Opportunity Information: Apply for SM 24 011

The grant opportunity titled Promoting the Integration of Primary and Behavioral Health Care: Collaborative Care Model (Funding Opportunity Number SM 24 011) is a discretionary grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) focused on expanding the Collaborative Care Model (CoCM) in primary care settings. The core aim is to help states put into place a proven, evidence-based approach for identifying and treating mental health and substance use conditions where many people already seek care: routine primary care clinics. The program is designed to reduce the large gap between need and treatment by making behavioral health care a standard, built-in part of primary care rather than something separate that patients must navigate on their own.

At the center of the program is the Collaborative Care Model, an integrated team-based method for delivering behavioral health treatment in primary care. Under CoCM, care is organized through a primary care team that typically includes the primary care provider, a behavioral health care manager (often functioning as a case manager), and a consulting psychiatrist, with additional mental health professionals involved as needed. The model is meant to strengthen how primary care practices detect, track, and treat common behavioral health conditions by using structured workflows, measurement-based care, regular psychiatric consultation, and stepped-care adjustments when patients are not improving. In practical terms, the funding supports building the staffing patterns and clinic systems that allow this kind of coordinated care to happen consistently.

A key expectation is that the recipient will work with at least three primary care practices. Those practices are expected to develop the staffing capacity and operational infrastructure necessary to implement CoCM, meaning the grant is not just about planning or training in the abstract. It is about putting a functioning collaborative care approach into real clinical environments. That can include establishing care management roles, setting up psychiatric consultation arrangements, implementing standardized screening and follow-up tools, creating referral and communication workflows within the practice, and ensuring the practice can systematically identify patients whose behavioral health conditions might otherwise remain untreated.

Eligibility is limited by statute to states or appropriate state agencies, rather than local providers or nonprofit organizations applying directly. SAMHSA defines appropriate state agencies to include the State Mental Health Authority, the Single State Agency for substance use services, the State Medicaid agency, or the State Health Department. In other words, the program is structured so that a state-level entity leads the work and partners with primary care practices to implement the model, aligning clinical integration efforts with broader state policy, financing, and system improvement strategies.

The opportunity is categorized under Health (CFDA 93.243) and uses a grant funding instrument. SAMHSA anticipated making about five awards, with an award ceiling of $900,000. The original closing date listed for applications was May 20, 2024, and the opportunity record was created on March 19, 2024. Overall, the grant is positioned as a state-led implementation initiative meant to embed effective behavioral health treatment into primary care, improving identification of mental health and substance use conditions and increasing access to treatment for people who might never reach specialty behavioral health services.

  • The Substance Abuse and Mental Health Services Adminis in the health sector is offering a public funding opportunity titled "Promoting the Integration of Primary and Behavioral Health Care: Collaborative Care Model" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.243.
  • This funding opportunity was created on 2024-03-19.
  • Applicants must submit their applications by 2024-05-20. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $900,000.00 in funding.
  • The number of recipients for this funding is limited to 5 candidate(s).
  • Eligible applicants include: Others.
Apply for SM 24 011

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Frequently Asked Questions (FAQs)

What is the official title of this grant opportunity?

The opportunity is titled Promoting the Integration of Primary and Behavioral Health Care: Collaborative Care Model.

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is SM 24 011.

Which federal agency is offering this grant?

This is a discretionary grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

What is the main purpose of this grant?

The core aim is to expand the Collaborative Care Model (CoCM) in primary care settings, helping states implement a proven, evidence-based approach for identifying and treating mental health and substance use conditions in routine primary care clinics.

Why is the focus on primary care clinics?

The program is designed to reduce the gap between need and treatment by making behavioral health care a built-in part of primary care, where many people already seek care, instead of a separate system that patients must navigate on their own.

What is the Collaborative Care Model (CoCM) in this program?

CoCM is an integrated, team-based method for delivering behavioral health treatment in primary care. It strengthens how primary care practices detect, track, and treat common behavioral health conditions using structured workflows, measurement-based care, regular psychiatric consultation, and stepped-care adjustments when patients are not improving.

What are the core team roles typically involved in CoCM?

CoCM is typically organized through a primary care team that includes:

  • A primary care provider
  • A behavioral health care manager (often functioning as a case manager)
  • A consulting psychiatrist

Additional mental health professionals may be involved as needed.

What kinds of activities or systems does the funding support?

The funding supports building staffing patterns and clinic systems so coordinated collaborative care can happen consistently in real clinical environments. Examples described include:

  • Establishing care management roles
  • Setting up psychiatric consultation arrangements
  • Implementing standardized screening and follow-up tools
  • Creating referral and communication workflows within the practice
  • Ensuring the practice can systematically identify patients whose behavioral health conditions might otherwise remain untreated

Is this grant primarily for planning, or for implementation?

Based on the description, the expectation is implementation: the grant is not just about planning or training in the abstract. It is about putting a functioning collaborative care approach into real primary care practices, including staffing capacity and operational infrastructure.

How many primary care practices must be involved?

A key expectation is that the recipient will work with at least three primary care practices.

What are the participating primary care practices expected to do?

The participating practices are expected to develop the staffing capacity and operational infrastructure needed to implement CoCM. This includes setting up workflows and systems that support identification, follow-up, psychiatric consultation, and coordinated care delivery within primary care.

Who is eligible to apply?

Eligibility is limited by statute to states or appropriate state agencies, rather than local providers or nonprofit organizations applying directly.

What does SAMHSA mean by "appropriate state agencies"?

SAMHSA defines appropriate state agencies to include:

  • The State Mental Health Authority
  • The Single State Agency for substance use services
  • The State Medicaid agency
  • The State Health Department

Can a local clinic, hospital, or nonprofit apply directly?

Not according to the provided information. The opportunity is structured so that a state-level entity leads and partners with primary care practices to implement the model.

What is the broader approach of the program (state-led vs. clinic-led)?

The program is described as a state-led implementation initiative. A state-level entity leads the work and partners with primary care practices, aligning clinical integration efforts with broader state policy, financing, and system improvement strategies.

How many awards does SAMHSA expect to make?

SAMHSA anticipated making about five awards.

What is the maximum award amount (award ceiling)?

The award ceiling listed is $900,000.

What type of funding instrument is used?

The opportunity uses a grant funding instrument.

What is the program category and CFDA number?

The opportunity is categorized under Health and is identified as CFDA 93.243.

What was the application closing date?

The original closing date listed for applications was May 20, 2024.

When was the opportunity record created?

The opportunity record was created on March 19, 2024.

What kinds of conditions is this program trying to address?

The program focuses on improving identification and treatment for mental health and substance use conditions within primary care.

What problem is the program trying to solve?

It aims to reduce the large gap between people who need behavioral health treatment and those who receive it, by embedding evidence-based behavioral health care into primary care where patients already receive routine services.

What does "measurement-based care" mean in the context provided?

The description indicates that CoCM uses measurement-based care to help practices detect, track, and treat conditions. In practical terms (as described), this involves using standardized screening and follow-up tools so the care team can monitor progress and adjust care when patients are not improving.

What does "stepped-care adjustments" refer to in the context provided?

In the provided description, stepped-care adjustments are changes to the treatment approach when patients are not improving, supported by measurement-based care and regular psychiatric consultation.

How does psychiatric consultation fit into the model?

CoCM includes a consulting psychiatrist role and emphasizes regular psychiatric consultation as part of the structured, team-based approach within primary care.

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