Community-Based HIV Primary Care and Prevention Services
FAU Control # 0904221202
Issued by New York State Department of Health, AIDS Institute, Division of HIV Health Care, Bureau of HIV Ambulatory Care Services and Health Research, Inc.
Schedule of Events
| Questions Due | September 2, 2009 |
|---|---|
| RFA Updates and Questions and Answers Posted | September 16, 2009 |
| Letter of Interest Due | September 23, 2009 |
| Applications Due | September 29, 2009 |
Contact Information
Written Submission of Substantive Questions:
- Lisa Roland-Labiosa, MPH
New York State Department of Health
AIDS Institute - Primary Care Section
Empire State Plaza
Corning Tower, Room 429
Albany, NY 12237
E-mail:aipcrfa09bml@health.state.ny.us
Submission of Questions of a Technical Nature, in Writing or by Telephone:
Applicant Conference and Letter of Interest:
- Lisa Wend
New York State Department of Health
AIDS Institute
Empire State Plaza
Corning Tower, Room 429
Albany, NY 12237
Phone: (518) 474-7904
E-mail: lms11@health.state.ny.us
Submission of Applications:
- Valerie White
Deputy Director, Administration and Data Systems
New York State Department of Health
AIDS Institute
Empire State Plaza
Corning Tower, Room 478
Albany, NY 12237
Documents
- Request for Applications (PDF, 2.8MB, 139pg.)
- Sample Letter of Interest (DOC, 26KB, 1pg.)
- Sample Letter of Commitment from Executive Director or Chief Executive Officer (DOC, 47KB, 1pg.)
- Sample Letter of Commitment from Board of Directors or Equivalent Official (DOC, 49KB, 1pg.)
- Application Checklist (DOC, 55KB, 1pg.)
- Verndor Responsibility Questionaire (DOC, 235KB, 7pg.)
- Vendor Responsibility Attestation (DOC, 123KB, 1pg.)
- Application Cover Page (DOC, 60KB, 1pg.)
- Service Grid and Timeline (DOC, 59KB, 1pg.)
- Population Data Form (DOC, 51KB, 1pg.)
- Agency Capacity and Staffing Information (DOC, 59KB, 1pg.)
- Board of Directors Information (DOC, 61KB, 1pg.)
- Funding History for HIV Services (DOC, 55KB, 1pg.)
- AIDS Institute Reporting System (DOC,48KB, 1pg.)
- Electronic Medical Records (EMR) (DOC, 47KB, 1pg.)
- Summary Budget Forms (XLS, 171KB,7sheets)
- Questions and Answers (PDF, 67KB, 12pg.)
