Background  TOP

The Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB), Division of Service Systems (DSS), is pleased to offer this manual to Ryan White CARE Act Title II grantees and planning bodies. This publication replaces the Ryan White CARE Act Title II Manual that was distributed after the CARE Act was first reauthorized in 1996.

On October 20, 2000 Public Law 106-345, reauthorized the Ryan White CARE Act for a second time, with provisions that affect all CARE Act programs. This manual has incorporated all new provisions affecting the Title II program.

This manual is intended for the use of grantees, planning bodies and people living with HIV disease. However, we encourage you to share it with colleagues and peers involved in all aspects of the Ryan White Title II program in your area. The manual is designed to encourage local photocopying and distribution: each section has its own cover and chapters that deal with specific topics in depth. Each section, and chapters within them, can be copied and circulated as standalone documents.

How to Use This Manual  TOP

This manual contains nine sections. Section One, General Information, contains information that is useful to all readers, such as an overview of the CARE Act, CARE Act 2000 legislation, summary of changes to the Title II program, a description of DSS, and an overview of technical assistance for grantees and planning bodies.

Section Two, Grants Administration, includes updated information on local administration of the CARE Act as well as guidance on Maintenance of Effort.

Section Three, Reporting Requirements, is new for this manual and provides in-depth history and instructions on reports that HAB/DSS requires of grantees, including allocations reports; budgeting, contracting, and fiscal reports; Minority AIDS Initiative (MAI) reports; and the new CARE Act Data Report (CADR). Sample report forms are included.

Section Four, Policies, is a complete list of Program Policy Guidance and Policy Notes that have been issued by HAB and DSS since the inception of the CARE Act.

Section Five, Title II Program Categories, outlines program areas under Title II, which are designed to give States flexibility in meeting their needs.

Section Six, Planning Bodies, provides materials to help Title II planning entities function more effectively.

Section Seven, Coordination, reviews the various ways that Title II can coordinate in planning, funding of services, and service delivery.

Section Eight, Program Guidance, presents updated legislation, DSS expectations and implementation suggestions on issues such as: needs assessment, comprehensive planning, quality management, early intervention services, and priority setting and resource allocation.

Section Nine, Chief Elected Official Guide, is new for this manual and gives the reader a better understanding of the relationship of the CEO to the grantee and planning bodies. It covers both Title I and Title II CEO duties.

Section Ten contains definitions and acronyms and a listing of approved service category definitions. Section Eleven is a listing of HRSA/HAB offices and Title II grantees.

Points to Remember  TOP

• This manual provides a practical, “how to” guide for many aspects of the Title II program. While the hope is that the manual will be a stand alone document, there are other manuals and resources such as the Title I Manual, CARE Act Needs Assessment Guide, Training Guide: Preparing Planning Body Members, and Self Assessment Modules, as well as other HRSA publications that will supplement the information presented here.
• A reference list is included at the end of each chapter in the manual.
• There will be continual updates and inserts sent to the Title II CARE Act community to keep your manuals as up to date as possible.