APPENDIX A FY16 AGREEMENTS AND COMPLIANCE ASSURANCES.PDF

Appendix A
FY 2016 AGREEMENTS AND COMPLIANCE
ASSURANCES
Ryan White HIV/AIDS Program
Part-A Grant Program
I, the Chief Elected Official of the Eligible Metropolitan Area or Transitional Grant Area
, (hereinafter referred to as the EMA/TGA) assure that:
Pursuant to Section 2602(a)(2) 2
The EMA/TGA will establish a mechanism to allocate funds and a Planning Council that
comports with section 2602(b).
Pursuant to Section 2602(a)(2)(B)
The EMA/TGA has entered into intergovernmental agreements with the Chief Elected Officials
of the political subdivisions in the EMAJTGA that provide HIV-related health services and for
which the number of AIDS cases in the last 5 years constitutes not less than 10 percent of the
cases reported for the EMA/TGA.
Pursuant to Section 2602(b)(4)
The EMA/TGA Planning Council will determine the size and demographics of the population
of individuals with H1V/AIDS, as well as the size and demographics of the estimated
population of individuals with HIV/AIDS who are unaware of their HIV status; determine the
needs of such population, and develop a comprehensive plan for the organization and delivery
of health and support services. The plan must include a strategy with discrete goals, a
timetable, and appropriate funding, for identifying individuals with H1V/AIDS who do not
know their HIV status, making such individuals aware of their HIV status, and enabling such
individuals to use the health and support services. The strategy should particularly address
disparities in access and services among affected subpopulations and historically underserved
communities.
Pursuant to Section 2603(c)
The EMA/TGA will comply with statutory requirements regarding the timeframe for
obligation and expenditure of funds, and will comply with any cancellation of unobligated
funds.
Pursuant to Section 2603(d)
The EMA/TGA will make expenditures in compliance with priorities established by the
Planning Council/Planning Body.
Pursuant to Section 2604(a)
' All statutory references are to the Public Health Service Act, unless otherwise specified.
2 TGAs are exempted from the requirement related to Planning Councils, but must provide a
process for obtaining community input as described in Section 2609(d)(1)(A). TGAs that have
currently operating Planning Councils are strongly encouraged to maintain that structure.
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The EMA/TGA will participate in an established HIV community based continuum of care,
if such continuum exists within the EMA/TGA.
Pursuant to Section 2605(a)(6)
Part A funds will not be used to pay for any item or service that can reasonably be expected
to be paid under any state compensation program, insurance policy, or any Federal or state
health benefits program (except for programs related to the Indian Health Service) or by an
entity that provides health services on a prepaid basis.
Pursuant to Section 2605(a)(7)(A)
Part A funded HIV primary medical care and support services will be provided, to the
maximum extent possible, without regard to a) the ability of the individual to pay for such
services or b) the current or past health conditions of the individuals to be served.
Pursuant to Section 2605(a)(7)(B)
Part A funded HIV primary medical care and support will be provided in settings that are
accessible to low-income individuals with HIV disease.
Pursuant to Section 2605(a)(7)(C)
A program of outreach services will be provided to low-income individuals with HIV disease to
inform them of such services.
Pursuant to Section 2605(a)(8)
The EMA/TGA has participated in the Statewide Coordinated Statement of Need (SCSN)
process initiated by the state, and the services provided under the EMA/TGA's
comprehensive plan are consistent with the SCSN.
Pursuant to Section 2605(a)(9)
The EMA/TGA has procedures in place to ensure that services are provided by appropriate
entities.
Pursuant to Section 2605(a)(10)
The EMAJTGA will submit audits every 2 years to the lead state agency under Part B of Title
XXVI of the PHS Act.
Pursuant to Section 2605(e)
The EMA/TGA will comply with the statutory requirements regarding imposition of charges for
services.
Pursuant to Section 2681(d)
Services funded will be integrated with other such services, programs will be coordinated with
other available programs (including Medicaid), and that the continuity of care and prevention
services of individuals with HIV is enhanced.
Pursuant to Section 2684
No funds shall be used to fund AIDS programs, or to develop materials, designed to promote
or encourage, directly, intravenous drug use or sexual activity, whether homosexual or
heterosexual.
Date
Signature
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