Opportunity Information: Apply for HRSA 20 072

The AIDS Education and Training Center National Clinician Consultation Center (AETC-NCCC) funding opportunity (HRSA-20-072) is a Health Resources and Services Administration (HRSA) discretionary grant offered through a cooperative agreement under CFDA 93.145. It was designed to support one national recipient that can deliver rapid, expert, on-demand clinical consultation to health care professionals working in HIV prevention, care, and treatment. The central idea is practical: when a front-line clinician has an urgent or complex question about HIV-related care, the NCCC should be able to provide timely, authoritative guidance that helps the clinician make the right decision for the patient.

The consultation scope is broad and reflects the day-to-day realities of HIV medicine and prevention. The NCCC is expected to advise providers on HIV diagnosis and testing strategies, initiation and management of antiretroviral therapy, and prevention tools such as pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP). It also covers specialized and high-stakes areas like perinatal HIV management (supporting clinicians caring for pregnant people with HIV and exposed infants), management of HIV coinfections with hepatitis B and hepatitis C, and behavioral health considerations for people with HIV. In other words, the program is not limited to one narrow clinical topic; it is meant to function as a national clinical backstop across the full continuum of HIV prevention and care, including comorbidities and mental/behavioral health needs that commonly affect outcomes.

A key feature of this NOFO is its focus on reaching the clinicians who most need real-time support. The program targets six consultation services aimed at front-line health care professionals across the country and U.S. territories. While physicians are included, the intended audience is much wider and explicitly includes physician assistants, advanced practice nurses, nurses, clinical pharmacists, dental professionals, infection control specialists, and emergency medical service providers. The emphasis is on supporting providers who serve minority communities and populations that are disproportionately affected by HIV, recognizing that disparities in access, quality of care, and outcomes often track with race, ethnicity, geography, and socioeconomic status.

The NCCC is also expected to actively promote and expand awareness of its consultation services, rather than assuming clinicians will find it on their own. The NOFO calls for robust marketing and outreach in jurisdictions prioritized under the national Ending the HIV Epidemic: A Plan for America initiative, signaling that HRSA wants the consultation center to be visible and heavily utilized in the places where HIV transmission and unmet care needs are most concentrated. This marketing expectation is important because a consultation service only improves care if it is widely known, trusted, and easy to access during clinical workflows.

Another major priority is supporting clinicians in rural areas affected by opioid use disorder and injection drug use, where communities may be at risk for rapid increases in hepatitis B, hepatitis C, or HIV outbreaks linked to injection. The NCCC is expected to provide consultation support to health care providers in rural counties with high prevalence and/or incidence of opioid use disorder and injection drug use, or in areas considered vulnerable to outbreaks. This aligns the program with real-world public health patterns, where injection-related transmission can surge quickly and where rural clinicians may have fewer local specialist resources to lean on.

Collaboration is built into the program design. The NCCC is not intended to operate in isolation; it is expected to work closely with the other parts of the Ryan White HIV/AIDS Program (RWHAP) AIDS Education and Training Center (AETC) Program, including the Regional AETCs, the AETC National Coordinating Resource Center (NCRC), and AETC-supported practice transformation clinics in Ending the HIV Epidemic priority areas. Beyond the AETC network, the NOFO anticipates partnerships, as applicable, with other RWHAP-funded programs and HRSA-funded health centers, as well as federal and national stakeholders such as SAMHSA, CDC, the Indian Health Service, NIH Centers for AIDS Research, AIDS service organizations, community-based organizations, federal training centers, professional associations, and state-level primary care entities. The intent is to strengthen clinical practice and systems of care through alignment, referral pathways, shared training goals, and coordinated support that ultimately improves outcomes for people with HIV.

In practical funding terms, HRSA planned to make a single award (ExpectedAwards: 1) with an award ceiling of $2,700,000. The opportunity opened on November 14, 2019, with an original closing date of January 13, 2020. The single-recipient structure reflects the national role of the NCCC: one organization would be responsible for delivering consultation coverage across all 50 states, Washington, DC, Puerto Rico, the U.S. Virgin Islands, and the six U.S.-affiliated Pacific jurisdictions (Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau). The eligibility category is listed as "Others" with additional eligibility details referenced in the NOFO, indicating HRSA anticipated a specialized applicant capable of operating a national-scale clinical consultation infrastructure.

Overall, this grant opportunity funds a national clinical consultation hub meant to improve HIV prevention and treatment decisions in real time, expand provider capacity across disciplines, reduce disparities by focusing on disproportionately affected communities, and bolster readiness in rural and injection-drug-use-impacted areas. The end goal is better, faster, more consistent clinical decision-making and stronger linkage between providers and the broader HIV care and public health ecosystem.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "AIDS Education and Training Center National Clinician Consultation Center" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.145.
  • This funding opportunity was created on Nov 14, 2019.
  • Applicants must submit their applications by Jan 13, 2020. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $2,700,000.00 in funding.
  • 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 20 072

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