National Monitoring Standards

The Health Resources and Services Administration (HRSA) National Monitoring Standards are designed to help Ryan White HIV/AIDS Program Part A and B (including ADAP) grantees meet federal requirements for program and fiscal management, monitoring, and reporting to improve program efficiency and responsiveness.

About the National Monitoring Standards


The National Monitoring Standards are designed to:
  • Help grantees comply with federal requirements on proper use of federal grant funds, based on the following.
    • Ryan White HIV/AIDS Program legislation.
    • Federal regulations establishing administrative requirements for HHS grant awards.
    • Office of Management and Budget (OMB) principles.
    • The HHS Grants Policy Statement, HRSA/HAB policies.
    • The Notice of Award and Conditions of Award.
    • Division of Metropolitan HIV/AIDS Programs/Division of State HIV/AIDs Programs (DMHAP/DSHAP) program guidance.
  • Meet grantee requests for clarity on HRSA/HAB expectations regarding the level, scope, and frequency of Provider monitoring.
  • Provide a single document that includes the minimum expectations for both program and fiscal monitoring.
  • Address concerns of Health Resources and Services Administration (HRSA), Congress and Office of the Inspector General (OIG) regarding administrative oversight of Ryan White HIV/AIDS Program grantees and Providers.
  • Help streamline and standardize Project Officer monitoring and site visit functions.
  • Enhance program compliance at the local, state, and federal levels - and reduce negative HRSA and OIG audit findings.
  • Ensure proper stewardship of all grant funds and activities, whether carried out by the grantee or by a Provider; and
  • Communicate applicable requirements to Providers and monitor them for compliance.

Frequently Asked Questions


To review National Monitoring Standard Basics, view these Frequently Asked Questions (PDF).

To review the Standards in their entirety, view the following.

Universal Guidance Document


Review the Universal Guidance Document on the U.S. Government Publishing Office website.

Health Resources & Services Administration Part A Program Standards


View the HRSA Part A Program Standards on the HRSA website.