Opportunity Information: Apply for HRSA 23 079
The Comprehensive Systems Integration for Adolescent and Young Adult Health (CSI-AYAH) grant opportunity (HRSA 23-079) is a discretionary grant from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), focused on improving adolescent and young adult health by strengthening how different public systems work together. The central idea is that youth health and well-being are shaped not only by clinical care, but also by what happens in schools and in the broader community. This program is designed to help states, territories, and tribal organizations build the practical capacity, partnerships, and shared approaches needed to integrate health, school, and community systems into a more coordinated and effective “system of care” for youth.
The program is structured around creating national leadership and turning that leadership into usable guidance and hands-on support for jurisdictions doing the work on the ground. First, the award recipient is expected to establish a cross-sector alliance made up of nationally recognized partners spanning health systems, school systems, and community systems. This alliance is meant to serve as a national driver of systems integration, providing credibility, shared direction, and coordination across sectors that often operate in parallel rather than in partnership. Second, the alliance is tasked with developing and disseminating a national blueprint that states, territories, and tribal organizations can use to improve adolescent and young adult health and well-being through systems integration. In other words, the grant is not only about local pilots; it is also about producing a broadly applicable roadmap that others can adopt and adapt.
A major emphasis of CSI-AYAH is technical assistance (TA) delivered through organized learning structures. The program calls for targeted TA to learning collaboratives composed of leadership teams from states, territories, and/or tribal organizations that are actively implementing cross-sector systems integration models. This suggests a model where participating jurisdictions learn from each other, receive coaching, and apply structured improvement methods while working through common challenges such as data sharing, referral pathways, cross-agency governance, financing constraints, workforce alignment, and policy barriers. In addition, the program specifically includes TA to support Title V agencies (the Maternal and Child Health Services Block Grant agencies) that have selected performance measures tied to adolescent health and/or behavioral health. That requirement signals that HRSA wants the work to connect to established state accountability and measurement frameworks, and to help Title V agencies strengthen performance on adolescent-focused measures through better cross-sector coordination.
The intended outcomes are both capacity-building and adoption-focused. CSI-AYAH aims to increase the number of state, territorial, and tribal organizations that access and implement systems integration models that measurably improve youth health and well-being. Rather than funding direct services alone, the opportunity is geared toward building the scaffolding that makes services and supports easier to navigate and more effective across settings where youth spend their time. The expectation is that stronger integration across health care, schools, and community organizations will improve prevention, early identification, and connection to appropriate supports, including behavioral health-related supports, while reducing fragmentation and gaps in care.
In terms of logistics and award profile, this opportunity was created January 11, 2023, with an original application closing date of April 11, 2023. HRSA anticipated making a single award (ExpectedAwards: 1) with an award ceiling of $1,514,450. The funding instrument type is a grant, and the activity category is health. The CFDA (now Assistance Listing) number provided is 93.110.
Eligibility is broad and includes a wide range of governmental and nongovernmental entities, reflecting the cross-sector nature of the work. Eligible applicants include state, county, and city or township governments; special district governments; independent school districts; federally recognized tribal governments and other tribal organizations; nonprofit organizations with 501(c)(3) status (excluding institutions of higher education); for-profit organizations other than small businesses; small businesses; and other entities as further clarified in the opportunity’s additional eligibility text. This wide eligibility range aligns with the program’s design, which depends on bridging sectors and building alliances that can operate across public health, education, and community-based systems.
Overall, CSI-AYAH is a systems-focused grant aimed at creating national coordination and practical tools, then translating those tools into real-world implementation through technical assistance and learning collaboratives. Its core deliverables revolve around convening a credible cross-sector alliance, producing a national blueprint for systems integration, and providing sustained technical assistance to jurisdictions and Title V agencies so that more states, territories, and tribal organizations can implement integrated models that improve adolescent and young adult health and well-being.Apply for HRSA 23 079
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Comprehensive Systems Integration for Adolescent and Young Adult Health" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
- This funding opportunity was created on Jan 11, 2023.
- Applicants must submit their applications by Apr 11, 2023. (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 $1,514,450.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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