Indian Health Service Behavioral Health Programs
Active
- Assistance listing
- 93.654
- Agency
-
Indian Health Service
Department of Health and Human Services
- Grant awards
- 15 $69,698,087 in federal obligations
Program facts
- Also known as
- Substance Abuse and Suicide Prevention Program: Suicide Prevention, Intervention, and Postvention
- Assistance types
-
- Project Grant
- Cooperative Agreement
- Treasury account
-
- 75-0390-0-1-551
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Indian Health Service (IHS) funds behavioral health integration and suicide prevention initiatives for American Indian and Alaska Native populations under Assistance Listing 93.654, with the most recent grant award disbursed on March 1, 2024. This program is active but shows declining award volume: 14 awards in 2022 versus 1 in 2024. The portfolio spans 15 total awards since April 2022, generating $69.7 million in combined federal obligations.
The program funds development of integrated behavioral health systems within tribal and urban Indian health facilities. Representative awards illustrate the scope: the Jena Band of Choctaw Indians received $3.7 million to integrate primary and mental health care with trauma-informed, culturally competent modalities addressing depression and diabetes; the Kickapoo Tribe in Kansas received $6.3 million to establish service collaboration between social services and tribal health centers while building community-wide suicide prevention protocols; the National Council of Urban Indian Health received $693,750 as a cooperative agreement to deliver nationwide information-sharing and quality improvement on behavioral health for 41 urban Indian organizations. Funded activities emphasize care coordination, workforce training, electronic health record integration, establishment of patient-centered medical homes, screening and brief intervention protocols (SBIRT), and warm hand-offs between primary care and behavioral health providers. The portfolio is predominantly Project Grants (93% of awards) with one Cooperative Agreement (7%).
IHS is the sole funder, concentrating 100 percent of federal dollars obligated under this Assistance Listing. Award sizes range from under $700,000 to $6.3 million, with most five-year projects valued between $3.5 million and $5.8 million. Non-federal cost-share is minimal ($700,000 across $69.7 million federal spend), indicating no mandatory match requirement.
Recent opportunities posted in August 2026 include National Urban Indian Health Program (Education and Research) solicitation HHS-2027-IHS-NUIBH-0001 for 501(c)(3) nonprofits to strengthen behavioral health services through technical assistance and quality improvement; Suicide Prevention, Intervention, and Postvention solicitation HHS-2027-IHS-SPIP-0001 for federally recognized tribes and tribal organizations to implement early intervention strategies for at-risk youth; and Youth Regional Treatment Center Aftercare Program solicitation HHS-2027-IHS-YRTC-0001 as a cooperative agreement for tribes and tribal organizations. Federally recognized tribes, tribal organizations, nonprofit inter-tribal organizations, nonprofit urban Indian organizations, and nonprofit health and education entities are eligible. Project periods are limited to five years or less with annual noncompetitive continuation applications required.
Objective and description
- Objective
The primary purpose of this program is to reduce the prevalence of suicide among American Indian and Alaska Native (AI/AN) populations. Tribes can accomplish these goals by: 1. Improving care coordination; 2. Expanding behavioral health care servic
- Description
The Indian Health Service Behavioral Health Programs consists of several funding programs designed to help Tribes, Tribal Organizations, and Urban Indian Organizations (UIO) assist American Indian and Alaska Native (AI/AN) populations achieve and realize the highest possible level of physical, mental, social and spiritual health through addressing health concerns and delivery systems with behavioral components.
Eligibility
- Applicant eligibility
Federally recognized Indian tribes; tribal organizations; nonprofit inter-tribal organizations; nonprofit urban Indian organizations contracting with the Indian Health Service under Title V of the Indian Health Care Improvement Act; public or private nonprofit health and education entities; and State and local government health agencies.
- Beneficiary eligibility
American Indians/Alaska Natives will be the ultimate beneficiaries of the funding projects either directly or indirectly depending upon the nature of the program. For example, those individuals who participate in research studies and receive services will be direct beneficiaries while those impacted by policy changes resulting from analyses of Indian health care issues will be indirect beneficiaries.
- Uses of assistance
Federal assistance is to be used for projects and studies that provide American Indians/Alaska Natives with impetus and involvement in their health care and that promote improved health care to Indian people. All IHS Grant funds are for discretionary grant activities.
- Length and time phasing of assistance
The project period is limited to 5 years or less, with specific lengths listed in the initial notice of funding opportunity on the Federal Register. Within the project period, a continuation application must be submitted annually on a noncompetitive basis for each year of support.
How to apply
- Criteria for selecting proposals
The selection criteria are: Statement of problem(s) requiring solution; need for assistance; results or benefits expected from the project; approach or soundness of the applicant's plan for conducting the project; key personnel and their capability to carry out the project; and adequacy of management controls. Consideration will be given to the demonstrative aspects of the project and the compatibility of the project with the overall goals and objectives of the Indian Health Service.
- Award procedure
After review and approval, a Notice of Award is prepared an processed, along with appropriate notification to the public.
- Renewals
Renewals at the end of the project period are handled through a competitive process involving a new Notice of Funding Opportunity published in the Federal Register, and a new application submitted under the same guidelines and requirements as the original award.
Grant opportunities
Show all 16
Grant awards
Latest 10 of 15 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Kickapoo Tribe In Kansas | $6,338,160 | 9% |
| 2 | Tunica-Biloxi Tribe Of Louisiana Tribal Office | $6,000,000 | 9% |
| 3 | Shoshone Bannock Tribes | $5,600,000 | 8% |
| 4 | Pueblo De San Felipe | $5,600,000 | 8% |
| 5 | Ponca Tribe Of Nebraska | $5,182,489 | 7% |
| 6 | Seneca Nation Of Indians | $5,008,556 | 7% |
| 7 | Rocky Boy Health Center | $4,800,000 | 7% |
| 8 | Indian Health Council Inc. | $4,800,000 | 7% |
| 9 | Indian Health Center Of Santa Clara Valley | $4,800,000 | 7% |
| 10 | Muscogee (Creek) Nation | $4,773,264 | 7% |
10 of 15 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $6,739,678 |
| FY2025 | $14,542,694 |
| FY2024 | $63,495,153 |
| FY2023 | $79,734,403 |
| FY2022 | $83,398,278 |
Quick answers
What is Assistance Listing 93.654?
Assistance Listing 93.654 is Indian Health Service Behavioral Health Programs, a federal grant program run by Indian Health Service (Department of Health and Human Services).
What is the CFDA number for Indian Health Service Behavioral Health Programs?
Its CFDA number is 93.654: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.654 awarded?
15 grant awards under 93.654 have obligated $69,698,087 in federal funds to 15 recipients.
Who receives the most funding from 93.654?
The recipients obligated the most under Indian Health Service Behavioral Health Programs are Kickapoo Tribe In Kansas ($6,338,160), Tunica-Biloxi Tribe Of Louisiana Tribal Office ($6,000,000) and Shoshone Bannock Tribes ($5,600,000).
How much did 93.654 obligate in fiscal year 2025?
Grants under 93.654 obligated $14,542,694 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.654?
3 listed opportunities under 93.654 are open or forecasted. The latest, National Urban Indian Health Program (Education and Research), was posted on August 6, 2026.
On GovTribe
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