Opportunity Information: Apply for TI 14 013
Apply for TI 14 013
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Minority AIDS Initiative Continuum of Care Pilot Integration of HIV Prevention and Medical Care into Mental Health and Substance Abuse Treatment Programs for Racial/Ethnic Minority Populations at High Risk for Behavioral Health Disorders and HIV" 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 May 1, 2014 and posted on Apr 24, 2014.
- Applicants must submit their applications by Jun 4, 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 $16,766,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $500,000.00 in funding.
- The number of recipients for this funding is limited to 33 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants are domestic public and private nonprofit entities, e.g, Behavioral health programs, Community and faith based organizations, Federally recognized American Indian/Alaska Native (AI/AN) tribes and tribal organizations, Urban Indian organizations, Hospitals, Public or private universities and colleges. Tribal organization means the recognized body of any AI/AN tribe any legally established organization of American Indians/Alaska Natives which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of American Indians/Alaska Natives in all phases of its activities. Consortia of tribes or tribal organizations are eligible to apply, but each participating entity must indicate its approval. Eligible entities include behavioral health programs (e.g., substance abuse treatment and mental health providers) that are currently or can be co located/integrated with HIV prevention and HIV medical care within four months of grant award. These behavioral healthcare providers may also partner with other organizations that will provide HIV prevention and HIV medical care.
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Opportunity Summary:
This SAMHSA grant opportunity (Funding Opportunity Number TI-14-013) is a Minority AIDS Initiative (MAI) Continuum of Care (CoC) Pilot designed to close a major real-world gap: many people who are living with HIV and also dealing with substance use disorders and/or mental health conditions are forced to navigate separate systems for care. The program funds projects that bring those services together so clients can receive behavioral health treatment, HIV prevention, and HIV medical care in a coordinated, fully integrated way. The central idea is that integration reduces missed appointments, confusion, delays in treatment, and drop-off across the HIV care continuum, especially for people facing cognitive and functional challenges tied to HIV, mental illness, and substance use.
The funded model emphasizes co-location whenever possible, meaning HIV services are provided inside the same physical setting where behavioral health services are delivered (for example, an outpatient substance use treatment clinic or a community mental health center that also offers on-site HIV testing and HIV primary care). Co-location is preferred because it makes the client experience simpler and allows providers to coordinate care in real time. If co-location truly cannot be done, applicants are allowed to propose another approach, but they must show how they will still achieve full integration. The announcement gives examples of what that can look like, such as providing transportation to an HIV medical provider, or assigning a nurse/case manager who actively coordinates and monitors both the behavioral health plan and HIV medical care so the client receives the full spectrum of HIV care alongside ongoing behavioral health services. In other words, the alternative cannot be a loose referral list; it has to function like a seamless, connected system.
SAMHSA funds under this program are specifically intended to support behavioral health and prevention components and the infrastructure needed for integrated care. Allowable activities highlighted in the description include behavioral health screening, primary substance abuse and HIV prevention services, substance use disorder treatment, mental health treatment, and treatment for co-occurring disorders. The program also supports HIV and hepatitis screening and testing, as well as hepatitis vaccination, reflecting the high rates of viral hepatitis among people living with HIV and the fact that HIV can accelerate hepatitis progression and related liver disease. Overall, the program is structured to treat HIV and behavioral health as intertwined conditions that should be managed together rather than in parallel, disconnected tracks.
The target population is clearly defined: racial and ethnic minority groups who are at high risk for behavioral health disorders and who are also at high risk for HIV or already living with HIV. The description calls out African American and Latino women and men, gay and bisexual men, transgender persons, and people who use substances. It also notes that other high-priority groups, including American Indian/Alaska Native communities, Asian Americans, and Native Hawaiian/other Pacific Islanders, may be included depending on the local epidemiology and HIV burden. The focus is not only clinical; it is also about reducing disparities in access, utilization, and outcomes for communities that have historically experienced worse health results due to systemic barriers.
The opportunity is outcome-driven and aligned with the HIV Continuum of Care concept. SAMHSA lays out expected results that track from diagnosis through viral suppression and sustained engagement in care: more HIV testing among behavioral health clients who do not know their status; more HIV diagnoses identified in these settings; more clients successfully linked to HIV medical care; improved retention in HIV care; increased receipt of antiretroviral therapy (ART); better adherence to both behavioral health treatment and ART; more clients achieving sustained viral suppression; and stronger adherence and retention within behavioral health treatment itself. The program’s underlying logic is that person-centered, integrated care improves individual health while also lowering HIV transmission risk and reducing new infections over time.
This initiative is also positioned as a services grant, meaning SAMHSA expects recipients to move quickly from award to direct service delivery. The announcement states that service delivery should begin as soon as possible and no later than the fourth month of the project period. It is jointly funded across SAMHSA centers (CSAT, CSAP, and CMHS), reflecting the combined emphasis on substance use treatment, prevention, and mental health services. The program aligns with SAMHSA’s broader strategic direction around health reform and integration of behavioral health with primary care, and it explicitly supports efforts to build the operational capacity and business skills needed for integrated service models to function sustainably.
From an administrative standpoint, this was a discretionary grant in the health category, posted April 24, 2014, with a closing date of June 4, 2014, and an archive date of July 4, 2014. SAMHSA anticipated 33 awards with an estimated total funding amount of $16,766,000 and an award ceiling of $500,000, with no cost-sharing or matching requirement. The CFDA listing is 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance). Eligibility was broad but specific to mission fit: domestic public and private nonprofit entities such as behavioral health programs, community and faith-based organizations, hospitals, colleges and universities, and federally recognized tribes, tribal organizations, urban Indian organizations, and consortia (with documented approval from participating entities). Critically, eligible applicants needed to already be able to co-locate and integrate HIV prevention and medical care within four months of award, or to partner in a way that accomplishes full integration on that timeline.
At its core, this funding opportunity is about building and testing practical models that put HIV prevention and HIV medical care where high-risk clients already are: substance abuse treatment and mental health programs. By reducing fragmentation, adding routine HIV and hepatitis services, and strengthening linkages to ART and ongoing care, the program aims to improve both behavioral health recovery outcomes and HIV clinical outcomes, while directly addressing racial and ethnic disparities that persist across both systems.
Frequently Asked Questions (FAQs)
What is this grant opportunity?
This is a SAMHSA discretionary grant opportunity: Funding Opportunity Number TI-14-013, described as a Minority AIDS Initiative (MAI) Continuum of Care (CoC) Pilot. It supports projects that integrate behavioral health services with HIV prevention and HIV medical care so clients can receive coordinated, fully integrated services rather than navigating separate systems.
What core problem is the program trying to solve?
The program targets a real-world gap where people living with HIV who also have substance use disorders and/or mental health conditions often must use separate, disconnected care systems. The grant funds models that reduce fragmentation (missed appointments, confusion, delays, and drop-off across the HIV care continuum) by delivering integrated, person-centered care.
What does "Continuum of Care (CoC)" mean in this grant?
In this announcement, the Continuum of Care concept refers to outcomes that move from HIV testing and diagnosis through linkage to HIV medical care, retention in care, receipt of antiretroviral therapy (ART), adherence, and sustained viral suppression, alongside continued engagement in behavioral health treatment.
What is meant by "fully integrated" care?
Fully integrated care means HIV prevention and HIV medical care are coordinated with behavioral health services in a seamless way. The expectation is not a loose referral list; the model should function like one connected system where care is coordinated and monitored in real time or through a structured integration approach that achieves the same effect.
Is co-location required?
Co-location is strongly preferred whenever possible. Co-location means HIV services are provided in the same physical setting where behavioral health services are delivered (for example, an outpatient substance use treatment clinic or a community mental health center that also provides on-site HIV testing and HIV primary care).
If co-location is not possible, can an applicant still propose another model?
Yes. If co-location truly cannot be done, applicants may propose an alternative approach, but they must show how they will still achieve full integration. The alternative must operate as a seamless, connected system rather than a basic referral process.
What are examples of acceptable alternatives to co-location mentioned in the description?
Examples include providing transportation to an HIV medical provider or assigning a nurse/case manager who actively coordinates and monitors both the behavioral health plan and HIV medical care so the client receives the full spectrum of HIV care alongside ongoing behavioral health services.
What types of services and activities does SAMHSA funding support under this program?
The funding is intended to support behavioral health and prevention components and the infrastructure needed for integrated care. Allowable activities highlighted include behavioral health screening, primary substance abuse and HIV prevention services, substance use disorder treatment, mental health treatment, and treatment for co-occurring disorders.
Does the grant support HIV and hepatitis-related services?
Yes. The program supports HIV and hepatitis screening and testing and also supports hepatitis vaccination. The description notes high rates of viral hepatitis among people living with HIV and that HIV can accelerate hepatitis progression and related liver disease.
Who is the target population for this program?
The target population is racial and ethnic minority groups at high risk for behavioral health disorders who are also at high risk for HIV or already living with HIV. The description specifically calls out African American and Latino women and men, gay and bisexual men, transgender persons, and people who use substances.
Are any additional priority populations mentioned?
Yes. The description notes that other high-priority groups, including American Indian/Alaska Native communities, Asian Americans, and Native Hawaiian/other Pacific Islanders, may be included depending on local epidemiology and HIV burden.
What disparities is this program designed to address?
The program focuses on reducing disparities in access, utilization, and outcomes among communities that have historically experienced worse health results due to systemic barriers, particularly across HIV care and behavioral health systems.
What outcomes does SAMHSA expect grantees to achieve?
Expected results include: increased HIV testing among behavioral health clients who do not know their status; increased HIV diagnoses identified in these settings; improved linkage to HIV medical care; improved retention in HIV care; increased receipt of ART; better adherence to behavioral health treatment and ART; increased sustained viral suppression; and stronger adherence and retention within behavioral health treatment.
Why does integration matter for HIV outcomes in this program?
The program is built on the idea that person-centered, integrated care reduces missed steps across the HIV continuum and improves engagement. By coordinating HIV and behavioral health treatment together, the model aims to improve individual health, reduce HIV transmission risk, and lower new infections over time.
Is this primarily a planning grant or a direct services grant?
It is positioned as a services grant. SAMHSA expects recipients to move quickly from award to direct service delivery.
How quickly must service delivery begin after award?
Service delivery should begin as soon as possible and no later than the fourth month of the project period.
Which SAMHSA centers are involved in funding this initiative?
The program is jointly funded across SAMHSA centers: CSAT, CSAP, and CMHS, reflecting combined emphasis on substance use treatment, prevention, and mental health services.
What is the CFDA number associated with this opportunity?
The CFDA listing is 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance).
When was this funding opportunity posted, and what were the key dates?
It was posted April 24, 2014. The closing date was June 4, 2014. The archive date was July 4, 2014.
How many awards were anticipated and what was the estimated total funding?
SAMHSA anticipated 33 awards with an estimated total funding amount of $16,766,000.
What was the maximum award amount (award ceiling)?
The award ceiling was $500,000.
Was cost-sharing or matching required?
No. The opportunity indicated there was no cost-sharing or matching requirement.
Who was eligible to apply?
Eligibility included domestic public and private nonprofit entities such as behavioral health programs, community and faith-based organizations, hospitals, colleges and universities, and federally recognized tribes, tribal organizations, urban Indian organizations, and consortia (with documented approval from participating entities).
Were for-profit entities included in the listed eligible applicant types?
The eligibility language provided lists domestic public and private nonprofit entities and other specified organizations; for-profit entities are not included in the list as provided in the description.
Are consortia allowed to apply?
Yes. Consortia may apply, but they must have documented approval from participating entities.
What is the critical capacity requirement related to integration and timeline?
Eligible applicants needed to already be able to co-locate and integrate HIV prevention and medical care within four months of award, or to partner in a way that accomplishes full integration on that timeline.
What settings does the program aim to leverage for reaching high-risk clients?
The program aims to put HIV prevention and HIV medical care where high-risk clients already are: substance abuse treatment programs and mental health programs, including settings like outpatient substance use treatment clinics and community mental health centers.
What is the overarching purpose of the MAI CoC Pilot in this opportunity?
At its core, the opportunity funds practical models that integrate HIV prevention and HIV medical care into behavioral health settings, add routine HIV and hepatitis services, strengthen linkages to ART and ongoing care, and improve both behavioral health recovery outcomes and HIV clinical outcomes while addressing racial and ethnic disparities.
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