Urban Indian Health 4-in-1 Program

The Urban Indian Health 4-in-1 Program is a forecasted federal grant opportunity administered by the Indian Health Service within the U.S. Department of Health and Human Services. The opportunity number is HHS-2027-IHS-UIHP2-0001, and the associated Assistance Listing is 93.193, Urban Indian Health Services. Grants.gov identifies the opportunity as discretionary and places it within the Health category of funding activity. The forecast was issued on August 6, 2026 and was last updated on the same date. Because the opportunity is currently a forecast rather than a posted funding announcement, some application and award details have not yet been provided. The stated purpose of the program is to support urban Indians across four program areas: immunization, health promotion and disease prevention, mental health, and alcohol and substance abuse. These four areas define the programmatic scope identified in the forecast. The source does not provide additional information concerning specific allowable or prohibited expenses, required activities within each program area, indirect cost restrictions, subaward limitations, or other spending conditions. Applicants should therefore rely on the eventual posted funding announcement for detailed program requirements and allowable-use rules. The Indian Health Service anticipates approximately 34 awards and estimates total program funding of 9,707,858 dollars. The forecast does not state an award floor or award ceiling, so an individual award amount or range cannot be determined from the available information. Cost sharing or matching is explicitly identified as not required. The source also does not provide a stated period of performance or explain whether funding is provided annually, for multiple years, or for another defined project period. Eligibility is identified on Grants.gov under the general applicant classification of Others, with applicants directed to the additional eligibility information for clarification. That clarification states that eligible applicants are IHS contracted UIOs. The forecast does not provide additional definitions, organizational requirements, geographic restrictions, service area requirements, or exceptions for other applicant types. Accordingly, eligibility should not be expanded beyond the stated IHS contracted UIO requirement based on the information currently available. The opportunity is forecasted to be posted on December 1, 2026, with an estimated application due date of February 1, 2027. Electronically submitted applications must be submitted no later than 11:59 p.m. Eastern Time on the listed application due date. The forecast does not identify a letter of intent, concept paper, pre-proposal, notice of intent, or other pre-application gating requirement. It also does not identify specific application forms, narrative questions, required attachments, registration steps beyond the general Grants.gov context, evaluation criteria, scoring factors, or review priorities. Those details are therefore not available from the forecast and may be supplied when the full opportunity is posted. The estimated award date is April 1, 2027, and the estimated project start date is also April 1, 2027. No recurrence language indicates that the opportunity is annual, biennial, quarterly, or otherwise regularly repeated, so recurrence cannot be established from this forecast. The listed grantor contact is the Division of Grants Management at the Indian Health Service. Questions may be directed to dgm@ihs.gov or 301-443-5204. Because the opportunity remains forecasted, the estimated posting date, application deadline, award date, project start date, and other details may be clarified or supplemented when the complete funding opportunity becomes available.