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You are here: Home / Grant Size / $1 Million to $50 Million / DHHS/SAMHSA: Promoting Integration of Primary and Behavioral Health Care

DHHS/SAMHSA: Promoting Integration of Primary and Behavioral Health Care

Dated: March 24, 2023

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS), is accepting applications for the fiscal year (FY) 2023 Promoting the Integration of Primary and Behavioral Health Care program.

Donor Name: Substance Abuse and Mental Health Services Administration (SAMHSA)

State: All States

County: All Counties

U.S. Territories: Commonwealth of Puerto Rico, U.S. Virgin Islands, Guam, American Samoa, and  Commonwealth of the Northern Mariana Islands

Type of Grant: Grant

Deadline: 05/22/2023

Size of the Grant: Up to $2,000,000

Grant Duration: 5 years

Details:

The purpose of this program is to promote full integration and collaboration in clinical practice between behavioral healthcare and primary physical healthcare, including for special populations;  support the improvement of integrated care models for behavioral healthcare and primary/physical healthcare to improve the overall wellness and physical health status of adults with a serious mental illness (SMI); adults who have co-occurring mental illness and physical health conditions or chronic disease; children and adolescents with a serious emotional disturbance (SED) who have a co-occurring physical health conditions or chronic disease; individuals with a substance use disorder (SUD); or individuals with co-occurring mental and substance use disorder (COD); and promote the implementation and improvement of bidirectional integrated care services, including evidence-based or evidence-informed screening, assessment, diagnosis, prevention, treatment, and recovery services for mental and substance use disorders, and co-occurring physical health conditions and chronic diseases.

With this program, SAMHSA aims to improve the health outcomes for persons with behavioral health conditions by supporting the adoption and improvement of integrated care models for behavioral and primary physical health, advancing bidirectional care integration of health care services across systems, and improving the integration of primary and physical health care within specialty behavioral health settings.

Recipients select one or more of these special populations to serve:

  • Adults with a SMI;
  • Adults who have co-occurring mental illness and physical health conditions or chronic disease;
  • Children and adolescents with a SED who have a co-occurring physical health conditions or chronic disease; Individuals with a SUD; or
  • Individuals with COD

Allowable Activities

Allowable activities are an allowable use of funds but are not required. Allowable activities may include:

  • Support the delivery of integrated care through the use of telehealth, cloud-based systems, or remote support of integrated care functions, such as expert consultation on the delivery of integrated primary or behavioral health care, care management, or support for stepped care protocols.
  • Pay for one-time costs that will support the integrated care program (e.g., standing up shared team resources, establishing clinical workflows, policy development, initial engagement to establish relationships across care providers).
  • Conduct state-sponsored networking activities and technical assistance to support integrated care providers.
  • Support co-location of services to facilitate the delivery of integrated care.
  • Develop capacity to prescribe buprenorphine in the integrated care settings supported through the award regardless of the population(s) of focus identified in the integration program plan.
  • Provide dental hygiene kits to program clients to aid in oral health disease prevention and treatment.
  • Implement and provide training on the Behavioral Health Guide for Implementing the National CLAS Standards to service providers to increase awareness and acknowledgment of differences in language, age, culture, racial and ethnic disparities, socio-economic status, religious beliefs, sexual orientation and gender identity, and life experiences in order to improve the inclusiveness of the service delivery environment and ultimately improve behavioral health outcomes.
  • Provide activities that address behavioral health disparities and the social determinants of health, including through partnerships with Medicaid providers and agencies and other state, local, tribal and territorial partners as applicable.
  • Implement efforts aligned to the award that may expand diversity equity, inclusion, and accessibility.
  • Use data to understand who is served and disproportionately served (e.g., overserved or underserved).
  • Develop and implement outreach and referral pathways that engage/target all demographic groups representative of your community.

Funding Information

  • Estimated Total Available Funding: $29,424,813
  • Estimated Award Amount: Up to $2,000,000

Project Period

Up to five years

Eligibility Criteria

Eligibility for this program is statutorily limited to a State or appropriate State agency (e.g., state mental health authority, the single state agency (SSA) for substance abuse services, the State Medicaid agency, or the state health department) in collaboration with one or more qualified community programs, as described in section 1913(b)(1) of the PHS Act (including community mental health centers, child mental-health programs, psychosocial rehabilitation programs, and mental health peer-support or consumerdirected programs); one or more health centers (as defined in section 330(a)); one or more rural health clinics (as defined in section 1861(aa) of the Social Security Act); one or more Federally qualified health centers (as defined section 1861(aa) of the Social Security Act).

Eligibility for this NOFO may include the following:

Government Organizations

  • State governments and territories
  • County governments
  • City or township governments
  • Special district governments
  • Native American tribal governments (federally recognized)
  • Native American tribal governments (other than federally recognized)
  • State-Recognized Tribes

Other Tribal Entities 

  • Tribal organizations
  • Consortia of tribes or tribal organizations
  • Urban Indian Organizations

Education Organizations

  • Independent school districts
  • Public and state-controlled institutions of higher education
  • Private institutions of higher education
  • Education agencies/authorities serving children and youth residing in federally recognized American Indian/Alaska Native (AI/AN) tribes

Non-profit Organizations 

  • Non-profits having a 501(c)(3) status with the Internal Revenue Service (IRS), other o than institutions of higher education o Non-profits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, including entities with 501(c)(4) status (civic leagues, social welfare organizations, and local associations of employees) and 501(c)(5) status (labor organizations). Please note: For-profit organizations and foreign entities are not eligible to apply for SAMHSA awards.

For more information, visit Grants.gov.

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