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 (HRSA) Bureau of Health Professionals funds training programs for addiction medicine fellows and integrated substance use disorder (SUD) professionals in medically underserved and community-based settings, with the most recent awards issued July 1, 2025 (Assistance Listing 93.841).

Grant awards under this program have accelerated sharply. The portfolio shows 61 total awards spanning from July 2023 to July 2025, with activity climbing from 19 awards in fiscal 2023 to 42 awards in fiscal 2025—a 121 percent increase year-over-year. All 61 awards are Project Grants distributed entirely through HRSA's Bureau of Health Professionals, totaling $177 million in combined federal obligation. Recent awards range from approximately $450 thousand to $4 million per award, with five-year performance periods running through June 2028 or June 2030 depending on the award cohort.

The program funds two distinct but complementary training tracks. The Addiction Medicine Fellowship (AMF) trains physicians in ACGME-accredited fellowship programs to become board-certified addiction specialists. Recent AMF awards support fellowship expansion at medical centers and teaching hospitals including UCSF, Boston Medical Center, Geisinger Health System, University of Pittsburgh, University of Utah, and numerous other academic and health system sponsors. Training emphasizes work in rural, tribal, and medically underserved areas integrating primary care with mental health and substance use disorder prevention and treatment. The Integrated Substance Use Disorder Training Program (ISTP) trains nurse practitioners, physician assistants, psychologists, counselors, nurses, social workers, and individuals completing clinical training requirements for licensure to provide mental health and SUD prevention and treatment services in underserved community-based settings, including those serving pediatric populations.

Eligible AMF applicants must be U.S.-based ACGME-accredited addiction medicine or addiction psychiatry fellowship sponsoring institutions or consortia including domestic teaching health centers. ISTP applicants include teaching health centers, federally qualified health centers, community mental health centers, rural health clinics, Indian Health Service facilities, Indian tribes, tribal organizations, urban Indian organizations, and entities with demonstrated success training nurse practitioners, physician assistants, health service psychologists, and social workers. All funded participants must be U.S. citizens, permanent residents, or qualified aliens under federal statute.

Recent awards document wide geographic distribution and clinical focus on opioid use disorder, health disparities, and stigma reduction. Representative awards include $3.2 million to UCSF for a primary care addiction medicine fellowship expansion; $3.9 million to Boston Medical Center for an interdisciplinary fellowship program serving safety-net populations; $2.4 million to Oregon Health & Science University for expansion addressing Oregon's 19 percent increase in overdose deaths from 2022 to 2023; and $4.7 million to Yale School of Medicine for an advanced practice provider fellowship in addiction medicine. ISTP awards similarly emphasize integration: $5.7 million to Texas A&M University School of Nursing, $5.2 million to Geisinger for advanced practice providers and social workers, and $5.7 million to Emory University for advanced practice nurses and licensed clinical social workers in Georgia counties with the highest opioid dispensing rates.

No recent grant opportunities are currently open in the source material. The portfolio indicates that competing continuation applications may be solicited from current grantees during the final budget year of approved project periods, depending on agency priorities and funding availability.

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).

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