SH

ELBY C

OUNTY G

OVERNM

ENT

RYAN W

HIT

E P

ROGRAM

Memphis TGA

Ryan White Part A and Minority AIDS

Initiative (MAI)

•Federal government -Health Resources

Services Administration (HRSA)

•To provide medical and supportive

services for people living with HIV and

AIDS (PLWHA)

•First awarded in 2007

Memphis Transitional Grant Area

(TGA)Ryan White Funding

Memphis TGA Planning Council

•The Planning Council prioritizes and allocates funding

for services, ensures services meet the needs of PLWHA

•Members are appointed by the Shelby County Mayor

•The membership must include people living with HIV

and be representative of the affected community

•The Memphis TGA serves 8 counties:

•Shelby, Fayette, Tipton, TN

•DeSoto, Marshall, Tate, Tunica, MS

•Crittenden, AR

Memphis TGA

�As of December 31, 2010, there were 7, 418 people

living with HIV/AIDS in the 8 counties

�According to CDC estimates, an additional 1,902

individuals in the Memphis TGA have HIV but don’t

know it

�Approximately 41% of PLWHA are not receiving

regular medical care for HIV

Memphis TGA Ryan White Program

�Administered by Shelby County Government, Division of

Community Services

�Responsible for establishing and monitoring contracts

for services, quality management activities, and paying

invoices

�Ensuring services are provided in compliance with

federal and local standards

�Accountability for funds and reporting to HRSA

Ryan White Program and Services

�Funding is available for core medical services:

�Outpatient/Ambulatory Medical Care

�AIDS Pharmaceutical Assistance (Local)

�Medical Case Management

�Medical Nutrition Therapy

�Oral Health Care

�Early Intervention Services (EIS)

�Mental Health Services

�Outpatient Substance Abuse Treatment

Ryan White Program and Services

�Early Intervention Services (think partnerships!)

�Services that assist individuals in getting lin

kedto care

�Can help PLWHA that are newly diagnosed and those that are

out of care

�Can also be used to help individuals who are HIV+, but don’t

know it

�Funding for HIV testing-

�Cannot supplant existing funds

�Can be used to expand accessibility and availability to existing

services

�Should be used in targeted efforts to reach those who are

disproportionately affected by HIV and have limited access

Ryan White Program and Services

�Funding is available for Support Services:

�Non-Medical Case Management

�Emergency Financial Assistance

�Food Bank/Home Delivered Meals

�Housing

�Medical Transportation

�Psychosocial Support

�Outreach

�Health Education/Risk Reduction

�Linguistics

Ryan White Programs and Services

�Apply for funding for one or multiple service

categories

�Identify how your plans address the goals of

Memphis TGA Ryan White Comprehensive Plan

�Develop a budget that reflects your capacity to

provide the service(s)

Ryan White Program and Services

�Client Eligibility Criteria:

�HIV positive

�Live in the Memphis TGA

�Have income at or below 300% of the Federal

Poverty Level

�Lack of health insurance or are under-insured

Ryan White Programs and Services

�Client populations:

�In care-those with an HIV diagnosis who are receiving

recommended HIV primary medical care

�Out of care-those with an HIV diagnosis who are NOT

receiving HIV primary medical care

�Unaware-those who are infected with HIV but do not know

their status (based on CDC estimates that 1 in 5 people with

HIV do not know, there are 1,500+ individuals in our TGA)

•REVIE

W T

HE R

FP A

ND A

TTACH

MENTS

COM

PLETELY A

ND C

AREFULLY

•APPLY T

O B

ECOM

E A

SH

ELBY C

OUNTY

VENDOR O

R R

ENEW

VENDOR #

•APPLY F

OR E

OC #

•USE T

HE C

HECKLIS

T

Request for Proposal (RFP)

RFP continued

�What is the proposal due date?

�Where and how is it to be submitted?

�What services are being funded?

�Does our agency meet the minimum qualifications?

�Not for profit (for profit organizations may apply if there are

no non-profit agencies that provide the service)

�Provide services in the TGA

The Proposal Plan

�Agency Background:

�Highlights of your agency

�Accomplishments

�Unique capabilities/services/access to populations

�Statement of Assets and Needs

�Identify the need(s) for the services you propose

�Use data provided in the RFP, and other relevant information

�Identify the assets your agency has to meet the need(s)

The Proposal Plan continued

�Program Plan

�Research your activity-what model/method are you

proposing?

�The activity must directly address the service(s) identified in

the RFP, and should be developed in accordance with

standards of care

�The plan should include the questions in the RFP and answer

them

The Proposal Plan continued

�Formal Collaborative Agreements

�Describe interactions and relationships:

�With currently funded providers

�With other community agencies/providers

�Be specific about the responsibilities of each agency

�Attach copies of signed agreements

The Proposal Plan continued

�Evaluation

�Describe plan for evaluating program effectiveness:

�What will be evaluated?

�How often will it be evaluated?

�How will it be measured?

�If you have previously received Ryan White funding, provide

program evaluation data and information.

The Proposal Plancontinued

�Quality Management

�Describe your quality management plan and include

information about performance measures to be used

�If applicable, describe quality improvement activities that you

have implemented

�Be sure to include data!

The Proposal Budget

�Create a budget that is specific, realistic and within

the parameters set by the RFP

�Include only allowable expenses

�Provide the requested justification and detail

�Provide specific information about calculations used to

develop fees for services

�Provide budget information from other funding sources if

agency has funding for proposed services

•RFP A

TTACH

MENTS

•The Ryan White TGA Comprehensive Plan

•The 2009 Ryan White TGA Needs Assessment

•The 2010 Transportation Study Report

•The 2011 Housing Report

•Standards of Care

•Quality Management Resources

Resources

•M

EM

PH

IS T

GA R

YAN W

HIT

E P

LANNIN

G C

OUNCIL

AND P

ROGRAM

•hivmemphis.org

•H

RSA H

IV/A

IDS B

UREAU

•www.hab.hrsa.gov

•TARGET C

ENTER (

TECH

NIC

AL A

SSIS

TANCE F

OR T

HE R

YAN W

HIT

E C

OM

MUNIT

Y)

•www.careacttarget.org

•NATIO

NAL Q

UALIT

Y C

ENTER

•www.nationalqualitycenter.org

Resources

•CENTERS F

OR D

ISEASE C

ONTROL A

ND P

REVENTIO

N

•www.cdc.gov/hiv/stats.htm

•www.cdc.gov/mmwr

•NATIO

NAL M

INORIT

Y A

IDS C

OUNCIL

•www.nmac.org

•NATIO

NAL INSTIT

UTES O

F A

LLERGY A

ND INFECTIO

US D

ISEASE

•www.niaid.nih.gov

Resources