Opportunity Information: Apply for HRSA 19 038
The Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services, released this discretionary grant opportunity (HRSA-19-038; CFDA 93.928) to support a three-year initiative called Strengthening Systems of Care for People Living with HIV and Opioid Use Disorder. The program is designed to fund a small number of awards, with HRSA estimating about one to four grantees (and listing an expected total of three awards). The entities funded under this initiative are referred to as System Coordination Providers (SCPs). Rather than focusing on direct clinical service expansion alone, the core emphasis is on improving how systems, agencies, and funding streams work together so that people living with HIV (PLWH) who also have opioid use disorder (OUD) can more reliably access behavioral health care, evidence-based OUD treatment, and recovery supports.
At the center of the initiative is tighter coordination between Ryan White HIV/AIDS Program (RWHAP) recipients and the broader set of federal, state, and local programs that are funded to respond to the opioid epidemic. HRSA is aiming to strengthen the system-level networks of care that connect HIV service providers with OUD-focused resources, partners, and treatment pathways. In practical terms, this includes mapping and aligning who does what across agencies, clarifying referral and service linkages, reducing fragmentation between HIV care and substance use treatment, and improving the ability of RWHAP-funded organizations to plug into existing opioid response infrastructure.
SCPs are expected to help states and local systems identify and leverage resources at multiple levels of government. A key piece of work is identifying new and expanded resources available for OUD treatment, along with identifying both new and existing partners across the system of care (for example, public health agencies, behavioral health authorities, opioid treatment programs, community-based providers, and other organizations receiving opioid response funds). The initiative is meant to build on what is already in place where relevant, strengthening existing systems of care rather than duplicating efforts. By doing so, HRSA expects stronger cross-sector collaboration and better coordination across federal, state, and local partners, ultimately improving health outcomes for PLWH with OUD.
Another required element is a system-wide assessment of OUD care and treatment. If a jurisdiction does not already have a suitable assessment, the SCP is responsible for implementing one. This assessment is intended to clarify current capacity, gaps, and barriers in OUD prevention, treatment, and recovery services as they relate to PLWH, and to identify where resources already exist (or could be expanded) to better address the opioid epidemic. After clarifying the landscape, SCPs then assist RWHAP providers in actively leveraging those identified resources for OUD care and treatment among PLWH, increasing the ability of HIV-focused organizations to connect clients to medication-assisted treatment and other behavioral health and recovery services.
Although OUD is the primary focus, HRSA also notes that stronger integration between RWHAP recipients and opioid response entities may produce broader benefits for other common comorbidities affecting PLWH. Improved coordination and service integration can also support stronger systems of care for conditions such as hepatitis C virus (HCV) infection, sexually transmitted infections (STIs), and other behavioral health disorders that often intersect with substance use and HIV outcomes. In short, the initiative uses OUD system coordination as the entry point, but it is structured in a way that can strengthen the wider continuum of care for complex, co-occurring needs.
Administrative details included in the notice indicate the funding instrument is a grant, the opportunity category is discretionary, and eligibility is listed as "Others" with additional clarification provided in the full eligibility text of the announcement. The opportunity was created on January 16, 2019, with an original closing date of April 16, 2019. The posted award ceiling is listed as 0 in the summary data, which typically signals that applicants should consult the full announcement for detailed budget limits, funding ranges, and any matching or cost expectations not captured in the abbreviated listing.Apply for HRSA 19 038
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Strengthening Systems of Care for People Living with HIV and Opioid Use Disorder" 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 Jan 16, 2019.
- Applicants must submit their applications by Apr 16, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 3 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is this grant opportunity?
This is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services. The opportunity is identified as HRSA-19-038 and CFDA 93.928, and it supports a three-year initiative titled "Strengthening Systems of Care for People Living with HIV and Opioid Use Disorder."
Who is offering the funding?
The funding is offered by HRSA (Health Resources and Services Administration), an agency within the U.S. Department of Health and Human Services.
How long is the initiative?
The initiative is designed as a three-year effort.
How many awards does HRSA expect to make?
HRSA estimates making about one to four awards, and the notice also lists an expected total of three awards. This indicates a small number of grantees overall.
What are funded entities called under this program?
Organizations funded under this initiative are referred to as System Coordination Providers (SCPs).
What is the main purpose of the program?
The core purpose is to improve coordination across systems, agencies, and funding streams so that people living with HIV (PLWH) who also have opioid use disorder (OUD) can more reliably access behavioral health care, evidence-based OUD treatment, and recovery supports.
Is the program focused on expanding direct clinical services?
Not primarily. Rather than focusing on direct clinical service expansion alone, the program emphasizes system-level coordination and alignment among providers, partners, and funding sources.
What populations does the initiative focus on?
The initiative focuses on people living with HIV (PLWH) who also have opioid use disorder (OUD).
What is the role of the Ryan White HIV/AIDS Program (RWHAP) in this initiative?
A central aim is tighter coordination between Ryan White HIV/AIDS Program (RWHAP) recipients and federal, state, and local programs funded to respond to the opioid epidemic. The program seeks to strengthen networks that connect HIV service providers to OUD-focused resources and treatment pathways.
What kinds of coordination activities are expected?
The notice describes practical coordination work such as mapping and aligning roles across agencies, clarifying referral and service linkages, reducing fragmentation between HIV care and substance use treatment, and improving the ability of RWHAP-funded organizations to connect into existing opioid response infrastructure.
What does "strengthening systems of care" mean in this context?
It refers to improving how organizations and programs work together so care is less fragmented. This includes identifying partners, aligning responsibilities, improving referral pathways, and leveraging resources already available across federal, state, and local opioid response efforts.
Are SCPs expected to create new programs or duplicate existing efforts?
No. The initiative is meant to build on what is already in place where relevant, strengthening existing systems of care rather than duplicating efforts.
What kinds of partners might be involved in the system of care?
The notice provides examples such as public health agencies, behavioral health authorities, opioid treatment programs, community-based providers, and other organizations receiving opioid response funds.
What does the grant require regarding resources for OUD treatment?
SCPs are expected to help identify new and expanded resources available for OUD treatment and help identify both new and existing partners across the system of care.
What is the required system-wide assessment?
A required element is a system-wide assessment of OUD care and treatment. The assessment is intended to clarify capacity, gaps, and barriers in OUD prevention, treatment, and recovery services as they relate to PLWH, and to identify existing resources (or resources that could be expanded) to address the opioid epidemic.
What if a state or jurisdiction already has an assessment?
If a jurisdiction already has a suitable assessment, the notice indicates the SCP would rely on it. If a suitable assessment does not already exist, the SCP is responsible for implementing one.
After the assessment, what are SCPs expected to do?
After clarifying the landscape, SCPs assist RWHAP providers in actively leveraging identified resources for OUD care and treatment among PLWH. This is intended to increase the ability of HIV-focused organizations to connect clients to medication-assisted treatment and other behavioral health and recovery services.
Is opioid use disorder the only condition addressed by this initiative?
OUD is the primary focus, but HRSA notes that improved integration and coordination may also strengthen systems of care for other comorbidities affecting PLWH, including hepatitis C virus (HCV), sexually transmitted infections (STIs), and other behavioral health disorders.
What type of funding instrument is used?
The funding instrument is a grant.
What is the opportunity category?
The opportunity category is discretionary.
Who is eligible to apply?
The summary information lists eligibility as "Others," with additional clarification provided in the full eligibility text of the announcement. Applicants would need to consult the full notice for the specific eligible applicant types.
When was the opportunity created?
The opportunity was created on January 16, 2019.
What was the original closing date?
The original closing date listed is April 16, 2019.
What is the award ceiling for this grant?
The posted award ceiling is listed as 0 in the summary data. This typically signals that applicants should consult the full announcement for detailed budget limits, funding ranges, and any matching or cost expectations not shown in the abbreviated listing.
Does the summary listing provide full budget details?
No. Based on the summary data (including an award ceiling shown as 0), the notice indicates that full budget limits and related requirements may be found in the complete announcement rather than the abbreviated listing.
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