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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Frequently Asked Questions (FAQs)

What is the official title and number of this grant opportunity?

The opportunity is titled "Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Capacity-Building Provider" and is identified as HRSA-22-027.

Which federal agency is offering this funding?

This is a federal funding notice from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), through the Ryan White HIV/AIDS Program (RWHAP) Part F Special Projects of National Significance (SPNS).

What type of funding mechanism is being used?

The award mechanism is a cooperative agreement. In practical terms, that usually means HRSA expects to be actively involved with the awardee through substantial programmatic collaboration, rather than providing a strictly hands-off grant.

When was the opportunity posted and what was the application deadline?

The notice was posted on October 26, 2021, and the original application deadline was January 25, 2022.

What is the main purpose of HRSA-22-027?

This notice funds the "capacity-building provider" component of a coordinated initiative designed to improve health outcomes for people aging with HIV, specifically adults age 50 and older. The capacity-building provider is expected to strengthen the ability of sites to adopt, sustain, and spread effective practices.

Who is the focus population for the overall initiative?

The initiative is focused on people aging with HIV, specifically adults age 50 and older.

How does this opportunity fit into HRSA's broader initiative?

HRSA structured the initiative into three connected parts meant to operate in tandem: (1) the capacity-building provider (HRSA-22-027), (2) multiple demonstration sites (HRSA-22-028), and (3) an evaluation provider (HRSA-22-029). The intent is that these components work together rather than operating in isolation.

What are the roles of the three components (capacity-building provider, demonstration sites, evaluation provider)?

Based on the notice summary: demonstration sites implement real-world approaches; the evaluation provider measures results and implementation success; and the capacity-building provider strengthens the ability of sites to adopt, sustain, and spread effective practices and to carry out emerging strategies for more comprehensive, age-responsive HIV care.

What framework guides the initiative's approach?

The initiative is centered on the HRSA HIV/AIDS Bureau (HAB) implementation science framework, emphasizing not only whether a strategy works, but also how it is implemented, what supports adoption, what creates barriers, and what it takes to integrate strategies into routine care.

What does "implementation science" mean in the context of this opportunity?

In this initiative, implementation science is described as focusing on how strategies are put into practice, what helps or blocks adoption, and what is needed to integrate effective strategies into routine care workflows rather than keeping them as short-term pilot activities.

What types of health needs are the emerging strategies expected to address?

The strategies are described as addressing both clinical and non-clinical needs for older adults with HIV, including comorbidities, geriatric conditions, behavioral health needs, and psychosocial needs that affect engagement in care and quality of life.

Which comorbidities are specifically mentioned in the notice summary?

The summary cites improving screening and management of comorbidities such as cardiovascular disease, diabetes, kidney disease, and other chronic conditions that become more common with age.

Which geriatric conditions are specifically mentioned?

Examples listed include frailty, falls risk, cognitive changes, and functional limitations.

What behavioral health needs are mentioned?

The summary includes behavioral health needs such as mental health conditions and substance use.

What psychosocial needs are mentioned?

Examples include isolation, housing instability, stigma, caregiving burdens, and other social factors that can affect engagement in care and quality of life.

What are the key activities the initiative is trying to accomplish at the same time?

The notice summary highlights multiple simultaneous aims: implementing emerging strategies at demonstration sites; assessing uptake and integration into routine workflows; examining the implementation process and specific implementation strategies; documenting contextual factors that affect implementation; evaluating impact; and producing documentation and dissemination products for other providers and systems.

What does the initiative mean by "uptake and integration"?

It refers to whether sites actually adopt the strategies, how consistently they use them, and whether the strategies become embedded into normal workflows rather than remaining temporary pilots.

What kinds of "implementation strategies" are referenced in the notice summary?

The summary lists examples 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.

What contextual factors does the initiative want to understand and document?

The summary notes contextual factors may include local service environments, workforce capacity, patient demographics and needs, policy and reimbursement realities, community resources, and disruptions that influence care delivery.

What outcomes or impacts does the initiative aim to evaluate?

The notice indicates a focus on evaluating impact, potentially including health outcomes, patient experience, retention in care, management of comorbidities, and other indicators relevant to older people with HIV.

What kinds of deliverables are expected around documentation and dissemination?

HRSA is looking for usable knowledge products that other HIV providers and systems can learn from. The summary emphasizes 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 strategies work in real clinical settings.

How many awards did HRSA expect to make under HRSA-22-027?

HRSA expected to make one award under this specific notice.

What is the program area and assistance listing for this funding?

The opportunity is categorized as discretionary funding in the health area and is associated with CFDA 93.928.

Who is eligible to apply?

The eligible applicant category is listed as "Others." The summary indicates that additional eligibility details are referenced in the full notice text.

Is there an award ceiling listed for this opportunity?

The provided summary data lists an award ceiling of 0, which typically indicates the ceiling was not captured in that field or that applicants were expected to consult the full announcement for budget limits and expectations.

What does "capacity-building provider" mean in this initiative?

Based on the notice summary, it is the entity funded under HRSA-22-027 to provide structured implementation support that strengthens demonstration sites' ability to adopt, sustain, and spread emerging strategies for comprehensive, age-responsive HIV care.

Is this opportunity intended to operate as a standalone project?

No. The summary explicitly notes HRSA's intent that the capacity-building provider, demonstration sites, and evaluation provider operate in tandem, not in isolation.

What is the overall goal of the grant as described in the summary?

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.

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