaluate bundled interventions for Black women with HIV to improve health outcomes.

Improving Care and Treatment Coordination: Focusing on Black Women with HIV – Demonstration Sites | HRSA 20 116 Improving Care and Treatment Coordination: Focusing on Black Women with HIV – Demonstration Sites | HRSA 20 116 Department of Health and Human Services, Health Resources and Services Administration Opportunity Information: Apply for HRSA 20 116 The Health Resources and Services Administration (HRSA), within the Department of Health and Human Services, offered a fiscal year 2020 discretionary funding opportunity titled "Improving Care and Treatment Coordination: Focusing on Black Women with HIV - Demonstration Sites" (Funding Opportunity Number HRSA-20-116, CFDA 93.

928). The program was set up to fund up to seven demonstration sites through cooperative agreements, with projects lasting up to three years. The intent was to help organizations design, put into practice, and evaluate coordinated approaches that strengthen HIV care for Black women, with a clear emphasis on culturally sensitive and responsive service delivery.

At the center of the opportunity is the use of "bundled interventions." In this context, a bundle means several evidence-informed practices combined into one coordinated package, based on the idea that delivering these practices together can produce stronger outcomes than offering each service on its own.

HRSA expected sites to build bundles that directly respond to the real-world barriers Black women with HIV often face, especially barriers shaped by social and cultural health determinants. This includes addressing factors that can interfere with consistent care, such as stigma, structural inequities, access challenges, and other social conditions that affect health and continuity of treatment.

The funded demonstration sites were expected to expand both the delivery and the actual utilization of comprehensive HIV care and treatment services. Beyond simply offering services, the projects were meant to improve continuous engagement in care, meaning stronger retention and follow-through over time, not just initial linkage.

The ultimate goal was better health outcomes for Black women with HIV, achieved through care coordination strategies that are not generic, but designed to fit the lived experiences, needs, and preferences of the communities being served.

A key requirement of this opportunity was collaboration with a separate HRSA-funded partner called the Evaluation and Technical Assistance Provider (ETAP), announced under a companion funding notice (HRSA-20-115). Any organization funded as a demonstration site under HRSA-20-116 had to work closely with the ETAP.

The ETAP role was to provide technical assistance to help sites implement their bundled interventions effectively and consistently, and to lead a multi-site evaluation.

That multi-site evaluation was intended to measure how well the bundled interventions worked and what impact they had within the Ryan White HIV/AIDS Program (RWHAP) environment, so that lessons could be translated beyond a single local project and used to inform broader program improvement. From an administrative standpoint, the opportunity was published on April 15, 2020, with an original application closing date of June 15, 2020.

The award ceiling listed was $310,000, and HRSA anticipated making seven awards. Eligibility was described as "Others (see text field entitled Additional Information on Eligibility for clarification)," indicating that applicants needed to consult the full notice for specifics on which organization types could apply.

Overall, this funding opportunity was structured not only to support direct service improvements, but also to generate practical evidence about which coordinated, culturally responsive bundles can most effectively improve engagement and outcomes for Black women with HIV when implemented through RWHAP-supported systems of care.

The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled " Improving Care and Treatment Coordination: Focusing on Black Women with HIV – Demonstration Sites " and is now available to receive applicants. Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93. 928 .

This funding opportunity was created on Apr 15, 2020. Applicants must submit their applications by Jun 15, 2020. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)

Each selected applicant is eligible to receive up to $310,000. 00 in funding. The number of recipients for this funding is limited to 7 candidate(s).

Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification). [Watch] Creating a grant proposal using the step-by-step wizard inside the applicant portal: Your browser does not support the video tag. Frequently Asked Questions (FAQs) What is the name of this funding opportunity?

The funding opportunity is titled "Improving Care and Treatment Coordination: Focusing on Black Women with HIV - Demonstration Sites." Which agency offered this grant? The opportunity was offered by the Health Resources and Services Administration (HRSA), within the Department of Health and Human Services (HHS).

What is the Funding Opportunity Number (FON)? The Funding Opportunity Number is HRSA-20-116. What is the CFDA number for this opportunity?

The CFDA number listed is 93. 928. What type of funding mechanism was used?

HRSA planned to fund projects through cooperative agreements, which typically involve ongoing federal collaboration in implementing the project. How many awards did HRSA anticipate making? HRSA anticipated making up to seven awards to support demonstration sites.

What was the maximum project period? Projects could last up to three years. What was the award ceiling?

The award ceiling listed in the opportunity was $310,000. When was the opportunity published? The opportunity was published on April 15, 2020.

What was the original application closing date? The original application closing date was June 15, 2020. Who was this program designed to serve?

The program focused on improving HIV care and treatment coordination for Black women with HIV. What was the overall purpose of the program? The intent was to help organizations design, implement, and evaluate coordinated approaches that strengthen HIV care for Black women, with a clear emphasis on culturally sensitive and responsive service delivery.

What is meant by "demonstration sites" in this opportunity? Demonstration sites were funded organizations expected to develop and test coordinated approaches to care (including bundled interventions), expand service delivery and utilization, and participate in evaluation activities so lessons could inform broader program improvement. What are "bundled interventions" in this program?

A bundled intervention refers to multiple evidence-informed practices combined into a single, coordinated package. The idea is that providing the practices together can achieve stronger results than offering each service on its own. What did HRSA expect bundled interventions to address?

HRSA expected bundles to directly respond to real-world barriers Black women with HIV often face, especially barriers shaped by social and cultural determinants of health. Examples mentioned include stigma, structural inequities, access challenges, and other social conditions that can disrupt continuity of care and treatment. Was the program focused only on offering services, or also on increasing service use?

It was intended to expand both the delivery of comprehensive HIV care and treatment services and the actual utilization of those services. What does "continuous engagement in care" mean in the context of this opportunity? Continuous engagement in care refers to stronger retention and follow-through over time, not only initial linkage to care.

The projects were meant to improve ongoing participation in care and treatment. What outcomes was this program aiming to improve? The ultimate goal was improved health outcomes for Black women with HIV by using care coordination strategies tailored to community needs, lived experiences, and preferences.

How important was culturally responsive care in this opportunity? Culturally sensitive and responsive service delivery was a central emphasis. Projects were expected to be designed around the lived realities of the communities served rather than using generic care coordination approaches.

Did funded sites have to collaborate with any other HRSA-funded entity? Yes. A key requirement was collaboration with an HRSA-funded Evaluation and Technical Assistance Provider (ETAP) funded under a companion notice.

What is the ETAP and which funding notice covered it? The ETAP is the Evaluation and Technical Assistance Provider. It was announced under a companion funding notice: HRSA-20-115.

What was the ETAP expected to do? The ETAP was expected to provide technical assistance to help sites implement bundled interventions effectively and consistently, and to lead a multi-site evaluation. What is a "multi-site evaluation" in this program?

A multi-site evaluation is an evaluation conducted across multiple funded demonstration sites to assess how well the bundled interventions work and what impacts they have across different settings. How does the Ryan White HIV/AIDS Program (RWHAP) relate to this opportunity?

The multi-site evaluation was intended to measure the impact of bundled interventions within the Ryan White HIV/AIDS Program (RWHAP) environment, so findings could inform improvement beyond any single local project. What was the intended value of the evaluation work?

The evaluation was structured to generate practical evidence about which coordinated, culturally responsive bundles most effectively improve engagement and outcomes for Black women with HIV, with the goal of translating lessons learned to broader program improvement. Who was eligible to apply?

Eligibility was listed as "Others (see text field entitled Additional Information on Eligibility for clarification)," meaning applicants needed to consult the full funding notice for specific organizational eligibility requirements. Is this opportunity a formula grant or a discretionary grant? It was described as a fiscal year 2020 discretionary funding opportunity.

What were applicants expected to do if funded? Funded organizations were expected to design, implement, and evaluate coordinated care approaches using bundled interventions; expand delivery and utilization of comprehensive HIV care and treatment services; strengthen continuous engagement in care; and work closely with the ETAP on technical assistance and the multi-site evaluation.

What makes the care coordination approach in this opportunity different from a generic model? This opportunity emphasized care coordination strategies designed to fit the lived experiences, needs, and preferences of Black women with HIV, including addressing social and cultural determinants that can affect engagement in care over time.

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