Ryan White HIV/AIDS Program Part D Grants for Coordinated HIV Services and Access to Research for Women, Infants, Children, and Youth (WICY)Existing Geographic Service Areas

of coordinated, comprehensive, culturally and linguistically competent services directly, by contract, or by memoranda of understanding (MOU).  This competition is open to existing and new organizations proposing to provide RWHAP Part D funded services in the service areas as described in Appendix B.  Applicants that do not propose to serve the entire published service area must demonstrate the availability of comprehensive care and services to all Ryan White eligible WICY populations within the entire service area through partners or other RWHAP providers.  Applicants that have overlapping geographic service areas must propose to provide additional services, or target specific vulnerable populations, and/or provide services that enhance the existing services in the area. New organizations must demonstrate that they will serve all eligible WICY patients and each of the four target populations in the proposed service area as well as serve the existing patients, populations, and provide at least the same scope of services.   As established in section 2671 of the PHS Act and according to the terms and conditions of these awards, RWHAP Part D program grantees are expected to expend grant funds to provide HIV primary care, specialty medical care, and support services toWICY.  For the purpose of implementing programs funded by RWHAP Part D, HIV primary medical care refers to outpatient or ambulatory care, including behavioral health, nutrition, and oral health services.  Family-centered care refers to services that address the health care needs of the persons living with HIV in order to achieve optimal health outcomes.  Specialty care refers to specialty HIV care and specialty medical care such as obstetrics and gynecology, hepatology, and neurology.  Support services may include the following: (1)  Family-centered care including case management. (2)  Referrals for additional services including¿ a)      referrals for inpatient hospital services, treatment for substance abuse, and mental health services; and b)      referrals for other social and support services, as appropriate. (3)    Additional services necessary to enable the patient and the family to participate in the program established by the applicant pursuant to such subsection including services designed to recruit and retain youth with HIV. (4)    The provision of information and education on opportunities to participate in  HIV/AIDS-related clinical research.