Specifications include, but are not limited to: contribute to the creation and maintenance of a statewide HIV care infrastructure. The primary goal associated with the scope of work for each applicant is to address needs and meet gaps in the existing systems of HIV care to ensure quality, comprehensive, coordinated, and responsive care. Furthermore, Rhode Island seeks to maintain and improve the health of all PLWHA in the state. While doing so, HRSA is clear that the services are to be payer of last resort, cost effective, and quality oriented. We seek applicants that shall maximize productivity for each awarded Ryan White dollar within federal and state contracting limits. Funded Ryan White providers must be aware of the changing landscape and clearly determine their role in this new healthcare environment.