The Enhancing HIV Care of Women, Infants, Children and Youth Building Capacity through Communities of Practice program is a platform for Ryan White HIV/AIDS Program (RWHAP) Part D recipients to increase the delivery of evidence-based interventions, evidence informed interventions and emerging interventions that enhance client outcomes; increase the skill level of the HIV workforce providing care and treatment to women, infant, children and youth (WICY); and involve partner collaboration for dissemination of best practices.
The Communities of Practice will focus on three areas:
- Pre-conception counseling, including sexual health (2023-2024)
- Trauma informed care (2024-2025)
- Youth transitioning from youth services to adult care (2025-2026)
Preconception Counseling Including Sexual Health Community of Practice
- Launch Event: Enhancing HIV Care: Preconception Counseling, including Sexual Health, Community of Practice (CoP), March 29, 2023 (Slides)
- Learning Session #1: IHI Breakthrough Series, May 17, 2023 (Slides)
- Learning Session #2: What is Preconception Counseling and Why Does it Matter? June 21, 2023 (Slides)
- Technical Assistance on: Cultural Competency in Preconception Counseling, Including Sexual Health, July 27, 2023 (Slides)
- Learning Session #3: Moving from Theory to Practice: Implementing Pre-Conception Counseling in Your Program, September 20, 2023 (Slides)
- Learning Session #4: Wednesday, December 20, 2023
- Learning Session #5: Wednesday, February 21, 2024
- July 2023 through August 2023 – Action Period #1 (PDSA specific activities, data collection and analysis)
- October 2023 through November 2023 – Action Period #2 (PDSA specific activities, data collection and analysis)
- January 2024 – Action Period #3 (PDSA specific activities, data collection and analysis)
Resources and Links
- 2009 Extension Act Requirements (detailed in Unit 1 – Part D Legislative Overview presented at the RWHAP Conference on 8/22/2022); Ryan White HIV/AIDS legislation (ryanwhite.hrsa.gov)
- Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards 45 CFR Part 75; eCFR :: 45 CFR Part 75 -- Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards (ecfr.gov)
- National HIV/AIDS Strategy (2021–2025); National HIV/AIDS Strategy for the United States 2022–2025 (whitehouse.gov)
- Healthy People 2030; Healthy People 2030 (health.gov)
- Sexually Transmitted Infections National Strategic Plan (2021-2025); STI Plan Toolkit (hhs.gov)
- Viral Hepatitis National Strategic Plan for the United States: A Roadmap to Elimination (2021–2025); Viral Hepatitis National Strategic Plan (hhs.gov)
- Maternal and Child Health Bureau: Explore the Title V Federal-State Partnership (mchb.tvisdata.hrsa.gov)
Policy Clarification Notices (PCNs)
Recipients must follow the guidance in all applicable HIV/AIDS Bureau PCNs, the list below is not an exhaustive list of all PCNs. To view all visit Policy Notices | Ryan White HIV/AIDS Program (ryanwhite.hrsa.gov)
- 13-01 - Clarifications Regarding Medicaid-Eligible Clients and Coverage of Services by the Ryan White HIV/AIDS Program (Revised 12/13/2013)
- 13-03 - Ryan White HIV/AIDS Program Client Eligibility Determinations: Considerations Post Implementation of the Affordable Care Act
- 13-04 - Clarifications Regarding Clients Eligible for Private Health Insurance and Coverage of Services by Ryan White HIV/AIDS Program (revised 9/13/2013)
- 15-01 - Treatment of Costs under the 10% Administrative Cap for Ryan White HIV/AIDS Program Parts A, B, C, and D
- 15-02 - Clinical Quality Management
- 15-03 - Clarifications Regarding the Ryan White HIV/AIDS Program and Program Income
- 16-02 - Ryan White HIV/AIDS Program Services: Eligible Individuals and Allowable Uses of Funds
- 21-02 - Determining Client Eligibility and Ensuring Payor of Last Resort in the Ryan White HIV/AIDS Program. (replaces 13-02)
HAB Program Letters
Recipients must follow the guidance in all applicable HIV/AIDS Bureau program letters. This is not an exhaustive list of all program letters. To view all visit Program Letters | Ryan White HIV/AIDS Program (ryanwhite.hrsa.gov)
- Gender-Affirming Care in the Ryan White HIV/AIDS Program (PDF - 93 KB) - December 16, 2021
- The Ryan White HIV/AIDS Program and Pre-Exposure Prophylaxis (PrEP) Letter (PDF - 165 KB) - November 16, 2021, updated from June 22, 2016
- Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2022-2026 (PDF - 370 KB) * and Dear Colleague Letter (PDF - 76 KB) - June 30, 2021
- Clarification on Transitioning Clients from Ending the HIV Epidemic Funding to Ryan White HIV/AIDS Program and AIDS Drug Assistance Program Funding (PDF - 128 KB) - March 22, 2021
- Waiving Penalties and Administrative Requirements for Ryan White HIV/AIDS Program Recipients (PDF - 241 KB) - February 23, 2021
- Long-acting Antiretroviral (ARV) Medication Guidance and Ryan White HIV/AIDS Program (PDF - 298 KB) - December 4, 2019
- Rapid Eligibility Determinations and Ryan White HIV/AIDS Program (PDF - 170 KB) - May 2, 2019
Clinician Training & Resources
- AIDS Education and Training Centers (AETC). Request HIV training and technical assistance from the AETC in your region.
- National HIV Curriculum provides free, online continuing education credits
- National HIV/HCV Co-infection Curriculum provides free online training and updates on co-infection of HIV and HCV; National HIV/HCV Co-infection curriculum (aidsetc.org)
- Maternal and Child Health Navigator - The MCH Navigator is a learning portal for maternal and child health professionals, students, and others working to improve the health and well-being of women, children, and families. The MCH Navigator provides public health professionals with competency-based learning and tools to improve the health of children and families.
- Reproductive Health National Training Center - Federal training center from the Office of Population Affairs and the Office on Women’s Health in the Office of the Assistant Secretary for Health. Site offers training, technical assistance, and resources.
- National MCH Workforce Development Center - HRSA-supported center offering training, collaborative learning, coaching, and consultation.
- National Preconception Health and Health Care’s Preconception CoIIN - Supported by and within HRSA MCHB’s Collaborative Improvement and Innovation Network on Infant Mortality (IM CoIIN) initiative. Offers online training and resources.
Quality Management Resources
- Center for Quality Improvement and Innovation - Assists RWHAP recipients and subrecipients with implementing clinical quality improvement methodologies and concepts, as required by the Ryan White HIV/AIDS Treatment Extension Act of 2009, to improve HIV health outcomes for people with HIV.
- HIV Quality Measures Module Manual, October 2021. Tool within the RSR portal that allows recipients to enter aggregate data on the HRSA HAB Performance Measures.
Clinical Guidelines & Research
- HHS Clinical Guidelines - Offers information on HIV/AIDS treatment, prevention, and research
- NIH HIV Clinical Trials Network - The NIAID HIV/AIDS Clinical Trials Networks have been designed to address NIAID’s five HIV/AIDS scientific priorities. The Networks include:
- Pre-pregnancy Counseling | ACOG
- Pre-pregnancy Counseling and Care for Persons of Childbearing Age With HIV
- National Clinician Consultation Center (NCCC) provides free, expert advice on HIV prevention, care and treatment. The NCCC manages these call centers:
- National Maternal Mental Health Hotline - 24/7, free service, confidential support before, during, & after pregnancy. Call 1‑833‑9‑HELP4MOMS.
Clinical Service Strategies
- RWHAP Recipient Compilation of Best Practices Intervention Strategies is a collection of 50+ HIV care intervention that have been successful.
- HRSA HAB Building Futures: Supporting Youth Living with HIV identified best practices for enhancing services to youth with HIV, ages 13-24, that contribute to better outcomes in retention and viral suppression.
- The Center for Engaging Black MSM Across the Care Continuum (CEBACC) - Provider training resources.
- Intimate Partner Violence Health Partners Toolkit - Administration for Children and Families, Family and Youth Services Bureau (acf.hhs.gov)
- Using Community Health Workers to Improve Linkage and Retention in Care - Resources from a RWHAP SPNS project.
- The Health Information Technology Training and Technical Assistance Center (HITEQ) collaborates with HRSA Partners to provide training and technical assistance support to health centers in full optimization of their EHR.