Ryan White Title III HIV Capacity Development and Planning Grants - NCHC is a comprehensive, community-based, federally qualified health care center and Level 3 Patient Centered Medical Home offering coordinated and integrated primary medical care services for persons living with HIV/AIDS (PLWHA) in the City of Newark and its contiguous municipalities. NCHC serves the poor, minority, un/underinsured, medically underserved, and at-risk special populations in the state’s most densely populated municipalities through its six clinical sites located in Newark, East Orange, Irvington and Orange. Today, NCHC serves more than 46,000 consumers of all ages annually. The primary care program provides Adult Medicine, Obstetrics and Gynecology, Pediatrics, and Dentistry services. Additional services include Behavioral Health, Social Work, HIV Testing & Counseling, Nutritional Counseling, and Outreach services. NCHC is respectfully requesting Ryan White Part C Capacity Development funding of $150,000 for Community Health Workers. As of 2019, approximately 10,000 residents of Essex County, were reported to be living with HIV/AIDS per the New Jersey Department of Health Division of HIV, STD/STI Services. The majority of PLWHA are Black 78%; 14% are Hispanic, and as a part, a disproportionate segment of the population is undocumented and immigrant population. Universally, over 4,056 residents in Essex County are PLWHA and not in medical care. Barriers affecting this measure include: poverty, language restrictions, lack of education, high unemployment, and high incidence of crime and drug abuse. These are just a few of the major social determinants of health of PLWHA’s receiving services in the Newark and the Essex County area. NCHC is a primary health care system, employing a one-stop-shop model and designed to address removal of barriers to care, promote patient care coordination, and foster service enhancements. Key elements include: integration of prevention and care, early intervention and expedited entry into care, access to and retention in client-centered care through concentrated medical case management efforts, improved outcomes and program refinements through proactive quality management, and ultimately the reduction of health disparities. To address the unmet demand, NCHC is respectfully applying for funding to support three additional Community Health Workers to increase services and improve health outcomes for PLWHA as measured by agency data collection.