Opportunity Information: Apply for TI 23 003

The State Pilot Program for Treatment for Pregnant and Postpartum Women is a discretionary federal grant opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Substance Abuse and Mental Health Services Administration (SAMHSA). Listed under Funding Opportunity Number TI 23 003 and CFDA 93.243, this program is designed to help states strengthen and modernize how they deliver substance use disorder (SUD) treatment and related supports for pregnant and postpartum women, with a clear emphasis on opioid use disorder treatment. At its core, the program is about giving state substance use agencies more flexibility in how they use grant funds so they can better meet real-world needs across different communities, providers, and care settings.

The purpose of the grant is organized around three main goals. First, it aims to expand and support family-based services for pregnant and postpartum women who have a primary diagnosis of a substance use disorder. The family-based focus signals that the program is not limited to the individual patient alone, but is intended to support the broader family context that affects recovery, stability, and child well-being. At the same time, the opportunity specifically highlights opioid use disorders, reflecting the ongoing impact of the opioid crisis on maternal health, newborn outcomes, and family systems.

Second, the program is meant to help state substance use agencies address the full continuum of care for pregnant and postpartum women, including services delivered in non-residential settings. This is important because effective treatment and recovery support often requires more than one level of care over time, and many people need options that do not involve residential treatment. By explicitly including non-residential services, the program encourages states to build pathways that connect screening, clinical treatment, medication-assisted treatment where appropriate, behavioral health services, and ongoing recovery supports in outpatient and community-based environments. The intent is to reduce gaps where individuals might otherwise fall out of care during pregnancy or after delivery, when health risks and relapse risks can be high.

Third, the grant is structured to promote a coordinated, effective, and efficient statewide system that is managed by state substance use agencies and strengthened through new approaches and service delivery models. In practice, this means SAMHSA is looking for states to use the funding not only to provide direct services, but also to improve how the overall system functions. That can include better coordination across providers and programs, more consistent standards of care, improved referral networks, and innovations that make treatment easier to access and sustain. The emphasis on new models suggests the program supports testing pilot approaches that may be scaled if they prove effective.

In terms of funding, the award ceiling is $900,000 per award, and SAMHSA anticipated making about six awards under this announcement. The opportunity was created on January 23, 2023, with an original application closing date of March 21, 2023. The funding instrument is a grant, and the activity category is health, aligning it with public health and behavioral health system improvement efforts. Eligibility is listed as "Others," with further clarification referenced in an additional eligibility section, which typically means the program has specific rules about which entities can apply (often state agencies, territories, or designated state authorities, depending on the program design).

Overall, this grant opportunity is aimed at helping states improve outcomes for pregnant and postpartum women with substance use disorders by strengthening family-centered care, expanding access across multiple treatment settings (not just residential), and building more coordinated state-level systems that can implement innovative and practical service delivery strategies, particularly for opioid-related treatment needs.

  • The Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis in the health sector is offering a public funding opportunity titled "State Pilot Program for Treatment for Pregnant and Postpartum Women" 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 Jan 23, 2023.
  • Applicants must submit their applications by Mar 21, 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 $900,000.00 in funding.
  • The number of recipients for this funding is limited to 6 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for TI 23 003

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FAQs: State Pilot Program for Treatment for Pregnant and Postpartum Women (SAMHSA)

What is the State Pilot Program for Treatment for Pregnant and Postpartum Women?

It is a discretionary federal grant opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), focused on strengthening and modernizing substance use disorder (SUD) treatment and related supports for pregnant and postpartum women.

Which federal agency is offering and administering this grant?

The grant is offered under HHS and administered by SAMHSA (Substance Abuse and Mental Health Services Administration).

What is the Funding Opportunity Number and CFDA number?

The Funding Opportunity Number is TI 23 003 and the CFDA number is 93.243.

What is the main purpose of this grant?

The program is designed to help states strengthen and modernize how they deliver SUD treatment and related supports for pregnant and postpartum women, with a clear emphasis on opioid use disorder treatment. It also aims to provide state substance use agencies more flexibility in how grant funds are used to meet real-world needs across communities and care settings.

Who is the primary population served by this program?

Pregnant and postpartum women who have a primary diagnosis of a substance use disorder (SUD).

Is there a specific emphasis on opioid use disorder?

Yes. The opportunity explicitly emphasizes opioid use disorder treatment, reflecting the ongoing impact of the opioid crisis on maternal health, newborn outcomes, and family systems.

What are the three main goals of the grant?

The grant is organized around three goals: (1) expand and support family-based services for pregnant and postpartum women with a primary SUD diagnosis; (2) address the full continuum of care, including non-residential services; and (3) promote a coordinated, effective, and efficient statewide system managed by state substance use agencies, strengthened through new approaches and service delivery models.

What does "family-based services" mean in this grant context?

The family-based focus indicates the program is not limited to the individual patient alone. It is intended to support the broader family context that affects recovery, stability, and child well-being.

Does the grant support only residential treatment programs?

No. The grant specifically includes services delivered in non-residential settings and encourages states to build care pathways that work across multiple levels of care, not just residential treatment.

Why does the opportunity emphasize non-residential settings?

Because effective treatment and recovery support often requires more than one level of care over time, and many people need options that do not involve residential treatment. Including non-residential services is meant to reduce gaps where individuals might otherwise fall out of care during pregnancy or after delivery.

What kinds of services across the continuum of care are mentioned?

The description highlights connecting screening, clinical treatment, medication-assisted treatment where appropriate, behavioral health services, and ongoing recovery supports in outpatient and community-based environments.

What does the grant mean by a "coordinated statewide system"?

It refers to building a statewide approach managed by state substance use agencies that is coordinated, effective, and efficient. This can involve better coordination across providers and programs, more consistent standards of care, improved referral networks, and innovations that make treatment easier to access and sustain.

Is this funding intended only for direct services?

No. The opportunity indicates SAMHSA is looking for states to use funding not only to provide direct services, but also to improve how the overall system functions statewide.

Does the program support new or innovative service delivery models?

Yes. The grant is structured to strengthen statewide systems through new approaches and service delivery models, including pilot approaches that may be scaled if they prove effective.

What is the maximum amount of funding available per award?

The award ceiling is $900,000 per award.

How many awards did SAMHSA anticipate making?

SAMHSA anticipated making about six awards under this announcement.

What type of funding instrument is used?

The funding instrument is a grant.

What is the activity category for this opportunity?

The activity category is health, aligning the program with public health and behavioral health system improvement efforts.

When was the opportunity created, and what was the original closing date?

The opportunity was created on January 23, 2023, and the original application closing date was March 21, 2023.

Who is eligible to apply?

Eligibility is listed as "Others," with additional clarification referenced in an additional eligibility section. This typically indicates specific rules about which entities can apply, often tied to state agencies, territories, or designated state authorities depending on the program design.

What is meant by giving state substance use agencies more flexibility in using grant funds?

The program is described as providing state substance use agencies more flexibility to better match funding to real-world needs across different communities, providers, and care settings, rather than limiting states to one narrow model of service delivery.

What outcomes is the program ultimately trying to improve?

The program is aimed at improving outcomes for pregnant and postpartum women with SUD by strengthening family-centered care, expanding access across multiple treatment settings, and building coordinated state-level systems that can implement innovative and practical service delivery strategies, particularly for opioid-related treatment needs.

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