Opportunity Information: Apply for CDC RFA PS 24 0026
Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV) is a CDC demonstration project designed to improve HIV care outcomes in rural areas where people with HIV often face major access barriers. The opportunity recognizes that rural residents may have to travel long distances to see an HIV-experienced clinician, may live in places with provider shortages, and may have fewer local services that support ongoing treatment. It also highlights that these challenges can be compounded by structural barriers affecting Black and Hispanic/Latino communities, including racism, stigma, medical mistrust, and limited access to culturally appropriate and language translation services. The overall goal is to increase re-engagement in HIV care and improve viral suppression by bringing practical, patient-centered support closer to where people live.
Under this program, funded recipients will partner closely with HIV clinical providers to identify people with HIV in rural communities who are either not currently in care or who have not achieved viral suppression. After identifying those individuals, recipients will implement a community health worker (CHW)-mediated model that focuses on two related efforts: re-engaging individuals who have fallen out of HIV care and providing proactive outreach to individuals who are in care intermittently or are not virally suppressed. The model is grounded in evidence suggesting community-based and home-based service delivery can successfully improve outcomes like retention and viral suppression, and it builds on practical lessons from previous public health efforts, including Ending the HIV Epidemic (EHE) pilot work showing CHWs can effectively connect priority populations to treatment.
A core requirement of the project is employing and training CHWs as trusted frontline workers who understand local community needs and can serve as a bridge between clients and health systems. CHWs are expected to provide hands-on, field-based support that addresses real-world obstacles to staying in care. The grant describes a set of allowable service activities that can be tailored to local context, including delivering antiretroviral therapy (ART), collecting samples for standard HIV laboratory testing, facilitating transfer of self-collected specimens, helping with transportation, and arranging and scheduling telehealth visits and/or in-person appointments with HIV medical providers. The CHW role can also extend to coordinating access to other services that often affect HIV outcomes, such as mental health and primary care, and delivering evidence-based medication adherence support to help clients start ART, restart it after interruptions, and take it consistently.
The project places special emphasis on populations that are disproportionately affected by HIV and may face heightened barriers in rural settings. The description specifically calls attention to cisgender Black men and women, gay, bisexual, and other men who have sex with men (MSM), and transgender women. It also situates the work within broader national disparities, noting that Black Americans and Hispanic/Latino people are overrepresented among people with HIV relative to their share of the overall US population, with disparities particularly visible in several priority rural states in the South. By focusing on culturally and linguistically responsive service delivery, the program aims to reduce stigma, ease medical mistrust, and remove perceived or practical barriers that keep people from accessing consistent care.
The outcomes CDC is looking for are concrete and service-focused. Key measures include increasing the number of rural people with HIV who are re-engaged in HIV care and treatment, expanding outreach to those who are not virally suppressed, improving retention in care over time, increasing ART initiation or re-initiation, strengthening adherence to ART, and ultimately increasing viral suppression. In addition to improving individual health, the program frames viral suppression as a community-level prevention benefit because sustained viral suppression reduces HIV transmission.
Structurally, this is a discretionary CDC cooperative agreement (Funding Opportunity Number CDC RFA PS 24-0026) administered by the Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). Cooperative agreement funding typically involves substantial CDC involvement through collaboration, guidance, and shared implementation expectations rather than a hands-off grant model. The CFDA listing is 93.940. The opportunity anticipated making about 7 awards, and the original closing date for applications was 2024-01-05. The published award ceiling is listed as 0 in the source information, which usually means applicants need to consult the full notice for specific budget guidance, limits, and expectations.
Eligible applicants are state, local, and territorial health departments (including county and city/township governments) and their bona fide agents across the 50 states, the District of Columbia, Puerto Rico, and the US Virgin Islands. The program authority is tied to Section 318(b-c) of the Public Health Service Act (42 USC 247c(b-c)), as amended, and the Consolidated Appropriations Act of 2016 (Public Law 114-113). Overall, the grant is set up to test and operationalize a CHW-driven, community- and home-oriented service strategy in rural America, while generating both quantitative and qualitative evidence about what works, what is feasible, and what is needed to sustain improved HIV care engagement and viral suppression.Apply for CDC RFA PS 24 0026
- The Centers for Disease Control - NCHHSTP in the health sector is offering a public funding opportunity titled "Implementation of Community Health Worker-Mediated Services for Re-Engagement to Care and Outreach for Persons with HIV in Rural Communities (REACH: Rural Re-Engagement and Care using CHWs for Persons with HIV)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.940.
- This funding opportunity was created on 2023-11-01.
- Applicants must submit their applications by 2024-01-05. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 7 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments.
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| Epidemiologic Cohort Study of Interstitial Cystitis Apply for RFA DP 24 031 Funding Number: RFA DP 24 031 Agency: Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: $900,000 |
| Effectiveness of Telehealth-Based Programs to Detect Glaucoma Among High-Risk Populations in Community Health Settings Apply for RFA DP 24 081 Funding Number: RFA DP 24 081 Agency: Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: $950,000 |
| Native Hawaiian Health Care Improvement Act Program Apply for HRSA 24 030 Funding Number: HRSA 24 030 Agency: Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
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| Linking Eligibility Across the Ryan White HIV/AIDS Program Parts - Dissemination Assistance Provider Apply for HRSA 24 057 Funding Number: HRSA 24 057 Agency: Health Resources and Services Administration Category: Health Funding Amount: $2,000,000 |
| Ryan White HIV/AIDS Program Part D - Women, Infants, Children and Youth (WICY) Grant Supplemental Funding Apply for HRSA 24 061 Funding Number: HRSA 24 061 Agency: Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Ryan White HIV/AIDS Program Part F Dental Reimbursement Program (DRP) Apply for HRSA 24 060 Funding Number: HRSA 24 060 Agency: Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Fiscal Year 2024 Behavioral Health Service Expansion Apply for HRSA 24 078 Funding Number: HRSA 24 078 Agency: Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Supporting People with HIV as Leaders in HIV Systems of Care Apply for HRSA 24 055 Funding Number: HRSA 24 055 Agency: Health Resources and Services Administration Category: Health Funding Amount: $800,000 |
| Behavioral Health Integration (BHI) Evidence Based Telehealth Network Program (EB-TNP) Apply for HRSA 24 010 Funding Number: HRSA 24 010 Agency: Health Resources and Services Administration Category: Health Funding Amount: $350,000 |
| National AETC Support Center Apply for HRSA 24 099 Funding Number: HRSA 24 099 Agency: Health Resources and Services Administration Category: Health Funding Amount: $2,200,000 |
| Licensure Portability Grant Program Apply for HRSA 24 011 Funding Number: HRSA 24 011 Agency: Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Ryan White HIV/AIDS Program Part C Capacity Development Program Apply for HRSA 24 062 Funding Number: HRSA 24 062 Agency: Health Resources and Services Administration Category: Health Funding Amount: $150,000 |
| Ryan White HIV/AIDS Program Implementation for HIV Clinical Quality Improvement Apply for HRSA 24 072 Funding Number: HRSA 24 072 Agency: Health Resources and Services Administration Category: Health Funding Amount: $1,750,000 |
| Opioid-Impacted Family Support Program Apply for HRSA 24 016 Funding Number: HRSA 24 016 Agency: Health Resources and Services Administration Category: Health Funding Amount: $600,000 |
| Nurse Faculty Loan Program (NFLP) Apply for HRSA 24 015 Funding Number: HRSA 24 015 Agency: Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Geriatrics Workforce Enhancement Program Apply for HRSA 24 018 Funding Number: HRSA 24 018 Agency: Health Resources and Services Administration Category: Health Funding Amount: $1,000,000 |
| Advanced Nursing Education – Sexual Assault Nurse Examiners (ANE-SANE) Program Apply for HRSA 24 017 Funding Number: HRSA 24 017 Agency: Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Primary Care Training and Enhancement: Physician Assistant Rural Training in Behavioral Health (PCTE-PARB) Program Apply for HRSA 24 019 Funding Number: HRSA 24 019 Agency: Health Resources and Services Administration Category: Health Funding Amount: $415,000 |
| Support and Scale Up of HIV Prevention Services in Sexual Health Clinics Apply for CDC RFA PS 24 0003 Funding Number: CDC RFA PS 24 0003 Agency: Centers for Disease Control - NCHHSTP Category: Health Funding Amount: Case Dependent |
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