Grant Details

State Targeted Response to the Opioid Crisis Grants

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    Funder Type

    Federal Government

    IT Classification

    B - Readily funds technology as part of an award


    Department of Health and Human Services (HHS)


    The Substance Abuse and Mental Health Services Administration (SAMHSA) is accepting applications for fiscal year (FY) 2018 State Opioid Response to Grants (Short Title: SOR). The program aims to address the opioid crisis by increasing access to medication-assisted treatment using the three FDA-approved medications for the treatment of opioid use disorder, reducing unmet treatment need, and reducing opioid overdose related deaths through the provision of prevention, treatment and recovery activities for opioid use disorder (OUD) (including prescription opioids, heroin, and illicit fentanyl and fentanyl analogs). These grants will be awarded to states and territories via formula. The program also includes a 15 percent set-aside for the ten states with the highest mortality rate related to drug overdose deaths.

    The program supplements activities pertaining to opioids currently undertaken by the state agency and will support a comprehensive response to the opioid epidemic. The results of the assessments will identify gaps and resources from which to build upon existing substance use prevention and treatment activities as well as community-based recovery support services. Grantees will be required to describe how they will expand access to treatment and recovery support services. Grantees will also be required to describe how they will advance substance misuse prevention in coordination with other federal efforts. Grantees must use funding to supplement and not supplant existing opioid prevention, treatment, and recovery activities in their state. Grantees are required to describe how they will improve retention in care, using a chronic care model or other innovative model that has been shown to improve retention in care.

    Grantees will be required to do the following: use epidemiological data to demonstrate the critical gaps in availability of treatment for OUDs in geographic, demographic, and service level terms; utilize evidence-based implementation strategies to identify which system design models will most rapidly address the gaps in their systems of care; deliver evidence based treatment interventions including medication and psychosocial interventions; and report progress toward increasing availability of treatment for OUD and reducing opioid-related overdose deaths based upon measures developed in collaboration with the Department of Health and Human Services (DHHS).

    History of Funding

    Approximately $485,000,000 per year in total funding was available for FY17.

    Additional Information

    Grantees of this funding must fulfill the following required activities:Grantees must use SAMHSAs Opioid STR grant funds primarily to support prevention, treatment, and recovery support activities. This includes the following required activities:
    • Assess the needs of tribes in your state and include strategies to address these needs in your SOR program.
    • Implement service delivery models that enable the full spectrum of treatment and recovery support services that facilitate positive treatment outcomes and long term recovery. Models for evidence-based treatment include, but are not limited to, hub and spoke models in which patients with OUD are stabilized in a specialized treatment setting focused on the care and treatment of OUD and associated conditions such as mental illness, physical illness, including infectious diseases, and other substance use disorders and then transferred to community based providers once stabilization has occurred.
    • Implement community recovery support services such as peer supports, recovery coaches, and recovery housing. Grantees must ensure that recovery housing supported under this grant is in an appropriate and legitimate facility. Individuals in recovery should have a meaningful role in developing the service array used in your program.
    • Implement prevention and education services including training of healthcare professionals on the assessment and treatment of OUD, training of peers and first responders on recognition of opioid overdose and appropriate use of the opioid overdose antidote naloxone, develop evidence-based community prevention efforts including evidence-based strategic messaging on the consequence of opioid misuse, and purchase and distribute naloxone and train on its use.
    • Ensure that all applicable practitioners (physicians, NPs, PAs) associated with your program obtain a DATA waiver.
    • Provide assistance to patients with treatment costs and develop other strategies to eliminate or reduce treatment costs for uninsured or underinsured patients.
    • Provide treatment transition and coverage for patients reentering communities from criminal justice settings or other rehabilitative settings.
    • Make use of the SAMHSA-funded Opioid TA/T grantee resources to assist in providing training and technical assistance on evidence-based practices to healthcare providers in your state who will render services to treat OUD in individuals seeking treatment and recovery services.
    Allowable Activities:
    • Address barriers to receiving MAT by reducing the cost of treatment, developing innovative systems of care to expand access to treatment, engage and retain patients in treatment, address discrimination associated with accessing treatment, including discrimination that limits access to MAT, and support long term recovery.
    • Support innovative telehealth strategies in rural and underserved areas to increase the capacity of communities to support OUD prevention, treatment, and recovery.
    • Develop and implement tobacco cessation programs, activities, and/or strategies.


    Donna Hillman

    Donna Hillman
    200 Independence Avenue, S.W
    Washington, DC 20201
    (240) 276-1249

  • Eligibility Details

    Eligible applicants are the Single State Agencies (SSAs) and territories.

    Deadline Details

    Applications are to be submitted by August 13, 2018. A similar deadline is anticipated, annually.

    Award Details

    Approximately $930,000,000 per year in total funding is available (This includes a 15 percent set aside for the ten states hardest hit by the crisis). 59 awards are expected to be distributed.  Each State, as well as the District of Columbia, will receive not less than $4,000,000. Each territory will receive not less than $250,000. Cost sharing/matching is not required. Project period is up to 2 years.

    $142.5 million in funding is being distributed to the ten states with the highest mortality rates due to drug poisoning deaths. This set-aside takes into account the states ordinal ranking in the top ten; it is not distributed equally among the ten states.


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