Tribal Opioid Response
🏛 Substance Abuse and Mental Health Services Adminis (HHS-SAMHS-SAMHSA)
Can you apply?
This grant is for tribal nations, tribal organizations, tribal health facilities, and tribal colleges seeking to expand opioid use disorder treatment, prevention, and recovery services in Indian Country. Eligible applicants include federally recognized tribes, tribally chartered organizations, and tribal health providers. The program supports comprehensive opioid response activities including medication-assisted treatment expansion, peer recovery services, prevention initiatives, and wraparound support services. Geographic scope is limited to tribal lands and communities. Activities may include clinical staffing, treatment infrastructure, community prevention programs, recovery housing, and naloxone distribution. Applicants must demonstrate community need, administrative capacity, and commitment to evidence-based approaches.
Program description
The purpose of the TOR program is to assist in addressing the opioid overdose crisis in Tribal communities by increasing access to FDA-approved medications for opioid use disorder, and supporting the continuum of prevention, treatment, and recovery support services for opioid use disorder and co-occurring substance use disorders. This program also supports prevention, treatment, and recovery support services for stimulant misuse and use disorders, including those involving cocaine and methamphetamine.
Who can apply
Eligible applicants
Demographic focus
How to apply
Application links
Required documents
- SF-424 (federal application form)
- Project narrative (5-10 pages typically): statement of need, goals, objectives, workplan, and evaluation plan
- Budget and budget narrative
- Organizational capacity documentation: organizational chart, resumes of key staff, evidence of prior grant management
- Letters of support from tribal government, treatment providers, recovery organizations, and key partners
- Tribal resolution or governing body approval
- Evidence of community input and needs assessment
- Documentation of tribal status (federal recognition verification if applicable)
- Data supporting opioid burden and treatment gaps
- Evaluation plan with performance metrics
Program contact
- 👤 William Longinetti
- 📧 OTAP@samhsa.hhs.gov
- 📞 240-276-1190
Funding track record
Recent awards under CFDA 93.788 from the last 3 years — real organizations that won funding through this same program.
Top 10 Largest Recent Awards
-
$217,861,311
-
$215,454,880
-
$212,309,444
-
$206,143,201
-
$205,604,128
-
$203,933,932
-
$198,120,987
-
$192,419,127
-
$175,885,270
-
$173,042,785
Top States by Funding
- CA 4 awards $814.8M
- OH 4 awards $732.8M
- FL 3 awards $591.5M
- PA 3 awards $493.2M
- NY 4 awards $434.1M
Source: USAspending.gov — federal spending transparency. Data covers last 3 years.
Funding history
Annual funding for this program — Federal obligations (CFDA 93.788). How funding has trended year over year.
| 2024 | $1,568,212,360 | |
| 2025 | $1,611,857,924 | |
| 2026 est. | $1,611,857,924 |
FAQ
Who is eligible to apply for the Tribal Opioid Response grant?
Federally recognized Indian tribes, tribal organizations, tribal health facilities, and tribal colleges are eligible. State, local, and private organizations cannot apply directly, though they may partner with tribal applicants.
What activities can be funded under this grant?
Supported activities include expanding medication-assisted treatment (buprenorphine, methadone), peer recovery services, prevention and education programs, naloxone distribution, recovery housing, and wraparound support services such as childcare and transportation.
What is the typical application deadline?
Deadlines vary by funding cycle. Applicants should monitor SAMHSA's website and Grants.gov for specific announcement and deadline dates, as applications are typically accepted annually or on a rolling basis.
How competitive is this funding?
This is highly competitive funding. Strong applications demonstrate significant opioid-related burden in the community, clear strategic planning, organizational capacity, partnerships with treatment providers, and commitment to sustainability beyond the grant period.
What is the typical funding amount?
Awards typically range from $100,000 to $500,000 annually, though amounts vary by tribal population and opioid burden. Multi-year funding is common, with performance-based renewal possible.
💡 Tips for applicants
- Partner early with existing treatment providers, recovery programs, and tribal health systems to demonstrate coordination and avoid duplication of services.
- Document your community's opioid burden using local data: overdose deaths, ER visits, treatment gaps, and unmet need among specific populations (youth, elders, LGBTQ+).
- Show sustainability planning: include revenue diversification strategies, plans to transition funded activities to permanent billing (Medicaid, insurance), and community commitment beyond the grant period.
- Highlight cultural competency: integrate tribal healing practices, involve tribal leadership and community members in planning, and ensure language accessibility and cultural relevance of services.
- Build a realistic budget and workplan that accounts for tribal geographic challenges (rural distances, limited infrastructure) and includes adequate staffing, training, and evaluation resources.
⚠️ Common mistakes
Applications often underestimate the scope of community opioid burden or fail to provide concrete local data to support need. Many applicants lack clear partnerships with treatment providers and recovery organizations, making implementation plans seem unrealistic. Weak sustainability planning—not addressing how programs will continue after grant funding ends—is a frequent reason for rejection.
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