New Models of Integrated HIV/AIDS, Addiction, and Primary Care Services (R34 - Clinical Trial Optional ) | PAR 20 274

Opportunity Information: Apply for PAR 20 274

The National Institutes of Health (NIH) funding opportunity PAR 20 274, titled "New Models of Integrated HIV/AIDS, Addiction, and Primary Care Services (R34 - Clinical Trial Optional)," supports early-stage work to design, refine, and test improved care models that bring HIV services, addiction services, and routine primary care together in a more coordinated and effective way. The central idea is to help applicants develop practical, real-world approaches that reduce fragmentation across systems of care, so that people who are living with or at risk for HIV and who also have substance use-related needs can receive more seamless, comprehensive services. Because this is an R34 mechanism, it is generally aimed at developmental and pilot efforts, such as building and optimizing the model, working out implementation details, and conducting initial feasibility or pilot testing that can set the stage for a larger-scale study or broader adoption.

The opportunity is categorized as discretionary funding and uses a grant funding instrument, with activity areas spanning education and health. It is associated with CFDA number 93.279, and it specifically notes that a clinical trial is optional, meaning applicants may propose a project that includes a clinical trial component if it fits their model-development and testing goals, but they are not required to do so. The funding announcement emphasizes "enhanced models of care," which typically implies moving beyond loose coordination or simple referrals and instead building structured workflows, shared protocols, integrated teams, co-located services, or well-defined partnerships that improve access to HIV prevention or treatment, medications for opioid use disorder or other addiction treatments, and routine primary care services in a coordinated package.

A wide range of organizations are eligible to apply. Eligible applicants include state, county, city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; tribal organizations that are not federally recognized governments; public housing authorities and Indian housing authorities; nonprofits with 501(c)(3) status and nonprofits without 501(c)(3) status (in both cases, other than institutions of higher education); for-profit organizations (other than small businesses); and small businesses. The announcement also highlights additional eligible applicant types such as Alaska Native and Native Hawaiian Serving Institutions; Asian American, Native American, and Pacific Islander Serving Institutions (AANAPISIs); Hispanic-serving Institutions; Historically Black Colleges and Universities (HBCUs); Tribally Controlled Colleges and Universities (TCCUs); faith-based or community-based organizations; eligible federal agencies; regional organizations; U.S. territories or possessions; Indian/Native American Tribal Governments other than federally recognized; and non-U.S. entities (foreign organizations). In practical terms, this broad eligibility signals NIH interest in solutions that can be created and tested in many different settings, including community-based programs, academic health centers, safety-net systems, tribal and territorial contexts, and international environments where integrated HIV and addiction care is also relevant.

The award ceiling listed is $225,000, indicating the maximum award amount referenced in the source data for this opportunity. The original closing date shown is 2023-09-16, and the funding opportunity record indicates it was created on 2020-08-28. Taken together, these details suggest a time-bounded competition under a standing NIH program announcement with a defined submission window, designed to stimulate pilot and developmental projects that can demonstrate feasibility, acceptability, early effectiveness, and implementation practicality of integrated care approaches before moving to larger funding mechanisms or wider rollout.

Overall, PAR 20 274 is geared toward building better, more connected service models that address HIV and substance use needs alongside primary care rather than treating them as separate problems handled by separate systems. The emphasis on integration is meant to improve patient engagement and retention, reduce barriers to care, and support more consistent delivery of prevention and treatment services across the HIV and addiction continua, all within a primary care framework that can address broader health needs at the same time.

• The National Institutes of Health in the education, health sector is offering a public funding opportunity titled "New Models of Integrated HIV/AIDS, Addiction, and Primary Care Services (R34 - Clinical Trial Optional )" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.279.
• This funding opportunity was created on 2020-08-28.
• Applicants must submit their applications by 2023-09-16. (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 $225,000.00 in funding.
• Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.

Apply for PAR 20 274

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