Ryan White HIV/AIDS Program Part D Stakeholders Call

April 5, 2016

Department of Health and Human Services Health Resources and Services Administration

HIV/AIDS Bureau, Division of Community HIV/AIDS Programs Division Director: Mahyar Mofidi, DMD, Ph.D.

Deputy Director: Stacey Evans, Ph.D.

Agenda

• Welcome and Introductions

• Program Updates

• Program Income

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HRSA HIV/AIDS Bureau

Associate Administrator

Laura Cheever

Deputy Associate Administrator

Heather Hauck Senior Advisors: CAPT Letitia Robinson, Jan Joyce

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Introductions – Division of Community HIV/AIDS Programs

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Director

Mahyar Mofidi

Deputy Director

Stacey Evans

Senior Public Health Analyst: Ralph Brisueno

Branch Chief Mindy Golatt

Director Mahyar Mofidi

Deputy Director Stacey Evans

Western Branch AK, AZ, CA, CO, HI, ID, MT, ND,

NE, NV, OR, SD, UT, WA, WY

Midwest Branch IA, IL, IN, KY, MI MN, NE,

OH, PA, WI

Central Branch AL, AR, KS, LA, MO, MS,

NM, OK, TN, TX

Southern Branch FL, GA, NC, SC

Northeastern Branch

CT, DC, DE, MA, MD, ME, NH, PR, RI, VA, VI, VT, WV

Senior Program Advisor Stephanie Yun

Administrative Associates Menina Reyes

Michael Eggleston

Public Health

Analysts

Monica Farmer Barbara Kosogof Nichelle Lewis Angela Smith

Lillian Bell Kristin Williams

Atlantic Branch NJ, NY

Branch Chief Monique Hitch

Branch Chief Stephanie Bogan

Branch Chief Hanna Endale

Branch Chief Shaun Chapman

Public Health

Analysts

Cara Alexander Wendy Cousino

Fabrine Floyd Catishia Mosley

(Data)

Cecilia Yin

Public Health

Analysts

John Fanning Brian Fitzsimmons Tanya Grandison

Kimberley Hawkins Tamika Martin

S. Nicole Vaughn L. Andrea Zeigler

Public Health

Analysts

Lynda Bishop Michael Carrigan Cypriana Fowell

Tracey Gantt Pankaja Panda

Dana Varkis

Public Health

Analysts

Elizabeth Goodger Akil Pierre

Monica Sivills Stephanie Stines

Diane Tanman Renata Thompson

Tina Trombley

Public Health

Analysts

Alex Calvo John Eaton

Karen Gooden Ruby Neville

Jose Ortiz Viven Walker-Marable

Deborah Willis-Fillinger

Senior Public Health Analyst: Gail Kelly

Branch Chief Marinna Banks-Shields

Senior Policy Advisor Michelle Li

Chief Nurse Consultant Carrie Jeffries

Health Resources and Services Administration HIV/AIDS Bureau – Division of Community HIV/AIDS Programs

Revised 3.14.2016 HAB Vision: Optimal HIV/AIDS care and treatment for all.

HRSA Scholar Tyranny Smith-Bullock

Federal Financial Report (FFR)

Part D Budget period

ends… FFR

Due date listed on NOA

Carryover Due Date

(30 days after FFR)

August Start

7/31/2015

10/30/2015

11/30/2015

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Program Income – Part D

Jan Joyce Senior Advisor for Grants Policy

HIV/AIDS Bureau

Program Income Policy Clarification Notice 15-03

Clarifications Regarding the Ryan White HIV/AIDS Program and Program Income

Accompanying FAQs

http://hab.hrsa.gov/manageyourgrant/policiesletters.html

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Program Income

Per 45 CFR §75.2, Program Income: Program income means gross income earned by the non-Federal entity that is directly generated by a supported activity or earned as a result of the Federal award during the period of performance except as provided on 45 CFR §75.307(f). Program income includes but is not limited to income from fees for services performed, the use or rental of [sic.] real or personal property acquired under Federal awards, the sale of commodities or items fabricated under a Federal award, license fees and royalties on patents and copyrights, and principal and interest on loans made with Federal award funds. Interest earned on advances of Federal funds is not program income. Except as otherwise provided in Federal statutes, regulation, or the terms and conditions of the Federal award, program income does not include rebates, credits, discounts, and interest earned on any of them.

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Program Income

Alternatives for use (45 CFR §75.307(e))

HRSA/HAB must specify the alternative and allowable use of program income on the NoA – ADDITION ALTERNATIVE

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Program Income

Program Specific Term(s): 9. Programs are required to track and report all sources of service reimbursement as program income on the annual Federal Financial Report and in annual data reports. All program income earned must be used to further the objectives of the RWHAP program.

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Program Income

Use of Program Income – Part D

To support a comprehensive system of family-centered care for low-income women, infants, children, and youth affected by or living with HIV…

Outpatient or ambulatory care

Support Services

Administrative expenses

Clinical quality management activities

Not subject to statutory distribution requirements or caps (i.e., 10% admin)

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Program Income

Expenditure of Program Income • To the extent available, recipients and subrecipients must

disburse funds available from program income, rebates, refunds, contract settlements, audit recoveries and interest earned on such funds before requesting additional cash payments (45 CFR §75.305(b)(5)).

• Estimate accrued program income and determine RWHAP funds that will be needed during current performance period.

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Program Income

Reporting Program Income

• Recipients are required to track and account for all program income in accordance with 45 CFR § 75.302(b)(3). Recipients must report program income on their Federal Financial Report (FFRs).

• Additionally, it is the responsibility of the recipient to monitor and track program income earned by subrecipients. Subrecipients should retain program income for “additive” use within their own programs. Consequently, program income earned by subrecipients should not be reported on the recipient’s FFR.

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Program Income

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SF-425 Federal Financial Report

Discussion

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