Opportunity Information: Apply for HRSA 14 110

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Affordable Care Act Mental Health Service Expansion Behavioral Health Integration (BHI)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.527 Affordable Care Act (ACA) Grants for New and Expanded Services under the Health Center Program.
  • This funding opportunity was created on Mar 6, 2014 and posted on Jan 31, 2014.
  • Applicants must submit their applications by Mar 3, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $50,000,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $250,000.00 in funding.
  • The number of recipients for this funding is limited to 200 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Applicants are limited to grantees funding under Title III, Section 330 of the Public Health Service Act, as amended by Section 10503 of The Patient Protection and Affordable Care Act (i.e., Community Health Centers, Section 330(e) Migrant Health Centers, Section 330(g) Health Care for the Homeless, Section 330(h) and Public Housing Primary Care, Section 330(i)). Additional eligibility requirements will be included in the application materials.
Apply for HRSA 14 110

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Opportunity Summary:

The Affordable Care Act Mental Health Service Expansion - Behavioral Health Integration (BHI) grant (Funding Opportunity Number HRSA-14-110) is a discretionary grant program run by the Health Resources and Services Administration (HRSA). It was designed to help existing federally funded health centers strengthen how they deliver behavioral health care by weaving mental health and substance use services into everyday primary care. In practical terms, the program focuses on making behavioral health services easier to access at the places where patients already go for routine medical care, while improving coordination between medical and behavioral health staff so patients experience care as one connected system rather than separate services.

The core purpose of the FY 2014 BHI funding is to increase coordination, collaboration, and integration of primary care and behavioral health services at current Section 330 health centers. HRSA spells out two main outcomes it expects from funded projects: first, increased access to behavioral health services; and second, an increased number of health centers operating integrated primary care and behavioral health models. The announcement makes clear that "behavioral health" is defined broadly here and includes both mental health conditions and substance use disorders, so projects can address a wide range of needs, from depression and anxiety to alcohol and opioid use disorders, along with the common co-occurring medical conditions seen in health center populations.

Eligibility is limited to organizations that already receive Health Center Program funding under Title III, Section 330 of the Public Health Service Act, as amended by the Affordable Care Act. That includes Community Health Centers (330(e)), Migrant Health Centers (330(g)), Health Care for the Homeless programs (330(h)), and Public Housing Primary Care programs (330(i)). In other words, this opportunity is not meant for new applicants starting a clinic from scratch; it is aimed at established HRSA-funded health centers that can expand and integrate services quickly. The notice also indicates that additional eligibility requirements would be included in the application materials, signaling that applicants needed to meet program-specific conditions beyond basic Section 330 status.

HRSA expected applicants to make a strong case that their community or target population has a high need for behavioral health services. Beyond documenting need, applicants were required to present a sound, workable plan to address that need and show readiness to implement rapidly. The emphasis on rapid implementation suggests HRSA wanted proposals that were operationally realistic: clear staffing approaches, defined workflows, and feasible timelines, rather than long-term concepts that would take years to launch. Just as importantly, the proposal had to show that BHI funds would meaningfully increase access to comprehensive, culturally competent, collaborative, and integrated behavioral health services. This points to expectations around both service capacity (more people served, shorter waits, expanded hours or service lines) and service quality (care that is culturally and linguistically appropriate, coordinated across providers, and delivered in a way that fits the realities of the patient population).

A key requirement in the description is that applicants explain how services would be made available to all individuals in the service area while maximizing collaboration with existing community behavioral health providers. That reflects HRSA's broader safety-net approach: health centers are expected to serve everyone in their defined service area, and they are also expected to operate as part of a local ecosystem rather than duplicating what other providers do. In practice, this kind of collaboration can include formal referral and care coordination agreements, shared care planning, information-sharing workflows (consistent with privacy laws), co-management of complex patients, or partnerships that extend the health center's ability to provide specialty behavioral health services.

The funding details show a relatively large national investment for that year, with an estimated total program funding level of $50,000,000 and an expectation of about 200 awards. Individual awards had a ceiling of $250,000, with no stated award floor. There was no cost sharing or matching requirement, which lowers the barrier for resource-constrained health centers to participate. The assistance listing ties the program to CFDA 93.527, identified as Affordable Care Act Grants for New and Expanded Services under the Health Center Program, reinforcing that this funding sits within the ACA-era expansion of community health center capacity.

Timing information indicates the opportunity was posted January 31, 2014, with an application closing date of March 3, 2014, and it was later archived on May 2, 2014. For applicants at the time, that represented a short window to assemble a complete application, which aligns with the program's emphasis on organizational readiness and rapid implementation.

For applicant support, HRSA directed organizations to the HRSA Grants Application Center and provided contact options through the HRSA Call Center (phone 877-464-4772, also listed as 877-Go4-HRSA, and email CallCenter@HRSA.GOV). This is typical of HRSA opportunities and indicates that technical assistance was available for accessing the full announcement and navigating submission issues.

Overall, this grant opportunity targeted existing HRSA-funded health centers and offered one-time grant support to expand behavioral health access and accelerate integrated care models. The strongest applications would have been those that clearly documented unmet behavioral health need, laid out an immediate, operational plan to integrate services into primary care, demonstrated cultural competence, and showed how the health center would collaborate with community behavioral health partners to ensure broad, equitable access across the service area.

Affordable Care Act Mental Health Service Expansion - Behavioral Health Integration (BHI) Grant (HRSA-14-110) FAQs

What is the BHI grant (HRSA-14-110)?

The Affordable Care Act Mental Health Service Expansion - Behavioral Health Integration (BHI) grant (Funding Opportunity Number HRSA-14-110) is a discretionary grant program administered by the Health Resources and Services Administration (HRSA). It was designed to help existing HRSA-funded health centers strengthen behavioral health care by integrating mental health and substance use services into routine primary care.

What is the main goal of this funding opportunity?

The core purpose of the FY 2014 BHI funding is to increase coordination, collaboration, and integration of primary care and behavioral health services at current Section 330 health centers.

What outcomes did HRSA expect from BHI-funded projects?

HRSA described two primary expected outcomes: (1) increased access to behavioral health services, and (2) an increased number of health centers operating integrated primary care and behavioral health models.

How does this program define "behavioral health"?

In this opportunity, "behavioral health" is defined broadly and includes both mental health conditions and substance use disorders. Projects could address needs ranging from depression and anxiety to alcohol and opioid use disorders, including common co-occurring medical conditions in health center populations.

Who is eligible to apply?

Eligibility is limited to organizations that already receive Health Center Program funding under Title III, Section 330 of the Public Health Service Act (as amended by the Affordable Care Act). Eligible health center types include Community Health Centers (330(e)), Migrant Health Centers (330(g)), Health Care for the Homeless programs (330(h)), and Public Housing Primary Care programs (330(i)).

Is this opportunity intended for organizations starting a new clinic?

No. The opportunity is aimed at established, federally funded Section 330 health centers, not new applicants starting a clinic from scratch.

Were there additional eligibility requirements beyond Section 330 status?

Yes. The notice indicates that additional eligibility requirements would be included in the application materials, meaning applicants needed to meet program-specific conditions beyond basic Section 330 funding status.

What did applicants need to demonstrate about community need?

Applicants were expected to make a strong case that their community or target population had a high need for behavioral health services.

What did HRSA mean by "rapid implementation"?

The program emphasized readiness to implement quickly. This suggests HRSA wanted operationally realistic proposals with clear staffing approaches, defined workflows, and feasible timelines, rather than long-term concepts that would take years to launch.

What kinds of service improvements were BHI funds expected to support?

Proposals needed to show that BHI funds would meaningfully increase access to comprehensive, culturally competent, collaborative, and integrated behavioral health services. This points to improvements in capacity (for example, more people served or easier access) and improvements in how care is coordinated and delivered across medical and behavioral health staff.

What does "integrated" care mean in the context of this grant?

Integrated care in this context refers to weaving behavioral health services (mental health and substance use) into everyday primary care so patients experience care as one connected system rather than separate services.

Did HRSA require collaboration with community behavioral health providers?

Yes. A key requirement was that applicants explain how services would be made available to all individuals in the service area while maximizing collaboration with existing community behavioral health providers.

What are examples of collaboration activities mentioned or implied by the opportunity?

The description points to collaboration approaches such as referral and care coordination agreements, shared care planning, information-sharing workflows consistent with privacy laws, co-management of complex patients, and partnerships that extend the health center's ability to provide specialty behavioral health services.

What was the total estimated funding level for FY 2014?

The estimated total program funding level was $50,000,000.

About how many awards did HRSA expect to make?

HRSA expected to make about 200 awards.

What was the maximum award amount per recipient?

The award ceiling was $250,000 per award.

Was there a minimum award amount?

No award floor was stated in the information provided.

Was cost sharing or matching required?

No. There was no cost sharing or matching requirement.

What CFDA number was associated with this opportunity?

The assistance listing tied the program to CFDA 93.527, identified as Affordable Care Act Grants for New and Expanded Services under the Health Center Program.

When was the opportunity posted and when did it close?

The opportunity was posted on January 31, 2014, and the application closing date was March 3, 2014.

When was the funding opportunity archived?

The opportunity was archived on May 2, 2014.

Where were applicants directed for application support?

HRSA directed applicants to the HRSA Grants Application Center and provided support through the HRSA Call Center.

How could applicants contact HRSA for help?

Applicants could contact the HRSA Call Center by phone at 877-464-4772 (also listed as 877-Go4-HRSA) or by email at CallCenter@HRSA.GOV.

What kinds of projects were likely to be most competitive based on the description?

Based on the description, strong proposals would have clearly documented unmet behavioral health need, presented an immediate and workable plan to integrate behavioral health into primary care, demonstrated cultural competence, and explained how the health center would collaborate with community behavioral health partners to ensure broad access across the service area.

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