Specifications include, but are not limited to: 1. Meet a clearly defined unmet need and target population based on the service priorities determined by the HIV Health Services Planning Council; 2. Provide ongoing internal monitoring for quality management and program evaluation; 3. Streamline service delivery; 4. Maintain a process to ensure that clients who receive services funded by Ryan White CARE Act funds consistently have no other source of funds to seek and pay for services independently (this must be documented semi-annually); 5. Demonstrate enhanced cost-effectiveness of services provided through Ryan White CARE Act funding; 6. Provide integration or coordination with existing HIV service providers, as appropriate; 7. Maintain a process to ensure access to care for all eligible clients you will serve; 8. Demonstrate fiscal viability throughout the term of the agreement.