Health Department Demonstration Projects to Reduce HIV Infections and Improve Engagement in HIV Medical Care among Men Who Have Sex with Men (MSM) and Transgender Persons

The purpose of this FOA is to support up to 24 state and local health departments in the United States to implement PrEP (Category 1) and Data to Care (Category 2) demonstration projects prioritizing populations of MSM and transgender persons at high risk for HIV infection, particularly persons of color. Organizations that are funded under this FOA will be required to prioritize their services to these populations. Services may also be provided for persons at substantial risk for HIV (for PrEP) or persons who have HIV and are not virally suppressed or have ongoing risk behavior (for Data to Care) who are not MSM or transgender.

Eligibility for Category 1 (PrEP Support Demonstration Projects Targeting MSM and Transgender Persons at Substantial Risk of Acquiring HIV) is limited to health departments whose jurisdiction includes one or more of the thirty two (32) MSAs/MDs in which there are greater than 3,000 MSM living with diagnosed HIV by year-end 2010 (2011 MSA report, table 6b, published Oct 2013). Eligibility for Category 2 (Data to Care Demonstration Projects That Use Surveillance Data Sources to Identify MSM and Transgender Persons Not in HIV Care) is limited to health departments that are eligible to apply for Category 1 and have complete reporting of all CD4 cell count and HIV viral load results. Complete laboratory reporting of CD4 and HIV viral load test results is defined as follows: The jurisdiction’s laws/regulations require the reporting of all CD4 and viral load results to the state/city health department A minimum of 95% of HIV-related test results from laboratories that perform HIV-related testing for each area are being reported to the state/city health department The jurisdiction is reporting at least 95% of all CD4 and viral load test results to CDC as of December 31, 2013 (as outlined in the 2012 Monitoring Report, published in November 2014). States that have local health departments directly funded by CDC are not eligible to apply for the MSAs/MDs that contain locally funded health departments within the state. State health departments with one eligible MSA/MD are required to work in the specified eligible MSA/MD. States that have more than one eligible MSA/MD may elect to work in all or a reduced number of eligible MSAs or MDs, in order of prevalence.

Carolyn Leighton CYG8@cdc.gov