Important Resource Allocation Considerations
- Resource allocation should be data-driven, informed by needs assessments and the determination of priority services.
- Federal grant award funds must be allocated annually. The budget, allocations report, and implementation plan must be included in the annual Program Terms Report (PTR), which is due to HRSA 90 days after the full award date. Please note that program income and rebates are not reported in the PTR.
- The budget must include dollar amounts for prioritized core medical and support services, and the implementation plan must include the anticipated units of service to be provided and number of clients to receive each service.
Funding Requirements
- RWHAP funds are required to be the payer of last resort.
- Awarded funds must not be utilized to make payments for any item or servicer to the extent that payment has been made, or can reasonably be expected to be made, under an insurance policy or under any federal or State health benefits program, and any other payment source, and recipients must maintain the same level of jurisdictional, non-RWHAP expenditures on HIV-related services from the previous fiscal year (otherwise known as the maintenance of effort requirement.
- At least 75% of the RWHAP Part A HIV Emergency Relief Grant Program (H89), Part B HIV Care Program Award (X07) [made up of five components; see Part B section below], and Part B Supplemental Grant Program (X08) must be spent on core medical services, unless the recipient has received a Core Medical Services Waiver.1 No more than 25% of awarded funds shall be spent on Support Services.2
- Grant administration, planning council support, overall planning and evaluation are allowable costs under Parts A and B, though the legislative requirements and limits for each are different, as delineated in the separate sections that follow. In the aggregate, subrecipients may utilize awarded funds for up to 10% in administrative costs.
- Additionally, up to 5% of awarded funds, or $3 million (whichever is less), may be spent on quality management activities.
- Recipients must create and implement a schedule of charges for services delivered to clients with incomes above 100% of the federal poverty level (FPL). Charges may be based on a flat rate or a varying rate (sliding fee scale), and are incorporated into the RWHAP budget as program income.
