Opportunity Information: Apply for HRSA 23 085

The FY 2023 Screening and Treatment for Maternal Mental Health and Substance Use Disorders (MMHSUD) funding opportunity (HRSA 23 085) is a discretionary cooperative agreement program run by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It is designed to strengthen how maternity care settings respond to maternal mental health conditions and substance use disorders by expanding the day-to-day capacity of health care providers to screen, assess, treat, and refer pregnant and postpartum people. In practice, the program centers on building or enhancing statewide or regional networks that maternity care providers can rely on for quick expert help, better care coordination, and training that is culturally and linguistically appropriate, with an explicit emphasis on reducing maternal health inequities.

A core feature of the program is the creation, improvement, and/or maintenance of provider-facing support systems that operate in real time. These networks are expected to offer psychiatric consultation that clinicians can access when they need guidance on diagnosis, medication considerations, safety planning, or treatment options for perinatal mental health and substance use concerns. Alongside consultation, networks are expected to provide care coordination support services, which can include helping practices connect patients to appropriate community-based services, supporting follow-up after referrals, and making it easier for busy clinical sites to navigate behavioral health and recovery resources. Training is another central component, and it is expected to be both clinically useful and accessible to diverse communities, including through language access strategies such as translation of patient or provider materials.

The long-term goals outlined in the announcement focus on normalizing and improving behavioral health care throughout pregnancy and the postpartum period. HRSA aims to increase routine behavioral health screening among pregnant and postpartum people, improve routine detection and assessment of maternal mental health conditions, and expand the use of evidence-based approaches for brief intervention, treatment, and referral. Another major goal is to increase access to treatment and recovery support services that are culturally and linguistically appropriate and community-based, with delivery options that may be in person or through telehealth. Collectively, these goals reflect an effort to move maternal mental health and substance use care from being episodic and hard to access into something that is more integrated into routine maternity care.

The program also specifies measurable objectives that recipients are expected to work toward over the full project period, with baseline data collected and reported by the end of Year 1 and progress expected through the end of the performance period in 2028. These objectives include increasing the number of providers who use the network for real-time psychiatric consultations and/or care coordination support (including referrals), increasing the number of providers trained in maternal mental health and substance use disorders (covering screening, assessment, treatment, and follow-up recovery support), and increasing the number of trainings that explicitly incorporate equity and respectful, culturally responsive, and congruent care. In addition, recipients are expected to expand the breadth of their referral database by increasing the number of community-based mental health, substance use disorder treatment, and recovery support providers included, which is intended to make referrals more practical and more responsive to local needs.

From an eligibility and funding perspective, the opportunity lists state governments as eligible applicants, as well as Native American tribal organizations (other than federally recognized tribal governments) and other entities as further detailed in the official eligibility clarification. Awards are cooperative agreements, which generally means HRSA anticipates substantial involvement in the project through collaboration, oversight, and technical input rather than a hands-off grant relationship. The award ceiling is $750,000, and HRSA expected to make about 14 awards under this competition. The funding opportunity was created on April 3, 2023, with an original application closing date of June 2, 2023, and it is associated with CFDA number 93.110.

Overall, this grant opportunity is about building durable statewide or regional infrastructure that makes it easier for front-line maternity care providers to identify maternal mental health and substance use disorders early, respond with evidence-based care, and connect patients to culturally appropriate treatment and recovery supports. The emphasis on real-time consultation, care coordination, equity-centered training, and stronger referral networks signals HRSA's intent to reduce gaps in access, improve quality of care, and address inequities that contribute to poor maternal outcomes.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Screening and Treatment for Maternal Mental Health and Substance Use Disorders" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
  • This funding opportunity was created on Apr 03, 2023.
  • Applicants must submit their applications by Jun 02, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $750,000.00 in funding.
  • The number of recipients for this funding is limited to 14 candidate(s).
  • Eligible applicants include: State governments, Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 23 085

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