Opportunity Information: Apply for HHS 2023 IHS UIHP2 0001
The Urban Indian 4-in-1 Grant Program is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Indian Health Service (IHS), designed to improve health outcomes for American Indian and Alaska Native people living in urban areas. The core aim is to help ensure the highest possible health status for Urban Indians by funding a package of coordinated services often referred to as the "4-in-1 health program." These services are intended to be comprehensive and culturally acceptable, meaning they are meant to fit the needs, preferences, and lived realities of Urban Indian communities rather than offering a one-size-fits-all approach.
This program supports four main service areas. First, it funds Health Promotion and Disease Prevention (HP/DP) efforts, which can include education, screening, outreach, and other activities focused on reducing health risks and preventing illness before it becomes severe. Second, it supports immunization services, strengthening routine and targeted vaccination access for Urban Indian populations. Third, it includes alcohol and substance abuse related services, recognizing the need for prevention, early intervention, treatment support, and recovery-oriented programming connected to substance use challenges. Fourth, it supports mental health services, which can span from counseling and referral networks to broader community-based mental wellness activities, depending on how an applicant structures its program.
A key point of the opportunity is that these funded services are not treated as stand-alone projects; they are framed as integral components of the larger IHS health care delivery system. In practice, that means the grant is meant to reinforce and expand the availability and accessibility of Urban Indian health services in cities and other urban settings, helping organizations provide both personal health services (direct support to individuals) and public health services (community-focused prevention and wellness). The emphasis on accessibility and cultural acceptability signals that applicants are expected to design services in ways that reduce barriers to care and reflect community values, traditions, and culturally grounded approaches to health.
From the published opportunity details, the program is listed under Funding Opportunity Number HHS 2023 IHS UIHP2 0001 and is associated with CFDA number 93.193, with the funding activity category identified as Health. The instrument type is a grant, and the opportunity category is discretionary. The posted award ceiling is $249,360, and the IHS anticipated making 2 awards under this announcement. The opportunity was created on January 19, 2023, with an original application closing date of February 20, 2023. Eligibility is summarized broadly as "Others," with additional eligibility clarification referenced in the full notice (typically meaning applicants must consult the official eligibility section for the precise organizational types and requirements).
Overall, the Urban Indian 4-in-1 Grant Program is structured to help Urban Indian health organizations and related eligible entities strengthen a bundled set of prevention, immunization, substance use, and mental health services. The broader objective is to ensure Urban Indians in urban areas can access a more complete continuum of care that is culturally appropriate, community-informed, and aligned with the IHS mission to improve American Indian and Alaska Native health outcomes.Apply for HHS 2023 IHS UIHP2 0001
- The Department of Health and Human Services, Indian Health Service in the health sector is offering a public funding opportunity titled "Urban Indian 4-in-1 Grant Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.193.
- This funding opportunity was created on Jan 19, 2023.
- Applicants must submit their applications by Feb 20, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $249,360.00 in funding.
- The number of recipients for this funding is limited to 2 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Urban Indian 4-in-1 Grant Program (IHS) - FAQs
What is the Urban Indian 4-in-1 Grant Program?
The Urban Indian 4-in-1 Grant Program is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), Indian Health Service (IHS). It is designed to improve health outcomes for American Indian and Alaska Native people living in urban areas by funding a coordinated package of services commonly described as a "4-in-1 health program."
What is the main purpose of this grant?
The core aim is to help ensure the highest possible health status for Urban Indians. The program funds comprehensive, coordinated services that are intended to be culturally acceptable and responsive to the needs and lived realities of Urban Indian communities.
Why is it called a "4-in-1" health program?
It is called "4-in-1" because the grant supports four major service areas delivered as a coordinated package: (1) Health Promotion and Disease Prevention, (2) Immunization services, (3) Alcohol and substance abuse related services, and (4) Mental health services.
What service areas can be supported with grant funding?
The opportunity supports four main service areas:
- Health Promotion and Disease Prevention (HP/DP) (such as education, screening, outreach, and other prevention-focused activities)
- Immunization services (strengthening routine and targeted vaccination access)
- Alcohol and substance abuse related services (including prevention, early intervention, treatment support, and recovery-oriented programming)
- Mental health services (which may include counseling, referral networks, and broader community-based mental wellness activities)
Are these four service areas funded as separate projects?
No. The program describes these services as integral components of a larger "4-in-1" package, rather than stand-alone projects. They are framed as coordinated parts of the IHS health care delivery system.
Who is the target population for the funded services?
The program is intended to benefit American Indian and Alaska Native people living in urban areas (often referred to as Urban Indians).
What does "culturally acceptable" mean in the context of this program?
In this opportunity, "culturally acceptable" means services are intended to fit community needs, preferences, and lived realities instead of using a one-size-fits-all approach. The emphasis signals that applicants are expected to design services that reflect community values, traditions, and culturally grounded approaches to health.
What kinds of activities might be included under Health Promotion and Disease Prevention (HP/DP)?
The opportunity notes that HP/DP efforts can include education, screening, outreach, and other activities focused on reducing health risks and preventing illness before it becomes severe.
What is the focus of the immunization component?
The immunization service area is intended to strengthen routine and targeted vaccination access for Urban Indian populations.
What does the grant say about alcohol and substance abuse related services?
The program recognizes the need for services connected to substance use challenges, including prevention, early intervention, treatment support, and recovery-oriented programming.
What does the grant say about mental health services?
Mental health services supported by this opportunity can range from counseling and referral networks to broader community-based mental wellness activities, depending on how an applicant structures its program.
Is the grant focused on direct patient care, public health, or both?
Both. The opportunity describes strengthening availability and accessibility of Urban Indian health services, including personal health services (direct support to individuals) and public health services (community-focused prevention and wellness).
How does this grant relate to the IHS health care delivery system?
The opportunity emphasizes that funded services are integral components of the larger IHS health care delivery system, meaning the grant is intended to reinforce and expand Urban Indian health services as part of that broader system.
What is the Funding Opportunity Number (FON) for this grant?
The Funding Opportunity Number listed is HHS 2023 IHS UIHP2 0001.
What is the CFDA number associated with this opportunity?
The opportunity is associated with CFDA number 93.193.
What is the funding activity category?
The funding activity category identified for this opportunity is Health.
What type of funding instrument is used for this opportunity?
The instrument type is a grant.
Is this a discretionary or formula grant program?
This opportunity is described as a discretionary grant opportunity.
What is the maximum award amount (award ceiling)?
The posted award ceiling is $249,360.
How many awards did IHS anticipate making under this announcement?
IHS anticipated making 2 awards under this announcement.
When was this funding opportunity created?
The opportunity was created on January 19, 2023.
What was the original application closing date?
The original application closing date listed is February 20, 2023.
Who is eligible to apply?
Eligibility is summarized as "Others" in the published details, and additional eligibility clarification is referenced in the full notice. Applicants are expected to consult the official eligibility section in the full funding notice for precise organizational types and requirements.
What is the overall objective of funding these services together?
The program is structured to help Urban Indian health organizations and related eligible entities strengthen a bundled continuum of prevention, immunization, substance use, and mental health services so Urban Indians in urban areas can access more complete, culturally appropriate, community-informed care aligned with the IHS mission.
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