This announcement solicits new applications for fiscal year (FY) 2014 Ryan White HIV/AIDS Program Part C Early Intervention Services (EIS) Additional Service Area- Ponce, Puerto Rico. Funds will support outpatient HIV early intervention and primary care services targeted to low-income, medically underserved people living with HIV/AIDS. The purpose of the Ryan White HIV/AIDS Part C EIS Program is to provide HIV primary care in the outpatient setting.  Applicants must propose to provide a comprehensive continuum of outpatient HIV primary care services in the designated service area including: 1) targeted HIV counseling, testing, and referral; 2) medical evaluation and clinical care; 3) other primary care services; and 4) referrals to other health services.  Primary care for persons with HIV disease should start as early in the course of the infection as possible.  However, entry into a Part C EIS program may take place at any point in the spectrum of the disease or the patient¿s lifespan. This competition is open to existing grantees and new organizations proposing to provide Part C funded services in all service areas described in Appendix B. Applicants are encouraged to serve the entire service area as a single entity.  Applicants proposing to serve less than all of the service areas as listed in Appendix B must demonstrate the ability to provide care and services to the entire service area with partners.  HRSA¿s goal is to ensure comprehensive services to the entire area listed in Appendix B.  . As established in section 2651 of the PHS Act, and according to the terms and conditions of these awards, a Part C program grantee must expend grant funds to provide HIV primary medical care in a proposed service area. These services must be reflected in the budget. Staff positions such as nurses, medical assistants and dental hygienists can be included in the budget when the position proportionately complements HIV primary medical care providers, such as physicians, dentists, physician assistants, or nurse practitioners for the Part C program. Accordingly, a Ryan White HIV/AIDS program Part C budget must reflect a medical model of care in which providers can assess, treat and refer, as applicable. Providers must be authorized, via credentialing and licensure, to prescribe medications, order medically indicated tests/exams, interpret symptoms, treat, and meet HHS guidelines. Applicants will be expected to have the financial capabilities to execute the fiduciary responsibilities that come with acceptance of a Federal award. Applicants must demonstrate that they are fiscally able to perform the duties and services outlined in this grant. Part C programs should comply with Federally-approved guidelines for HIV Prevention and Treatment (see http://www.aidsinfo.nih.gov/Guidelines/Default.aspx as a reliable source for current guidelines). More information can also be found at http://www.whitehouse.gov/administration/eop/onap/nhas The Department of Health and Human Services (DHHS), Health Resources and Services Administration (HRSA), and HIV/AIDS Bureau (HAB) are committed to meeting the national goals and principles described below. As you complete the application, consider how the program supports and helps to implement these goals and principles.