Opportunity Information: Apply for TI 13 010
Apply for TI 13 010
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Enhancing Opioid Treatment Program Patient Continuity of Care through Data Interoperability" 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 12, 2013 and posted on Feb 12, 2013.
- Applicants must submit their applications by Apr 3, 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 $1,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $50,000.00 in funding.
- The number of recipients for this funding is limited to 20 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants are domestic public and private non profit OTPs. There are approximately 1,260 SAMHSA certified OTPs, 47 percent of which are non profit providers (National Survey on Substance Abuse Treatment Services, 2010). This results in an estimated 593 programs that are eligible to apply. The statutory authority for this program prohibits grants to for profit agencies, and SAMHSA is further limiting competition to certified OTPs. The object of this grant program is to expand interoperable EHRs to a very specific behavioral health care provider OTPs. There is considerable variation in the way that OTPs develop their record systems to fit the needs of their programs OTPs know exactly what is needed in their EHR systems. Some OTPs acquire EHR systems from large vendors and tailor them to their needs. Other OTPs have developed and built their EHR systems from the ground up so that they are entirely specialized to that one program. OTPs are best suited to analyze the characteristics of the health information exchanges in their regions and how those factors apply to their staff and patient population needs. As such, OTPs are uniquely qualified to maximize the resources provided under this grant.
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Opportunity Summary:
The FY 2013 Enhancing Opioid Treatment Program Patient Continuity of Care through Data Interoperability (OTP CoC) grant opportunity, offered by SAMHSA's Center for Substance Abuse Treatment (CSAT), is designed to help opioid treatment programs modernize and strengthen their electronic health record (EHR) capabilities so patients can maintain continuous, safe, and effective care even when services span multiple providers or are disrupted by emergencies. At its core, the program provides targeted resources to certified opioid treatment programs (OTPs) so they can build or upgrade EHR systems that meet regulatory requirements, achieve certified status, and, most importantly, exchange information with other health record systems. The broader expectation is that better-connected health information will translate into improved behavioral health outcomes for people receiving medication-assisted treatment, including methadone and buprenorphine, across the more than 1,260 OTPs serving hundreds of thousands of patients nationwide.
A central theme of the opportunity is interoperability and continuity of care. SAMHSA highlights that behavioral health providers, including OTPs, have historically lagged behind the wider healthcare system in adopting interoperable health information technology, and that gap can directly affect clinical care when patients move, switch providers, or need urgent services. This funding aligns with SAMHSA's Strategic Initiative on Health Information Technology, which aims to ensure behavioral health fully participates in the broader healthcare delivery system's move toward interoperable EHRs. As part of that effort, SAMHSA has been working on Health Level 7 (HL7) standards for behavioral health information so it can be included in standardized continuity of care documents. Grantees are not only expected to implement technology upgrades, but also to provide feedback to SAMHSA on which standard data elements OTPs need to share with each other to support high-quality clinical care, effectively helping shape practical interoperability standards for the OTP field.
The announcement explains why OTPs face uniquely difficult barriers compared to many other healthcare settings. OTPs must comply with strict federal confidentiality protections that limit how patient information can be disclosed, and they must also meet specialized recordkeeping rules from multiple oversight bodies, including SAMHSA/CSAT and the Drug Enforcement Administration, as well as state and local licensing agencies and accreditation organizations. On top of those requirements, OTPs have a heightened need for disaster resilience: when localized disasters or program closures occur, patients may need to relocate quickly, and continuity of medication-assisted treatment can depend on secure, compliant access to accurate treatment records. SAMHSA notes that many OTP record systems are highly customized for single sites, there are few multi-state or multi-provider OTP EHR products, and informal assessments suggest OTPs have been relatively slow to adopt integrated, interoperable EHRs. The program also recognizes financial and structural realities in the OTP sector, where many programs have historically relied heavily on self-pay and have not consistently used private insurance or Medicaid reimbursement, which in turn has meant fewer OTPs have pursued "meaningful use" incentives under the HITECH Act. This grant is positioned as a form of specialized assistance to overcome those barriers and accelerate progress.
Funding for this discretionary grant opportunity (Funding Opportunity Number TI 13 010; CFDA 93.243) was estimated at $1,000,000 total, with an anticipated 20 awards and an award ceiling of $50,000 per grant. There is no cost sharing or matching requirement listed. The original and current application closing date was April 3, 2013, with an archive date of May 3, 2013. Statutory authority comes from Section 509 of the Public Health Service Act, as amended, and the announcement references alignment with Healthy People 2020 goals in the Substance Abuse topic area.
Eligibility is intentionally narrow and focused on the providers most directly positioned to implement these changes. Eligible applicants are domestic public and private non-profit opioid treatment programs that are SAMHSA certified. The authorizing statute prohibits grants to for-profit agencies, and SAMHSA further limits competition to certified OTPs to ensure funding is directed to programs that already operate under the specific federal OTP regulatory framework and understand the operational and compliance demands involved. The announcement estimates that out of roughly 1,260 certified OTPs, about 47 percent are non-profit, yielding an estimated 593 potentially eligible applicants. SAMHSA also emphasizes that OTPs are best suited to evaluate their local and regional health information exchange environments and tailor their EHR approach to the needs of their staff and patient populations, whether they are adapting a commercial vendor product or enhancing a system developed in-house.
In practical terms, the grant is meant to move OTPs toward EHR systems that can securely and legally share the right information at the right time with the right parties, while still meeting confidentiality and OTP-specific recordkeeping rules. That includes ensuring compliance with SAMHSA regulations (including 42 CFR 8.12 as cited in the announcement) and designing information-sharing approaches that respect privacy restrictions while enabling clinical coordination. The continuity-of-care focus is especially important for patients whose treatment could be interrupted by relocation, emergencies, or transitions between providers, where interoperable records can help prevent gaps in medication-assisted treatment and improve overall care coordination.
For administrative questions or difficulty accessing the full announcement, the listed contact was Eileen Bermudez at SAMHSA (1 Choke Cherry Road, Room 7-1091, Rockville, MD 20857; (240) 276-1412; eileen.bermudez@samhsa.hhs.gov).
FAQs: FY 2013 Enhancing Opioid Treatment Program Patient Continuity of Care through Data Interoperability (OTP CoC)
What is the FY 2013 OTP CoC grant opportunity?
This is a discretionary grant opportunity from SAMHSA's Center for Substance Abuse Treatment (CSAT) titled "Enhancing Opioid Treatment Program Patient Continuity of Care through Data Interoperability (OTP CoC)." It is intended to help certified opioid treatment programs (OTPs) modernize and strengthen electronic health record (EHR) capabilities so patient care can remain continuous, safe, and effective across providers and during disruptions such as emergencies.
What is the main goal of this grant?
The central goal is to improve interoperability and continuity of care by supporting OTPs in building or upgrading EHR systems that can exchange information with other health record systems while meeting OTP regulatory and confidentiality requirements.
Who is offering the grant?
The opportunity is offered by SAMHSA (Substance Abuse and Mental Health Services Administration), through its Center for Substance Abuse Treatment (CSAT).
Why is interoperability emphasized for OTPs?
The announcement highlights that behavioral health providers, including OTPs, have historically lagged behind the broader healthcare system in adopting interoperable health IT. This gap can negatively affect clinical care when patients move, switch providers, or need urgent services. The grant is designed to help OTPs catch up by enabling secure information sharing that supports clinical coordination.
How does the grant support continuity of care during emergencies or disruptions?
OTPs have a heightened need for disaster resilience because patients may need to relocate quickly during localized disasters or program closures. Continuity of medication-assisted treatment can depend on secure, compliant access to accurate treatment records. The grant supports EHR modernization and information exchange to help prevent gaps in treatment during these events.
What types of treatment and patients are referenced in the opportunity?
The opportunity references medication-assisted treatment, including methadone and buprenorphine, delivered across more than 1,260 OTPs serving hundreds of thousands of patients nationwide.
What kinds of activities or improvements does the grant fund?
The grant provides targeted resources for certified OTPs to build or upgrade EHR systems that meet regulatory requirements, achieve certified status, and exchange information with other health record systems. The emphasis is on secure and legal information sharing that supports clinical coordination and continuity of care.
Does the program involve standards like HL7?
Yes. SAMHSA notes it has been working on Health Level 7 (HL7) standards for behavioral health information so it can be included in standardized continuity of care documents. Grantees are expected not only to implement technology upgrades but also to provide feedback to SAMHSA about which standard data elements OTPs need to share to support high-quality clinical care.
Are grantees expected to provide input back to SAMHSA?
Yes. In addition to implementing EHR and interoperability improvements, grantees are expected to provide feedback on which standard data elements OTPs need to share with each other. This feedback is intended to help shape practical interoperability standards for the OTP field.
What makes EHR adoption uniquely challenging for OTPs?
The announcement describes several OTP-specific barriers, including strict federal confidentiality protections limiting disclosure of patient information, specialized recordkeeping rules from multiple oversight bodies (including SAMHSA/CSAT and the Drug Enforcement Administration), and additional requirements from state/local licensing agencies and accreditation organizations. It also notes that many OTP record systems are highly customized for single sites and that there have been relatively few multi-state or multi-provider OTP EHR products.
What confidentiality and compliance requirements are referenced?
The opportunity notes that OTPs must comply with strict federal confidentiality protections and must meet OTP-specific recordkeeping rules. It also references compliance with SAMHSA regulations, including 42 CFR 8.12 as cited in the announcement.
How does this grant relate to SAMHSA's broader priorities?
This funding aligns with SAMHSA's Strategic Initiative on Health Information Technology, which aims to ensure behavioral health participates fully in the broader healthcare system's move toward interoperable EHRs. The announcement also references alignment with Healthy People 2020 goals in the Substance Abuse topic area.
What is the Funding Opportunity Number (FON) and CFDA number?
The Funding Opportunity Number is TI 13 010, and the CFDA number is 93.243.
How much funding was available under this opportunity?
Total estimated funding was $1,000,000.
How many awards were anticipated?
The announcement anticipated 20 awards.
What was the maximum award amount per grant?
The award ceiling was $50,000 per grant.
Was a match or cost sharing required?
No cost sharing or matching requirement is listed in the provided information.
Who was eligible to apply?
Eligibility was limited to domestic public and private non-profit opioid treatment programs that are SAMHSA certified.
Are for-profit organizations eligible?
No. The authorizing statute prohibits grants to for-profit agencies, and the competition was limited to non-profit, SAMHSA-certified OTPs.
Why is eligibility limited to SAMHSA-certified OTPs?
SAMHSA limited competition to certified OTPs to direct funding to programs that already operate under the federal OTP regulatory framework and understand the operational and compliance demands involved.
How many OTPs were estimated to be potentially eligible?
Out of roughly 1,260 certified OTPs, the announcement estimates about 47 percent are non-profit, yielding an estimated 593 potentially eligible applicants.
Can applicants use either commercial EHR products or in-house systems?
Yes. SAMHSA emphasizes that OTPs are best suited to evaluate their local and regional health information exchange environments and tailor their EHR approach, whether adapting a commercial vendor product or enhancing a system developed in-house.
What were the key dates for this opportunity?
The application closing date was April 3, 2013 (listed as both the original and current closing date). The archive date was May 3, 2013.
What is the statutory authority for the grant?
The statutory authority cited is Section 509 of the Public Health Service Act, as amended.
Who was the contact person for administrative questions or trouble accessing the announcement?
The listed contact was Eileen Bermudez at SAMHSA.
What contact details were provided for the SAMHSA point of contact?
Address: 1 Choke Cherry Road, Room 7-1091, Rockville, MD 20857. Phone: (240) 276-1412. Email: eileen.bermudez@samhsa.hhs.gov.
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