Family-Focused HIV Health Care for Women and HIV Health Care and Related Services for Adolescents and Young Adults
FAU Control #1003121025
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 24, 2010 |
|---|---|
| RFA Updates and Questions and Answers Posted | October 7, 2010 |
| Applications Due | November 17, 2010 Extended |
Contact Information:
Component A:
Questions of a Substantive (Content or Conceptual) Nature:
- Jo Ann Beasley
New York State Department of Health
AIDS Institute
Empire State Plaza, Corning Tower, Room 449
Albany, New York 12237
Email: wcfayrfa@health.state.ny.us
Components B and C:
Questions of a Substantive (Content or Conceptual) Nature:
- Beth Bonacci Yurchak
New York State Department of Health
AIDS Institute
Empire State Plaza, Corning Tower, Room 449
Albany, NY 12237
Email: wcfayrfa@health.state.ny.us
Questions of a Technical Nature:
- Cathy Andersen
New York State Department of Health
AIDS Institute
Empire State Plaza, Corning Tower, Room 449
Albany, New York 12237
Phone: (518) 473-3435
Email: wcfayrfa@health.state.ny.us
Submission of Written Applications:
- Valerie J. White
Deputy Director, Administration and Data Systems
New York State Department of Health
AIDS Institute
Empire State Plaza, Corning Tower, Room 478
Albany, New York 12237
Documents
- Request for Applications (PDF, 3.93MB, 173pg.)
- Update to the RFA: Extended due date and correction to the eligibility criteria information (DOC, 35KB, 1pg.)
- Questions and Answers (PDF, 147KB, 22pg.)
- Attachment 5: Sample Letter of Interest to Apply (DOC, 29KB, 1pg.)
- Revision, Please Note: Attachment 6: Sample Letter of Commitment from the Executive Director or Chief Executive Officer has been updated as of 10-22-10.
- Revision, Please Note: Attachment 7: Sample Letter of Commitment from Board of Directors (if applicable, not required of hospitals) has been updated as of 10-22-10.
- Attachment 8: Application Cover Page (DOC, 235KB, 1pg.)
- Attachment 9: Application Checklist (DOC, 48KB, 2pg.)
- Attachment 11: Vender Responsibility Questionnaire (DOC, 235KB, 7pg.)
- Attachment 12: Vendor Responsibility Attestation (DOC, 27KB, 1pg.)
- Attachment 13: Funding History for HIV Services (DOC, 32KB, 1pg.)
- Attachment 14A: Component A Core Services and Required Linkages Chart (DOC, 61KB, 1pg.)
- Attachment 14B: Component B Core Services and Required Linkages Chart (DOC, 89KB, 5pg.)
- Attachment 14C: Component C Core Services and Required Linkages Chart (DOC, 69KB, 4pg.)
- Attachment 15: Population(s)/Caseload Form (DOC, 43KB, 1pg.)
- Attachment 16: Clinic Site Location and Hours of Operation (DOC, 29KB, 1pg.)
- Attachment 17: Agency Capacity and Staffing Information (DOC, 39KB, 1pg.)
- Attachment 18: Implementation of AIDS Institute Reporting System (AIRS) (DOC, 24KB, 1pg.)
- Attachment 19: Electronic Medical Records (EMR) (DOC, 31KB, 1pg.)
- Attachment 20: Budget Forms (XLS, 273KB, 7spreadsheets)
- Funding Awards
