Opportunity Information: Apply for HRSA 22 031

Supporting Replication (SURE) of Housing Interventions in the Ryan White HIV/AIDS Program - Implementation and Technical Assistance Provider (HRSA-22-031) is a Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program (RWHAP) Part F Special Projects of National Significance (SPNS) cooperative agreement focused on expanding the use of effective housing-related approaches for people with HIV who are experiencing unstable housing. The grant funds one organization to serve as the initiative's Implementation and Technical Assistance Provider (ITAP). The central idea is that housing stability is closely tied to HIV health outcomes, so the project is designed to help RWHAP-funded settings put proven or promising housing intervention strategies into practice in ways that reduce disparities and improve engagement across the HIV care continuum.

A defining feature of this opportunity is its focus on three priority populations who often face the most severe barriers to stable housing and consistent HIV care: (1) LGBTQ people with HIV, (2) youth and young adults ages 13 to 24 with HIV, and (3) people with HIV who have been justice involved. The ITAP is expected to help implementation sites tailor housing-related intervention strategies to the realities of these groups, recognizing that each population can face distinct systems-level barriers such as stigma and discrimination, gaps in youth-serving housing capacity, or challenges linked to reentry from incarceration.

The ITAP is not an implementation site itself; instead, it acts as the backbone organization that designs and runs a process to select up to 10 implementation sites and then supports them throughout rollout. A major required task is to identify potential housing-related intervention strategies that can be adapted for the three key populations, using criteria such as feasibility, adaptability, and effectiveness. After selecting strategies, the ITAP must quickly develop and release an application process to competitively select the implementation sites and then issue subawards to those sites. The notice describes subawards of up to $250,000 per site per year, positioning the ITAP as the pass-through entity responsible for structuring, managing, and supporting these local projects.

Technical assistance is at the center of what HRSA is buying through this award. The ITAP is expected to provide hands-on, practical support to help sites implement and adapt the chosen housing intervention strategies within RWHAP service settings and local housing ecosystems. That typically implies supporting planning and startup, helping sites build workflows and referral pathways, strengthening partnerships, training staff, troubleshooting implementation barriers, and supporting continuous quality improvement as adaptations are made. A specific deliverable mentioned in the opportunity is the development of adaptation manuals prior to implementation, so that changes to the intervention model are deliberate, well-documented, and replicable in other communities.

Another key expectation is that the housing strategies supported under SURE Housing should not be housing-only programs. HRSA emphasizes integrating behavioral health services with HIV care to address the full needs that often accompany housing instability. That includes models that connect or integrate mental health services and substance use disorder treatment with HIV medical care and supportive services, with the goal of improving retention in care and other health outcomes for people with HIV who are unstably housed.

This initiative is structured as a coordinated two-recipient model. Alongside the ITAP funded through HRSA-22-031, HRSA funds a separate Evaluation Provider (EP) under a companion announcement (HRSA-22-032). The EP uses an implementation science framework to evaluate how the interventions are implemented and adapted across sites and to assess results. The ITAP is required to work closely with the EP and HRSA staff, sharing information and data and coordinating activities across design, implementation, evaluation, and dissemination. In practice, this means the ITAP has to build TA approaches that align with evaluation needs, help sites meet reporting and data requirements, and ensure adaptations are tracked in ways that support cross-site learning.

Dissemination and replication are not side tasks in this program; they are the end goal. HRSA frames success as collective: the ITAP, the evaluation provider, and the implementation sites working together to produce usable replication tools that other RWHAP providers and housing partners can adopt. The ITAP is expected to actively communicate findings, lessons learned, and outcomes, translating what works into practical products that can be used beyond the initial 10 sites. The overall purpose is to promote replication of effective housing interventions within RWHAP to reduce health and housing disparities and improve outcomes along the HIV care continuum.

Because housing systems sit largely outside traditional health care, the opportunity strongly encourages collaboration with housing entities and planning bodies. Implementation sites, supported by the ITAP, are expected to partner with relevant housing organizations, housing consortiums, HUD Continuum of Care (CoC) programs, and planning councils to address unmet housing needs. HRSA also signals coordination with the U.S. Department of Housing and Urban Development (HUD), including HUD's Office of HIV/AIDS Housing (OHH) that administers the Housing Opportunities for Persons With AIDS (HOPWA) program, and notes that HRSA may consult HUD for initiative purposes. For broader reach and impact, applicants are encouraged to consider partnerships with LGBTQ organizations, youth-focused organizations, and correctional or justice-involved institutions, reflecting the three priority populations.

Administratively, the opportunity is a discretionary cooperative agreement under CFDA 93.928, with one expected award. The notice was created November 22, 2021, with an original closing date of February 23, 2022. While the listing shows an award ceiling of 0 (often a posting artifact or a sign that funding levels are described elsewhere in the full announcement), the description makes clear that the ITAP will manage and distribute substantial subawards to implementation sites and will be accountable for coordinating multi-site implementation support, evaluation alignment, and production of scalable replication resources.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Supporting Replication (SURE) of Housing Interventions in the Ryan White HIV/AIDS Program – Implementation and Technical Assistance Provider" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.928.
  • This funding opportunity was created on Nov 22, 2021.
  • Applicants must submit their applications by Feb 23, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 22 031

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