Section 223 Demonstration Programs to Improve Community Mental Health Services
Active
- Assistance listing
- 93.829
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Grant awards
- 483 $2,312,950,630 in federal obligations
Program facts
- Also known as
- Section 223 of the Protecting Access Medicare Act (PAMA) of 2014, Certified Community Behavioral Health Clinic Demonstration (CCBHC)
- Assistance type
-
- Project Grant
- Treasury account
-
- 75-0516-0-1-551
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Centers for Medicare and Medicaid Services is awarding grants to support certified community behavioral health clinics (CCBHCs) providing integrated mental health and substance use disorder treatment, with the most recent awards made on September 30, 2023 (CFDA 93.829).
This program has achieved significant scale and momentum. Since October 2015, 483 Project Grants have been awarded, obligating $2.31 billion in federal dollars—a testament to sustained demand and federal commitment. Award volume accelerated notably: after relatively modest annual counts (65 awards in 2018), activity spiked to 166 awards in 2020 and peaked at 198 in 2021, before tapering to single-digit annual volumes in 2022 and 2023. The portfolio is 100 percent Project Grants, and the Substance Abuse and Mental Health Services Administration (SAMHSA) dominates the funding, accounting for all awards shown in the top-funder rankings—SAMHSA has issued 459 of 483 awards ($2.28 billion in federal dollars obligated), while the Centers for Medicare and Medicaid Services distributed 24 awards worth $23 million. Recipients report combined total obligations (federal plus non-federal match) of $3.15 billion, indicating substantial cost-sharing or matching contributions.
Recent grants reveal the program's operational scope. Washington County, Vermont's project to prevent youth overdose through substance use disorder treatment expansion ($3.39 million); Centerstone's Illinois opioid-use-disorder program serving 325 youth and young adults ($4.05 million); and Children's Hospital Los Angeles's multi-level training and treatment program for 2,700 individuals ($3.6 million)—all awarded September 30, 2023—exemplify the breadth of activity. Typical awards range from $3 million to $14 million, with recent examples including $7 million to $14 million for comprehensive CCBHC expansions in rural and underserved urban counties.
The program funds establishment and expansion of CCBHCs delivering comprehensive, integrated behavioral health and primary care services. Awarded activities include crisis intervention and stabilization (24/7 availability required), screening and assessment for mental health and substance use disorders, outpatient treatment (including medication-assisted treatment for opioid use disorder), peer support services, care coordination, and integration with primary health care. Eligible populations span adults with serious mental illness, children and adolescents with serious emotional disturbance, individuals with substance use disorders (including opioid use disorders), and those with co-occurring mental and substance use disorders. Grantees establish or expand clinic infrastructure, hire specialized clinical and peer support staff, and implement evidence-based practices tailored to underserved and low-income populations—many with explicit focus on racial and ethnic minorities, veterans, justice-involved individuals, and rural/frontier communities.
Three open or recently posted grant opportunities signal continued activity. SM-26-016 (posted December 10, 2025, due August 17, 2026) solicits Cooperative Agreements for state-level CCBHC Planning Grants to develop certification systems, establish Medicaid prospective payment systems, and prepare demonstration program applications. SM-25-001 (posted July 29, 2024, due September 12, 2024) pursued the same planning-grant purpose. SM-22-002 (posted July 30, 2021, no closing date shown as forecast) targets CCBHC Expansion Grants for community organizations already operating or poised to meet certification criteria within four months of award.
No recent grant opportunities are currently open; the most recent posted opportunities date to mid-2024 or are forecasts. Award activity has slowed sharply since the 2021 peak, with only 4 awards in 2022 and 4 in 2023—suggesting either the program has funded most eligible applicants in the demonstration states or funding has been shifted to state planning activities. Organizations pursuing this program should monitor SAMHSA announcements for the next CCBHC Expansion Grants solicitation and assess whether state-level planning support is available in their jurisdiction.
Objective and description
- Objective
Funding to support development of proposals to participate in time-limited community based behavioral health demonstration programs described in subsection (d) of section 223 of P.L. 113-93 Protecting Access to Medicare Act of 2014, 42 USC 1396(a) no
- Description
On October 19, 2015, SAMHSA, in conjunction with the CMS, and the Assistant Secretary of Planning and Evaluation (ASPE), awarded a total of $22.9 million to support 24 states in their efforts to improve behavioral health of their citizens by providing community-based mental health and substance use disorder treatment. On December 21, 2016 HHS announced the eight states selected to participate in the section 223 Demonstration Program to Improve Community Mental Health Services. States include: Minnesota, Missouri, New York, New Jersey, Nevada, Oklahoma, Oregon and Pennsylvania. Chosen from among the planning grant states that submitted applications.
Eligibility
- Applicant eligibility
The statutory authority limits eligibility to states including the District of Columbia. Eligible applicants are either the State Mental Health Authority (SMHSA) or the Single State Agency for Substance Abuse Services (SSA) or the State Medicaid Agency (SMAs).
- Beneficiary eligibility
Individual/Family; Non-profit organization; Consumer; Mentally Disabled; Drug Addict; Alcoholic; Child; Youth; Senior Citizen
- Uses of assistance
Section 223 of the PAMA(c)(2) Use of funds and section 11001 of the BSCA (1)(3) of Additional Planning Grants for States-A State awarded planning grant under these subsections shall (A) solicit input with respect to the development of such a demonstration program from patients, providers, and other stakeholders; (B) certify clinics as certified community behavioral health clinics for purpose of participating in a demonstration program conducted under subsection (d); Cost Principles describing allowable and unallowable expenditures for federal grantees, including SAMHSA grantees, are provided in the following documents, which are available at http://www.samhsa.gove/grants/management.aspx: Educational Institutions: 2CFR Part220 and OMB Circular A-21 State, Local and Indian Tribal Governments: 2 CFR Part 225 (OMB Circular A-87 Nonprofit Organizations: 2CFR Part 230 (OMB Circular A-122)
How to apply
- Criteria for selecting proposals
SAMHSA applications are peer-reviewed according to the evaluation criteria listed in the grant announcement. Decisions to fund a grant are based on: -The strengths and weaknesses of the application as identified by peer reviewers; -When the individual award is over $150,000, approval by the Center for Mental Health Services' National Advisory Council; -availability of funds; -equitable distribution of awards in terms of geography (including urban, rural, and remote settings) and balance among populations of focus and program size.
- Award procedure
Applications are awarded based on the outcomes of the SAMHSA Peer Review, CMHS National Advisory Council review; and approval of the SAMHSA Administrator. Grants are awarded directly by SAMHSA to the Applicant Organization.
- Deadlines
Section 223, 2014 Protective Access to Medicare Act Oct 23, 2016 to Oct 22, 2017 10/23/16 - 10/22/17 Section 11001, Bipartisan Safer Communities Act December 2022 - December 2023
- Time to approval or disapproval
30-60 days. To be determined by agency or office administering the funds.
Grant opportunities
Grant awards
Latest 10 of 483 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | The Vitality Center. Inc. | $20,000,000 | 1% |
| 2 | Rosecrance, Inc. | $15,297,461 | 1% |
| 3 | CNS Healthcare | $15,048,651 | 1% |
| 4 | Hegira Health Inc. | $12,575,341 | 1% |
| 5 | Counseling & Recovery Services Of Oklahoma, Inc. | $12,018,842 | 1% |
| 6 | Behavioral Health Network, Inc. | $12,000,000 | 1% |
| 7 | Creoks Mental Health Services, Inc. | $11,999,200 | 1% |
| 8 | Richmond Behavioral Health Authority | $11,958,718 | 1% |
| 9 | Sound | $11,955,592 | 1% |
| 10 | Mosaic Community Services, Inc. | $11,745,516 | 1% |
10 of 391 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $95,336 |
| FY2025 | -$9,941,509 |
| FY2024 | -$55,354,657 |
| FY2023 | -$106,404,121 |
| FY2022 | $1,248,142,479 |
| FY2021 | $1,787,720,383 |
| FY2020 | $469,496,064 |
| FY2019 | $119,813,027 |
| FY2018 | $94,447,159 |
| FY2016 | $22,959,820 |
Quick answers
What is Assistance Listing 93.829?
Assistance Listing 93.829 is Section 223 Demonstration Programs to Improve Community Mental Health Services, a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services).
What is the CFDA number for Section 223 Demonstration Programs to Improve Community Mental Health Services?
Its CFDA number is 93.829: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.829 awarded?
483 grant awards under 93.829 have obligated $2,312,950,630 in federal funds to 391 recipients.
Who receives the most funding from 93.829?
The recipients obligated the most under Section 223 Demonstration Programs to Improve Community Mental Health Services are The Vitality Center. Inc. ($20,000,000), Rosecrance, Inc. ($15,297,461) and CNS Healthcare ($15,048,651).
How much did 93.829 obligate in fiscal year 2025?
Grants under 93.829 obligated -$9,941,509 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.829?
No opportunity listed under 93.829 is open now. The latest, Cooperative Agreements for Certified Community Behavioral Health Clinic (CCBHC) Planning Grants, was posted on December 10, 2025.
On GovTribe
See this program's full record
- Every grant award and opportunity under it
- Funding by recipient, agency and assistance type
- Alerts for new opportunities
- Ask GovTribe AI about this program