May CARE Act-funded sub-grantees and contractors retain funds collected from third party reimbursement sources for the provision of HIV/AIDS services?
A3: Yes. To the extent that third party revenues are collected by the CARE Act-funded sub-grantee or contractor, existing CARE Act grant funding may and should be used within the organization where the funds were collected, if there is need for a broader range of services, enhanced levels of service for current populations, and/or for serving additional clients, particularly the uninsured. HRSA grant funds are intended for services to support those individuals that have no other form of health insurance coverage and for services not covered by third party payers. Only when the direct service provider can demonstrate no legitimate need should grant funds spared by third party reimbursement go back to the grantee. Q4: We know that Titles I, II, and III CARE Act grantees and providers are required to bill third party payers for HIV/AIDS-related services. If a CARE Act grantees services are located within an institution (e.g., a pediatric unit in a general hospital) or are provided through
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