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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Frequently Asked Questions (FAQs)
What is the REACH (Rural Re-Engagement and Care using CHWs for Persons with HIV) project?
REACH is a CDC demonstration project focused on improving HIV care outcomes in rural communities by using community health worker (CHW)-mediated services to help people re-engage in care and to provide proactive outreach for people who are not virally suppressed or who move in and out of care.
What problem is this funding opportunity trying to address in rural areas?
The project is designed to address major barriers rural residents may face when trying to get consistent HIV care, such as long travel distances to HIV-experienced clinicians, provider shortages, and fewer local support services that help people stay on treatment. It also recognizes additional structural barriers that can affect Black and Hispanic/Latino communities, including racism, stigma, medical mistrust, and limited access to culturally appropriate and language translation services.
What is the overall goal of the program?
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 in rural communities.
What is the main approach the program expects recipients to implement?
Recipients are expected to partner closely with HIV clinical providers to identify people with HIV in rural communities who are not currently in care or who have not achieved viral suppression, and then implement a CHW-mediated model that supports (1) re-engagement for people who have fallen out of care and (2) proactive outreach for people who are intermittently in care or not virally suppressed.
Who does the program serve (the priority populations emphasized in the description)?
The description places special emphasis on populations disproportionately affected by HIV and who may face heightened barriers in rural settings, including cisgender Black men and women, gay, bisexual, and other men who have sex with men (MSM), and transgender women. It also highlights disparities affecting Black Americans and Hispanic/Latino people, particularly in several priority rural states in the South.
What does "re-engagement to care" mean in this program?
In the context of this opportunity, re-engagement to care refers to identifying people with HIV in rural communities who are not currently in HIV care and helping connect them back to HIV medical care and treatment using CHW-mediated, field-based support.
What does "outreach" mean in this program?
Outreach refers to proactive support for people with HIV who may be in care intermittently or who are not virally suppressed, with the aim of improving retention, treatment consistency, and viral suppression.
What are community health workers (CHWs) expected to do under this project?
CHWs are expected to act as trusted frontline workers who understand local needs and serve as a bridge between clients and health systems. Their work is described as hands-on and field-based, focused on addressing real-world obstacles that make it harder to stay in HIV care and maintain consistent treatment.
Are recipients required to employ and train CHWs?
Yes. A core requirement described for the project is employing and training CHWs to carry out the CHW-mediated model.
What kinds of service activities are allowable for CHWs under this opportunity?
The grant description lists 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.
Can CHWs help clients connect to services beyond HIV medical care?
Yes. The CHW role is described as potentially extending to coordinating access to other services that affect HIV outcomes, such as mental health and primary care.
Does the project include medication adherence support?
Yes. The model includes delivering evidence-based medication adherence support to help clients start ART, restart ART after interruptions, and take ART consistently.
How does the program plan to identify people who need re-engagement or outreach?
Recipients are expected to partner closely with HIV clinical providers to identify people with HIV in rural communities who are either not currently in care or not virally suppressed.
Why does the opportunity emphasize culturally and linguistically responsive services?
The opportunity notes that structural barriers such as racism, stigma, and medical mistrust can compound access challenges, and that limited culturally appropriate services and language translation can affect engagement in care. The program frames culturally and linguistically responsive service delivery as a way to reduce stigma, ease medical mistrust, and remove perceived or practical barriers to consistent care.
What outcomes is CDC looking for from funded recipients?
The opportunity describes concrete outcomes and measures, including 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 increasing viral suppression.
How does viral suppression benefit the broader community, according to the opportunity description?
The program frames viral suppression as a community-level prevention benefit because sustained viral suppression reduces HIV transmission.
What type of CDC funding mechanism is this?
This is a discretionary CDC cooperative agreement. The description notes that cooperative agreement funding typically involves substantial CDC involvement through collaboration, guidance, and shared implementation expectations, rather than a hands-off grant model.
What is the Funding Opportunity Number (FON) for this program?
The Funding Opportunity Number listed is CDC RFA PS 24-0026.
Which CDC center is administering this opportunity?
The opportunity is administered by the Centers for Disease Control and Prevention (CDC), National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).
What is the CFDA listing for this opportunity?
The CFDA listing provided is 93.940.
Who is eligible to apply based on the information provided?
Eligible applicants include 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.
How many awards were anticipated?
The opportunity anticipated making about 7 awards.
What was the original closing date for applications?
The original closing date listed for applications was 2024-01-05.
Is there an award ceiling listed?
The published award ceiling is listed as 0 in the source information. The description indicates that this usually means applicants need to consult the full notice for specific budget guidance, limits, and expectations.
What legal authorities are cited for this program?
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).
Is the project focused only on clinical care, or does it include community and home-oriented strategies?
The project is explicitly framed as community- and home-oriented, grounded in evidence that community-based and home-based service delivery can improve outcomes like retention in care and viral suppression.
Does the opportunity mention any previous initiatives that informed this approach?
Yes. The description notes that the model builds on evidence and practical lessons from prior public health efforts, including Ending the HIV Epidemic (EHE) pilot work showing CHWs can effectively connect priority populations to treatment.
What kind of evidence does the project aim to generate?
The opportunity states that the grant is set up to test and operationalize a CHW-driven strategy in rural communities 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.
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