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All Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) Ryan White HIV/AIDS Program (RWHAP) Part A and Part B funded jurisdictions must submit an Integrated Plan, along with all directly funded Centers for Disease Control and Prevention (CDC) HIV prevention cities.
Development of an Integrated HIV Prevention and Care Plan supports jurisdictions with meeting programmatic and legislative requirements associated with both CDC and HRSA funding. It also supports the acceleration of progress towards meeting national goals while allowing each jurisdiction to design an HIV services delivery system that reflects local vision, values, and needs.
State and/or local jurisdictions have the option to submit to CDC and HRSA:
- Integrated state/city prevention and care plan (includes RWHAP Part A and Part B)
- Integrated state-only prevention and care plan (RWHAP Part B only)
- Integrated city-only prevention and care plan (RWHAP Part A only)
Each HRSA and CDC-funded jurisdiction must participate in the completion and submission of the Integrated Plan.
- For jurisdictions submitting a city-only plan, the city Integrated Plan should complement the state Integrated Plan, including the Statewide Coordinated Statement of Need (SCSN).
- Both the city-only and state-only Integrated Plans should describe how the jurisdictions will coordinate actions to prevent duplication.
For jurisdictions submitting a city-only plan, the city Integrated Plan should complement the state Integrated Plan, including the SCSN. Both the city-only and state-only Integrated Plans should describe how the jurisdictions will coordinate actions to prevent duplication and prevent gaps in services
Both the city-only and state-only Integrated Plans should describe how the jurisdictions will coordinate actions to prevent duplication and prevent gaps in services.
Yes, however:
- The city Integrated Plan should complement the state Integrated Plan, including the SCSN.
- The city-only Integrated Plans should describe how the jurisdictions will coordinate actions to prevent duplication.
HRSA and CDC recognize that many jurisdictions have established and implemented extensive planning processes as part of other local initiatives including but not limited to Ending the HIV Epidemic in the U.S. (EHE) initiative, Fast Track Cities, locally funded Getting to Zero initiatives, or Cluster Detection and Response plans. To minimize burden and align planning processes, jurisdictions may submit portions of these plans to satisfy the Integrated Plan requirements.
For the development of the Integrated Plan, jurisdictions should include and use their existing local prevention and care HIV planning bodies, as consistent with CDC and HRSA planning group requirements, and engage traditional collaborators and community members (e.g., people with HIV, people with certain risk factors for acquiring HIV, AIDS Education and Training Center Program recipients, state Medicaid agencies, STI/sexually transmitted disease clinics and local education agencies) to get input. In addition, recipients should broaden their existing group of partners and collaborators to include other federal, state, and local HIV programs, local organizations, and community groups not previously engaged for the purposes of improving data sources, leveraging services, and assisting with key portions of the plan, such as the HIV prevention and care inventories.
When developing the Integrated Plan submission, the planning body should collaborate with the recipient to review and analyze data (e.g., resource inventory, needs assessments, satisfaction surveys, listening sessions) for program action and decisions, prioritize resources to those jurisdictions at highest risk for HIV transmission and acquisition, and address health equity by improving both individual and population-based HIV health outcomes in those jurisdictions. The submission must provide detailed information of who is responsible for developing the Integrated Plan, should include how the Planning Body was involved and include letters of concurrence.
Yes. The Integrated Plan should not be more than 100 pages not including the Checklist. Appendices count towards the page limit. There is no minimum page requirement.
The document font should not be smaller than 11 pt.
There is not a required format for submitting goals and objectives. However, each jurisdiction should work with their planning bodies to determine a structure that will allow for full implementation and concurrence by the planning body. Goals and objectives should be organized by the goals in the National HIV/AIDS Strategy (NHAS) and inclusive of the EHE strategies: Diagnose, Treat, Prevent, and Respond. For each of the EHE strategies, there must be at least three objectives. Objectives must be in SMART format: Specific, Measurable, Achievable, Relevant, and Time-Bound.
Integrated Plans are due on or before June 30, 2026, by 11:59 PM Eastern Daylight Time
The submission package must contain the following documents:
- A CY 2027 – 2031 Integrated Plan that includes all components outlined in the Guidance
- A completed CY 2027 – 2031 CDC DHP and HRSA HAB Integrated Prevention and Care Plan Guidance Checklist detailing where CDC and HRSA may find each of the required elements
- A signed letter from all jurisdictional HIV planning groups/bodies indicating concurrence, concurrence with reservations, or non-concurrence with the plan
The plan should describe all needs assessment activities or other activities, data, or information used to inform goals and objectives in this submission. These may include data related to HIV Testing Services, HIV Care and Treatment, as well as barriers to access. The key priorities should be listed along with any actions taken by the jurisdiction to address needs and barriers. The plan must identify how people with HIV and people vulnerable to HIV were incorporated into the needs assessment process.
In this instance, the jurisdiction may have all the planning members sign or may select particular members to sign on behalf of the planning body. However, to meet the concurrence requirement, the Integrated Plan submission should include a narrative that describes how the jurisdiction involved the planning body(ies), community stakeholders, people with HIV, and how the planning body selected members to sign the concurrence letter.
Each jurisdiction should involve their planning bodies and community engagement groups at each stage of the Integrated Plan development process. Additionally, jurisdictions should build check-in points along the way to ensure consensus from all parties before moving to the next stage of plan development. Planning bodies and community engagement groups should provide feedback on the plan several months before voting for or against concurrence. If the planning body cannot concur with the jurisdiction’s draft Integrated Plan submission before the submission deadline, the jurisdiction should include in its submission a detailed explanation for non-concurrence and the steps the jurisdiction will take to address the concerns of the planning body. For any concurrence with reservations, the letter must indicate the reasons for those reservations. Jurisdictions should indicate in the plan how those reservations will be addressed.
Yes. RWHAP Part A Planning Councils/Planning Bodies must submit letters of concurrence to all states where 10% or more of the HIV cases in their jurisdiction reside. Part B planning bodies are not required to submit a letter of concurrence for city-only plans.
See the table below for the required letters of concurrence depending upon the plan submission type. If there are additional planning bodies in the state/territory or jurisdiction, additional letters of concurrence should be submitted.
Required Letters of Concurrence | |||
Type of Plan | |||
Planning Body | Integrated State/City Prevention and Care Plan | Integrated State-Only Prevention and Care Plan | Integrated City-Only Prevention and Care Plan |
RWHAP Part A Planning Council | X[1] | X[1] | X |
RWHAP Part B Planning Group | X | X |
|
CDC Prevention Planning Group | X | X | X |
[1] RWHAP Part A recipients needed to submit letters of concurrence to all states where 10% or more of the HIV cases in their jurisdiction reside.
The IHAP TAC is here to help!
- Check out our Integrated Plan Development Toolkit
- Participate in an upcoming webinar or peer sharing event
- Or contact us to ask a question or to request assistance at [email protected]