Eligibility Criteria and Maps of MSAs and MDs

Eligible Applicants for Category A: HIV Prevention Programs for Health Departments

Eligible applicants are limited to state, local and territorial health departments or their Bona Fide Agents.This includes the 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Republic of the Marshall Islands, and Republic of Palau.Also eligible are the local (county or city) health departments serving the 10 specific Metropolitan Statistical Areas (MSAs) or specified Metropolitan Divisions (MDs) that have the highest unadjusted number of persons living with a diagnosis of HIV infection as of year-end 2008.These ten eligible areas comprise approximately 37% of the total persons living with HIV in the United States as of the end of 2008.

The eligible entities within the Metropolitan Divisions will be the city health departments.If no city health department exists, the county health department will be the eligible entity. The eligible entity within a Metropolitan Statistical Areas will be the city health department in the county with the greatest number of persons living with HIV. If no city health department exists, the county health department will be the eligible entity.

State health departments with eligible city or county health departments must discuss how the state and local area will work collaboratively during the project period to ensure appropriate provision of services within the MSA or MD and document any agreements reached in a letter or agreement (LOA), which must be submitted by both parties as part of their application. City or county health departments will be responsible for providing services to the entire MSA or specified MD. However, in the event the city or county health department is unable or unwilling to provide services for the entire MSA or MD, the state may assume responsibility for any areas left uncovered and apply for a portion of the city or county's funding allocation commensurate with the additional responsibilities and resource needs. City and county health departments may opt not to apply; if this occurs, their funding allocation will then be available to the state to provide services for that MSA. At a minimum, the LOA must include the following:

• Name and address of entity providing HIV prevention services
• Funding source (i.e., CDC PS12-1201)
• Scope of services to be provided (i.e. a statement of the funding requested by each eligible entity, the assignment of responsibility for geographic areas, and general services to be provided)
• Date agreement is in effect
• Signature of authorized representatives and dated.

See the Letter of Agreement template provided in Attachment XI.

Eligible Applicants for Category B: Expanded HIV Testing for Disproportionately Affected Populations

Eligibility for Category B is limited to health department jurisdictions with at least 3,000 Black/African American and Hispanic/Latino adults and adolescents (unadjusted number) living with a diagnosis of HIV infection as of year-end 2008. Eligible jurisdictions, based on this criterion, are listed below:

Similar to Category A, if a city and county health departments opts not to apply, they may rely on the state to provide services for that MSA. They may also opt to make an alternative agreement to share responsibility for serving the entire MSA or MD and allocate resources accordingly. In states that have directly-funded cities, both eligible entities must submit a LOA detailing the understanding that has been reached regarding the delivery of service within the directly funded city. At a minimum, the LOA must include the following:

• Name and address of entity providing HIV prevention services
• Funding source (i.e., CDC PS12-1201)
• Scope of services to be provided (i.e. a statement of the funding requested by each eligible entity, the assignment of responsibility for geographic areas, general services to be provided)
• Date agreement is in effect
• Signature of authorized representatives and dated.

See the Letter of Agreement template provided in Attachment XI.

Maps of Eligible Metropolitan Statistical Areas (MSAs) or specified Metropolitan Divisions (MDs) for this FOA: