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Funding Opportunites

The Sexually Transmitted Infections/HIV Section contracts more than 75 percent of its annual budget to local health departments, community-based organizations, AIDS service organizations, clinicians, pharmacies, mental health and substance abuse treamtment providers, and other organizations or entities to provide prevention, survelillance, evaluation and care, and treatment services. This page provides a variety of documents and resources related to funding opportunities, including notices of opportunties, supporting documents, requests for applications, etc. 

 

CHAPP

 
Updates:
Current 2014 Dates:
 

March 3

Applications due by 5:00 pm

March 6 - 13

Application review

April 16

Presentation of Advisory Committee recommendations to the Board of Health

April 17

Grantee notification

April 17

Contract negotiation process

July 1

Estimated contract start date

 
Applicant Resources:
 
  • RFA - Updated March 20, 2014
  • Submit Questions to cdphe.chapp@state.co.us.
 
 
CHAPP Bidders Conference Webinar 1:48:37 - Posted January 10, 2014
 
Held January 9, 2014 at 2:45pm. Slides
 
*Please note: The questions asked during the Conference that were not answered, have been answered and are posted under the FAQ and Clarifications tab below as questions 39-44. If you have any additional questions, please submit them to cdphe.chapp@state.co.us
 
Pre Bidders Conference Webinar 42:03   - Posted January 6, 2014
 
 
This webinar, including its two follow-up comments, should help clarify certain parts of the RFA before the Bidders Conference Webinar on January 9, 2-14. This pre-conference webinar focuses on:
  • Basic Network Services
  • Catchment Areas
  • Calculating Funding Estimates
  • RFA Goals and Purposes
     
Pre Bidders Conference Webinar, Follow Up One  5:30  -  Posted January 7, 2014
 
 
Additional comments from Jennifer Donnelly, Evaluation Development Analyst, on:
  • Finding Target Populations from the Epidemiological Profile (Exhibit A)
  • Understanding the Quality Improvement Model
     
Pre Bidders Conference Webinar, Follow Up Two 2:46 - Posted January 8, 2014

Additional comments from Bob Bongiovanni, Care and Treatment Program Manager, on:
  • The RFA's emphasis on Essential Referal Network Infrastructures
  • Primary Care Providers
 

CHAPP Request for Application RFA #643

Q&A following bidders’ conference

January 16, 2014

 
1.    Applicant Question
While it is explicitly stated in this CHAPP RFA that it is NOT subjected to the same restrictions as federal grants, will adaption of DEBIs be accepted that have been previously approved by CDPHE (Taking It To The Community – IDU, ManREACH – MSM)?
CDPHE Response
PLEASE NOTE: This RFA is a competitive grant process and no specific intervention previously funded can be legally discussed in these responses.
CDPHE confirms that in compliance with the CHAPP statutes C.R.S. 25-4-1412 and the Colorado Codes of Regulations 6 CCR 1009-10, the 2013 CHAPP Request for Applications (RFA) is not subjected to the same restrictions as the federal funding.
Consequently, CDPHE shall abide to the stipulations of the CHAPP statutes regarding applicants that provide evidence that DEBIs adaptations support the requirement of 25-4-1413. (5) “Grants shall only be given for medically accurate HIV and AIDS prevention and education programs that are based in behavioral and social science theory and research…”  In addition, pursuant to 25-4-1413(c) A description of the activities planned to accomplish the goals and objectives of the grant applicant and of the outcome measures that will be used by the grant applicant.
Moreover, in accordance with 6 CCR 1009-10, 1.2.2, CDPHE is authorized to administer the program with the goal of developing a comprehensive approach that will decrease the transmission and acquisition of HIV and AIDS in Colorado. Consistent with 6 CCR 1009-10, 1.2.2.B. “Grant applications may also include activities related to conducting HIV prevention in conjunction with other comorbidities secondary to HIV infections.”  Therefore, applicant may include activities that are part of an integrated network model, as per 25-4-1413(c) and 6 CCR 1009-10, 1.2.2.B.
2.    Applicant Question
CDPHE has been talking about funding a network of MH/SA providers throughout Colorado for many years.  Is there progress on this so when MOA referrals are made from CHAPP contractors consumers can actually receive these services and the funding not impact the CHAPP contractors?
CDPHE Response
 
Applicants are encouraged to work with publicly funded providers and local providers that accept publicly funded insurance. As a CDPHE subsidized network of mental health and substance abuse providers is not available.
 
3.    Applicant Question
What do we need to know about non-metro CTR to keep services available in rural areas?
CDPHE Response
Applicants are advised that HIV testing and counseling is part of the “Essential Benefits” required by the Affordable Care Act. Therefore, HIV testing in healthcare settings will be afforded at no charge to insured persons. However, the network coordinator may play a very important role in promoting periodic retesting (twice a year or more) by the high risk populations such as MSM and IDUs.
Although the ACA will increase coverage for HIV testing, the need to test in non healthcare setting may be deemed necessary based on the target population of a network. HIV screening of undocumented and uninsured persons at risk may remain an unmet need. Applicants may have projects that encompass home testing in social network for populations not covered by third party payors for example. The project must provide the rationale for the model based on the requirement of the RFA.
4.    Applicant Question
Considering the RFA requirement for MOAs with a network of medical, mental health, and substance abuse providers, how do we ensure active referrals in areas with no network services?
CDPHE Response
CDPHE is not prescribing any one approach for active referrals. Applicants are encouraged to explore the extensive resource documentation attached to the announcement. Many integrated networks have successful models around the nation. Per the RFA, a local network may at its discretion decide the right referral model or approach for their community based on their target population, available resources or other relevant factors.
5.    Applicant Question
I’ve reviewed the “Epidemiological Profiles by County 2008-2013” document from CDPHE. Based on the data provided in this document, 69% of chlamydia/gonorrhea/syphilis diagnoses in the last five years in Colorado are women. Yet, 86% of HIV diagnoses in the last five years in Colorado are men, with MSM being substantially more impacted than non-MSM. Can you help us understand why CDPHE is using the 2008-2013 Colorado chlamydia/gonorrhea/syphilis diagnoses data as the main predictor for estimating the population sizes at greatest risk for HIV, when the demographic data for chlamydia/gonorrhea/syphilis diagnoses does not, even closely, reflect the demographic data for HIV diagnosis?
 
CDPHE Response
 
6 CCR 1009-10 does not provide authority to exclude populations such as women on the basis of level of risk. A formula based on high risk behavior and prevalence of HIV would replicate the CDC funded formula grant. Please refer to question # 6 for additional details on scientific evidence that informed the CHAPP policy.
The CHAPP funds are used to address area of needs not covered by Federal funding. Given CHAPP funds must address both rural and urban populations per C.R.S. 25-4-1412, the best way to estimate the population at risk in the rural setting is to use historical STI data reported to the CDPHE Surveillance. Program, by contrast, consistent the National HIV and AIDS Strategy (NHAS) that promotes high impact prevention aims at targeting high risk populations in geographical with the highest burden of HIV. Thus, the formula grant funded by CDC is designed to address the categorical risk factors of HIV and to support prevention with HIV positive persons in the urban setting. Control of Chlamydia (CT), gonorrhea (GC) and syphilis are legitimate targets to prevent HIV. State funding address the conditions that are syndemic with HIV, irrespective of the level of risk.
 
6.    Applicant Question
Then, can you help us understand how constructing a formula to guide allowable funding for a county and/or subpopulation in a county that is based on a predictor that does not accurately align with who is getting infected with HIV in Colorado will allocate funds in a way that will most effectively mitigate HIV transmission, and leverage identifying PLWH/A earlier in the course of infection and linking to care?
 
CDPHE Response
 
The CDC funded high impact prevention policy is designed to address the most at risk populations in geographical areas with highest burden of HIV disease.
As specified in the RFA announcement, the 2013 CHAPP programming is based on scientific evidence presented by the NCHHSTP which recommends Program Collaboration and Service Integration (PCSI) as an important long-term strategy of sustainable STI control. Please refer to resource X.
The RFA also builds on significant past scientific efforts endorsed by the HIV Prevention Trials Network (HPTN) and the National Institute of Health (NIH) recommendations to support the CHAPP funding allocations. Both referenced agencies endorsed research that have shown that improved access to quality STI services for the general population alone can have a measurable impact on HIV transmission.
Finally, with the rise of co-occurring infections in PLWHA and the emergence of resistant strains of gonococcal infections, the CHAPP RFA will effectively benefit PLWHA by reducing comorbidities associated poorer health outcomes.
In a nutshell the above rationale underscores the need to address multiple conditions in tandem in an integrated health system. Overall, all persons at risk for STI/HIV irrespective of place of residence may benefit from a reduced incidence of CT, GC, and syphilis and their respective sequelae as supported by the CHAPP funds.
 
 
7.    Applicant Question
If CDPHE is utilizing other predictors in the formula to determine the allowable funding for a county and/or subpopulation in a county then can CDPHE please provide this information, as it was not included in the formula provided in the CDPHE CHAPP RFA #643 webinars to date?
 
CDPHE Response
 
The CHAPP funding is based on a simple per capita distribution based on reported cases (not individuals) of GC, CT and syphillis.
The CHAPP funds as proposed in the announcement will support programming NOT covered by the CDC funds. Both CHAPP and CDC funding complementarities will be more evident after the announcement of the federal RFPs.
At this time, given it is a competitive process, it would be inappropriate to discuss in further details.
 
 
8.    Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section V, First Paragraph, Page 18. The document states: “… Application received without a prior intent to apply may not be evaluated.” Does this mean that an application may be considered if the applicant did not submit an “Intent to Apply” letter by the “Intent to Apply” deadline? Per the information provided at the CDPHE CHAPP #643 Bidders Conference, I thought it was said that applications will not be considered without an “Intent to Apply” letter from the applicant by the CDPHE announced and adjusted deadline
 
CDPHE Response
 
Upon further deliberations, CDPHE will abide to the statement in the RFA and may consider additional applications based on compelling reasons for missing the deadline to submit a letter of intent to apply.
 
9.    Applicant Question
This inquiry is to present to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section III. A. 2. c. & f. In regard to application minimum requirements, the document states, “A basic package of prevention services consisting of a combination of prevention interventions adapted to the needs of the target population… The related activities include...” If an applicant selects CTR (Counseling, Testing and Referral) to a target population / emphasis area (noted in Section IV. B. 1. c. iii.), is this sufficient to meet the application’s requirement for “f”? Or does CTR exclusively count for “c” and the applicant needs to select one additional behavioral intervention adapted to the needs of the target population in addition to CTR? Along these lines, regarding “c” – can an applicant provide HIV testing without providing CTR?
 
CDPHE Response
All local networks must provide access to HIV testing through a partnering agency as part of the prevention services.
 
It is noteworthy that the ACA expands insurance coverage for STD preventive services. Since 2010, the ACA required all health plans to provide preventative coverage without cost-sharing. Consequently, services including CT screening for females ages younger than 25 years; prenatal screening for syphilis, GC, CT, HIV and hepatitis B; behavioral counseling and syphilis, GC, and CT screening for high risk individuals; HIV screening for individuals ages 15-65 and human papillomavirus (HPV) and hepatitis B vaccines are covered by third party payors.
 
However, local networks that have undocumented, or uninsured sub-populations may develop HIV counseling testing and referrals interventions in non-healthcare settings adapted to the needs and size of the target population.
 
10.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section I, B, Paragraph 3 and Section IV, B, iii. The document states, “In Colorado, new cases of HIV continue to increase among the following subpopulations: …and Latino men and women…” Why are Latino men not included as a target population / emphasis area?
 
CDPHE Response
 
This is a legitimate point. Latino men should be included in the population emphasis.The referenced segment is thereby revised to read as follows:
 
Emphasis areas: Indicate how your application matches one or more of the emphasis areas below:
 
01.   Implementation of a program for one or more of the following specific target populations:
 
(i)      High-risk men and women of color
 
(ii)     Injection drug users (IDU);
 
(iii)   HIV negative MSM statewide and HIV positive MSM outside the five county area (including MSM of color).
 
(iv)    Persons transitioning from incarceration or recently parole
 
(v)     High-risk youth age 13-24 (specifically: homeless youth, those involved in survival sex, adjudicated youth, and youth with a history of sexually transmitted infections (STIs).
 
 
11.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section I, B, Paragraph 6. The document states, “First year funding, SFY 14-15, will support a six month planning period aimed at building capacity and a phased implementation to create a more favorable environment for combined prevention to be developed during the 2014-2017 grant period.” Does this mean that applicant deliverables, aside from project planning, will begin January 1, 2015, or six-months after the start of the 2014-2017 grant period? If not, can you explain what “a six month planning period” includes?
 
CDPHE Response
 
It means that a portion of the funding awarded in the first six months will be allocated to build the network capacity. However, basic prevention services and referrals within local network should start by July 1, upon the issuance of a contract.
 
 
 
12.Applicant Question
This inquiry is to clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section I, E, Paragraph 2. The document states, “Any business entity or person is prohibited from being awarded a contract if the business entity or person has an “Organizational Conflict of Interest” with regard to this solicitation and the resulting contract(s).” It appears from this language that any individual sitting on the CHAPP Advisory Committee who is representing any agency submitting an application for this funding announcement would present a direct “Organizational Conflict of Interest” if that person reviews, evaluates/ranks, or sits in on discussion for any applications that influences any resulting contract(s). a) Is this the case, and if not why? b) If so, does this mean that any applicant for CDPHE CHAPP RFA #643 sitting on the CHAPP Advisory Committee needs to take a leave from the committee until the grant contracts are awarded, the contracts are finalized, and the funding cycle begins? c) If so, what process will take place to ensure that the CHAPP Advisory Committee is in place in time to review grant applications?
 
CDPHE Response
 
The Department selected a widely used and accepted questionnaire for all reviewers of applications. This applies to CHAPP Advisory Committee Member and non members. If there is a real or perceived conflict, the reviewer is not able to discuss or score the application. This approach has been approved by CDPHE legal counsel and procurement staff.
 
 
13.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section II, A, Paragraph 1 and 2. The document states, “The tobacco settlement funds available are divided by the number of persons at risk for HIV around the state….” (which CDPHE has defined as 22,281 per chlamydia/gonorrhea/syphilis diagnoses for one year, hence the projected $64 available per person at risk for HIV) and then …“Budgets and scopes of work will be adjusted to account for the number of projected persons to be served in each catchment area…” a) Does this mean that, in general, an applicant that receives $100,000 in funding for a project needs to serve 1,563 unique people for a program’s scope of work? b) What will be the minimum service delivery to a person to count as a unique client and what minimum data will need to be collected? c) Does someone who receives outreach education and a safer sex kit count as a unique individual reached? d) What about interventions in which an individual is seen more than once? e) How will cost of intervention (i.e. personnel time and resources to implement the intervention) to reach one unique client factor into this?
 
CDPHE Response
 
a) Please note, that the 1,563 CASES are duplicated events of STIs, not individual people. This is not $64 per person but per reported case.
b) The unit of service delivery to be provided should be based on the model of prevention proposed by the local network. Number of unduplicated persons may be projected in part by the local network medical provider’s historical diagnoses of STIs.
c) Please ensure that key requirements for access to treatment and assessment for other services are documented for unduplicated persons served.
d) Applicants are encouraged to carefully decide the combination of prevention services best adapted to the unique needs of their target populations.
e) Applicants are encouraged to present a cost proposal based on their local network model as part of their application.
 
 
 
14.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IV, G, 2nd paragraph, bullet point #5, sub bullet point #2. The document states that the Project Description can be no more than 15 pages. Can you confirm that the Project Description components included in the 15 page limit is all questions in Section IV. B. 1-5 and excluding question 6 in this section? If this is not the case, can you please define what is included in the Project Description?
 
CDPHE Response
 
The Project Description components included in the 15 page limit is all questions in Section IV. B. 1-5 and excludes question 6 in this section.
 
15.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section III, B, l. Can you define what “a need assessment for IT referral system capabilities” means? Can you provide an example of what would be considered industry standard in this regard?
 
CDPHE Response
 
A need assessment for IT referral system capabilities means the type of hardware and software needed to ensure seamless referrals within the proposed local network.
 
 
16.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section V, D. The application submission checklist lists the Project Description, Elective Elements (if applicable), Capacity and Program Infrastructure, HIV Testing Narrative (if applicable), and Project Evaluation Narrative separately. It appears that these components are all part of the 15-page limit Project Description component; is this correct?
 
CDPHE Response
You are correct, these components are all part of the 15-page limit Project Description.
 
Does the application submission checklist break out these components because CDPHE wants them submitted in separate Microsoft word documents, or can all these components be submitted in one document with major headings?
 
CDPHE Response
 
 All these components need to be submitted in one document under major headings in an organized manner as specified in the announcement.
 
 
17.Applicant Question

This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IV, C, 1-7. Can all information requested for the work plan be concisely represented in the template provided? Or should the template provided be accompanied by detailed narrative?
 
CDPHE Response
 
The work plan is expected to be concisely represented in the template provided. The template provided should not be accompanied by detailed narrative.
 
 
 
18.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IV, D, Paragraph 1 & 2. Can you review the budget spreadsheet template provided online? In the version I downloaded, I can view pages 1,2,3, and 7 of 8. The document jumps from page 3 to page 7. Can you confirm if any essential components of the budget are omitted in the spreadsheet template?
 
CDPHE Response
 
There are no obvious problem with the spreadsheet.
 
 
 
19.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IX, A. The templates and forms, as they are labeled via exhibits here, are not labeled the same way they are throughout the RFA, i.e Section IV. In Section IV, I did not find reference to an Exhibit A or Exhibit B. Can you confirm that there is no Exhibit A or Exhibit B to be submitted in the application? Unless you would find it advantageous to post the answer to the question presented in the below email, please do not post on my behalf. I just realized that Exhibit A is the Epidemiologic Profiles and Exhibit B is the List of Supported Interventions.
 
CDPHE Response
 
This is posted to benefit others and to ensure transparency.
 
20.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IV, F, Bullet Point #2. a)  Regarding the “roster of the members of the applicant’s Advisory Group” if the advisory group consists of program members and clients, can the roster arrive with first name, first and last name initials, or unique identifier? b) Or does the advisory group need to have full names represented?
CDPHE Response
 
a) Program members and clients first and last name initials are acceptable.
b); Members of the advisory group who are clients do not need to have full names represented
 
 
 
21.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IV, F, Bullet Point #1, 2, and 4. Regarding the applicant’s rosters for the Board of Directors, Advisory Group, and Network’s Advisory/Steering Body, can you specify what information is requested in these rosters or is it solely at the applicant’s discretion?
 
CDPHE Response
 
Please comply strictly with Section IV as stated. See question 20.
 
 
22.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IV, F, Bullet Point #3. Regarding the organizational chart, is this document considered “supplemental information or additional attachments” and so can be submitted in Adobe Acrobat format? Or does this document have to be submitted in a MS Word version ending in doc or docx?
 
CDPHE Response
The organizational chart can be submitted in Adobe Acrobat format.
 
23.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IV, C, 01, 02, 03. These components ask for “data driven strategy for... outreach and education to the target population… promotion and dissemination of free condoms and risk reduction materials… and HIV and hepatitis testing.” Can you define and or illustrate what “data drive” looks like for these components?
 
CDPHE Response
 
The data driven strategy is a particular prevention package based on the key characteristics of a target population that are supported by data. The rationale for the model is substantiated by the applicant analytical interpretation of the data that inform a course of action designed to produce a specific quantifiable projected result. To simplify the data and your analytical interpretation of the data proving that your strategy will address the problems identified.
The local network model is part of the strategy to describe how the desired outcome will be achieved. For further reference please see the
“Making Connections” document from The Annie E. Casey Foundation at the following address:
mc-sa.org/research/reports/pdf/DataStrategies.pdf
 
 
 
24.Applicant Question
This inquiry is to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IV, C, 1-7. Can your provide one example of what the requested information for the work plan would look like for one goal and one key action step?
CDPHE Response
 
Case studies will be posted on the CHAPP website by January 23, 2014.
 
 
25. Applicant Question
Regarding Exhibit A: Epidemiological Profiles by County 2008-13:  When will the risk percentages be posted for each county?  Specifically Regions 1, 5, 6, 8, 9, 10, 11, 12, 13 and 17?
CDPHE Response
Applicants are encouraged to apply the risk data posted on CHAPP website and apply the estimated rates to their catchment area as appropriate
 
 
26. Applicant Question
Regarding Section IV.A.1.: Requests for Application Cover Sheet and Signature Page: When will this be available?
 
CDPHE Response
The Cover Sheet and Signature Page has been sent via email to applicants. It will also be posted to the website as soon as we are able to resume web posting (see answer to question 36). If you have not yet received it, please email cdphe.chapp@state.co.us
 
Check with MKM
 
 
27. Applicant Question
Regarding Exhibit B: List of Supported Interventions: Will adaptations of the supported interventions on this list be accepted, specifically the ManREACH adaptation of Mpowerment?
 
CDPHE Response
 
Due to the competitive process, CDPHE cannot address specific interventions conducted by specific agencies previously funded by the program. Please see response to question # 1.
 
 
 
28. Applicant Question
Regarding Exhibit A: Epidemiological Profiles by County (2008-13): Dolores County appears in both Regions 9 and 10.  Which is the correct region for Dolores County?
 
CDPHE Response
 
After a review of the epi data posted ont eh website, Dolores County only appears in Region 9.
 
29. Applicant Question
Regarding Section III.A.2.a., Data Driven Outreach and Education Strategy: Considering the geographic area that would need to be covered by a project that would propose serving multiple “rural” regions in one catchment area, can this Outreach/Education requirement be met through the use of phone, text and email? 
 
CDPHE Response
Any combination of these approaches and others leveraging available technologies are acceptable in a well structured model.
 
 
30. Applicant Question
Regarding Section III, Goals and Purpose: Can non-contiguous regions be included in the same catchment area? 
CDPHE Response
 
Yes.
 
 
31. Applicant Question
Again regarding Section III, Goals and Purpose: Can individuals from outside a program’s chosen catchment area be served by the program?  
 
CDPHE Response
Yes.
 
 
32. Applicant Question
Regarding Exhibit A, Epidemiological Profiles by County (2008-13):
 
CDPHE Response
 
Question unclear
 
 
33. Applicant Question
 
Specifically regarding Regions that contain multiple Counties, must each County have individuals participating in the proposed program?
 
CDPHE Response
Yes, each county should have participants in the prevention programs. Applicants are expected to demonstrate how the proposed local network will provide a package of prevention services to at risk persons from all the counties included in the chosen catchment area.
 
34.     Applicant Question
This email is to present an inquiry to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section IV, G, 2nd Paragraph, 4th Bullet. The document states “Page Numbering: Number all pages at the bottom right corner of the page.” Does this page formatting instructions apply to all pages submitted within the RFA? If so, how should the applicant approach this, as the application in full is divided into a number of sections and attachments with varying format within a section and between sections (i.e. doc, xls, pdf), and the application will be submitted with multiple sections/documents? Should page numbers carry forward between different sections of the application, or start new via each section of the grant? (i.e. Should page #1 be “Request for Applications Cover Sheet & Signature Page, then pages #2-3 be “Application Summary, then page #4 be Other Requirements, then page #5-? be W-9 forms, then pages #6-20 be the Project Description). Please provide guidance on how you would like this approached, as it is a bit unclear in the page formatting instructions.
 
CDPHE Response
 
Unless there are specific formatting directions, the formatting is at the discretion of the applicant.  Please keep in mind that the reviewer should be able to easily determine your intent, e.g., to what section are you replying, and follow the document throughout. 
 
 
35.     Applicant Question
Please provide clarification regarding the network partnerships.  I have been asking providers in the community to partner and everyone is concerned about the legality of signing an MOU when I'm not really sure what I am asking of their participation as a network provider.
a) This is what everyone is telling me:
"before we sign a letter of intent to participate in an MOU, could you tell me a little more about the grant, and what we'd be expected to do in supporting your work?"
b) What is meant in the .ppt slides from the bidders conference regarding data sharing with these network partners?  

c) So, I will refer people to the network provider, then, am I expecting them to report how many people were seen each month?
d) What is expected with programmatic reports?  Are those monthly reports?
 
e) At last week's bidders conference, there was an offer for capacity building to help build the network partnerships and technical assistance for this process. Who is providing this assistance and how do we access it?
CDPHE Response
a) Applicants are encouraged to review the RFA purpose and background as well as program requirements to inform discussions. While an MOU must be in place by the beginning of the contract period, the Department recognized that MOUs would probably not be in place at the time of the application. See on page 10, a. Essential Referral Network Infrastructure, iii Letters of commitment from all providers to create a referral network and page 15, 1. Memoranda of agreement, c. For any pending MOA or subcontract, submit a letter signed by each collaborator and known potential subcontractor detailing their roles and responsibilities.
b) The PowerPoint slides provided in the bidders conference make reference to “Minimum Requirements” Section 4.a.
c) The model of referral and prevention services is at the discretion of the applicant. CDPHE will negotiate the reporting based on the logic model developed.
d) As stipulated in the RFA all networks are required to report monthly. The applicants’ model of prevention services will inform a logic model which will determine the content of the programmatic report.
e) Capacity building will be offered to all funded programs. Assessment of needs for capacity building will be conducted during contract negotiations.
 
36.     Applicant Question
I am interested in reading the questions that have been submitted to date so I can see if my questions have already been asked.
 When I tried to go into the link below I receive a “Forbidden” message and I am unable to access. Other staff had the same issue trying to access the Resources link.
 Can you tell me if the site has been taken down? Can you ask others to check so I can assess if I need to contact my IT administrator if this is a BCAP-specific problem?
 
CDPHE Response
This was/is a technical problem on our end. The site has not been taken down but has been experiencing intermittent technical difficulties since January 13. There were a few times during the week of January 13 when documents and information was unavailable across the entire Department’s website. We have been addressing these issues, and we will continue to do what we can to maintain timely communication regarding the RFA. 
 
37.     Applicant Question
 
This email is to present an inquiry to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Section V, G, 2nd Paragraph 6. The document states “Applicants are to segregate the portions of the application responding to the pricing and funding application so the technical application can be evaluated without consideration of the price or funding model.” How can parts of a technical application (i.e. scope of work) be evaluated if the reviewer doesn’t know the cost to make that scope of work possible?
 
CDPHE Response
Please follow directions as specified in the RFA document. These requirements are dictated by the procurement process. All eligible applications will be reviewed by the CHAPP Advisory Committee.
 
38.     Applicant Question
 
If an applicant perceives that one’s question or a part of one’s question was not answered in the CHAPP RFA #643 Q&A, how can an applicant seek further clarification on the original question posted by the submission deadline?
 
CDPHE Response
To clarify what you were are asking: 
If you believe there was an oversight and a question was missed, please indicate to the program what the question was and how it was originally submitted; e.g. via email or at the bidders’ conference. We can then respond if it was received before Wednesday, January 15, 20014.
If you are referring to need further clarification, that is, a question was not interpreted fully or correctly, you may ask for clarification. If is directly related to the question and the program feels that further clarification is needed, you will be notified that a response will be posted.
 
 Questions asked during the Bidders Conference but not answered:
 

39.            Applicant Question:

Per CHAPP audit findings, you read that the purpose of the CHAPP RFA is designed to serve all 64 CO Counties. The formula CDPHE has established to determine eligible/available funding for a region or area results in 70 percent of CHAPP funding being allocated to Denver, Adams, Arapahoe, and Jefferson. How does this support the CHAPP audit findings to better distribute available funding statewide?

CDPHE Response:

The CHAPP funds are not allocated through a formula grant. The 2013 CHAPP RFA funding methodology is distributed evenly to prevent HIV in the population at risk.

The projected at risk population is an estimate based on the average number of persons reported for the past five years to have gonorrhea, chlamydia and syphilis statewide.

Calculating the projected CHAPP dollars available per person at risk is derived from the total amount of CHAPP funds appropriated divided by the estimated at risk population to derive the per capita investment. The amount of funding to the rural counties is proportionately allocated to the burden of disease.

40.       Applicant Question:

Can you describe the rationale as to selecting 5 years of chlamydia, gonorrhea, and syphilis diagnosis data provides a reliable control variable to determine the number of people at risk for HIV and in need of prevention services?

CDPHE Response:

The sexually transmitted infections such as chlamydia, gonorrhea and syphilis share the same mode of transmission as well as facilitate the acquisition and the transmission of HIV. The five year average of reported cases is used as a baseline to prospectively measure the effectiveness of the prevention efforts overtime. The reported disease burden is the simplest estimation technique to statistically infer the pattern of morbidity overtime across subpopulations within specified geographical areas.

Please note: the five year average of reported cases is a snapshot of cases of high risk behaviors leading to incurred STIs statewide, (not a reliable control variable). It is important to note these caveats:

·         the total number of reported STI cases may not account for the STI cases not reported;

·         the total number of reported STIs include recurrent individual infections and subsequent STIs acquired by persons living with HIV/AIDS.

 

41.       Applicant Question:

How does the formula address consideration of undiagnosed individuals, individuals exposed but not infected, and individuals needing to be reached through prevention to not get exposed or infected?

CDPHE Response:

The 2014 CHAPP funding opportunity is purposely directed to enhance access to interventions delivered by HIV preventionists in local networks. The funding strategically sponsors a required infrastructure and other partnerships that serve the at risk population in different disciplines including mental health, substance use and local medical care providers. Thus the CHAPP investment should create an integrated environment that extends to other social determinants of STI/HIV and leverage these collaborations to reach the population at greatest risk.

42.       Applicant Question:

RFA

1)Clarify funding: up to $100,000/year for each of 3 years.

CDPHE Response:

Each network will be limited to $100,000 per year for the three-year cycle.

2) Clarify pg. 9, IV B (c) - Pharmacies and STI/Testing.

CDPHE Response:

Around the nation many pharmacies in inner city areas are coordinating STI/HIV testing, linkage to care and engagement in care. The CHAPP announcement recognizes the opportunity community pharmacies may represent as part of potential (not required) partners in local networks.

3) Clarify pg. 9 IV (d) Needs assessment for IT referral systems - what specifically are you looking for?

CDPHE Response:

Plans to assess hardware and software needs of the network to implement effective electronic based referral to other network providers.

4) How do we access the support? The RFA email?

CDPHE Response:

Supportive assistance will be in the form of capacity building once a proposal is funded. The needs assessment will inform the Section on the type of capability that is necessary.

43.       Applicant Question:

How will you determine how many trans-women are in a local catchment area?

CDPHE Response:

The Tans population is understudied. However working with established agencies such as the Denver-based GLBT community center and other prominent health insurance providers including Kaiser Permanente and Colorado HealthOP that will cover health services for transgender citizens would be excellent resources to appreciate the size of that target population.

44.       Applicant Question:

If a program leverages other funding sources to fund a program, is it a conflict of interest to CDPHE if a program references the same deliverables?

CDPHE Response:

Strategic leveraging of different funding sources is exactly what the CHAPP funds should enable all our community partners to do. Hence, the goal is to create community systems that are resilient and capable of generating diversified revenue streams. However, an agency must be careful not to create duplicated funding by carefully assessing the proportion of a program that is fiscally supported by CHAPP and the other revenue sources.

 

CHAPP RFA #643, Questions Posted Monday, December 30, 2013
 
  • Question:
This email is to present an inquiry to obtain clarification of a requirement concerning CDPHE CHAPP RFA #643, regarding Page 18 of 32, Section IV – G – Paragraph 2 – Bullet Point #6:  “Headings: The original headings for each and all sections of the response must be included.”
 
Can you provide clarification about what original headings for all sections does and does not include? For example, in the 15-page max for “Project Description” there is an extensive outline and it is unclear what constitutes as original headings; i.e., text introduced via outline form: “B, 1., a., i., 01., (i)”
 
Answer:
 
Page 18 lists formatting requirements. Major heading are required to assist reviewers in following your application.  There are no requirements for the outline formatting.  List may be collapsed  into descriptive narrative.  There is no one correct approach. The more detail there is , the more clarification is needed to avoid confusionMake every attempt to make it clear. 
Examples: pg 10--11
B:Project Description –
1.Narrative
a. Problem Description- address i-iv in narrative form
b. Essential Referral Network Infrastructure: address i-iii in narrative form
c. Basic Package of Prevention Services these have more details, you may want to do narrative for each point i.ii,iii
No indents are required. One inch margins must be observed. Spacing may help, but is not required,  to distinguish major heading
 
  • Question:
What are the requirements for the Intent to Apply letter?
 
Answer:
 
There are no requirements.  It has become clear to the Program, based on the Letters of Intent thus far received, that there is some confusion regarding the intent of the RFA.  If you are to have a successful application, we urge you to view the Webinar that will be posted close of business, Monday January 6, 2014 NEW DATE!

Ideally the Letter of Intent would include the geographic catchment area; the network partners that are anticipated, both required and optional; and the basic package of prevention services and any elective elements.  (What services will be offered to whom, by which network partners and in what geographic area).
 
CHAPP RFA #643, Questions Posted Monday, December 23, 2013
 
  1. Question:
 I wondered if all elements listed in III.A.2. Basic Package of prevention services were mandatory for all applications.
 
More specifically, if we were to apply to develop a retention coordinator/program or even to support an nPEP program (as I suspect it will necessarily grow next year as you all advertise), does a behavioral intervention from the appended list have to be included in our proposal? 
 
Answer:
 
All elements of the basic prevention package are mandatory. Services must be provided by at least one of the participants of the local network.  It is the grantee’s responsibility to assure that all the mandatory services are provided and coordintated.
 
In this specific case, it would be optimal to build an "in-network referral system" to pertinent behavioral intervention(s) that address the risk factors of the at risk population whether the client qualified for nPEP or not. If an agency would like to limit its participation.  This could be done by the applicant/grantee or a network partner.
 
 
 
 
 
 
If you have questions or concerns regarding the RFA or related material, please email them to cdphe.chapp@state.co.us