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Meharry Addiction Clinic: Closed-Loop MOUD with Universal SBIRT, Mobile Prescribing, and Field-Based HCV Elimination

Award Number: H79TI089381
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2026
PERIOD OF PERFORMANCE END DATE: 09/29/2031

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Meharry Addiction Clinic: Closed-Loop MOUD with Universal SBIRT, Mobile Prescribing, and Field-Based HCV Elimination - Meharry Medical College requests funding to expand comprehensive medications for opioid use disorder (MOUD) services through the Meharry Addiction Clinic (MAC), its centralized addiction medicine resource in Nashville, Davidson County, Tennessee, which recorded 428 fatal overdoses in 2025. Approximately 60% of MAC patients lack stable housing, and an evolving illicit drug supply including fentanyl and xylazine has increased treatment complexity. The project establishes referral pathways from all Meharry clinical departments through two coordinated pathways: a mobile HOPE clinic reaching community sites with telehealth MOUD encounters, and a care coordinator embedded at Nashville General Hospital managing bridge prescriptions and transitions to ongoing care. Services include Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) assessment, buprenorphine/naloxone and extended-release naltrexone, Prescription Drug Monitoring Program checks, methadone partnership, tobacco cessation, and comprehensive infectious disease screening. Meharry projects enrolling 200 individuals in Year 1, reaching 1,350 over five years, with 90% initiating MOUD within seven days and 65% achieving six-month retention annually, guided by an implementation science framework and a sustainability plan addressing billing optimization and workforce development to reduce preventable OUD mortality across Davidson County and Middle Tennessee.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $750,000 )
2026	2026	MEHARRY MEDICAL COLLEGE	1005 DR DB TODD JR BLVD	NASHVILLE	TN	37208	DAVIDSON	USA	Center for Substance Abuse Treatment Projects of Regional and National Significance	000	1	9/18/2026	NEW	$750,000
														Subtotal = $750,000

Grand Total All Awards = $750,000

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Meharry Addiction Clinic: Closed-Loop MOUD with Universal SBIRT, Mobile Prescribing, and Field-Based HCV Elimination

Award Number: H79TI089381

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2026

PERIOD OF PERFORMANCE END DATE: 09/29/2031

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