Delaware’s SOR 4.0 Tier Award Program, Tier 4.A-H targets hospital emergency departments implementing an enhanced SBIRT+ model for substance-use disorder. DSAMH is seeking projects in Kent County and New Castle County, with awards of up to $100,000 per project. Applications are due October 21, 2026 at 11:59 PM (time zone not stated on controlling solicitation).
Eligible applicants
Eligibility is limited to healthcare-system emergency departments, including freestanding ED locations. A healthcare system may apply for one location, and two systems may submit a joint project if one lead entity holds the state agreement and assumes fiscal, compliance and reporting responsibility. The solicitation seeks one project in each of the two target counties and does not allow a system to receive awards for more than one county.
Required clinical model
The required workflow goes beyond screening alone. Competitive projects should embed validated substance-use screening, brief intervention, warm handoffs, navigation, MOUD initiation or referral, naloxone distribution, follow-up and use of Delaware’s treatment-referral infrastructure directly into ED operations. The solicitation also expects IT/EHR readiness and monthly data reporting, and permits telehealth where needed for follow-up.
Official application package and funding controls
DSAMH’s live funding page now exposes the complete current application package: the August 26, 2026 solicitation PDF, the official Tier 4.A-H application form, and the official Tier 4.A-H budget template. Applicants should use those current files rather than the older May 2026 TAP materials. The current application form is available at DSAMH Tier 4.A-H Application Form, and the budget workbook is available at DSAMH Tier 4.A-H Budget Template.
The solicitation bars supplanting existing operating expenses, limits indirect costs to 15%, and prohibits grant spending on Naloxone/Narcan because DSAMH supplies it at no cost. It also prohibits food/meals, promotional items, marijuana-related treatment, direct payments to induce treatment participation, sterile needles/syringes for illegal-drug injection, and fentanyl/xylazine/medetomidine test strips for use by people using drugs. Existing staff time may be charged proportionally only for new programming. Awardees must submit monthly project metrics and cooperate with DSAMH Program Integrity monitoring.
Atlas strategy
Atlas Opportunity Score: 96/100. This is a strong hospital behavioral-health opportunity, but it is not primarily a connected-exam or remote-monitoring grant. N9+ should not be forced into the budget unless a hospital can demonstrate a specific clinical follow-up use that the controlling solicitation allows. The highest-value Atlas use is helping EDs design the end-to-end SBIRT+, referral, MOUD, data and sustainability workflow.
Required next action
Confirm the target ED is in Kent or New Castle County, select the screening and intervention workflow, map MOUD access and warm-handoff partners, document IT/EHR and reporting readiness, build the implementation plan and budget within the $100,000 ceiling, and submit the complete application by October 21 at 11:59 PM; the controlling solicitation does not state a time zone.