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State Pilot Program for Treatment for Pregnant and Postpartum Women (PPW-PLT)


Additional Links

Notice of Funding Opportunity (


Application Deadline: Apr 1, 2024


Substance Abuse and Mental Health Services Administration (SAMHSA)


Awards funding to give states more flexibility and enhance their ability to support family-based treatment and recovery services for pregnant and postpartum women with a primary diagnosis of substance use disorder (SUD), with a focus on the treatment of opioid use disorder (OUD). Supports states in addressing the continuum of care for women in the target population by providing services in community-based settings and other strategies. Helps state substance use agencies create coordinated state systems through the use of innovative approaches and new service delivery models, with the aim of improving outcomes in maternal and child health, infant mortality, and the reducing the negative impact of substance use on the participating women, their children, and family members.

Required activities include:

  • Culturally competent screening, assessment, and treatment planning to increase the availability of family-based treatment and recovery support services for pregnant and postpartum women, their minor children, and other family members.
  • Community outreach and engagement strategies for underserved populations and implementing cultural matching of women and providers, when possible
  • Wrap-around and/or recovery support services, such as childcare, vocational, educational, and transportation services
  • Collaborate with recovery community organizations or peer support specialists/providers
  • Services that support a continuum of care, including access to outpatient and residential care appropriate to the needs of women and their families
  • Family-focused programs for parental education, evidence-based interventions, social and recreational activities to strengthen families and support reunification
  • Clinically appropriate, trauma-informed, evidence-based practices for SUD/OUD treatment, including intensive outpatient services
  • Food and Drug Administration (FDA)-approved medications, such as methadone and buprenorphine products, offered to all pregnant women with OUD
  • Case management services
  • Develop a program steering committee or use an existing group representing multiple sectors to provide guidance and support for program design and implementation, effective coordination and delivery of services, linkage to recovery and resilience for those impacted by trauma, and ensuring program services reach women in underserved communities
  • Develop a needs assessment with statewide epidemiological data to identify service gaps along the continuum care for women in the target population
  • Create and implement a state strategic plan or enhance an existing plan to maintain partnerships across public health and other systems in support of short- and long-term strategies to provide family-based treatment services for pregnant and postpartum women, including strategies to identify and address high-need populations and geographic areas
  • Promote trauma-informed approaches throughout the system of care for pregnant and postpartum women

Grantees are encouraged to address the behavioral health needs of underserved communities as defined by Executive Order 13985, including people living in rural areas and indigenous and Native American populations.

Amount of Funding

Award ceiling: Up to $900,000 per year
Project period: Up to 3 years
Estimated number of awards: 4
Estimated total program funding: $3,600,000

Who Can Apply

Applications may be submitted by single state agencies for substance abuse (SSA).

Priority consideration is given to projects that focus on serving rural populations or Health Professional Shortage Areas (HPSAs) including, but not limited to, the provision of services for pregnant women with OUD.

Additional provision of service requirements include:

  • A provider organization for direct client services, such as SUD, mental health, or recovery support services appropriate to the grant must be involved in the proposed project. The provider may be the applicant or another organization committed to the project. More than 1 provider organization may be involved.
  • Each mental health/substance use treatment provider organization must have at least 2 years of experience as of the due date of the application providing relevant services. Official documents must establish that the organization has provided relevant services for the last 2 years.
  • Each mental health/substance use treatment provider organization must comply with all applicable local, city, county, and state licensing, accreditation, and certification requirements, as of the due date of the application.

Grantees that received a State Pilot Grant Program for Treatment for Pregnant and Postpartum Women award under announcement number TI-23-0023 in fiscal year 2023 are not eligible for this opportunity.

Geographic Coverage


What This Program Funds

Capacity Building • New Program • Operating Costs and Staffing

Application Process

Application instructions, requirements, and other information can be found in the funding announcement.

Applicant webinar recording and slides


For programmatic or technical questions:
Amy Smith

For grants management or budget questions:

For grant review and application status questions:
Debra Atkins

Topics This Program Addresses

Education and Training • Employment • Medication-Assisted Treatment (MAT) • Opioids • Parents, Families, and Children • Recovery • Substance Use Disorder • Treatment • Violence, Trauma, and Abuse • Women