New York State Office Of Mental Health

New York State Office of Mental Health (OMH) is a U.S. state government entity operating as a federal grant recipient, serving as the designated state agency administering Substance Abuse and Mental Health Services Administration (SAMHSA) formula and block grants for community mental health services across New York. OMH does not hold federal contracts; it receives grants directly from HHS/SAMHSA and distributes sub-awards to local nonprofits, hospital systems, county governments, and peer-led organizations that deliver direct services.

OMH operates under the parent structure of the State of New York and is headquartered in Albany, New York. The organization's federal award activity spans multiple SAMHSA programs and several HHS operating divisions, with 219 total awards (93% as prime recipient, 7% as sub-recipient) recorded across federal sources since 2000, though recent activity has contracted to one award in 2026, three in 2025, and three in 2024.

OMH's primary federal funding stream flows from SAMHSA/Center for Mental Health Services across three statutory grant vehicles. The Block Grants for Community Mental Health Services program (CFDA 93.958) represents the largest sustained commitment, with a $129.005 million award dated October 1, 2025, running through September 30, 2027, funding comprehensive community-based mental health services to adults with serious mental illness and children with serious emotional disturbances. OMH administers this block grant through a network of sub-recipients including eight hospital systems (Bellevue Hospital Center, Kings County Hospital Center, Elmhurst Hospital Center, Staten Island University Hospital, Lenox Hill Hospital, Long Island Jewish Medical Center, Mount Sinai Hospital, and Montefiore Medical Center); sixteen community-based behavioral health organizations such as The Institute for Family Health, Access: Supports for Living, Helio Health, Institute for Community Living, and Jewish Board of Family and Children's Services; nine county and local government entities (Clinton, Suffolk, Erie, Westchester, Nassau, Onondaga, Orange, Monroe, and Rensselaer counties); and peer-led and housing-focused organizations including Baltic Street Aeh, Housing Options Made Easy, and Family Service League. Research Foundation for Mental Hygiene and Coordinated Care Services provide program management and care coordination support. The sub-recipients deliver specialized services including the On-Track New York program for first-episode psychosis, jail diversion initiatives, peer-led engagement models, crisis intervention, drop-in centers, family peer support, and psychosocial rehabilitation.

The Projects for Assistance in Transition from Homelessness program (CFDA 93.150) provides formula grants to OMH for individuals with serious mental illness and co-occurring substance use disorders experiencing homelessness or at imminent risk. OMH received $4,037,558 on September 1, 2026 (award period through August 31, 2028), and $4,035,301 on September 1, 2025 (period through August 31, 2027), administering PATH funds to fifteen sub-grantee nonprofits and community organizations including Center For Urban Community Services, West Side Federation For Senior And Supportive Housing, Center For Alternative Sentencing & Employment Services, Bestself Behavioral Health, The Salvation Army, and Institute For Community Living. PATH sub-recipients deliver outreach, screening, case management, rental assistance for eviction prevention, transitional shelter services, and specialized services for justice-involved individuals.

OMH also holds a project grant from SAMHSA for 988 crisis response system expansion. The "988 and the Developing Comprehensive Crisis Response System" project grant, awarded September 30, 2023, with completion date September 29, 2026, expands 988 crisis contact center connectivity and capacity across New York State. An earlier 988 project, "988—More Than A Number," awarded April 30, 2022, with completion date April 29, 2025, expanded crisis center workforce, backup capacity, chat and text services, and community linkages. Both 988 initiatives estimate reaching 1 to 4 million New Yorkers over their performance periods.

OMH's customer base is heavily concentrated in HHS/SAMHSA; the Department of Housing and Urban Development's Assistant Secretary for Community Planning and Development (124 awards, primarily historical housing-related grants); HHS Administration for Children and Families (18 awards); and the Federal Emergency Management Agency (16 awards). The Department of Veterans Affairs Veterans Health Administration represents $7.4 million in combined potential value across nine awards through an Indefinite Delivery Contract (VA52816D0002) carrying seven task orders and $2.6 million combined potential value. Combined obligated dollars across all OMH awards total $2.99 billion against $7.7 million in combined potential value, reflecting large historical grant commitments executed over the past two decades. Four awards face ultimate completion within the next twenty-four months. OMH's award footprint is classified under top NAICS codes including Psychiatric and Substance Abuse Hospitals and Residential Mental Health and Substance Abuse Facilities, with most recent activity concentrated in behavioral and mental health service delivery (PSC code).