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Minority AIDS Initiative: Substance Use Disorder Treatment for Racial/Ethnic Minority Populations at High Risk for HIV/AIDS

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Catalog of Federal Domestic Assistance Number: 93.243
Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
May 22, 2023

For programmatic or technical questions:

Kirk James, MD

Kristin Roha, MS, MPH

For fiscal and budget questions:

For grant review process and application status questions contact:
Gabriela Porter


This program (Short Title: MAI – High Risk Populations) provides grants to increase engagement in care for racial and ethnic minority individuals with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) who are at risk for HIV or are HIV positive and that receive HIV services/treatment.

Required activities include:

  • Provide evidence-based SUD/COD treatment and recovery support services to individuals with or at risk for HIV, including screening/assessment, outpatient services, intensive outpatient services, and the use of FDA approved medication for the treatment of SUD/COD
  • Provide on-site HIV testing in accordance with state and local requirements
  • Offer all clients and their drug-using and/or sexual partners HIV rapid preliminary antibody testing at enrollment, including rapid fourth-generation HIV diagnostic testing
  • Provide or link clients who test positive for HIV to confirmatory testing with follow-up on the client's HIV status, as appropriate
  • Provide case management, referral/linkages to follow-up care and treatment for all clients who have a preliminary positive HIV and confirmatory HIV test results
  • Provide case management, referral/linkage to Pre-Exposure Prophylaxis (PrEP) services for individuals who screen negative for HIV but are at increased risk of becoming infected with HIV
  • Provide education, case management, referral/linkage to Post-Exposure Prophylaxis (PEP) services for individuals at increased risk of HIV through exposure
  • Develop MOAs with primary HIV treatment and care providers to strengthen integration of care
  • Screen and assess clients determined to be at high risk for HIV infection or HIV positive for the presence of CODs to develop appropriate treatment approaches
  • Test in accordance with state and local requirements, all clients who are considered to be at risk for viral hepatitis and report all positive tests to the local and state health departments
  • Develop a continuous outreach strategy with input from the population of focus
  • Implement an ongoing strategy to continually reach and provide substance use disorder treatment services to individuals from medically underserved racial and ethnic communities disproportionately affected by HIV/AIDS and HIV-related disparities
  • Provide, increase, or enhance access to services for people of all racial/ethnic/marginalized groups in the community and translate tools and resources available to recipients of services

Eligible applicants include:

  • State and territories, including the District of Columbia
  • Political subdivisions of states
  • Tribes
  • Tribal organizations
  • Health facilities
  • Programs operated by or in accordance with a contract or award with the Indian Health Service
  • Public and private nonprofit entities
Geographic coverage
Nationwide and U.S. territories
Amount of funding

Award ceiling: $500,000 per year
Project period: 5 years
Estimated number of awards: 42
Estimated total program funding: $20,900,000

Up to 5 awards will be made to tribes/tribal organizations.

Application process

Links to the full announcement, application instructions, and the online application process are available through

Tagged as
American Indian or Alaska Native · HIV and AIDS · Illicit drug use · Mental health · Prescription drug misuse · Racial and ethnic groups · Substance use and misuse

Organizations (2)

  • U.S. Department of Health and Human Services, view details
  • Substance Abuse and Mental Health Services Administration, view details

For complete information about funding programs, including your application status, please contact funders directly. Summaries are provided for your convenience only. RHIhub does not take part in application processes or monitor application status.