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Rahm Emanuel

Mayor

Bechara Choucair, MD

Commissioner

Bidders Conference

Amendment to Request For Proposals

11-03

for Provision of HIV Prevention Services

July 28, 2011

Chicago Department of Public HealthDivision of STI/HIV

Agenda

• Opening and Introductions

• CDC Funding Opportunity Announcement

• Changes in HIV services

• Impact at City and State level

• Overview of Changes to RFP 11-03

• Questions and Answers

Federal Funding Opportunity Announcement (FOA)

Centers for Disease Control and Prevention (CDC)

PS12-1201: Comprehensive HIV Prevention Programs for Health Departments (HD)• Released June 30, 2011

• Deadline September 14, 2011

National HIV/AIDS Strategy (NHAS)

• Reduce new infections

• Increase access to care and improve health outcomes for people living with HIV

• Promoting health equity

Objectives of FOA PS12-1201

• Enhance HDs capacity:

• to increase HIV testing

• to refer and link HIV positive persons to medical care and other essential services,

• to increase program monitoring and accountability

Purpose of FOA PS12-1201

• Focus HIV prevention efforts in communities and local areas where HIV is most heavily concentrated to achieve the greatest impact in decreasing the risks of acquiring HIV

• Increase HIV testing• Increase access to care and improve health

outcomes for people living with HIV by linking them to continuous and coordinated quality care and much needed medical, prevention and social services

Changes between FOAs PS10-1001 & PS12-1201

• Funding changes based on high impact/ surveillance information

• Increased focus on PLWH service activities• Increased focus on HIVCT, PS & Linkage to Care• Decreased focus on HE/RR• Integration of Expanded Testing Projects into FOA• Letter of Agreement necessary for state and local HDs

to ensure provision of services in the Metropolitan Division (MD)

PS12-1201 Funding Categories

• Category A: HIV Prevention Programs for HDs (core funding)

• Category B: Expanded HIV Testing for Disproportionately Affected Populations (limited eligibility and optional)

• Category C: Demonstration Projects to Implement and Evaluate Innovative, High Impact HIV Prevention Interventions and Strategies (competitive and optional) Average award amount of $850k, 25 estimated awards

Category A: HIV Prevention Programs for Health Departments

Required Components (75% of funding)4 Core components + other required activities• Testing• Comprehensive prevention with positives• Condom distribution• Policy initiativesRecommended Components (25% of funding)• Evidence-based HIV Prevention Interventions for HIV-Negative

Persons at Highest Risk for Acquiring HIV• Social Marketing, Media, and Mobilization• Pre-Exposure Prophylaxis (PrEP) and Non-Occupational Post-

Exposure Prophylaxis (nPEP) Services

Other Required Category A Activities

• Jurisdictional HIV prevention planning

• Capacity building and technical assistance, to include training

• Program planning, monitoring and evaluation, and quality assurance, to include data collection, management, and reporting

HIV Testing

• For targeted HIV testing in non-healthcare settings or venues, achieve at least a 1.0% rate of newly identified HIV-positive tests annually.

• At least 85% of persons who test positive for HIV receive their test results.

• At least 80% of persons who receive their HIV positive test results are linked to medical care and attend their first appointment.

• At least 75% of persons who receive their HIV positive test results are referred and linked to Partner Services.

Comprehensive Prevention with Positives

• Linkage to and retention in HIV care, Partner Services, and prevention services for those persons testing HIV positive or currently living with HIV/AIDS should be a high priority within the jurisdiction’s HIV prevention activities.

2012 FOA Funding for Category A

Illinois: $10,259,700

Floor

• State of Illinois

• $2,898,900

• Chicago (MD*)

• $6,383,600

*Metropolitan Division

Ceiling

• $3,204,100

• $7,055,600

2012 FOACategory A: Core Services

Funding Changes

Chicago MD Category A

• Current Funding: $5,600,000

• 2012• Floor: $6,383,600

• Ceiling: $7,055,600

• Change: 17%-25% increase

Illinois Category A

• Current Funding: $4,150,400

• 2012• Floor: $2,898,900

• Ceiling: $3,204,100

• Change: 23%-30% decrease

2012 FOA Category B: Expanded Opt-Out Testing

Funding Changes

Chicago MD Category B

• Current Funding: $1,600,000

• 2012 • Floor:$1,802,200

• Ceiling: $1,991,900

• Change: 11%-20% increase

Illinois Category B

• Current funding: $1,221,112

• 2012• Floor: $315,000

• Ceiling: $348,200

• Change: 71%-74% decrease

Amendment to RFP 11-03

Eligibility (pg 3)

Eligibility Requirement for Applicants:

• Be a not-for-profit organization with a 501 (c) 3 status.

• Be located in the City of Chicago.

• Have at least 3-years experience in providing direct HIV prevention and/or HIV Care services to high-risk populations located in Chicago.

Funding Opportunity DescriptionFunds under these RFPs are being made available to

support/respond to the:

The National HIV/AIDS Strategy (NHAS)http://www.aids.gov/federal-resources/policies/national-hiv-aids-strategy/nhas.pdf

PS12-1201 :Comprehensive HIV Prevention Programs for Health Departments (HD)http://www.cdc.gov/hiv/topics/funding/PS12-1201/pdf/PS12-1201.pdf

Chicago Enhanced Comprehensive HIV Prevention Plan(To be posted on city website)

The 2012 Update to the 2010-2011 Comprehensive HIV Prevention Plan http://www.cityofchicago.org/content/dam/city/depts/cdph/infectious_disease/STI_HIV_AIDS/ID_2012Updtothe201011CompHIVPrevPlan.pdf

Amendments to RFP 11-03Amendments Page Number(s)

1 New Deadline (date and time) 1, 15, 16

2 New Bidder's Conference 1, 4

3 Deletion: Intent to Apply 1, 2, 4, 11, 21

4 Clarification: Proof of Insurance 2, 11, 16, 21-23

5 Clarification: Program Authority 3

6 Clarification: Background 3

7Correction: Program Changes (CDC cooperative agreement released)

3

8Correction: Program Changes (2 Year

Funding Period)3

Amendments to RFP 11-03

Amendments Page Number(s)

9 Deletion: Economic Disclosure Statement 4, 29

10 Increase in Available Funding Amount 4, 5

11 Additional Funding Categories (PWP) 4, 5, 6

12 Changes in Estimated Number of Awards 4, 5, 6

13 Addition of PWP Interventions 7

14 Additional Funding Zip Codes 6

15 Addition: 2012 Updates URL 3, 6, 8

16Clarification: HIV CT (Introduction and

Funding Note)8

17 Addition: Linkage to Care clarification 8

Amendments to RFP 11-03Amendments Page Number(s)

18 Hepatitis Funding Addition 9

19 Addition: Condom Distribution 10, 13, 17, 29

20Addition: Program Monitoring & Evaluation (Expectations for HIV CT & Linkage to Care)

10

21 Increased Page Limit for Project Description 12, 29

22 Deletion: Personnel Budget Example 14

23 Change in Programmatic Contact 16

24Addition: Format Instructions

(Times New Roman font)16

25 Clarification: Appendix D (letters C-J) 26

New Deadline

Friday, August 19, 2011

4:30pm CST (pgs 1, 15, 16)

Previous Deadline (July 20, 2011 at 4:00pm CST)

Intent to Apply

• Deletion of Intent to apply submission

(pgs 1, 2, 4, 11, 21)

Proof of Insurance

• Clarification of Proof of Insurance:

Insurance Requirements & Certificate in Appendix A

(pgs 2, 11, 16, 21-23)

Program Authority

• Clarification of new cooperative agreement from CDC (PS12-1201)

(pg 3)

Background

• Inclusion of the 2012 Update to the Comprehensive Plan

(pg 3)

Program Changes

• Release of CDC cooperative agreement

PS12-1201

• Two year funding cycle:

01/01/2012-12/31/2013(Previously one year 01/01/2012-12/31/2012)

(pg 3)

Economic Disclosure

• Deletion of Economic Disclosure

(pgs 4, 29)

Funding Amount

• $5.6 million * (previously $4,590,605)

• All Categories received increased funding amount availability except City-wide PWP projects

(pgs 4, 5)

*Estimated funding allocations and amounts are dependent on: final CDC HIV Cooperative Award, appropriation and budgeting of funds,

changes in CDC or other external funding sources, HIV diagnosis and prevalence rates in Chicago. CDPH will make appropriate

changes to the above allocations as necessary.

Funding Category Changes

Addition of:

• Cluster A-1: Prevention with Positives, Ages 25+

• Cluster A-2: Prevention with Positives, Ages <25

• Cluster B-1: Prevention with Positives, Ages 25+

• Cluster B-2: Prevention with Positives, Ages <25

• Cluster C-1: Prevention with Positives, Ages 25+

• Cluster C-2: Prevention with Positives, Ages <25

(pgs 4, 5, 6)

Estimated Number of Award Changes

• New estimate between 29-68 (previously 26-69)

• Categories A-1, A-2, B-1, B-2, C-1, and C-2 (estimated 1-3 awards for each category)

• Categories 1-13 new estimate between 1-2 awards (previously 1-3)

(pgs 4, 5, 6)

Interventions for Comprehensive PWP

• Linkage to HIV care, treatment, and prevention services for those persons testing HIV positive or currently living with HIV/AIDS.

• Promotion of retention or re-engagement in care for HIV-positive persons.

• Provision of referral and linkage to other medical and social services.

• Provision of ongoing Partner Services (Recommendations for Partner Services Programs for HIV Infection, Syphilis, Gonorrhea, and Chlamydial Infection, 2008. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5709a1.htm) for HIV-positive persons and their partners.

(pg 7)

Additional Funding Zip Codes

Cluster B: 60605, 60608, 60647

Cluster C: 60617

(pg 6)

HIV Counseling and Testing (HIV CT)

HIV CT: High priority activity locally and nationally• Addition in Introduction and Funding Note to include

language for Linkage to Care activities• All funded agencies that provide HIV testing and

counseling at Levels II and III will be required to provide linkages and entry to HIV care, prevention services, and other supportive services within the appropriate time period, as well as establishing a comprehensive memorandum of understanding with partner agencies to make an active referral (For more information, see Linkage to Care on page 9).

(pg 8)

HIV Counseling and Testing (HIV CT)

Each funded agency that selects HIVCT Levels II and III to achieve the following performance standards, when the program is fully implemented:

• For targeted HIV testing in non-healthcare settings or venues, achieve at least a 1.0% rate of newly identified HIV-positive tests annually (If the rate of newly diagnosed positive tests is below the 1.0% rate, corrective actions will be taken).

• At least 85% of persons who test positive for HIV receive their test results.• At least 80% of persons who receive their HIV positive test results are

linked to medical care and attend their first appointment. • At least 75% of persons who receive their HIV positive test results are

referred and linked to Partner Services. (pg 10)

Linkage to Care

Linkage to Care: High priority activity locally and nationally• Medical care within 3 months of diagnosis, including a full medical

evaluation, CD4 count, and viral load count.• Prevention counseling and, if needed, referral to other prevention

services.• Linkage to medical care (including recommended screening for

STDs, TB, and viral hepatitis). • Initiation of Partner Elicitation as soon as possible after diagnosis• Referral to other services (e.g., mental health services, substance

abuse services, housing, legal services), as needed.

(pgs 8, 10)

Hepatitis Funding Note

• Costs associated with Levels I and II can be included in your proposed budget, e.g., pamphlets, trainings. Costs associated with Hepatitis C testing supplies used for Level III, IV and V activities are fundable and should be included in your budget (use $20/test kit cost estimate).

(pg 9)

Condom Distribution

Condom Distribution: High priority activity locally and nationally

• All programs are required to conduct condom distribution to target HIV-positive persons and persons at highest risk of acquiring HIV infection.

• Condoms are available through CDPH.

• Costs associated with additional condoms can be included in the applicant’s proposed budget.

(pgs 10, 13, 17, 29)

Condom Distribution

Description of CD should include:

• Methods and data sources that will be used to identify settings that serve high risk populations, including PLWH.

• Proposed number of settings and types of settings (i.e., healthcare or non-healthcare setting) in which condom distribution activities will be supported.

• Expected condom distribution outcomes.

(pgs 10, 13, 17, 29)

Narrative Requirement Changes

• Project Description Page Limit (pgs 12, 29)New page limit: 10 pages(previously 7 pages)

• Format Instructions (pg 16)Addition of Times New Roman font

• Contact Information change (pg 16)

• Clarification of Appendix D: Budget Form Template (pg 26)

Appendix D: Budget Form Template

A. Agency Name:

B. Program

C. Contract Number: To be filled upon contract execution

D. Release Number: To be filled upon contract execution

E. Vendor

Code/Supplier No.

To be filled upon contract execution

F. IRS Number: To be filled upon contract execution

G. Funding String: To be filled upon contract execution

H. Contract Period: To be filled upon contract execution

I. Contract Amount: To be filled upon contract execution

J. (C.F.D.A. Number) To be filled upon contract execution

Contact Information

CDPH STI/HIV Division

• David Amarathithada —Director of Prevention

Tel: 312.747.9665

Email: David.Amarathithada@cityofchicago.org

• Linda Lesondak – Director of Evaluation

Tel: 312.747.9669

Email: Linda.Lesondak@cityofchicago.org

(N.B. new email addresses for CDPH staff)

Email is preferred method

of contact