Addiction Medicine Fellowship Program and Integrated Substance Use Disorder Training Program

Active

Assistance listing
93.841
Agency
Grant awards
59 $173,402,208 in federal obligations

Program facts

Assistance type
  • Project Grant
Treasury account
  • 75-0353-0-1-550

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 Health Resources and Services Administration Bureau of Health Professionals funds expansion of addiction medicine and integrated substance use disorder training programs, with the most recent grant awards issued on July 1, 2025 (15 months ago), under CFDA 93.841.

The program operates two parallel tracks. The Addiction Medicine Fellowship Program expands the number of fellows at ACGME-accredited addiction medicine and addiction psychiatry fellowship programs, training them as addiction specialists in medically underserved, community-based settings that integrate primary care with mental health and substance use disorder prevention and treatment services. The Integrated Substance Use Disorder Training Program expands the workforce of nurse practitioners, physician assistants, psychologists, counselors, nurses, and social workers—including individuals completing clinical training requirements for licensure—trained to provide mental health and SUD services, including opioid use disorder services, in underserved community-based settings that serve both adult and pediatric populations.

The portfolio shows strong recent activity: 59 total awards have been issued since July 2023, with 42 awards in 2025 alone, indicating a marked acceleration. Combined federal dollars obligated total $173.4 million. The entire portfolio consists of Project Grants exclusively. The Health Resources and Services Administration Bureau of Health Professionals is the sole funding source for all 59 awards.

Recent addiction medicine fellowship awards illustrate the scope: the University of Pittsburgh's Adolescent and Young Adult Addiction Medicine Fellowship received $1,967,630 to create specialized training in adolescent addiction medicine; UCSF's Primary Care Addiction Medicine Fellowship Program received $4 million to expand fellows from three to five annually; and the University of Utah's program received $2.4 million to increase fellows from a baseline of five to eight and expand rotations into rural and tribal communities across the Intermountain West.

Integrated substance use disorder training program awards similarly show breadth: Emory University received $5.7 million to train advanced practice nurses and licensed clinical social workers across nine Georgia counties designated as mental health professional shortage areas; Geisinger received $5.2 million to train nurse practitioners, physician assistants, and social workers across rural central and northeastern Pennsylvania; and UT Southwestern received $5.2 million to train nurse practitioners and physician assistants in behavioral health and substance use disorders across North Texas.

Applicants for the Addiction Medicine Fellowship track must be U.S.-based sponsoring institutions of ACGME-accredited addiction medicine or addiction psychiatry fellowship programs, or consortia including domestic teaching health centers. Integrated Substance Use Disorder Training Program applicants include teaching health centers, federally qualified health centers, community mental health centers, rural health clinics, Indian Health Service health centers, and entities with demonstrated success training nurse practitioners, physician assistants, health service psychologists, and social workers.

Fellows must be U.S. citizens or qualified aliens under federal statute. Participants in the integrated program who receive grant funds must meet the same citizenship and alien status requirements.

No recent grant opportunities are currently posted; competing continuation applications may be solicited during the final budget year of approved project periods depending on agency priorities and funding availability. All applications are reviewed competitively against criteria including Purpose and Need, Response to Program Purpose, Impact, Organizational Resources and Capabilities, and Support Requested.

Objective and description

Objective

The purpose of the Addiction Medicine Fellowship Program and the Integrated Substance Use Disorder Training Program is to train health professionals including nurse practitioners, physician assistants, psychologists, counselors, nurses, social worker

Description

The purpose of the Addiction Medicine Fellowship Program is to expand the number of fellows at accredited addiction medicine and addiction psychiatry fellowship programs trained as addiction medicine specialists. These fellows will train in medically underserved, community-based settings that integrate primary care with mental health and substance use disorder (SUD) prevention and treatment services. The purpose of the Integrated Substance Use Disorder Training Program is to expand the number of nurse practitioners, physician assistants, psychologists, counselors, nurses, and/or social workers (including individuals completing clinical training requirements for licensure) trained to provide mental health and substance use disorder (SUD), including opioid use disorder (OUD) services. The providers will train in underserved community-based settings that integrate primary care, mental health, and SUD services, including working with pediatric populations.

Eligibility

Applicant eligibility

AMF: Applicants may be an organization is a U.S.-based sponsoring institution (or parent institution of the sponsoring institution) of an accredited addiction medicine or accredited addiction psychiatry fellowship program, or a consortium (consisting of at least one domestic teaching health center and the sponsoring institution) of a domestic addiction medicine or addiction psychiatry fellowship program. The sponsoring institution must be accredited by the Accreditation Council of Graduate Medical Education (ACGME). ISTP: Teaching Health Centers; Federally Qualified Health Centers; Community Mental Health Centers; Rural Health Clinics; health centers operated by the Indian Health Service, Indian tribes, tribal organizations, or urban Indian organization. Entities with a demonstrated record of success in providing training for nurse practitioners, physician assistants, health service psychologists, and/or social workers.

Beneficiary eligibility

AMF: Fellows must be enrolled full-time (12 months) or part-time (24 months) at the sponsoring institution receiving the grant. A fellow must be a citizen of the United States, a foreign national who possesses a visa permitting permanent residence in the United States, or any other "qualified alien" under section 431(b) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, Pub. L. 104-193, as amended. ISTP: A participant or faculty/instructor receiving support from grant funds must be a citizen, non-citizen national of the United States, an individual lawfully admitted for permanent residence to the United States, or any other "qualified alien" under section 431(b) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 Pub. L. 104-193, as amended.

Uses of assistance

AMF Program Restricted Uses: Indirect costs under training awards will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment. ISTP program Restricted Uses: Indirect costs under training awards will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment.

Use restrictions

AMF Program Restricted Uses: Indirect costs under training awards will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment. ISTP program Restricted Uses: Indirect costs under training awards will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment.

How to apply

Criteria for selecting proposals

Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by nonfederal reviewers for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria.

Award procedure

Notification is made in writing (electronic) by a Notice of Award.

Renewals

Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants.

Grant awards

Latest 10 of 59 listed here. See the rest on GovTribe.

Top recipients by federal obligations

Rank Recipient Federal obligations Share
1 Geisinger Clinic $8,195,793 5%
2 Yale Univ $7,700,003 4%
3 Texas A & M University System Health Science Center $5,775,716 3%
4 International Community Health Services $5,775,227 3%
5 Universidad Central Del Caribe, Inc. $5,740,676 3%
6 Emory University $5,736,601 3%
7 Avera Mckennan $5,260,716 3%
8 The University Of Texas Southwestern Medical Center $5,186,658 3%
9 Catholic University Of America (The) $4,700,156 3%
10 Cahaba Medical Care Foundation $4,196,788 2%

10 of 56 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $40,178,561

Quick answers

What is Assistance Listing 93.841?

Assistance Listing 93.841 is Addiction Medicine Fellowship Program and Integrated Substance Use Disorder Training Program, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).

What is the CFDA number for Addiction Medicine Fellowship Program and Integrated Substance Use Disorder Training Program?

Its CFDA number is 93.841: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.841 awarded?

59 grant awards under 93.841 have obligated $173,402,208 in federal funds to 56 recipients.

Who receives the most funding from 93.841?

The recipients obligated the most under Addiction Medicine Fellowship Program and Integrated Substance Use Disorder Training Program are Geisinger Clinic ($8,195,793), Yale Univ ($7,700,003) and Texas A & M University System Health Science Center ($5,775,716).

On GovTribe

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