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.

  • 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).
Apply for HRSA 19 038

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