SAMHSA in Washington State

Substance Abuse and Mental Health Services Administration — funds behavioral health, substance use disorder treatment, and mental health services across the state.

Role in Washington

SAMHSA funds behavioral health, substance use disorder treatment, and mental health services across Washington State.

Key Programs

  • Substance Abuse Prevention and Treatment Block Grant (SABG) — flows through HCA
  • Community Mental Health Services Block Grant (MHBG) — flows through HCA
  • State Opioid Response (SOR) grants — flows through HCA
  • Certified Community Behavioral Health Clinic (CCBHC) grants — direct awards to eligible clinics
  • Projects for Assistance in Transition from Homelessness (PATH) — flows through HCA

How Funding Flows to WA Providers

SAMHSA block grants are the backbone of behavioral health funding in Washington and flow exclusively through the Health Care Authority (HCA). HCA then sub-awards to managed care organizations, behavioral health agencies, and direct service providers. Some competitive SAMHSA grants (like CCBHC) go directly to eligible providers.

Typical Award Types

Block grants (annual formula), competitive discretionary grants (3–5 years), cooperative agreements

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