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Thank you, Michael! Today’s webcast is an opportunity to discuss the 2015 RSR. We’ll begin by discussing some of the new or updated items for 2015 reporting and what’s coming in 2016 [ CLICK ] . We’ll then go over the 2015 RSR Submission Timeline [ CLICK ]. I will then quickly give an overview of the Ryan White HIV/AIDS Program [ CLICK ] as well as discuss the frequently used RSR Terminology [ CLICK ] that are essential for understanding and completing the RSR. Next, I will go over the components that make ‐ up the RSR [ CLICK ] . Finally we’ll wrap everything up with a more comprehensive revisit of the 2015 Timeline [ CLICK ]. Lets get started! 2
I’d like to begin today’s presentation by highlighting some RSR features that are new or updated in 2015. I understand a lot of this presentation may be a review for many of you, however I would encourage you to stay tuned throughout the entire presentation so as to not miss these updates. First on our list is the new Eligible Scope reporting requirement for client ‐ level data. Hopefully you have already incorporated this new requirement into your data collection mechanisms, however if you still have questions, please contact one of the Ryan White TA providers or view the webinars posted on the TARGET Center. Contact information will be displayed later in the presentation. Also new in 2015 is the updated data collection tools in the RSR Web System. The first change is the Grantee Contract Management System or GCMS. The GCMS is a pre ‐ populated list of your grantee ‐ provider contracts. Grantees should review and update this list as necessary before beginning the RSR Grantee Report. There has also been the addition of Service Delivery Site contact information in the RSR Provider Report. I will discuss these features in greater detail later in this presentation. Finally, please stay tuned for some changes related to RSR terminology. Beginning with the 2016 RSR Instruction Manual, some familiar terms in the RSR will change to keep our vocabulary in line with OMB standards. The term ‘recipient’ will replace the term ‘grantee’ (or grantee of record) and the term ‘subrecipient’ will replace ‘subgrantee’ (or subcontractor). Because service providers may receive grant funds directly, indirectly, or both through a Ryan White HIV/AIDs Program grant, for the purposes of the RSR, the terms provider ‐ recipient and provider ‐ subrecipient will be used to describe a service provider’s reporting responsibilities. 3
Now I’d like to quickly draw your attention to some added dates in the submission timeline for the 2015 RSR. Don’t worry about writing these down, you can download and print a detailed copy of the timeline from the TARGET Center website link on the bottom of this slide. As you may have noticed, there is now a Grantee Contract Management System (or GCMS) start date. Additionally, the Grantee Report due date and Provider Report start date fall on the same day. We’ll talk more about the timeline and what each of these dates mean at the end of this presentation. 4
Before we fully dive in to today’s presentation, I’d like to take the opportunity to remind everyone that the Ryan White CARE Act just celebrated its 25 th anniversary! Since 1990, the Ryan White CARE Act has been re ‐ authorized 4 times. In 2013 alone, Ryan White served over 524,000 clients. If you’re interested in learning more about the impact the Ryan White CARE Act has had over the past 25 years, you can find more information on HRSA’s website. Additionally, HRSA has put together a wonderful video that I would encourage everyone to take a few minutes to watch. 5
Now lets take a look at some background information of the program. The Ryan White Program works with cities, states, community ‐ based organizations, and college and university academic health science centers to provide services to individuals who do not have sufficient health care coverage or financial resources to cope with HIV disease. The Program is a payor of last resort which provides: HIV ‐ related primary medical care and essential support services to HIV ‐ infected • individuals; Support services to families affected by HIV and AIDS; and • Technical assistance, clinical training, and research on innovative models of care. • The Ryan White HIV/AIDS Treatment Extension Act of 2009 authorizes HRSA to allocate funding to grantees under five “Parts,” which I will refer to as Program Parts. 6
The program parts can be defined as follows: Part A provides emergency assistance to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) that are most severely affected by the HIV/AIDS epidemic. Part B provides grants to all 50 States, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, and 5 U.S. Pacific Territories or Associated Jurisdictions to improve the quality, availability, and organization of HIV/AIDS health care and support services. Part C funds are awarded directly to grantees who also directly provide services, such as ambulatory medical clinics. Part C includes Early Intervention Services (or EIS) grants, and the Capacity Development Grant Program. Part D provides family ‐ centered care involving outpatient or ambulatory care (directly or through contracts or memoranda of understanding) for women, infants, children, and youth with HIV/AIDS. Part D funds family ‐ centered primary and specialty medical care, as well as support services. Part F funds a variety of programs, including: The Special Projects of National Significance Program (SPNS); The AIDS Education Training Centers Program; Community ‐ Based Dental Partnership Program (CBDPP) and the Dental Reimbursement Program (DRP). As a reminder, Part F grantees are not required to submit an RSR Report for their Part F funding. I encourage you to learn more about the program parts by following the link at the bottom of the slide. Additional information can also be found in the RSR Instruction Manual. 7
Before you learn about the RSR in detail, lets take a moment to establish a common vocabulary. In this presentation, you will hear several terms frequently. The first term is “Grantee”, also known as the Grantee of Record, which is the organization that receives its program funding directly from the HIV/AIDS Bureau. The grantee of record may be the organization providing Ryan White Program funded services, or the grantee may contract with another agency to provide Ryan White funded services. 8
“Provider” (or service provider) are organizations that use Ryan White Program funding to provide services to clients for the grantee of record. Providers may deliver: Core Medical Services or Support Services to clients and their affected family; • Administrative and Technical Support Services to the grantee of record; and/or • HIV Counseling and Testing Services to individuals in the community. • The service provider may be funded through a subcontract with another HRSA grantee, or the service provider may be directly funded by HAB. In other words, the service provider may also be the grantee. When an agency is both a grantee AND a service provider, we refer to it as a grantee ‐ provider. 9
An agency may receive Ryan White Program funding from more than one source. When this occurs, the agency is called a multiply ‐ funded agency. Agency and organization are terms that refer to both grantees and providers. Multiply ‐ funded grantees are funded by HAB under more than one Program Part. For example, an agency may receive both a Part C and a Part D grant. Multiply ‐ funded providers may be funded in several ways such as: Under more than one Program Part by more than one grantee. An example of this is a • provider that receives Part B funds from the state and Part C funds from a Community Health Center. It can also be funded under more than one Program Part by a single grantee. An • example of this is a provider that receives both Part C and D funding from a university;. Or it can be funded under one Program Part by more than one grantee. An example is a • provider that receives Part C funds from two separate Community Health Centers. 10
A funding relationship is established with a formal contract, memorandum of understanding, or other agreement to provide services to the grantee or to Ryan White Program clients. To help define these relationships, HAB recognizes three different “classifications” or “categories” of service provider: There are first ‐ level providers, second ‐ level Providers, and multilevel Providers. 11
Service providers that have a direct funding relationship with an HAB grantee are referred to as first ‐ level providers. 12
Service providers that are indirectly funded by an HAB grantee are referred to as second ‐ level providers. These agencies receive their RW program funding through a first ‐ level provider. HAB recognizes that grantees may use an administrative or fiscal agent to manage their award, which we call Fiscal Intermediary Providers [ CLICK ]. These agencies determine the eligibility of sub providers; decide how funds are allocated to sub providers; award Ryan White funds to sub providers; monitor the sub providers’ performance for compliance with Ryan White requirements; and assist in the completion of required reports. For RSR reporting purposes, fiscal intermediary providers may only be classified as first ‐ level providers. Grantees will receive an error and be unable to submit their RSR if they mark their own organization or a second ‐ level provider as a fiscal intermediary. 13
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