FY22 Part A NOFO Pre-Application Recipient Webinar - Shared screen with speaker view
Lisa Roush Morse
Question from KCMO: thanks for your words in the intro. How much info and where would you like us to share challenges, etc. regarding the impact of the pandemic, on staff and clients?
Rachel Powell
In section ii. A. 1) of the NOFO we are asked to include socioeconomic data in Attachment 3. Section ii. A. 1) b) ii. also requests socioeconomic data in the Narrative. I have 2 questions: 1) Can you confirm that socioeconomic data should be provided in both Attachment 3 and in the Narrative? 2) Sociodemographic data is being requested for newly diagnosed and PLWH. We will be using surveillance data for newly diagnosed and PLWH, which does not include sociodemographic data. Is it sufficient if we provide SES data on our RWPA clients?
LCDR Fenner
Thank you for your questions. Please continue to put questions into the chat box. Time permitting, there will be a Q+A session at the end of the webinar.
Joanna’s iPad
Hi everyone! I have a few questions:1) If the petition of MAI funds does not reach its ceiling, can the difference be added to Part A?2) The CDC’s HCC data is presented in the aggregate. It does not contain specific information to support the selection of subpopulations of focus, based in disparities in retention in care or viral suppression, for which the EMA is planning to use the State Surveillance Office. What if the CDC’s HCC data differs significantly with the State HIV Surveillance Office? How to reconcile them?3) About the Service Category Table instructions for FY 2021 (page 22), is it expended or allocated amounts? If expended, as of what date date should the amounts be reported? Are projected expenditures allowed?4) Attachment 7 – Coordination of Services and Funding Streams. Will an updated template be provided?
Kristin Wunder
A few questions:
Kristin Wunder
Subpopulations of Focus: The Narrative Guidance sections of the NOFO list Subpopulations of Focus as an independent section within the Needs Assessment, following the A. Demonstrated Need and B. EIIHA sections (see pages 18 and 33). However, the Review Criteria section (page 40) lists Subpopulations of Focus as a sub-section of the A. Demonstrated Need section. Please confirm where the Subpopulations of Focus narrative response should be included in the narrative— as a standalone section within the overall Needs Assessment or as a subsection of Demonstrated Need.
Kristin Wunder
Planning and Resource Allocation and Administrative Assessment: In previous NOFOs, the Planning Responsibilities section included a detailed description of Planning and Resource Allocation as well as Administrative Assessment. However, pages 19-20 of the GY2022 NOFO lists these descriptions as part of the Letter from the Planning Council. Please confirm that HRSA now requiring those details to be included in the Letter of Assurance from the Planning Council instead of being included in the narrative section.Budget & Spending Plan: Are recipients required to submit a 1-year or 3-year spending plan as part of the GY22 application? Similarly, are recipients to submit a 1-year or 3-year budget?If recipients are to submit a 1-year spending plan and budget, when will the next year’s spending plan and budget be submitted (e.g., with the NCC progress report, during Conditions of Award process, at another time)?
Jonathan Hanft (Minneapolis - St. Paul TGA)
For the care continuum, do we need to use the CDC data provided or can we use data from our State's EHARS?
Joe Dandakoye
When is the NCC due for year 2 and year 3? the usual end of May Part A progress report for the NCC?
Trish N @ APH
Does the Assessment of the Administrative Mechanism required every year? If the AAM has not been conducted yet, can we use last year's AAM?
Jonathan Hanft (Minneapolis - St. Paul TGA)
Can you please explain "priority funding". Where does it go?
Angel Arvin Tomsic
Please confirm the following items are to go into the Letter of Assurance from Planning Council Chairs or Letter of Concurrences from the Planning Body: a) Planning:i. When (i.e., the year) your most recent comprehensive needs assessment was conductedii. Participation in comprehensive planning process (i.e., integrated HIV prevention and care plan) for the jurisdiction, including the statewide coordinated statement of need (SCSN)b) Priority Setting and Resource Allocation (PSRA):i. Data (e.g., comprehensive needs assessment, HIV care continuum, unmet need framework estimates, and epi profile) were used in the FY 2022 priority setting and allocation process to ensure that:a. Needs of the populations with HIV (including those with unmet need for HIV-related services, disparities in access and services among affected subpopulations and historically underserved communities, and those unaware of their HIV status) are addressedb. Resources were allocated in accordance with the local demographic incidence
Stephon Effinger
BCHD Ryan White has q question on the diagnosis based care continuum denomiator
Stephon Effinger
Is the denominator based upon a defined cohort of diagnosed patients based upon confirmed diagnoses as of the 12/31 of the prior year?
Daisy Wiebe
If the Department of Health at the state-level releases data of continuum of care (prevalence-based), and it is more recent (for year 2020), can we use this data for the application or should we still use CDC data from TargetHIV?
Brenda Bounous
Can we use HIV surveillance data provided by our state or do we have to use the CDC data on TargetHIV website?
Katrease Hale
Regarding "use the most recent year of data", some data is available for 2020 while other is available for 2020. For example, care continuum data is available for 2020 but linkage to care is not yet released. Would you prefer all data be the same year? Or would you prefer us to use newer data when possible?
Stephon Effinger
Linkage is based upon new cased and the care continuum is based upon all cases (prevelence)
Stephon Effinger
*new cases
Carla Valle-Schwenk, OMB
The SF424 Application Guide has the following guidance for the Abstract: Instructions Effective April 22, 2021Provide a summary of the application in the Project Abstract box use 4,000characters or less. Because the abstract is often distributed to provide information tothe public and Congress, prepare this so that it is clear, accurate, concise, andwithout reference to other parts of the application. It must include a brief descriptionof the proposed project including the needs to be addressed, the proposed services,and the population group(s) to be served. If the application is funded, your projectabstract information (as submitted) will be made available to public websites and/ordatabases including USAspending.gov. See the NOFO for additional information thatmay be required in the project abstract.
Trish N @ APH
Due COVID-19 data collection and processing delays, our TGA will only have data from 2018. Will we lose points for this?
Mike Barry (he & him)
The TA meeting for Unmet Need that I attended with Abbot Assoc. was clear that using the Enhanced Methodology section of the PDF *included* anything in the Required Method, and therefore that we only need to follow one set of instructions.. What was just said gives me the impression that we need to do *both* sets of instructions in the PDF manual in order to meet requirements. Can you please clarify?
Mindy He (she/her)
1) Can we expect the funding amount to be the same for each fiscal year of the period of performance?2) Will the Core Medical services Waiver request be required to be submitted annually?
ann robbins
do you really mean incidence of co-occurring conditions or diagnosed -- for example, we know how many people are diagnosed with STI, but true incidence (how many people aquire STI) is not available
Lauren Wagner
Can we use fiscal year data over calendar year data for the HIV Care Continuum?
Lisa Haefele/Alameda County (she)
On Attachment 7 Sample Slide, please explain why EHE and CARES Act funding appear on the X axis at the top---as though they were Supportive Services rather than separate funding streams? Shouldn't they appear at the left/Y axis as a form of federal funding?
ann robbins
It is essential that the applicants be allowed to use updated data from state/local public health partners rather than target data -- we need to use one source of the data to assure consistency across applications.
Paula Gammell
In the Part A work plan it says 2021 Expenditures. In the Part A MAI it says 2021 Allocated. 2021 has not concluded so Expenditures unknown. Shouldn't it also say 2021 Allocated?
Mindy He (she/her)
Can you repeat part about who should be included as the denominator for the HIV Diagnosed stage for the HIV Care Continuum?
Stephon Effinger
Part A Program fiscal year data is in line with reporting requirements and needs of the local Planning Council.
Lisa Haefele/Alameda County (she)
Please repeat the slide with the major changes for this year
Joanna’s iPad
Does the Planning Council allocates the amount of service categories per sub population of focus for MAI funding?
Gritell Berkeley Martinez
Would you mind clarifying the "Planning Responsibilities" section? Are (a) Planning, (b)PSRA, (c)Training, (d)Assessment of Admin Mechanism part of the Letter of Concurrence or a separate section in the Narrative?
Jonathan Hanft (Minneapolis - St. Paul TGA)
Do the subpopulation(s) of focus in the MAI services category plan need to be the same one or more of the three identified in the subpopulations section of the Needs Assessment section?
Dr. Eaton
At the beginning of his segment, LCDR Fenner indicated that a document was counted in the page limit. What was the name of that document?
Shannon MB Dixon
Dr. Eaton - the CMS
Trish N @ APH
When will the templates be on the target center?
Jonathan Hanft (Minneapolis - St. Paul TGA)
Should we include travel costs to a National RWHAP Conference in DC in 2022 in our budgets?
Trish N @ APH
If the templates are already on target center, can you provide a link?
Shannon MB Dixon
Chelle Gossett
How would you submit indirect cost rate documentation if you are using the 10% de minimis indirect cost rate and don't have a negotiate indirect cost rate?
Trish N @ APH
Thank you. It does not appear that the templates for this application are available at that link yet. I check back later.
For more detailed data for epidemiological data for demographics, subpopulations of focus, and unmet need, can state provided surveillance data from 2020 be used? For continuum of care data/tables/narrative, I understand that CDC data has to be used.
ann robbins
I believe that answer about the years for numerator and denominator was incorrect.
Ashley A.
Someone had asked this question, I will like to elevate it: Do the subpopulation(s) of focus in the MAI services category plan need to be the same one or more of the three identified in the subpopulations section of the Needs Assessment section?
Lisa Haefele/Alameda County (she)
NOTE that RAISE HAND is actually under Participants, not REACTIONS
Casey Dyson
Where exactly on targethiv.org will the Q&As be posted? Library? Help?
Jeff Cheek - DHE
When will Q&A be on Target website?
Kristin Wunder
Can you please detail where in TargetHIV all of these templates you’ve referenced are provided?
Trish N @ APH
Templates for this application do not appear to be on target center yet.
Paula Gammell
MAI says Allocations.
Trish N @ APH
1) Throughout the instructions, applicants are advised to use the CDC data available on the Target Center Website. Our state health agency who normally prepares the data for our Part A Application has said that we shouldn’t use the CDC Data; they said that data are wrong. The state has said they will provide more accurate data for the application. Should we rely on the data from our State or use the Target CDC data? Here is an example from the instruction on using the CDC data: “HIV Care Continuum: Eligible applicants will need to provide an HIV care continuum (HCC) that is diagnosis-based using the Centers for Disease Control and Prevention (CDC) definitions. Data are posted on TargetHIV to facilitate the development of the diagnosis-based HIV care continuum. See the Demonstrated Need and Work Plan sections for additional details.”2) The review criteria do not fully line up with the application instructions. Subpopulations of Focus are shown under section C in the Needs Assessment in the instructions, but
Trish N @ APH
they are listed as #6 under section A of the Needs Assessment in the review criteria. In the Work Plan, the HIV Care Continuum Table and Narrative are shown as A, but in the review criteria the Service Category Plan Table & Narrative are listed as A. Which should we use to structure the application; the instructions section of the NOFO or the review criteria? How will the application reviewers be informed of these discrepancies?
Trish N @ APH
3) Under the HIV Care Continuum instructions it says “Any changes in your HIV care continuum from CY 2017 to CY 2019, or the most current three (3) years for which data are available, the impact those changes had on your program, and how you responded or addressed those identified changes.” Did you mean CY 2018 to CY 2020?4) For the Resolution of Challenges Table, can you clarify the requirement to list “at least three potential challenges/barriers”? Our table normally lists 10 or so challenges and resolutions. Are you expecting more detail in the chart this year?
I agree with Ann Robbins: I believe that answer about the years for numerator and denominator was incorrect. Previous year for denominator should be used since individuals diagnosed in the latter part of current year wouldn't have enough time pass to meet retention in care definition.
Matthew McClain
If new evidence emerges after we've set the populations of focus, how do we make that correction in year 2 or 3?
Ashley A.
To clarify, we will be required to submit annual NCCs and an annual progress report
Trish N @ APH
So the EIIHA & MAI subpopulations are the same?
Kristin Athey
Brenda Bounous
Please clarify whether the 3 subpopulations of focus in the Needs Assessment section ( p.18) have to be MAI-eligible subpopulations or could they be a subpopulation not tied to race/ethnicity such as transgender?
Paula Gammell
Mark Baker (he/him)
Will this slide deck be posted with the Q & A (Aug 9)?
Mark Baker (he/him)
You said an updated CQM plan would be required in the "second year" NCC. Do you mean for 2023 and only that one year?
Lauren Wagner
Can we use local EMA expanded HIV care continuum definitions for the application? For example, our EMA uses primary care visits, viral load tests, and CD4 test as a marker for "receipt of care"
Dr. Eaton
Thank You All for the Presentation and Clarification!
Nora Holmquist
If EHE jurisdiction should EHE initiatives and interventions be included as part of EIIHA section?
Sandra Vincent
Thanks Everyone!
Recommendation to review the numerator and denominator guidance in the NOFO. I agree with the logic of what is actually in the NOFO as it is now (previous year denominator) given my explanation above rather than the explanation that was given today verbally. A final determination on Q&A would be appreciated.
Ebony Fortune
Thank you Everyone
Sonya Hughes
Thank You All for the Presentation and Clarification!
Amit Chattopadhyay
Thanks all!
Trish N @ APH
Thanks All!
Ana Loeza
thank you all
Tanya Madden
Appreciate your guidance
Ricardo Mora - Houston EMA Health Planner
Thank you everyone!
Mary Kay Mitchell (Newman), San Antonio RW AA
thank you
Joshua Olagunju
Thank You