Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Capacity-Building Provider | HRSA 22 027

Opportunity Information: Apply for HRSA 22 027

The grant opportunity titled "Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Capacity-Building Provider" (HRSA-22-027) is a federal funding notice from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), operating through the Ryan White HIV/AIDS Program (RWHAP) Part F Special Projects of National Significance (SPNS). It was posted on October 26, 2021, with an original application deadline of January 25, 2022. The award mechanism is a cooperative agreement, which typically means HRSA plans to stay actively involved with the awardee through substantial programmatic collaboration rather than issuing a hands-off grant.

This particular notice focuses on funding the "capacity-building provider" component of a larger, coordinated initiative aimed at improving health outcomes for people aging with HIV, specifically adults age 50 and older. HRSA structured the overall initiative into three connected parts: a capacity-building provider (this opportunity, HRSA-22-027), multiple demonstration sites (HRSA-22-028), and an evaluation provider (HRSA-22-029). The intent is that all three parts operate in tandem, not in isolation, so that demonstration sites can implement real-world approaches, the evaluation provider can measure results and implementation success, and the capacity-building provider can strengthen the ability of sites to adopt, sustain, and spread effective practices.

At the center of the initiative is HRSA HIV/AIDS Bureau (HAB) implementation science framework. In practical terms, this signals that HRSA is not only interested in whether a strategy works, but also how it is put into practice, what helps or blocks adoption, and what it takes to integrate a strategy into routine care. The capacity-building provider is expected to help demonstration sites carry out emerging strategies that deliver more comprehensive, age-responsive HIV care. This includes improving screening and management of comorbidities (such as cardiovascular disease, diabetes, kidney disease, and other chronic conditions that become more common with age), geriatric conditions (for example frailty, falls risk, cognitive changes, functional limitations), behavioral health needs (including mental health conditions and substance use), and psychosocial needs (like isolation, housing instability, stigma, caregiving burdens, and other social factors that affect engagement in care and quality of life).

The activities described in the notice emphasize doing several things at the same time. First, demonstration sites will implement emerging strategies that address the full set of clinical and non-clinical needs experienced by older adults living with HIV. Second, the initiative will assess uptake and integration, meaning it will look closely at whether sites actually adopt these strategies, how consistently they use them, and whether the strategies become embedded in normal workflows rather than remaining temporary pilot activities. Third, the initiative will examine the implementation process itself, including identification and assessment of the specific implementation strategies used, such as training approaches, workflow redesign, clinical decision support, referral pathways, partnerships, and other tactics that help providers deliver more coordinated, geriatric-informed HIV care.

In addition to internal site processes, the project also calls for understanding and documenting broader contextual factors that affect implementation. That can include local service environments, workforce capacity, patient demographics and needs, policy and reimbursement realities, community resources, and disruptions that influence care delivery. The initiative also includes an explicit focus on evaluating impact, meaning it aims to measure what changes as a result of these emerging strategies, potentially spanning health outcomes, patient experience, retention in care, management of comorbidities, and other indicators relevant to older people with HIV. Finally, a major deliverable is documentation and dissemination. HRSA is looking to produce usable knowledge products that other HIV providers and systems can learn from, including clear descriptions of what was implemented, how it was implemented, what it cost in time and effort, what barriers were encountered, and what adaptations were needed to make the strategies work in real clinical settings.

Administratively, the opportunity is categorized as discretionary funding in the health area (CFDA 93.928). HRSA expected to make one award under this specific notice, and the eligible applicant category is listed as "Others," with additional eligibility details referenced in the full notice text. The award ceiling is listed as 0 in the provided summary data, which usually indicates that the ceiling was not captured in that field or that applicants needed to consult the full announcement for the budget limits and expectations. Overall, the grant is designed to build national capacity by helping HIV providers better serve an aging population through structured implementation support, coordinated evaluation, and broad dissemination of proven approaches.

• The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Capacity-Building Provider" 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 Oct 26, 2021.
• Applicants must submit their applications by Jan 25, 2022. (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 1 candidate(s).
• Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).

Apply for HRSA 22 027

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