Opportunity Information: Apply for HRSA 25 055

This funding opportunity supports efforts to improve health care access for people with HIV who are unsheltered by promoting street medicine interventions. Three key components will collaborate to implement this initiative:

1. **Capacity Building Provider (HRSA-25-055)** – Responsible for helping demonstration sites develop the necessary infrastructure and strategies to deliver effective street medicine interventions.

2. **Demonstration Sites (HRSA-25-056)** – Local programs that will implement street medicine approaches tailored to meet the health care needs of people with HIV who are unsheltered.

3. **Evaluation Provider (HRSA-25-057)** – Conducts a multisite evaluation to assess implementation strategies, identify barriers and facilitators, measure costs, and evaluate client and service-related outcomes.

### **Goals and Objectives** The overall goal is to document, adapt, implement, evaluate, and share effective street medicine practices for people with HIV who are unsheltered. The initiative will work towards:

- **Building capacity** at demonstration sites to effectively meet the health care needs of this population. - **Ensuring long-term adoption and sustainability** of interventions among Ryan White HIV/AIDS Program (RWHAP) providers and clients. - **Conducting a robust evaluation** using implementation science to improve effectiveness and efficiency. - **Developing and disseminating practical materials** to help other RWHAP settings replicate successful strategies. - **Utilizing CMS Place of Service Codes** to accurately document where care is provided.

### **Street Medicine Overview** Street medicine is a client-centered approach that brings health care services directly to individuals in unsheltered environments like streets and encampments. It differs from clinic-based care by adapting to the mobility, needs, and barriers faced by individuals experiencing homelessness. Some key differences include:

- **Addressing safety concerns** for both patients and providers. - **Navigating local and state regulations** on where and how care can be delivered. - **Overcoming barriers such as stigma** and clinic policies that make access difficult (e.g., restrictions on pets and personal belongings).

Research shows that people who are unstably housed or temporarily housed have lower viral suppression rates than those with stable housing. Expanding accessible care through street medicine could help close this gap and support the broader goal of ending the HIV epidemic in the U.S.

### **Eligible Applicants** A variety of domestic organizations may apply, including:

- Public and private higher education institutions - Nonprofit organizations (with or without 501(c)(3) status) - State, county, city, and tribal governments - Independent school districts

Individuals are **not** eligible to apply.

This initiative recognizes that traditional health care settings often fail to meet the needs of people who are unsheltered. By investing in street medicine approaches, the program aims to create sustainable, community-based solutions that improve health outcomes for people with HIV who face housing insecurity.

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Street Medicine Interventions for People with HIV who are Unsheltered – Capacity Builder Provider (HRSA-25-055) and Street Medicine Interventions for People with HIV who are Unsheltered – Evaluation Provider (HRSA-25-057)" 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 2025-01-08.
  • Applicants must submit their applications by 2025-03-11. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2025.)
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, Others.
Apply for HRSA 25 055

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