Well Told Grants

Federal grant programs / Department of Health and Human Services

Section 223 Demonstration Programs to Improve Community Mental Health Services (93.829)

Also known as Section 223 of the Protecting Access Medicare Act (PAMA) of 2014, Certified Community Behavioral Health Clinic Demonstration (CCBHC)

Section 223 Demonstration Programs to Improve Community Mental Health Services (Assistance Listing 93.829) is run by the Substance Abuse and Mental Health Services Administration, part of the Department of Health and Human Services. It awarded $1.2 billion in 647 grants from fiscal 2021 to 2025, about $1.8 million per award on average. No funding opportunity is open on Grants.gov right now.

The typical award was $1.0 million. Half of the 647 awards fell between $1.0 million and $3.0 million, and they ranged from $16,100 to $15.3 million.

Key findings

What the program funds

Funding to support development of proposals to participate in time-limited community based behavioral health demonstration programs described in subsection (d) of section 223 of P.L. 113-93 Protecting Access to Medicare Act of 2014, 42 USC 1396(a) note. Additional funding as outlined under section 11001 of Bipartisan Safer Communities Act of 2022 (P.L. 117-159) to expand the number of states allowed to participate in the section 223 CCBHC demonstration program. The legislation appropriates $40 million to the Secretary to award planning grants, provide technical assistance to states, and to select up to ten states every two years (until all funds are expended), with the first 10 states launching CCBHC demonstration programs beginning July 1, 2024.

From the federal Assistance Listing. Read the full listing on SAM.gov.

Open opportunities

No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.

Rules from the program listing

Who can apply

The statutory authority limits eligibility to states including the District of Columbia. Eligible applicants are either the State Mental Health Authority (SMHSA) or the Single State Agency for Substance Abuse Services (SSA) or the State Medicaid Agency (SMAs).

What the money can and cannot pay for

Section 223 of the PAMA(c)(2) Use of funds and section 11001 of the BSCA (1)(3) of Additional Planning Grants for States-A State awarded planning grant under these subsections shall (A) solicit input with respect to the development of such a demonstration program from patients, providers, and other stakeholders; (B) certify clinics as certified community behavioral health clinics for purpose of participating in a demonstration program conducted under subsection (d); Cost Principles describing allowable and unallowable expenditures for federal grantees, including SAMHSA grantees, are provided in the following documents, which are available at http://www.samhsa.gove/grants/management.aspx: Educational Institutions: 2CFR Part220 and OMB Circular A-21 State, Local and Indian Tribal Governments: 2 CFR Part 225 (OMB Circular A-87 Nonprofit Organizations: 2CFR Part 230 (OMB Circular A-122) Cost Principles describing allowable and unallowable expenditures for federal grantees, including SAMHSA grantees, are provided in the following documents, which are available at http://www.samhsa.gove/grants/management.aspx: Educational Institutions: 2CFR Part220 and OMB Circular A-21 State, Local and Indian Tribal Governments: 2 CFR Part 225 (OMB Circular A-87 Nonprofit Organizations: 2CFR Part 230 (OMB Circular A-122) ;

Matching requirements

This program has no statutory formula. Matching requirements are not applicable to this assistance listing. This program has MOE requirements, see funding agency for further details. N/A

Deadlines

Contact the headquarters or regional location, as appropriate for application deadlines Section 223, 2014 Protective Access to Medicare Act Oct 23, 2016 to Oct 22, 2017 10/23/16 – 10/22/17 Section 11001, Bipartisan Safer Communities Act December 2022 – December 2023

Award range and average, in the agency's words

For FY 2023, up to $15 Million under the BSCA, is estimated to be awarded in discretionary grants to states.

Quoted from the program's federal Assistance Listing. The notice of funding opportunity is the official source for each competition's rules.

Funding history and past recipients

From fiscal 2021 to 2025, Section 223 Demonstration Programs to Improve Community Mental Health Services (93.829) awarded$1.2 billion across 647 grant awards, an average of $1.8 million per award.

Largest recipients, fiscal 2021 to 2025
RecipientStateAwardsAmount
National Council for Behavioral HealthDistrict of Columbia1$15.3 million
Oklahoma Department of Mental Health and Substance Abuse ServicesOklahoma4$13.8 million
The Vitality Center, Inc.Nevada2$8.0 million
Rosecrance, IncIllinois2$7.3 million
Hegira Health IncMichigan3$6.1 million
Community Health Association of SpokaneWashington3$6.0 million
Grand Lake Mental Health Center, Inc.Oklahoma3$6.0 million
Western Montana Mental Health CenterMontana3$6.0 million
Westchester Jewish Community Services, Inc.New York3$5.4 million
Access: Supports for Living Inc.New York3$5.2 million
Richmond Behavioral Health AuthorityVirginia2$5.0 million
The Centers for Families and ChildrenOhio2$5.0 million
Santa Barbara Neighborhood ClinicsCalifornia2$5.0 million
Banyan Community Health Center IncFlorida2$5.0 million
Southern California Health & Rehabilitation ProgramCalifornia2$5.0 million
Aspire Health Partners, Inc.Florida2$5.0 million
Citizen Advocates IncNew York2$5.0 million
Meridian Behavioral Healthcare, Inc.Florida2$5.0 million
Bay Cove Human Services, Inc.Massachusetts2$5.0 million
Neighborhood Service OrganizationMichigan2$5.0 million

Top states: New York ($116 million), Texas ($86.3 million), Michigan ($61.2 million), Florida ($56.2 million), Massachusetts ($55.5 million), California ($54.7 million), Ohio ($51.8 million), Indiana ($49.8 million), New Jersey ($44.0 million), Oklahoma ($40.0 million).

Who usually wins

Nonprofits received 89% of the money, state and local governments 6.2% and colleges and universities 0.6%.

Recipient typeAwardsAmountShare
Nonprofits569$1.0 billion89%
State and local governments42$71.9 million6.2%
Other29$47.9 million4.1%
Colleges and universities3$7.2 million0.6%
Tribal governments and organizations3$3.6 million0.3%
Businesses1$216,918less than 0.1%

By state

48 states have a page for this program: those that received at least $1 million or 10 awards.

Grants by recipient's state, fiscal 2021 to 2025
StateAwardsAmount
New York83$116 million
Texas40$86.3 million
Michigan43$61.2 million
Florida31$56.2 million
Massachusetts29$55.5 million
California29$54.7 million
Ohio25$51.8 million
Indiana24$49.8 million
New Jersey28$44.0 million
Oklahoma18$40.0 million
Washington23$38.5 million
Illinois23$37.6 million
Kansas20$36.7 million
Pennsylvania15$25.7 million
Minnesota11$22.2 million
Arkansas9$21.9 million
West Virginia9$21.0 million
Iowa13$20.1 million
Missouri11$20.0 million
Maryland9$19.8 million
Rhode Island8$17.7 million
North Carolina8$17.2 million
Connecticut11$17.0 million
Maine8$16.6 million
District of Columbia2$16.3 million
Nebraska9$16.1 million
Nevada6$15.9 million
Mississippi8$15.0 million
Georgia8$15.0 million
Montana6$13.6 million
Colorado9$13.5 million
Arizona5$12.8 million
Kentucky11$12.6 million
Oregon8$12.2 million
Utah5$9.5 million
Tennessee5$9.0 million
Alabama3$8.6 million
Virginia5$8.3 million
Louisiana5$7.6 million
Vermont6$7.4 million
New Hampshire3$6.0 million
Alaska3$3.6 million
Guam1$3.5 million
Idaho3$3.0 million
Puerto Rico3$3.0 million
Hawaii1$2.1 million
South Dakota1$1.4 million
Wyoming1$1.0 million
New Mexico1$870,233
Wisconsin1$772,130

Award amounts are federal obligations reported to USAspending.gov for fiscal 2021 to 2025; see how our data works.