Opportunity Information: Apply for TI 23 024

The Minority HIV/AIDS Fund: Integrated Behavioral Health and HIV Care for Unsheltered Populations Pilot Project (Funding Opportunity Number TI 23 024) is a discretionary federal grant offered by the U.S. Department of Health and Human Services through the Substance Abuse and Mental Health Services Administration (SAMHSA). It is designed as a pilot program to test and demonstrate a practical model of comprehensive, integrated healthcare for people who are both medically underserved and living without shelter, with a specific emphasis on racial and ethnic minority communities. The core idea is to meet people where they are by delivering portable, outdoor, field-based clinical care rather than relying on traditional clinic settings that many unsheltered individuals cannot easily access or may avoid due to barriers like transportation, stigma, documentation requirements, prior negative experiences, or competing survival needs.

The program focuses on integrating behavioral health services with HIV care in a way that reflects how these issues commonly overlap in real life. Instead of treating HIV, mental health needs, and substance use as separate problems handled by separate systems, the grant expects funded organizations to use a "syndemic" approach. In practice, that means recognizing that conditions like substance use disorders, mental health challenges, HIV, viral hepatitis, and the health impacts of homelessness and trauma often interact and reinforce one another. The pilot aims to create services that address these interconnected needs together, in a coordinated and low-barrier manner, so participants can receive meaningful care even when their living situation is unstable.

A key expectation of recipients is the delivery of low-barrier substance use disorder treatment and mental healthcare alongside HIV-related services. The HIV component is broad and includes both treatment and prevention. On the treatment side, recipients are expected to provide HIV testing and connect people to HIV treatment services, and they must also include viral hepatitis testing and treatment (recognizing the frequent overlap with HIV risk factors and outcomes). On the prevention side, the opportunity explicitly includes distribution of condoms, and access to biomedical prevention tools such as Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP). The grant also calls for harm reduction services, signaling an approach that prioritizes reducing immediate risks and health harms for people who use substances, even when abstinence is not an immediate or realistic goal.

In terms of funding structure, the award ceiling is $666,666 per award, with an anticipated total of three awards. The funding instrument is a grant, and the activity category is health. The program is listed under CFDA number 93.899. The opportunity was created on June 23, 2023, and the original closing date was July 24, 2023. Eligibility is listed as "Others," with the notice directing applicants to the opportunity text for additional clarification, which typically means eligibility may include specific community organizations, providers, or other entities identified in the full announcement rather than a simple, broad category like states or universities.

Overall, this opportunity is aimed at building and proving out an integrated care model for some of the hardest-to-reach populations: people experiencing unsheltered homelessness who face compounded risks related to behavioral health conditions, substance use, infectious diseases, and systemic inequities. The emphasis on portable, outdoor clinical care and on combining HIV treatment and prevention with mental health, SUD care, hepatitis services, and harm reduction reflects a practical, street-level healthcare strategy intended to reduce barriers and improve outcomes in environments where conventional healthcare delivery often fails to engage people consistently.

  • The Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis in the health sector is offering a public funding opportunity titled "Minority HIV/AIDS Fund: Integrated Behavioral Health and HIV Care for Unsheltered Populations Pilot Project" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.899.
  • This funding opportunity was created on Jun 23, 2023.
  • Applicants must submit their applications by Jul 24, 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 $666,666.00 in funding.
  • The number of recipients for this funding is limited to 3 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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