​HIV Technical Assistance for Indian Country | HRSA 26 110

Opportunity Information: Apply for HRSA 26 110

The HIV Technical Assistance for Indian Country opportunity (HRSA-26-110) is a 4-year cooperative agreement program run by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau, using funds from the U.S. Department of Health and Human Services Minority HIV/AIDS Fund (MHAF). It was designed with input from the Indian Health Service (IHS), specifically the Division of Clinical and Community Services, HIV/HCV/STI Branch, which will consult with awardees during implementation. The overall aim is to strengthen HIV prevention, testing, and treatment systems in tribal and urban Indian settings by building organizational and workforce capacity and by making sustainable, system-level improvements rather than one-time trainings. The program is focused on three core HIV outcomes in Indian Country: improving identification of people who have HIV but are not yet diagnosed, increasing linkage to care and re-engagement for people who have fallen out of care, and improving viral suppression for people receiving HIV treatment.

HRSA expects to fund three entities, each operating within a defined service area, to act as technical assistance providers and capacity builders for tribal and urban Indian organizations. Awardees are expected to take a practical, implementation-oriented approach that helps clinics and programs change workflows, strengthen protocols, and improve performance across the HIV care continuum. In other words, the funded entities are not simply expected to deliver general education; they are expected to help organizations put improved systems into place, support staff in using those systems, and show that the assistance is leading to measurable changes in practice.

The work begins with a structured review of what already exists. Each funded entity must examine prior landscape analyses and previously developed training and technical assistance (T/TA) resources related to strengthening HIV prevention, testing, and treatment in tribal and urban Indian health organizations. The point of this step is to avoid reinventing the wheel while clearly identifying gaps in available T/TA, especially gaps that are specific to the realities of tribal health systems, urban Indian health programs, and their staffing, data, confidentiality, and referral environments. Building from that review, awardees must then create a T/TA plan that lays out how they will conduct individualized needs assessments with participating organizations, what goals and learning objectives they will pursue, what types of materials and supports they will provide (for example, tools, templates, coaching, trainings, and workflow resources), and how they will structure at least one learning collaborative, including its topic, learning objectives, and likely participant roles.

A central requirement is tailoring. Awardees must adapt materials and deliver T/TA at two levels: the provider/staff level (supporting clinicians, nurses, outreach workers, case managers, testers, pharmacists, data staff, and program leaders in their day-to-day roles) and the system level (helping the organization strengthen policies, procedures, workflows, partnerships, and data and quality processes). The expectation is that assistance will be customized to each tribal or urban Indian organization’s needs and readiness, recognizing that organizations may differ widely in resources, service scope, patient population, geography, and current HIV infrastructure. This emphasis on tailored support is meant to make the improvements stick and to ensure they fit the operational context of each site.

Another major deliverable is the development and implementation of a learning collaborative for tribal and/or urban Indian organization staff. The collaborative model is intended to speed up peer learning and collective impact by bringing organizations together to share what works, troubleshoot common barriers, and standardize effective practices where appropriate. The collaborative is expected to have defined topics and learning objectives and to engage relevant participants across disciplines, supporting shared problem-solving around improving testing and identification, strengthening linkage and re-engagement, and increasing viral suppression. This peer-based structure is designed to reduce isolation among programs, spread effective approaches faster, and create a community of practice that can continue beyond the period of intensive support.

Finally, awardees must evaluate the effectiveness of the T/TA they provide. This includes assessing whether organizations are actually implementing the methodologies, tools, and techniques introduced through assistance, and whether that implementation is translating into improved system performance connected to the program’s aims. While the notice emphasizes implementation of what is learned, the broader intent is continuous improvement: using evaluation findings to refine technical assistance, strengthen adoption, and demonstrate that the approach is helping tribal and urban Indian organizations make sustainable changes that support better HIV outcomes.

From an administrative standpoint, this is a discretionary funding opportunity under the Health activity category (CFDA 93.899), offered as a cooperative agreement, which typically means substantial federal involvement in program oversight and coordination compared to a standard grant. The application deadline is July 10, 2026. The award ceiling is $1,500,000, and HRSA anticipates making three awards. Eligible applicants are broad and include tribal governments and tribal organizations, urban- and community-serving nonprofits (with or without 501(c)(3) status), state and local governments, public and private institutions of higher education, school districts, and special district governments, reflecting the program’s intent to fund capable regional or national technical assistance providers that can effectively serve tribal and urban Indian organizations within their service areas.

• The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "​HIV Technical Assistance for Indian Country" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.899.
• This funding opportunity was created on 2026-06-08.
• Applicants must submit their applications by 2026-07-10. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
• Each selected applicant is eligible to receive up to $1,500,000.00 in funding.
• The number of recipients for this funding is limited to 3 candidate(s).
• Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education.

Apply for HRSA 26 110

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