Medication-Assisted Treatment (MAT) in Jails Grant Program
Medication-Assisted Treatment (MAT) in Jails Grant Program supports North Carolina sheriffs’ offices in providing jail-based substance use treatment to promote recovery and reduce overdose risk.
Funder: North Carolina Department of Health and Human Services
Due Dates: October 14, 2026 (Information session) | October 19, 2026 (Questions) | October 27, 2026 (Answers posted) | November 13, 2026 (Applications, 5:00 p.m. ET) | January 8, 2027 (Anticipated awards)
Funding Amounts: Up to $625,000 per project for April 1, 2027–June 30, 2028; $3,000,000 total initial funding
Summary: Supports North Carolina sheriffs’ offices in establishing, expanding, or maintaining jail-based medication-assisted treatment for opioid and polysubstance use disorders.
Key Information: Only North Carolina sheriffs’ offices are eligible, and payments are made solely on a cost-reimbursement basis.
Description
The North Carolina Department of Health and Human Services’ Division of Mental Health, Developmental Disabilities and Substance Use Services (DMH/DD/SUS) administers this competitive program to establish, expand, or maintain medication-assisted treatment (MAT) in local jails. It supports evidence-based treatment combining FDA-approved medications with counseling and behavioral health interventions, with the goals of promoting recovery, improving treatment access, and reducing overdose risk among people involved in the justice system.
Funded programs must provide timely screening, uninterrupted medication administration and clinical follow-up during incarceration, and discharge planning with warm handoffs to community treatment providers. All FDA-approved opioid use disorder medications, including long-acting injectables, must be available. Programs must also provide medications for alcohol and other substance use disorders when clinically appropriate.
