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Screening, Brief Intervention, and Referral to Treatment

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Short Title: SBIRT
Initial Announcement Back to the Grants Dashboard

Notice of Funding Opportunity (NOFO)

NOFO Number: TI-21-008

Posted on Wednesday, February 17, 2021

Application Due Date: Monday, April 19, 2021

Catalog of Federal Domestic Assistance (CFDA) Number: 93.243

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), Center for Substance Abuse Treatment (CSAT) is accepting applications for fiscal year (FY) 2021 Screening, Brief Intervention and Referral to Treatment (SBIRT) grants. The purpose of this program is to implement screening, brief intervention, and referral to treatment services for children, adolescents, and/or adults in primary care and community health settings (e.g., health centers, hospital systems, health maintenance organizations (HMOs), preferred-provider organizations (PPOs), Federally Qualified Health Care (FQHC) systems, behavioral health centers, pediatric health care providers, Children’s Hospitals, etc.) with a focus on screening for underage drinking, opioid use, and other substance use. For the purposes of this FOA, pediatric health care providers are a provider of primary health care to individuals under the age of 21 years. This program is designed to expand/enhance the continuum of care for substance use disorder (SUD) services and reduce alcohol and other drug (AOD) consumption and its negative health impact, increase abstinence, reduce costly health care utilization, and promote sustainability and the integration of behavioral health and primary care services through policy changes that increase treatment access in generalist and specialist practice. These grants support clinically appropriate services for persons at risk (asymptomatic) for SUD, as well as those diagnosed with SUD.


  • State governments through the immediate office of the Single State Authority (SSA) or Director of the Health Department (or equivalent agency) in states, the District of Columbia, and U.S. territories are also eligible to apply.
  • Federally recognized American Indian/Alaska Native (AI/AN) tribes, tribal organizations, Urban Indian Organizations, and consortia of tribes or tribal organizations.
  • Public and private non-profit health care or behavioral health care systems such as HMOs, PPOs, FQHC systems, hospital systems, pediatric health care providers, children’s hospitals, and community health or behavioral health centers. (Note: For community health or behavioral health centers, the highest office of a Director or Chief Executive Officer must be the applicant.) Preference is for systems with integrated specialty treatment care or the ability to establish integrated care mechanisms.

Note: Pediatric health care providers are a provider of primary health care to individuals under the age of 21 years.

SBIRT grant recipients that received their initial funding award in FY 2018 or 2019 under FOA TI-18-007 are not eligible to apply.

Award Information

Funding Mechanism: Grant

Anticipated Total Available Funding: $10,752,670 (At least $2,000,000 will be awarded to applicants that are providing services in pediatric health care settings.)

Anticipated Number of Awards: 10 awards

Anticipated Award Amount: Up to $995,000 per year

Length of Project: Up to 5 years

Cost Sharing/Match Required?: No

Proposed budgets cannot exceed $995,000 in total costs (direct and indirect) in any year of the proposed project. Annual continuation awards will depend on the availability of funds, grantee progress in meeting project goals and objectives, timely submission of required data and reports, and compliance with all terms and conditions of award.)

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