FY 2011 RFA Grant Application Information: PBHCI HIT

FY 2011 Grant Request for Applications (RFA)

Minority AIDS Initiative Targeted Capacity Expansion (MAI-TCE): Integrated Behavioral Health/Primary Care Network Cooperative Agreements (Short Title: MAI-TCE Program)

Posted 6/8/11 - The receipt date for this RFA has been extended to June 16, 2011

Initial Announcement

Request for Applications (RFA) No. SM-11-006
Posting on Grants.gov: April 29, 2011
Original Receipt date: June 13, 2011
Modified Receipt date: June 16, 2011
Announcement Type: Initial

Catalogue of Federal Domestic Assistance (CFDA) No.: 93.243

Key Dates

Application Deadline	Applications are due by June 13, 2011
Intergovernmental Review (E.O. 12372)	Applicants must comply with E.O. 12372 if their State(s) participates. Review process recommendations from the State Single Point of Contact (SPOC) are due no later than 60 days after application deadline.
Public Health System Impact Statement(PHSIS) / Single State Agency Coordination	Applicants must send the PHSIS to appropriate State and local health agencies by application deadline. Comments from Single State Agency are due no later than 60 days after application deadline.

The Substance Abuse and Mental Health Services Administration (SAMHSA) is accepting applications for the fiscal year (FY) 2011 Minority AIDS Initiative Targeted Capacity Expansion (MAI –TCE): Integrated Behavioral Health/Primary Care Network Cooperative Agreements. The purpose of the MAI-TCE program is to facilitate the development and expansion of culturally competent and effective integrated behavioral health and primary care networks, which include HIV services and medical treatment, within racial and ethnic minority communities in the 12 Metropolitan Statistical Areas (MSAs) and Metropolitan Divisions (MDs) most impacted by HIV/AIDS. The expected outcomes for the program include reducing the impact of behavioral health problems, HIV risk and incidence, and HIV-related health disparities in these areas. As the incidence of HIV/AIDS increases among racial and ethnic minority populations, the need for substance abuse and mental health services increases as well. When untreated, these behavioral health needs are associated with increased morbidity and mortality, impaired quality of life, and numerous medical and/or behavioral challenges, such as non-adherence with treatment regimens. This program will ensure that individuals who are at high risk for or have a mental and/or substance use disorder and who are most at risk for or are living with HIV/AIDS have access to and receive appropriate behavioral health services (including prevention and treatment), HIV/AIDS care and medical treatment in integrated behavioral health and primary care settings (that may include infectious disease or other HIV specialty providers).

The FY 2011 MAI-TCE program also supports the integration of behavioral health services (i.e., the prevention and treatment of mental illness and substance abuse) into the CDC supported Enhanced Comprehensive HIV Prevention Plans (ECHPP) for each of the 12 MSAs/MDs most impacted by HIV/AIDS; and HIV rapid testing and counseling services into existing mental health and substance abuse treatment provider networks within racial and ethnic minority communities within those same areas.

This grant program is part of the Congressional Minority AIDS Initiative, which was developed to improve HIV-related health outcomes for racial and ethnic minority communities disproportionately affected by HIV/AIDS and to reduce HIV-related health disparities. The program also supports the goals of the National HIV/AIDS Strategy, the Department of Health and Human Services (HHS) 12 Cities Project, and the Centers for Disease Control and Prevention’s (CDC) current efforts through the ECHPP to reduce HIV risk and incidence in the areas most affected by the HIV epidemic. The program is a part of SAMHSA’s Health Reform Strategic Initiative. Information on SAMHSA’s eight Strategic Initiatives is available at http://www.SAMHSA.gov.

Grantees must focus the majority of their grant activities on serving racial and ethnic minority communities within their MSA or MD. Grantees also are strongly encouraged to focus on serving the priority populations identified in the National HIV/AIDS strategy (as appropriate for their jurisdiction), including Black and Latino women and men, gay and bisexual men, transgendered persons, and substance users. In addition, grantees may prioritize other high priority populations living within their MSA or MD, such as American Indian/Alaska Natives, Asian Americans, Native Hawaiians and other Pacific Islanders to the extent that this focus is based on the grantee’s local HIV/AIDS epidemiological profile.

Since the MAI-TCE program includes funds for both infrastructure development and the provision of direct services, SAMHSA intends that its grantees begin the delivery of services as soon as possible after award. Service delivery should begin no later than the beginning of the 4th month of the project.

The MAI-TCE grant program is authorized under Sections 509, 516, and 520A of the Public Health Service Act, as amended, which support the integration of substance abuse prevention, substance abuse treatment, and mental health services into primary care settings. This announcement addresses Healthy People 2020, Mental Health and Mental Disorders Topic Area HP 2020-MHMD, Substance Abuse Topic Area HP 2020-SA, and HIV Topic Area HP 2020-HIV.

Eligibility

SAMHSA is limiting eligibility for this grant program to the twelve Phase I grantees under the CDC’s Enhanced Comprehensive HIV Prevention Planning (ECHPP) and Implementation of Metropolitan Statistical Areas (MSA) Most Affected by HIV/AIDS grant program. These grantees are currently administering and managing cross-agency coordination efforts, including partnerships and funding streams to better leverage prevention, care, and treatment resources. As such, SAMHSA believes they are in the best position to ensure that individuals who are at high risk for or have a mental and/or substance use disorder and who are most at risk for or are living with HIV/AIDS have access to and receive appropriate behavioral health services (including prevention and treatment), HIV/AIDS care and medical treatment in integrated behavioral health and primary care settings (that may include infectious disease or other HIV specialty providers). This is also consistent with an important goal of the National HIV/AIDS Strategy: To achieve a coordinated response to the HIV epidemic among funding streams and those organizations receiving Federal funds. The coordination of resources should improve services to clients and ensure that the client receives the full range of services necessary to for improved health. Eligible applicants are the following State/local health departments in the Metropolitan Statistical Areas (MSA) and Metropolitan Divisions (MD) that received grants in Phase I of CDC’s project, “Enhanced Comprehensive HIV Prevention Planning (ECHPP) and Implementation for Metropolitan Statistical Areas Most Affected by HIV/AIDS.” Please see RFA for a list of eligible applicants.

Award Information

Funding Mechanism:	Cooperative Agreement
Anticipated Total Available Funding:	$13.416 million
Anticipated Number of Awards:	Up to 12
Anticipated Award Amount:	Up to $1.5 million
Length of Project Period:	3 Years

Proposed budgets cannot exceed $1.5 million in total costs (direct and indirect) in any year of the proposed project. Award amounts will vary based on the size of the population most at risk for or living with HIV/AIDS within the grantee’s MSA or MD.

Funding estimates for this program are based on an annualized Continuing Resolution (CR) for FY 2011 and subject to finalizing the FY 2011 operating plan. Applicants should be aware that SAMHSA cannot guarantee that sufficient funds will be appropriated to fully fund this program.

Subject to the availability of annual appropriations, SAMHSA expects the funding level for the MAI-TCE program to be $13.416 million per year (for three years). In FY 2011, the total funding level includes $10.916 million from the SAMHSA MAI appropriation and $2.5 million from the HHS MAI Secretariat Emergency Fund. The total funding amount includes $8.15 Million (61%) from the Center for Mental Health Services’ Programs of Regional and National Significance (PRNS),$3.15 Million (23%) from the Center for Substance Abuse Treatment’s PRNS and HHS MAI funds, and $2.116 Million (16%) from the Center for Substance Abuse Prevention’s PRNS and HHS MAI funds. Since the authorization for each of the three Center’s PRNS (Sections 509, 516, and 520A of the Public Health Service Act, as amended) specifically support the integration of behavioral health and primary care services and historically have been used to support prevention activities, treatment and recovery support services for individuals with co-occurring mental and substance use disorders, funds from each of the three Centers’ PRNS have been combined to support this program.

In order to ensure that SAMHSA’s annual reporting requirements can be met, however, applicants will be required to provide three separate budget tables in their applications for 1) prevention activities, treatment and recovery support services for mental disorders and co-occurring and substance use disorders; 2) treatment and recovery support services for substance use disorders and co-occurring mental disorders; and 3) substance abuse prevention activities. Consistent with the FY 2011 Congressional budget appropriation for these activities and SAMHSA’s allocation of the HHS MAI funds, SAMHSA expects that grantees will allocate approximately 61% of their total funding award for mental health services, 23% for substance abuse treatment, and 16% for substance abuse prevention activities as defined in the previous sentence. Funding for infrastructure and data releated activities may be funded from any of the funding sources. A sample budget table and justification is included in Appendix I of this document.

Contact Information

For questions regarding program issues, contact the designated GPO for your State at the address below:

Ilze Linda Ruditis, MSW, ACSW
CAPT, USPHS
Government Project Officer
Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Rockville, MD 20857
Phone: (240) -276-1777
FAX: (240) 276-1930
ilze.ruditis@samhsa.hhs.gov

David C. Thompson
HIV/AIDS Team Leader
Division of Service Improvement
Center for Substance Abuse Treatment
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Rockville, Maryland 20857
Phone: (240) 276-1623
david.thompson@samhsa.hhs.gov

For questions on grants management and budget issues contact:

Gwendolyn Simpson
Office of Financial Resources, Division of Grants Management
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Rockville, Maryland 20857
(240) 276-1408
gwendolyn.simpson@samhsa.hhs.gov

Love Foster-Horton
Office of Financial Resources, Division of Grants Management
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Rockville, Maryland 20857
(240) 276-1653
love.foster-horton@samhsa.hhs.gov