Community-Based HIV Primary Care and Prevention Services

FAU Control # 0904221202

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

Contact Information

Written Submission of Substantive Questions:

• Lisa Roland-Labiosa, MPH
  New York State Department of Health
  AIDS Institute - Primary Care Section
  Empire State Plaza
  Corning Tower, Room 429
  Albany, NY 12237
  E-mail:aipcrfa09bml@health.state.ny.us

Submission of Questions of a Technical Nature, in Writing or by Telephone:
Applicant Conference and Letter of Interest:

• Lisa Wend
  New York State Department of Health
  AIDS Institute
  Empire State Plaza
  Corning Tower, Room 429
  Albany, NY 12237
  Phone: (518) 474-7904
  E-mail: lms11@health.state.ny.us

Submission of Applications:

• Valerie White
  Deputy Director, Administration and Data Systems
  New York State Department of Health
  AIDS Institute
  Empire State Plaza
  Corning Tower, Room 478
  Albany, NY 12237

Documents

• Request for Applications (PDF, 2.8MB, 139pg.)
• Sample Letter of Interest (DOC, 26KB, 1pg.)
• Sample Letter of Commitment from Executive Director or Chief Executive Officer (DOC, 47KB, 1pg.)
• Sample Letter of Commitment from Board of Directors or Equivalent Official (DOC, 49KB, 1pg.)
• Application Checklist (DOC, 55KB, 1pg.)
• Verndor Responsibility Questionaire (DOC, 235KB, 7pg.)
• Vendor Responsibility Attestation (DOC, 123KB, 1pg.)
• Application Cover Page (DOC, 60KB, 1pg.)
• Service Grid and Timeline (DOC, 59KB, 1pg.)
• Population Data Form (DOC, 51KB, 1pg.)
• Agency Capacity and Staffing Information (DOC, 59KB, 1pg.)
• Board of Directors Information (DOC, 61KB, 1pg.)
• Funding History for HIV Services (DOC, 55KB, 1pg.)
• AIDS Institute Reporting System (DOC,48KB, 1pg.)
• Electronic Medical Records (EMR) (DOC, 47KB, 1pg.)
• Summary Budget Forms (XLS, 171KB,7sheets)
• Questions and Answers (PDF, 67KB, 12pg.)