Section 223 Demonstration Programs to Improve Community Mental Health Services


Funding to support development of proposals to participate in time-limited 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.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Centers For Medicare and Medicaid Services, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Fiscal Year 2017 N/A
Fiscal Year 2018 N/A
Fiscal Year 2016 These grants will provide funding to states to begin developing the necessary infrastructure in order to demonstrate that clinics within the state meet criteria to become Certified Community Behavioral Health Clinic. N/A
(For all authorizations/amendments, you must supply the Act or the Executive Order in order to continue) P.L. 113-90 Protecting Access to Medicare Act of 2014, 42 USC 1396a note, section 223 subsections (a), (b), (d)(7).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
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).
Beneficiary Eligibility
Individual/Family; Non-profit organization; Consumer; Mentally Disabled; Drug Addict; Alcoholic; Child; Youth; Senior Citizen
Not applicable.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Applicants must download the SF_424 application forms through
Award Procedure
Applications are awarded based on the outcomes of the SAMHSA Peer Review, CMHS National Advisory Council review; and approval of the SAMHSA Administrator. Grants are awarded directly by SAMHSA to the Applicant Organization.
October 23, 2016 to October 22, 2017 10/23/16 - 10/22/17
Approval/Disapproval Decision Time
From 30 to 60 days. 30-60 days. To be determined by agency or office administering the funds.
Not applicable.
Not applicable.
How are proposals selected?
SAMHSA applications are peer-reviewed according to the evaluation criteria listed in the RFA. Decisions to fund a grant are based on: -The strengths and weaknesses of the application as identified by peer reviewers; -When the individual award is over $150,000, approval by the Center for Mental Health Services' National Advisory Council; -availability of funds; -equitable distribution of awards in terms of geography (including urban, rural, and remote settings) and balance among populations of focus and program size.
How may assistance be used?
Section 223 (c)(2) Use of funds-A State awarded planning grant under this subsection 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);
What are the requirements after being awarded this opportunity?
Performance Reports: GPRA and data collection reports; quarterly progress reports
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements," nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program- specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.
Records must be retained for at least 3 years; SAMHSA has the right to disallow costs and recover funds on the basis of a later audit or other review; records shall be retained beyond the 3 year period for that reason.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
N/A Method of awarding/releasing assistance: Lump.
Who do I contact about this opportunity?
Regional or Local Office
Cynthia Kemp MA, LPC, CMHS, SAMHSA, 1 Choke Cherry Road, Room 6-1019, Rockville, MD 20850, Phone: 240-276-1906, Email:; David Morrissette, Ph.D., LCSW, CAPT, US PHS, CMHS, SAMHSA, 1 Choke Cherry Road, Room 6-1011, Rockville, MD 20850, Phone: 240-276-1912, Email:
Headquarters Office
Roger George
1 Choke Cherry Road, Room 7-1097
Rockville, MD 20850 US
Phone: 240-276-1418
Website Address
Financial Information
Account Identification
(Project Grants) FY 17$0.00; FY 18 est $0.00; FY 19 est $0.00; FY 16$22,959,820.00; -
Range and Average of Financial Assistance
Up to $3 Million.
Regulations, Guidelines and Literature
P.L. 113-93 Protecting Access to Medicare Act of 2014; 42 USC 1396(a), note section 223 subsections (a),(b),(d)(7). Criteria for the Demonstration Program to Improve Community Mental Health Centers and to Establish Certified Community Behavioral Health Clinics found in Appendix II of the Request for Application (RFA). Section 223 Demonstration Programs to Improve Community Mental Health Services Prospective Payment System (PPS) Guidance.
Examples of Funded Projects
Not applicable.


Federal Grants Resources