Opportunity Information: Apply for SM 15 010

  • The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Cooperative Agreement to Benefit Homeless Individuals for States Enhancement" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.243 Substance Abuse and Mental Health ServicesProjects of Regional and National Significance.
  • This funding opportunity was created on Feb 9, 2015 and posted on Feb 9, 2015.
  • Applicants must submit their applications by Apr 9, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $24,116,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $1,800,000.00 in funding.
  • The number of recipients for this funding is limited to 18 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Eligible applicants are either State Mental Health Authorities (SMHAs) or the Single State Agencies (SSAs) for Substance Abuse in the eligible states. However, SAMHSAs expectation is that both the SMHA and SSA will work in partnership to fulfill the requirements of the grant. Eligible states are as follows CABHI States grant awards in FY 2013 Tier 1 MA, GA, WA, CO, PA, IL, HI, MI, NV, AZ, LA and FY 2014 Tier 1 TN, OH, CT and Tier 2 OK, WI, UT, MS. Grants funded in FY 2013 can receive up to one year of funding and grants funded in FY 2014 can receive up to two years of funding.
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Opportunity Summary:

The Cooperative Agreement to Benefit Homeless Individuals for States Enhancement (CABHI States Enhancement) was a FY 2015 funding opportunity from the Substance Abuse and Mental Health Services Administration (SAMHSA), jointly supported by the Center for Substance Abuse Treatment (CSAT) and the Center for Mental Health Services (CMHS). It was designed specifically as an add-on, capacity-building award for states that had already received CABHI States grants in FY 2013 or FY 2014. The central idea was to help those prior grantees further develop, strengthen, and broaden the infrastructure and service systems they had begun building under the original CABHI awards, with a clear rule that enhancement dollars had to support new activities and could not replace or “supplant” funds already provided under the earlier grant.

The program focused on increasing access to coordinated, evidence-based, and recovery-oriented care paired with permanent supportive housing for people experiencing chronic homelessness who also have substance use disorders, serious mental illness (SMI), or co-occurring mental and substance use disorders. Veterans experiencing homelessness or chronic homelessness with these same behavioral health conditions were also a priority population. In practice, the grant emphasized integrated approaches that connect behavioral health treatment, housing supports, peer services, and other recovery supports so people can stabilize in housing while receiving appropriate clinical and community-based assistance.

SAMHSA laid out three major outcome aims for states using these enhancement funds. First, states were expected to improve statewide strategies that better align planning and coordination across behavioral health, primary care, and permanent housing systems as a pathway to reducing homelessness. Second, the program sought to increase the number of people who are already living in permanent housing and actively receiving behavioral health treatment and recovery support services. Third, it aimed to increase the number of people placed into permanent housing and successfully enrolled in Medicaid and other mainstream benefit programs, specifically naming SSI/SSDI, TANF, and SNAP as key supports that can improve stability and long-term recovery outcomes.

To reach those aims, SAMHSA emphasized three categories of activities that states should carry forward and expand from their original CABHI work. One priority was strengthening and sustaining cross-system partnerships, especially between public health and housing entities, and using the statewide plan to drive both short-term and long-term strategies for serving people experiencing homelessness with behavioral health needs. Another priority was expanding actual service delivery capacity, including behavioral health treatment, housing-related supports, peer support services, and other recovery-oriented services that help people stay engaged and housed. The third priority centered on benefits access and system streamlining, particularly improving how the state Medicaid eligibility agency processes applications for the target populations and helping provider organizations (such as substance use treatment programs and homeless service providers) become qualified Medicaid providers. This aspect was meant to increase the likelihood that eligible individuals could be enrolled quickly in Medicaid and other benefits, and that the provider network could bill Medicaid to sustain services beyond the grant period.

The opportunity also tied explicitly to SAMHSA’s Strategic Initiative on Recovery Support and included a strong expectation that states address behavioral health disparities. Applicants were encouraged to implement practical strategies to reduce gaps in access, utilization, and outcomes for racial and ethnic minority groups within the populations served. In addition, because this was categorized as a SAMHSA services grant program, SAMHSA stressed rapid implementation: funded projects were expected to begin delivering services as soon as possible after award, and no later than the fourth month of the project period.

Administratively, the award used a cooperative agreement mechanism, signaling substantial federal involvement compared with a standard grant. The opportunity was listed as discretionary funding in the health category, with an estimated 18 awards and an estimated total funding level of $24,116,000. The award ceiling was $1,800,000, with no stated award floor, and there was no cost sharing or matching requirement. The funding opportunity number was SM-15-010, CFDA 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance). It was posted February 9, 2015, and closed April 9, 2015, with an archive date of May 9, 2015.

Eligibility was limited to the relevant state authorities in eligible states: State Mental Health Authorities (SMHAs) or Single State Agencies (SSAs) for Substance Abuse, with SAMHSA making it clear that it expected SMHAs and SSAs to operate in partnership to meet grant requirements. Only states that had received CABHI States awards in FY 2013 or FY 2014 could apply, and the eligible states listed were: FY 2013 Tier 1 (MA, GA, WA, CO, PA, IL, HI, MI, NV, AZ, LA) and FY 2014 Tier 1 (TN, OH, CT) and Tier 2 (OK, WI, UT, MS). Funding duration depended on the original award year: FY 2013 grantees could receive up to one year of enhancement funding, while FY 2014 grantees could receive up to two years.

Overall, CABHI States Enhancement was meant to help participating states move from early implementation to stronger, more sustainable systems that combine permanent supportive housing with integrated behavioral health treatment and recovery supports, while also building the Medicaid and benefits infrastructure needed to keep services going long after federal grant dollars end.

FAQs: CABHI States Enhancement (FY 2015) - SAMHSA

What is the CABHI States Enhancement opportunity?

The Cooperative Agreement to Benefit Homeless Individuals for States Enhancement (CABHI States Enhancement) was a FY 2015 funding opportunity from the Substance Abuse and Mental Health Services Administration (SAMHSA), jointly supported by the Center for Substance Abuse Treatment (CSAT) and the Center for Mental Health Services (CMHS). It was designed as an add-on, capacity-building award for states that had already received CABHI States grants in FY 2013 or FY 2014.

Is this a new standalone grant or an add-on to a prior award?

It was an enhancement (add-on) opportunity for prior CABHI States grantees. The intent was to help those states further develop, strengthen, and broaden the infrastructure and service systems started under the original CABHI awards.

What was the main purpose of the enhancement funds?

The enhancement funds were meant to move participating states from early implementation to stronger, more sustainable systems that combine permanent supportive housing with integrated behavioral health treatment and recovery supports, while also building Medicaid and benefits infrastructure so services can continue after federal grant dollars end.

Could enhancement dollars replace existing CABHI funding?

No. Enhancement dollars had to support new activities and could not replace or "supplant" funds already provided under the earlier CABHI grant.

Who was the target population for services supported by this opportunity?

The program focused on people experiencing chronic homelessness who also have substance use disorders, serious mental illness (SMI), or co-occurring mental and substance use disorders, with an emphasis on coordinated, evidence-based, and recovery-oriented care paired with permanent supportive housing.

Were veterans specifically prioritized?

Yes. Veterans experiencing homelessness or chronic homelessness with the same behavioral health conditions were identified as a priority population.

What types of care and supports were emphasized?

The opportunity emphasized integrated approaches that connect behavioral health treatment, housing supports, peer services, and other recovery supports so people can stabilize in housing while receiving appropriate clinical and community-based assistance.

What were the three major outcome aims SAMHSA set for states?

SAMHSA outlined three major outcome aims: (1) improve statewide strategies that align planning and coordination across behavioral health, primary care, and permanent housing systems to reduce homelessness; (2) increase the number of people already living in permanent housing and actively receiving behavioral health treatment and recovery support services; and (3) increase the number of people placed into permanent housing and successfully enrolled in Medicaid and other mainstream benefits (specifically SSI/SSDI, TANF, and SNAP).

What activity areas were states expected to expand under the enhancement funding?

SAMHSA emphasized three categories of activities: (1) strengthening and sustaining cross-system partnerships (especially public health and housing) and using a statewide plan to drive strategies; (2) expanding service delivery capacity (behavioral health treatment, housing-related supports, peer support, and other recovery-oriented services); and (3) improving benefits access and system streamlining, including Medicaid eligibility processing for target populations and helping provider organizations become qualified Medicaid providers.

How did Medicaid fit into the project design?

Medicaid was a central sustainability focus. The opportunity highlighted improving how the state Medicaid eligibility agency processes applications for the target populations and helping provider organizations (such as substance use treatment programs and homeless service providers) become qualified Medicaid providers, so eligible individuals can enroll more quickly and providers can bill Medicaid to sustain services.

Which mainstream benefit programs were specifically named?

The opportunity specifically named SSI/SSDI, TANF, and SNAP, in addition to Medicaid.

Did SAMHSA require attention to behavioral health disparities?

Yes. States were expected to address behavioral health disparities, and applicants were encouraged to implement practical strategies to reduce gaps in access, utilization, and outcomes for racial and ethnic minority groups within the populations served.

How quickly were funded projects expected to begin delivering services?

Because this was categorized as a SAMHSA services grant program, SAMHSA emphasized rapid implementation. Funded projects were expected to begin delivering services as soon as possible after award, and no later than the fourth month of the project period.

What type of funding mechanism was used?

The award used a cooperative agreement mechanism, which signals substantial federal involvement compared with a standard grant.

What was the funding opportunity number and CFDA listing?

The funding opportunity number was SM-15-010. The CFDA was 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance).

When was the opportunity posted and when did it close?

It was posted on February 9, 2015, and closed on April 9, 2015. The archive date was May 9, 2015.

How many awards and how much total funding were estimated?

SAMHSA estimated 18 awards, with an estimated total funding level of $24,116,000.

What was the maximum award amount?

The award ceiling was $1,800,000. No award floor was stated.

Was cost sharing or matching required?

No. There was no cost sharing or matching requirement.

Who was eligible to apply?

Eligibility was limited to the relevant state authorities in eligible states: State Mental Health Authorities (SMHAs) or Single State Agencies (SSAs) for Substance Abuse. SAMHSA also made clear it expected SMHAs and SSAs to operate in partnership to meet grant requirements.

Which states were eligible to apply based on prior CABHI States awards?

Only states that had received CABHI States awards in FY 2013 or FY 2014 could apply. The eligible states listed were: FY 2013 Tier 1 (MA, GA, WA, CO, PA, IL, HI, MI, NV, AZ, LA) and FY 2014 Tier 1 (TN, OH, CT) and Tier 2 (OK, WI, UT, MS).

How long could a state receive enhancement funding?

Funding duration depended on the original award year: FY 2013 grantees could receive up to one year of enhancement funding, while FY 2014 grantees could receive up to two years.

What systems were states expected to coordinate across?

States were expected to better align planning and coordination across behavioral health, primary care, and permanent housing systems.

What kinds of partnerships were especially emphasized?

The opportunity emphasized strengthening and sustaining cross-system partnerships, especially between public health and housing entities, and using a statewide plan to guide short-term and long-term strategies.

What kinds of service capacity expansions were mentioned?

Examples of service delivery capacity expansions included behavioral health treatment, housing-related supports, peer support services, and other recovery-oriented services that help people stay engaged and housed.

What category of grant was this considered?

The opportunity was listed as discretionary funding in the health category.

How did this opportunity connect to SAMHSA priorities?

It tied explicitly to SAMHSA's Strategic Initiative on Recovery Support and included expectations around recovery-oriented services, rapid implementation, and addressing behavioral health disparities.

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