Opportunity Information: Apply for SM 26 021
Promoting the Integration of Primary and Behavioral Health Care: States (Funding Opportunity Number SM 26 021) is a discretionary grant program from the Substance Abuse and Mental Health Services Administration (SAMHSA) designed to help states strengthen how physical health care and behavioral health care work together in real-world clinical settings. The overall aim is to move beyond fragmented services and build more seamless, collaborative care that improves both whole-person wellness and measurable physical health outcomes for people who need mental health and/or substance use services, especially when they also live with chronic medical conditions.
At the core of the opportunity is the push for full integration and collaboration in clinical practice between primary care and behavioral health. This includes supporting states as they improve or expand integrated care models that connect medical and behavioral services in a coordinated way rather than treating them as separate systems. The program emphasizes bidirectional integrated care, meaning integration should flow in both directions: behavioral health settings should be equipped to identify and respond to physical health needs, and primary care settings should be able to identify and respond to mental health and substance use needs. In practice, this can involve strengthening workflows, clinical partnerships, shared care planning, cross-training, and other strategies that make it easier for patients to access the right services at the right time without being bounced between disconnected providers.
The grant also highlights implementation and improvement of integrated services that are evidence-based or evidence-informed. The expected focus spans the full continuum of care, including screening, assessment, diagnosis, prevention, treatment, and recovery supports. Importantly, it is not limited to behavioral health conditions alone. The program explicitly targets co-occurring needs, including mental and substance use disorders alongside physical health conditions and chronic diseases. The intent is to improve outcomes for people whose behavioral health challenges interact with medical issues such as cardiovascular disease, diabetes, respiratory conditions, chronic pain, or other long-term health needs, where coordinated management can meaningfully change quality of life and health status.
Eligibility is narrow and set by statute: only a State or an appropriate State agency can apply. This makes the opportunity primarily aimed at state-level systems change, planning, and implementation rather than individual provider organizations applying on their own. While local providers and community partners may be involved in executing the work, the applicant of record must be the state or a designated state agency that can lead statewide strategy, alignment, and oversight.
From a funding standpoint, the opportunity is administered as a grant under CFDA 93.532, categorized under the health funding activity area. SAMHSA expects to make 7 awards, with an award ceiling of $2,000,000. The opportunity was created on 2026-07-01, and the original closing date for applications is 2026-07-27.Apply for SM 26 021
- 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: States" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.532.
- This funding opportunity was created on 2026-07-01.
- Applicants must submit their applications by 2026-07-27. (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 $2,000,000.00 in funding.
- The number of recipients for this funding is limited to 7 candidate(s).
- Eligible applicants include: Others.
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Frequently Asked Questions (FAQs)
What is the name of this grant opportunity?
The opportunity is titled Promoting the Integration of Primary and Behavioral Health Care: States, Funding Opportunity Number SM 26 021.
Who is offering this grant?
This is a discretionary grant program from the Substance Abuse and Mental Health Services Administration (SAMHSA).
What is the main purpose of the program?
The program is designed to help states strengthen how physical health care and behavioral health care work together in real-world clinical settings. The overarching goal is to move away from fragmented services and build more seamless, collaborative care that improves whole-person wellness and measurable physical health outcomes for people who need mental health and/or substance use services, especially when they also have chronic medical conditions.
What does "integration of primary and behavioral health care" mean in this grant?
Integration means primary care and behavioral health providers are expected to work in a coordinated, collaborative way rather than operating as separate systems. This can include shared workflows, clinical partnerships, shared care planning, cross-training, and other practical strategies that help patients access appropriate services without being bounced between disconnected providers.
What is "bidirectional integrated care" and why does it matter here?
Bidirectional integrated care means integration should flow in both directions:
- Behavioral health settings should be able to identify and respond to physical health needs.
- Primary care settings should be able to identify and respond to mental health and substance use needs.
The emphasis is on coordinated care that supports people with co-occurring behavioral and physical health needs.
What kinds of activities or service areas does the grant emphasize?
The opportunity highlights the implementation and improvement of integrated services that are evidence-based or evidence-informed. The expected focus spans the full continuum of care, including:
- Screening
- Assessment
- Diagnosis
- Prevention
- Treatment
- Recovery supports
Is this grant limited to behavioral health conditions only?
No. The program explicitly targets co-occurring needs, including mental and substance use disorders alongside physical health conditions and chronic diseases. The intent is to improve outcomes for people whose behavioral health challenges interact with ongoing medical needs.
What types of physical health conditions are mentioned as examples of focus areas?
The description specifically mentions chronic medical conditions such as cardiovascular disease, diabetes, respiratory conditions, and chronic pain, along with other long-term health needs where coordinated management can improve quality of life and health status.
Who is eligible to apply?
Eligibility is narrow and set by statute: only a State or an appropriate State agency can apply. The applicant of record must be the state or a designated state agency that can lead statewide strategy, alignment, and oversight.
Can local providers or community organizations apply directly?
Not as the primary applicant. While local providers and community partners may be involved in executing the work, the application must be submitted by a State or an appropriate State agency.
What kind of grant is this (funding type and category)?
This is a discretionary grant. It is administered under CFDA 93.532 and is categorized under the health funding activity area.
How many awards does SAMHSA expect to make?
SAMHSA expects to make 7 awards.
What is the maximum award amount (award ceiling)?
The award ceiling is $2,000,000.
What is the application closing date?
The original closing date for applications is 2026-07-27.
When was this funding opportunity created?
The opportunity was created on 2026-07-01.
What outcomes is the program trying to improve?
The program aims to improve whole-person wellness and measurable physical health outcomes for people who need mental health and/or substance use services, especially those also living with chronic medical conditions. It prioritizes reducing fragmentation and improving coordinated access to appropriate services across settings.
Is the program focused on statewide systems change or individual clinic projects?
Based on the stated eligibility and intent, the opportunity is primarily aimed at state-level systems change, planning, and implementation, with states positioned to lead strategy, alignment, and oversight across partners and clinical settings.
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Apply for SM 26 021
Applicants also applied for:
Applicants who have applied for this opportunity (SM 26 021) also looked into and applied for these:
| Funding Opportunity |
|---|
| Trauma-Informed Services in Schools Apply for SM 26 006 Funding Number: SM 26 006 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $970,000 |
| Statewide Consumer Network Apply for SM 26 027 Funding Number: SM 26 027 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $150,000 |
| Assertive Community Treatment Apply for SM 26 022 Funding Number: SM 26 022 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $800,000 |
| Rural Emergency Medical Services Training Apply for TI 26 004 Funding Number: TI 26 004 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $300,000 |
| Statewide Family Network Apply for SM 26 028 Funding Number: SM 26 028 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $150,000 |
| Behavioral Health Mobile Crisis Team Partnerships Apply for SM 26 029 Funding Number: SM 26 029 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $750,000 |
| Center of Excellence on Eating Disorders Apply for SM 26 031 Funding Number: SM 26 031 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $1,873,148 |
| Mental Health Awareness Training Grants Apply for SM 26 030 Funding Number: SM 26 030 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $200,000 |
| Tribal Opioid Response Apply for TI 26 012 Funding Number: TI 26 012 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $1,750,000 |
| Treatment and Recovery Services for Youth, Young Adults, and Families Apply for TI 26 011 Funding Number: TI 26 011 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $545,000 |
| State Pilot Program for Treatment for Pregnant and Postpartum Women Apply for TI 26 014 Funding Number: TI 26 014 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $1,080,000 |
| Comprehensive Opioid Recovery Centers Apply for TI 26 013 Funding Number: TI 26 013 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $850,000 |
| First Responders-Comprehensive Addiction and Recovery Act Apply for TI 26 006 Funding Number: TI 26 006 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $800,000 |
| Screening, Brief Intervention and Referral to Treatment Apply for TI 26 005 Funding Number: TI 26 005 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $995,000 |
| Treatment, Recovery, and Workforce Support Apply for TI 26 009 Funding Number: TI 26 009 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $500,000 |
| Medication-Assisted Treatment - Prescription Drug and Opioid Addiction Apply for TI 26 008 Funding Number: TI 26 008 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $750,000 |
| Center of Excellence for Protected Health Information Related to Behavioral Health Apply for TI 26 020 Funding Number: TI 26 020 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $1,000,000 |
| Preventing Drug Overdoses: Community Prevention and Response Apply for TI 26 019 Funding Number: TI 26 019 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $850,000 |
| Strategic Prevention Framework - Partnerships for Success for Communities/Tribes Apply for SP 26 002 Funding Number: SP 26 002 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $600,000 |
| Sober Truth on Preventing Underage Drinking Act Grants Apply for SP 26 001 Funding Number: SP 26 001 Agency: Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $60,000 |
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