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Special Projects of National Significance

Program Information

Popular name

SPNS

Program Number

93.928

Program objective

To quickly respond to the care and treatment needs of individuals receiving assistance under the Ryan White HIV/AIDS Program (RWHAP). The RWHAP Part F Special Projects of National Significance (SPNS) supports the development and implementation of innovative delivery models of HIV care, services, and capacity development initiatives, including the dissemination of strategies and tools for implementation by RWHAP recipients and other HIV care and treatment providers. Further, RWHAP Part F SPNS evaluates the effectiveness of these models, and promotes the replication of successful models. Areas of evaluation include design, implementation, utilization, cost, and health related outcomes of effective models. The RWHAP Part F SPNS Program also supports initiatives to develop or enhance health information and technology and data systems to enable RWHAP recipients and their sub-recipients or providers to report and utilize client-level data.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2020

    The Strengthening Systems of Care for People with HIV and Opioid Use Disorder initiative funds two grant recipients to enhance the capacity of HIV and OUD providers to ensure that people with HIV and OUD have access to behavioral health care, treatment, and recovery services. This initiative is being implemented in 14 states to strengthen system-level coordination and networks of care between RWHAP recipients and other federal, state and local entities. To date, the recipients have collaborated with the 14 states to develop and disseminate resources, guides and toolkits to help other jurisdictions replicate similar models. Using multiple strategies, which include peer support groups, individual counseling, case management sessions and facilitated relationships between behavioral health and clinical care teams, demonstration sites in the Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men Who Have Sex with Men initiative have served 809 clients.
    The Using Evidence-Informed Interventions to Improve Outcomes among People Living with HIV initiative grant recipient has completed the pilot implementation period for 11 evidence-informed interventions at 25 pilot implementation sites. The recipient provided technical assistance and an interactive webinar to the sites to support sustainment of the interventions. The recipient captured the experiences of the 25 sites in highly accessible implementation toolkits that will promote the widespread replication of those interventions found to be effective.

  2. 2021

    The Strengthening Systems of Care for People with HIV and Opioid Use Disorder initiative (FY 19 – FY21) funds two grant recipients to enhance the capacity of HIV and OUD providers to ensure that people with HIV and OUD have access to behavioral health care, treatment, and recovery services. This initiative is being implemented in 14 states to strengthen system-level coordination and networks of care between RWHAP recipients and other federal, state and local entities. To date, the recipients have collaborated with the 14 states to develop and disseminate resources, guides and toolkits to help other jurisdictions replicate similar models.

    Using multiple strategies, which include peer support groups, individual counseling, case management sessions and facilitated relationships between behavioral health and clinical care teams, demonstration sites in the Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men Who Have Sex with Men initiative have served 809 clients. (FY18 – FY21)

  3. 2022

    In FY2022, HRSA continued funding for the Enhancing Linkage of STI and HIV Surveillance Data in the Ryan White HIV/AIDS Program to improve linkage, re-engagement in care, and health outcomes for people with HIV. The recipient identified and provided technical assistance to four jurisdictions to enhance data sharing across their sexually transmitted infection (STI) and HIV surveillance systems to improve the capacity of RWHAP clinics to prioritize resources for linking and re-engaging PLWH into care. In addition, the recipient developed toolkits that can be used to guide future implementation of similar projects

    The Using Evidence-Informed Interventions to Improve Outcomes among People Living with HIV (2iS) was funded in FY 2021 to facilitate the rapid implementation and evaluation of six (6) innovative intervention strategies to better understand whether these strategies can improve outcomes for clients in four (4) focus areas in RWHAP settings. Twenty geographically dispersed implementation sites have been selected and funded to focus on the four following areas: Justice-involved individuals, LGBTQ+ Youth, Substance Use Disorder and Telehealth.

  4. 2023

    In FY 2023, HRSA continued funding for the Using Evidence-Informed Interventions to Improve Outcomes among People Living with HIV (2iS) to facilitate the rapid implementation and evaluation of six (6) innovative intervention strategies to better understand whether these strategies can improve outcomes for clients in four (4) focus areas in RWHAP settings. Twenty geographically dispersed implementation sites have been selected and funded to focus on the four following areas: Justice-involved individuals, LGBTQ+ Youth, Substance Use Disorder and Telehealth.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at https://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf

  1. 42 U.S.C. § § 300ff-101.