Opportunity Information: Apply for TI 13 004
Apply for TI 13 004
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Cooperative Agreements to Benefit Homeless Individuals for States (CABHI States)" 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 Apr 8, 2013 and posted on Mar 26, 2013.
- Applicants must submit their applications by May 28, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $7,830,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $711,818.00 in funding.
- The number of recipients for this funding is limited to 12 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants are the single state agencies for substance abuse in the District of Columbia (D.C.) and the following states Arizona, California, Colorado, Florida, Georgia, Hawaii, Illinois, Louisiana, Maryland, Massachusetts, Michigan, Nevada, New York, Oregon, Pennsylvania, Texas, and Washington. To demonstrate a collaborative effort between the state behavioral health entities, applicants must provide a letter of commitment from the state mental health authority (if applicable), in Attachment 4 of the application. If the SSA and the state mental health authority are one entity, a letter of commitment is not required. SAMHSA believes the most effective way to accomplish the goals of this three year state based grant program is to limit eligibility to these 17 states and D.C., due to the high concentration of individuals who experience chronic homelessness that reside in these states. In 2010, the U.S. Interagency Council on Homelessness (USICH) approved Opening Doors, a Federal Strategic Plan to Prevent and End Homelessness. One of the goals of this Strategic Plan is to achieve the goal of ending chronic homelessness by 2015. SAMHSA is committed in the effort to achieve this and other goals in the Federal Strategic Plan. Per HUD s 2012 point in time (PIT) information submitted by Continuums of Care, of the total 99,894 chronic homeless persons in the nation, 78,714 (79 percent) were living in the abovementioned 17 states and D.C. In addition, out of the nation s 633,782 homeless people, 473,927 (74.78 percent) were also living in these 17 states and D.C. Furthermore, the 2012 PIT report highlighted that almost one half of all chronically homeless persons (44,736 people or 44.8 percent) were located in smaller cities, counties, and regional Continuums of Care within these 17 states and D.C. In order to efficiently and effectively impact the goals of the USICH Strategic Plan, it is vital to target the states and communities that represent the highest percentage of chronic homelessness in this country. Limiting eligibility to states that are home to these high need communities represents a targeted approach to achieve success. https://www.onecpd.info/resources/documents/2012AHARPITestimates.pdf The statutory authority for this program prohibits grants to for profit agencies.
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Opportunity Summary:
Cooperative Agreements to Benefit Homeless Individuals for States (CABHI States) is a SAMHSA discretionary grant program (FY 2013) jointly supported by the Center for Substance Abuse Treatment (CSAT) and the Center for Mental Health Services (CMHS). The core purpose is to help states strengthen or build the infrastructure needed to deliver accessible, effective, comprehensive, coordinated (including integrated) and evidence-based behavioral health treatment and recovery services for people experiencing chronic homelessness who have substance use disorders or co-occurring substance use and mental disorders. A major emphasis is connecting this population to permanent supportive housing (PSH), peer supports (including CMHS-funded peer navigator roles), and the practical “bridge” services that make housing and treatment sustainable, especially when those services are not otherwise paid for through the state Medicaid plan.
The program is designed around two high-level outcomes. First, states are expected to develop and implement strategies that directly address the needs of people experiencing chronic homelessness, with particular focus on the most vulnerable individuals. Second, states are expected to measurably increase the number of people who are both placed into permanent supportive housing and successfully enrolled in Medicaid and other mainstream benefits, such as SSI/SSDI, TANF, and SNAP. In other words, CABHI States is not only about expanding services; it is also about improving the systems that make access to housing, treatment, and benefits routine and coordinated rather than fragmented.
SAMHSA funds are intended to support specific categories of work. Three activity areas are supported through CSAT funding: (1) enhancing or creating a statewide plan that builds lasting partnerships across public health, behavioral health, and housing systems, and that produces short- and long-term strategies for chronic homelessness; (2) providing behavioral health services, housing supports, peer supports, and other recovery-oriented services that are not covered under the state Medicaid plan; and (3) helping the state Medicaid eligibility agency streamline enrollment processes for people experiencing chronic homelessness, while also helping provider organizations (including substance use treatment programs and homeless service providers) become qualified Medicaid providers. This third area also includes hands-on engagement to enroll eligible individuals into Medicaid and other key benefit programs. The fourth activity area is funded through CMHS and centers on using peer navigator(s) to help individuals with co-occurring substance use disorders and serious mental illness identify and access housing, recovery supports, social and mainstream benefits, and personal network development. Peer navigation is positioned as a practical, relationship-based approach to helping people overcome real-world barriers to care, benefits, and housing stability.
The opportunity is explicitly aligned with SAMHSA’s broader framework that behavioral health is essential to overall health, prevention is effective, treatment works, and recovery is possible. It also aligns with SAMHSA Strategic Initiatives, especially Recovery Support, and it connects to national priorities such as Healthy People 2020 topic areas for mental health and substance abuse. Awardees are expected to move quickly into implementation: because this is a services grant, SAMHSA’s expectation is that service delivery begins as soon as possible and no later than the fourth month of the project.
Equity requirements are built into the grant’s expectations. Funded applicants must produce a health disparities impact statement using their own grantee data to identify subpopulations experiencing disparities (including racial and ethnic groups and sexual or gender minority groups), then develop and implement a plan to reduce disparities in access, service utilization, and outcomes. The plan is expected to incorporate the National Standards for Culturally and Linguistically Appropriate Services (CLAS), reinforcing that the program is not only about expanding capacity but doing so in a way that is culturally and linguistically responsive.
CABHI States focuses on permanent supportive housing as a key intervention model. PSH is described as long-term, affordable housing paired with voluntary supportive services such as case management intended to help people obtain and keep housing while addressing evolving needs. Housing can be scattered-site or congregate (including apartments, single-room occupancy units, subsidized units, or set-aside units within private buildings), but it must be decent, affordable, and integrated into the community. The target population is people experiencing chronic homelessness as defined under the McKinney-Vento Homeless Assistance Act as amended by the HEARTH Act of 2009, including those homeless for extended periods or repeatedly and who have qualifying disabilities or conditions (such as substance use disorder, serious mental illness, developmental disability, PTSD, brain-injury-related cognitive impairment, or chronic physical illness/disability, including co-occurring conditions). The definition also covers people who recently stayed in an institutional care facility for fewer than 90 days if they met chronic homelessness criteria before entering the institution.
From an administrative standpoint, this is a cooperative agreement, meaning SAMHSA anticipates substantial federal involvement during the project. The program had an estimated total funding amount of $7,830,000 with an award ceiling of $711,818, and SAMHSA anticipated making 12 awards. There is no cost-sharing or matching requirement. The funding opportunity number is TI-13-004 under CFDA 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance). Applications were posted March 26, 2013, with a final closing date of May 28, 2013, and the opportunity was later archived June 27, 2013.
Eligibility was intentionally limited to the single state agencies for substance abuse in 17 states plus the District of Columbia: Arizona, California, Colorado, Florida, Georgia, Hawaii, Illinois, Louisiana, Maryland, Massachusetts, Michigan, Nevada, New York, Oregon, Pennsylvania, Texas, Washington, and D.C. Applicants had to demonstrate collaboration between state behavioral health entities by including a letter of commitment from the state mental health authority (unless the substance abuse authority and mental health authority were the same entity). SAMHSA justified this geographic targeting by citing the high concentration of people experiencing chronic homelessness in these jurisdictions and aligning the program with the U.S. Interagency Council on Homelessness “Opening Doors” federal plan to prevent and end homelessness, including the goal of ending chronic homelessness by 2015. The statutory authority for the program (Sections 509 and 520A of the Public Health Service Act) also prohibits grants to for-profit agencies.
In practical terms, CABHI States is structured to help states do three things at once: coordinate statewide planning across housing and health systems, fill service gaps that Medicaid does not cover (especially the supports that keep people housed and engaged in recovery), and transform benefits access by simplifying Medicaid enrollment and expanding the provider network capable of serving this population. The inclusion of peer navigators reflects a recognition that trust, lived experience, and ongoing support are often the difference between short-term contact and long-term stability for people facing chronic homelessness alongside serious behavioral health conditions. For questions, the listed agency contact was Eileen Bermudez at SAMHSA (Rockville, MD; eileen.bermudez@samhsa.hhs.gov; 240-276-1412).
Frequently Asked Questions (FAQs): CABHI States (TI-13-004)
What is CABHI States?
Cooperative Agreements to Benefit Homeless Individuals for States (CABHI States) is a SAMHSA discretionary grant program (FY 2013) jointly supported by the Center for Substance Abuse Treatment (CSAT) and the Center for Mental Health Services (CMHS). It is designed to help states strengthen or build the infrastructure needed to deliver accessible, effective, comprehensive, coordinated (including integrated), and evidence-based behavioral health treatment and recovery services for people experiencing chronic homelessness who have substance use disorders or co-occurring substance use and mental disorders.
What is the main purpose of this grant?
The core purpose is to improve how states connect people experiencing chronic homelessness to coordinated behavioral health services and recovery supports, with a major emphasis on linking this population to permanent supportive housing (PSH), peer supports (including CMHS-funded peer navigator roles), and practical bridge services that help housing and treatment succeed, especially when those supports are not paid for through the state Medicaid plan.
What outcomes are states expected to achieve?
The program is built around two high-level outcomes: (1) developing and implementing strategies that directly address the needs of people experiencing chronic homelessness, with particular focus on the most vulnerable individuals; and (2) measurably increasing the number of people who are both placed into permanent supportive housing and successfully enrolled in Medicaid and other mainstream benefits, such as SSI/SSDI, TANF, and SNAP.
Is this grant focused only on adding services, or also on system improvements?
It is explicitly about both. CABHI States supports service delivery and also aims to improve the systems that make access to housing, treatment, and benefits routine and coordinated rather than fragmented.
What does it mean that CABHI States is a cooperative agreement?
This opportunity is a cooperative agreement, which means SAMHSA anticipates substantial federal involvement during the project.
What are the CSAT-funded activity areas?
CSAT funding supports three activity areas: (1) enhancing or creating a statewide plan that builds lasting partnerships across public health, behavioral health, and housing systems and produces short- and long-term strategies for chronic homelessness; (2) providing behavioral health services, housing supports, peer supports, and other recovery-oriented services that are not covered under the state Medicaid plan; and (3) helping the state Medicaid eligibility agency streamline enrollment processes for people experiencing chronic homelessness, while also helping provider organizations (including substance use treatment programs and homeless service providers) become qualified Medicaid providers, along with hands-on engagement to enroll eligible individuals in Medicaid and other key benefit programs.
What is the CMHS-funded activity area?
CMHS funds the fourth activity area, focused on using peer navigator(s) to help individuals with co-occurring substance use disorders and serious mental illness identify and access housing, recovery supports, social and mainstream benefits, and personal network development.
What are peer navigators expected to do under this program?
Peer navigators are positioned as a practical, relationship-based approach to help people overcome real-world barriers to care, benefits, and housing stability. They help individuals identify and access housing and supports and connect to benefits and social networks.
What is permanent supportive housing (PSH) in this opportunity?
PSH is described as long-term, affordable housing paired with voluntary supportive services (such as case management) intended to help people obtain and keep housing while addressing evolving needs.
What types of housing models are allowed for PSH?
Housing can be scattered-site or congregate and may include apartments, single-room occupancy units, subsidized units, or set-aside units within private buildings. The housing must be decent, affordable, and integrated into the community.
Who is the target population?
The target population is people experiencing chronic homelessness who have substance use disorders or co-occurring substance use and mental disorders, consistent with the definition of chronic homelessness under the McKinney-Vento Homeless Assistance Act as amended by the HEARTH Act of 2009.
How does this opportunity define chronic homelessness?
It includes people homeless for extended periods or repeatedly who have qualifying disabilities or conditions (such as substance use disorder, serious mental illness, developmental disability, PTSD, brain-injury-related cognitive impairment, or chronic physical illness/disability, including co-occurring conditions). It also covers people who recently stayed in an institutional care facility for fewer than 90 days if they met chronic homelessness criteria before entering the institution.
How does CABHI States address Medicaid enrollment and benefits access?
CABHI States supports efforts to streamline Medicaid enrollment processes for people experiencing chronic homelessness, help provider organizations become qualified Medicaid providers, and conduct hands-on engagement to enroll eligible individuals in Medicaid and other benefits such as SSI/SSDI, TANF, and SNAP.
What kinds of services can SAMHSA funds support if Medicaid does not pay for them?
SAMHSA funds are intended to support behavioral health services, housing supports, peer supports, and other recovery-oriented services that are not covered under the state Medicaid plan, particularly bridge supports that help sustain housing and treatment.
How quickly must service delivery begin?
Because this is a services grant, SAMHSA expects service delivery to begin as soon as possible and no later than the fourth month of the project.
Are there specific equity or health disparities requirements?
Yes. Funded applicants must produce a health disparities impact statement using their own grantee data to identify subpopulations experiencing disparities (including racial and ethnic groups and sexual or gender minority groups) and develop and implement a plan to reduce disparities in access, service utilization, and outcomes.
What standards should be incorporated for cultural and linguistic responsiveness?
The disparities reduction plan is expected to incorporate the National Standards for Culturally and Linguistically Appropriate Services (CLAS).
How is this opportunity aligned with SAMHSA priorities and national initiatives?
It aligns with SAMHSA’s framework that behavioral health is essential to overall health, prevention is effective, treatment works, and recovery is possible. It also aligns with SAMHSA Strategic Initiatives, especially Recovery Support, and connects to national priorities such as Healthy People 2020 topic areas for mental health and substance abuse. SAMHSA also cited alignment with the U.S. Interagency Council on Homelessness "Opening Doors" plan, including the goal of ending chronic homelessness by 2015.
What was the total funding amount and expected number of awards?
The estimated total funding amount was $7,830,000, and SAMHSA anticipated making 12 awards.
What was the award ceiling?
The award ceiling was $711,818.
Is cost sharing or matching required?
No. There was no cost-sharing or matching requirement.
What is the funding opportunity number and CFDA number?
The funding opportunity number is TI-13-004 under CFDA 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance).
When were applications due?
Applications were posted March 26, 2013, with a final closing date of May 28, 2013. The opportunity was archived June 27, 2013.
Who was eligible to apply?
Eligibility was limited to the single state agencies for substance abuse in 17 states plus the District of Columbia: Arizona, California, Colorado, Florida, Georgia, Hawaii, Illinois, Louisiana, Maryland, Massachusetts, Michigan, Nevada, New York, Oregon, Pennsylvania, Texas, Washington, and D.C.
Were there collaboration requirements among state agencies?
Yes. Applicants had to demonstrate collaboration between state behavioral health entities by including a letter of commitment from the state mental health authority, unless the substance abuse authority and mental health authority were the same entity.
Are for-profit organizations eligible to receive these grants?
No. The statutory authority for the program (Sections 509 and 520A of the Public Health Service Act) prohibits grants to for-profit agencies.
Why was eligibility targeted to specific states and D.C.?
SAMHSA justified the geographic targeting by citing the high concentration of people experiencing chronic homelessness in these jurisdictions and aligning the program with federal priorities in the "Opening Doors" plan to prevent and end homelessness.
What is the practical focus of CABHI States for state implementation?
The program is structured to help states coordinate statewide planning across housing and health systems, fill service gaps not covered by Medicaid (especially supports that keep people housed and engaged in recovery), and transform benefits access by simplifying Medicaid enrollment and expanding the provider network capable of serving this population.
Who is the listed SAMHSA contact for this opportunity?
The listed agency contact was Eileen Bermudez at SAMHSA (Rockville, MD). Email: eileen.bermudez@samhsa.hhs.gov. Phone: 240-276-1412.
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