Division of Mental Health

Executive Summary Under the Comprehensive Class Member Transition Program, Grantees will be responsible for providing oversight and care management during the process of transitioning Class Members to Community-Based Settings, including ensuring adequate supports are in place post-transition for the Class Member to remain in the community safely and successfully. The Grantees will be responsible and accountable for the entirety of the transition process for Class Members from referral through Transition and through the 18-month post-transition period. The transition process should be seamless to Class Members, with limited handoffs, and safe. Funding Priorities or Focus Areas IDHS is working to counteract systemic racism and inequity, and to prioritize and maximize diversity throughout its service provision process. This work involves addressing existing institutionalized inequities, aiming to create transformation, and operationalizing equity and racial justice. It also focuses on the creation of a culture of inclusivity for all regardless of race, gender, religion, sexual orientation, or ability.

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Mental Health Community Services Act (405 ILCS 30/) 20 ILCS 1705 Sect. 73(a)

Illinois Administrative Code Part 7000 Grant Accountability and Transparency Act

Program Description Under the Comprehensive Class Member Transition Program, Grantees will be responsible for providing oversight and care management during the process of transitioning Class Members to Community-Based Settings, including ensuring adequate supports are in place post-transition for the Class Member to remain in the community safely and successfully. The Grantees will be responsible and accountable for the entirety of the transition process for Class Members from referral, during the transition process and through the 18-month post-transition period. The transition process should be seamless to Class Members, with limited handoffs. Grantees will be responsible for coordinating the necessary resources, building organizational capacity, entering into partnerships with subgrantees, if needed, and developing efficient processes to mitigate unnecessary delays and effectuate safe transitions for Class Members. Under the Program, Grantees are required to provide a broad array of services/activities and supports that are essential to timely and efficiently facilitating a Class Member's move from the Nursing Facilities (NFs) or Specialized Mental Health Rehabilitation Facilities (SMHRFs) to the community. Grantees may either directly provide all activities, services, and supports, or utilize subgrantee relationships, either in whole or in part, but Grantees will remain entirely responsible for ensuring all activities, services, and supports are provided in a seamless manner. These transitional activities complement the treatment support and services that Class Members will be provided to move toward individual recovery and to live successfully in the community. Transition Services and the ancillary services outlined under this grant are the means to ensure that all efforts necessary to facilitate transitions to the community occur and that they occur under a vision of unified and/or coordinated attention. While subgrantee relationships are permitted under this grant, to ensure seamless service delivery, grantees may not utilize subgrantees to deliver Care Management components of the transition process. Grantees may elect to use subgrantee relationships to support housing location/transition coordination, SOAR, or integrated health care services. The services that Grantees will be required to deliver under this grant include, but are not limited to, the following: Primary Services: • Care Management, including developing Comprehensive Service Plans based on the received Transitional Assessment and coordinating all care and services at each step of the process for Class Members transitioning to the community; • Transition coordination, including: o Provision of transition-related services to Class Members still residing in SMHRF/NF as identified in their Comprehensive Service Plan, including but not limited to skill building for Activities of Daily Living and treatment interventions (i.e. substance use, trauma, individual therapy treatments); o The ability to interface with landlords and/or property management entities who may have potential rental properties available; o Conducting preliminary visits across vast geographic areas as a means of scouting appropriate rental units; o Travel to a NF or SMHRF and transport of Class Members as they navigate housing searches; o Accompanying Class Members as they make decisions to purchase household needs. o Facilitating moving furniture and setting up the household are all necessary and functional resource requirements to make the transition from the NFs or SMHRFs possible; o Ensuring continuity of Health Care/Services and medical appointments; and o Timely transfer of benefits/entitlements, accompanying Class Members to the Social Security Administration (SSA) to change payee status and Local Offices to activate Medicaid. Ancillary Services: • SSI/SSDI Outreach Access and Recovery (SOAR); • Integrated Healthcare (including nursing care and occupational therapy); • Transition Assistance Fund availability and administration; • Transition Flexible Fund availability and administration; and • Medicaid Spenddown buy-in capability for Class Members with a Spenddown. Capacity & Quality Assurance Services: • Care management staff and agency data liaison staff are to serve as a liaison to IDHS to monitor and report quality of care and outcomes. • Secure adequate service capacity to support safe and successful Class Member transitions and tenure in the community. • Use of grant funds to cover costs not covered by Medicaid to create new or expand existing ACT or CST teams for Class Members requiring these levels of care, or to develop partnerships to deliver these services to Class Members; this includes start-up costs for these Medicaid-billable services. Services That Are Not Delivered, But Still Must Be Coordinated Under the Grant: There are multiple support services that are funded outside of this grant but may be necessary for Class Member transitions and community living. Grantees will be responsible for coordinating delivery of any such services to Class Members. The potential services that grantees will be expected to coordinate but which are not covered under this grant include, but are not limited to, the following: • Medicaid-billable services, including, but not limited to: o Case management transition and linkage activities, case management mental health, ACT, CST, etc. (as appropriate for class members with serious mental illness); o Medical or behavioral health care, including primary care; o In-home waiver services; o Employment services and supports; and/or o Substance use waiver services. Regardless of the funding source for the multiple supports necessary for Class Member success, Grantees will provide care management and coordination for the full array of complementary services provided to the Class Member. This includes communication with all essential providers as consented to by Class Members Performance Requirements Class Member Engagement and Education Deliverables Services are required to educate and inform each Class Member of their rights under the Williams and/or Colbert Consent Decrees and the opportunities and resources available to them should they explore transition to a Community-Based Setting The Grantee will deliver the following Informational and educational services: 1. Conduct monthly activities with all assigned nursing facilities and Specialized Mental Health Rehabilitation Facilities (SMHRFs) to provide information about the CCMTP. These monthly contacts are also intended to develop professional relationships and create a seamless pathway to connect with Class Members. 2. Provide information to residents of NFs or SMHRFs, and their family members or guardians, on the array of services and supports, by providing a list of available services, and defining and explaining terms such as (but not limited to) ACT, CST, medication administering and monitoring, representative payee services, supportive employment, adaptive equipment, housing modification, peer support, physical wellness, and Psycho-Social Rehabilitation. 3. Take Class Members into the community to observe different settings, such as housing options or Drop-In Centers, as appropriate. Referral 1. Claim transitional assessment referral within 1 business day. 2. Ensure that every Class Member referred receives in person contact within 14 calendar days of referral 3. Engage referred Williams and Colbert Class Members to obtain consent to provide transition services and develop Service Plan. 4. Complete medical record reviews of Williams and Colbert Class Members for Comprehensive Service Planning. Care Management Deliverables Any Class Member who consents to participate in the transition process will be connected to a Care Manager for Service Plan development and ongoing assessment of transition service needs. In conjunction with the provided Assessment, Care Management staff also complete a Comprehensive Service Plan with each Class Member. Care Management staff coordinate the care and services at each step of the process for Class Members transitioning to the community. Care Management staff must demonstrate leadership and accountability in managing a Class Member's transition. This includes but is not limited to being able to navigate changes at the system or individual level, the ability to clearly communicate with the interdisciplinary team, Class Member, supports and providers, and the ability to advocate for Class Members and resolve conflicts. Care Management staff must engage in ongoing learning and professional development and seek appropriate certifications as needed. The Grantee will ensure the availability (including through existing staff or through hiring) of a full complement of licensed, clinical professionals to conduct,) service planning, and all other Care Management tasks. Care Management activities include, but are not limited to, the following: Care Management Staffing 1. Maintain a full array of Care Management team staff with a Master’s Degree in Counseling, Social Work, Psychology, or other highly related field, supervised by an LPHA, RN or OT with oversight of the Care Manager’s work. RNs should also serve as Care Management staff. 2. Ensure staff participate in hosted/scheduled training sessions, webinars, and/or teleconferences. 3. Care Management staff supervisors are responsible for ensuring quality assurance of the Care Manager’s work, including Service Plans. Comprehensive Service Plans 1. Development of Comprehensive Service Plans. These plans must be developed and updated at specific intervals and submitted to appropriate IDHS contacts per the service plan reporting procedures Signature pages are required to be uploaded in Class Member’s WebApp file once signed by all participants.: a. Initial Service Plans must be completed with the Class Member within 45 days of the initial referral. A Service Plan is required unless the Class Member declines to continue involvement with the program. b. Finalized Service Plan updates are required at a minimum of every 180 days to identify and address any changes in the Class Member's clinical, medical status, behavioral status, housing, goals, change in Class Member preferences and desires and any other updates related to the Class Member's transition to the Community. Class Members are required to participate in updated finalized CSP discussions identifying revised or additional goals and c. A finalized Transition Service Plan is required to be completed with the Class Member prior to transition to a Community-Based Setting to encompass the services and supports that will be necessary for the Class Member to successfully transition and maintain tenure in the Community. Transition Service Plan must be completed and finalized within the 30-60 days preceding the Class Member’s move to the community. d. A Termination Service Plan is required to be completed at the Class Member’s 18-month program termination. 2. The Comprehensive Service Plan must be person-centered, and focus on the Class Member's goals, needs, desires and preferences. Service Plans must be based on input from both the Class Member, SMHRF/NF staff, family, and guardians as appropriate, and others involved in either the care or support network of the Class Member or as requested by the Class Member. Documentation of the involvement of these individuals must be clearly documented in the Service Plan and be accompanied by signatures where possible. 3. Content of Comprehensive Service Plans: Comprehensive Service Plans and updates must be based on the clinical outcomes identified in the ongoing assessments and contain information documenting the specific service, support and education needs of the Class Member necessary to prepare the Class Member for transition to a Community-Based Setting. Comprehensive Service Plans and Service Plan Updates must be completed using IDHS-prescribed tools. 4. Class Members who are not recommended to transition to the most integrated setting, meaning Permanent Supportive Housing, should have the reason and risk identified in their Service Plan. The plan should highlight ongoing evaluation of the goals that would minimize the identified risk and allow the secondary move to a PSH setting. Implementation of Comprehensive Service Plans 1. Care Management staff are responsible for monitoring the implementation of Class Member Comprehensive Service Plans. This requires ongoing assessment of the effectiveness of the Service Plan as well as the Class Member's status, needs and preferences, to ensure changes are made where necessary to benefit the Class Member. 2. Implementation of the Comprehensive Service Plan requires Care Management staff ensure the completion of the following activities: a. Coach and Educate the Class Member in areas identified in the Service Plan. b. Collaborate with the Class Member, the interdisciplinary team, provider, health plan, and other supports to ensure the Service Plan is being appropriately followed. c. Advocate for the Class Member to help overcome any barriers to services. 3. Care Management staff and other appropriate staff, including the RN, must participate in required pre- and post-transition clinical review calls for Class Members. Pre-Transition Care Management 1. Prior to a Class Member's transition from a SMHRF/NF, the Care Management staff must ensure the Service Plan needs for the Class Member have been appropriately provided/addressed with the Class Member and with collateral input. 2. Care Management staff must review the Class Member’s transition status minimally monthly, to coordinate the services identified in the Comprehensive Service Plan. Pre transition contact can be documented by any program staff. 3. Program staff must maintain the Class Member’s housing status in the WebApp regularly, including updates within 2 business days any change. Post-Transition Care Management 1. Care Management staff continue to be responsible for Class Members after they transition to community-based settings. This transition through monitoring multiple aspects of the transition, Health Services, and supports as detailed and planned in the individual's Comprehensive Service Plan (inclusive of Health Services and supports beyond just mental health services). Monitoring is expected to include in-person visits, or and IDHS approved virtual visits to visit Class Members. The minimum monitoring schedule is as follows: a. At least 1 in-person visit monthly during the eighteen (18) months post-transition. b. More frequent visits may be required and requested based on Class Member needs. 2. Care Management staff must document post-transition monitoring of the transition, Health Services and supports received by Class Members, as well as the quality of the Health Services. Monitoring is to be conducted by: a. Attendance at holistic Health Service planning meetings (care planning, discharge planning), including Health Service team meetings. b. Review of clinical record documentation; and c. Through direct interview and observation of the Class Members in their living environment or other chosen location. 3. Post transition notes should include a brief description of the Care Manager’s or nurse’s engagement with the Class Member and progress towards Comprehensive Service Plan goals. Reportable Incident Reports 1. Care Management staff are responsible for submitting Reportable Incident Reports, to identify and report on adverse incidents involving Class Members post-transition. The following incidents must be reported within 24 hours of learning of the incident: a. Class Member death b. Class Member hospitalization or ER visit c. Class Members SMHRF/SNF admission d. Class Member notice of eviction e. Other serious incident impacting Class Member housing retention or community placement Care Management staff must submit Reportable Incident Reports to the appropriate contacts per the Incident Reporting Procedures. Additionally, Care Management staff and other appropriate staff, including the RN, must participate in clinical review calls to discuss all such reports. 2. The Prime Agency must submit a brief clinical review follow-up in writing in the WebApp within 30 days of the call or within 30 days of the incident submission date, if an incident review call did not occur. This includes updating the status of each clinical recommendations. Documentation should indicate the Class Member is involved in follow up planning. 3. The agency will modify/update the current CSP following Reportable Incidents as applicable. SSI/SSDI Outreach, Access, and Recovery (SOAR) Deliverables Most Class Members rely on SSI/SSDI benefits for income to maintain their community tenure. As such, it is imperative that Class Members are provided resources for SSI/SSDI applications to increase the likelihood of eligibility approval. SOAR (SSI/SSDI Outreach, Access, and Recovery) is a SAMHSA evidence-based model for facilitating Social Security applications, and Grantees are expected to implement this model. Each Grantee will designate Social Security Specialists (SSS) through hiring or redistribution of staffing, who will facilitate full activities of Social Security benefits applications. The Grantee will: 1. Hire and maintain SSS staff who have a Bachelor’s degree or who are certified as a Certified Recovery Support Specialist (CRSS) or Certified Peer Recovery Specialist (CPRS). 2. All SSS staff must complete SOAR training through the SAMHSA National SOAR TA Center within 40 days of full execution of the grant agreement or individual hire date, whichever is later. 3. All SSS staff will be required to participate in a monthly statewide learning collaborative to share ideas and successful strategies with other SOAR providers. 4. SSS staff must complete Social Security disability benefit applications which include all the key components of the SOAR model for all consenting Class Members who do not have income and track these applications and their outcomes using the national SOAR Online Application Tracking system. 5. SSS staff should also provide support to Class Members who have existing Social Security applications pending, including incorporating elements of the SOAR model into these existing applications where possible. 6. In the event the number of Class Members in a SSS caseload drops below the threshold of 5-7 cases and there are not existing Class Members in need of SSS services, the SSS will be used to perform other functions/duties (non-Medicaid billable) related to transitioning Class Members from SMHRF/NF, including but not limited to providing assistance with Housing Search, purchasing household items, and assisting with actual transition and apartment set up. Transition Coordination Activity Deliverables Once a Class Member has a Comprehensive Service Plan developed, the Grantee will be required to engage in Transition Coordination Activities to enable the Class Member to transition to a Community-Based Setting. Some of these Activities are universal for all transitions, and others are specific to individual Class Member needs. Activities range from skill building and treatment interventions, to housing searches, coordination of ongoing services and supports and any other activity to assist the Class Member in a successful transition. Each Grantee will be required to meet an annual transition target while performing transition coordination activities under the grant agreement. Grantee will successfully transition XX Williams Class Members and XX Colbert Class Members from a SMHRF or NF into a Community-Based Setting within the state of Illinois by end of the fiscal year. Each Grantee will designate transition coordination staff through hiring or redistribution of staffing, who will facilitate full activities of transition coordination for the agency as a supplement to the job duties of direct care clinicians. Grantees may utilize subgrantee relationships to complete some or all of these activities. Such activities include: Pre-Transition 1. Maintain an adequate complement of transition coordination staff. 2. Provision of transition-related services to Class Members still residing in SMHRF/NF as identified in their Comprehensive Service Plan, including but not limited to skill building for Activities of Daily Living and treatment interventions (i.e. substance use, trauma, individual therapy treatments). 3. Class Member pre-transition contact activity must be documented in the WebApp notes section. Transition status updates/contact must be documented in the WebApp “Notes” section minimally every 30 days. 4. Identify and navigate affordable housing stock through relationship building with landlords and property management companies (Note: No more than 50% of the units in a 2-4-unit building can be identified for use by Williams or Colbert Class Members and no more than 25% of the units in a 5+-unit building can be identified for use by Williams or Colbert Class Members); 5. Identify appropriate housing options in the area of each Class Member's geographical preference, which may include any location in the State of Illinois, and maintain records of housing availability; 6. Accompany Class Members on housing searches for potential apartments. Transition staff are required to show Class Members a minimum of three units meeting within the geographical preferences of the Class Member to choose from during the housing search process, when necessary; 7. Complete other related activities associated with securing independent housing, including but not limited to entering Class Member into the Statewide Referral Network (SRN) and assisting with housing applications for permanent subsidies; 8. Arrange for durable medical equipment and home and Community-Based waiver services with Medicaid Managed Care health plan support, as appropriate; 9. Facilitate transfer of medications and linkages with primary healthcare, medical specialists, pharmacies, managed care organizations, and ancillary services/supports, as appropriate; 10. Assist with the purchase of household items to facilitate independent living in the community; 11. Provide Transition Assistance Funds of $2,800 per Williams Class Member and $4,000 per Colbert Class Member. Purchases may include items such as apartment application fees, security deposits/move-in fees, utility connections, furniture, linens, bedding, dishes, household essentials, etc. (this should be built into proposed budget); 12. Provide transition fund administration activities and tracking associated with purchases to ensure accountability with allowable costs per the Williams and Colbert Consent Decrees. Each item purchased must be tracked and reconciled for each Class Member; 13. Provide administration activities and tracking associated with Transition Flexible Fund purchases to ensure accountability. Transition Flexible Fund purchases must be tracked separately from other Transition Assistance Funds for reporting purposes. It is estimated that these funds will average $500 per Class Member, but may be over or under this average for any individual Class Member; 14. Facilitate discharge planning with the Class Member, the staff of the NF/SMHRF, Medicaid Managed Care health plan care coordinator, and key stakeholders; and 15. Assist Class Members' actual moves from the NFs or SMHRFs to the community. 16. Ensure twenty-five percent of transition occur at the end of each quarter. Transition 1. The Grantee must ensure that the number of Class Members transitioned each quarter is reflective of the annual transition target. Specifically: a. The Grantee will accomplish at least 25% of the annual transition target by the end of the first quarter b. The Grantee will accomplish at least 50% of the annual transition target by the end of the second quarter c. The Grantee will accomplish at least 75% of the annual transition target by the end of the third quarter d. The Grantee will accomplish at least 100 % of the annual transition target by the end of the fourth quarter. Post-Transition 1. Facilitate the transfer of benefits and entitlements within 7 days of transition into the community; and 2. Assist with Class Member applications for Supplemental Nutrition Assistance Program (SNAP), transportation assistance, and other assistance programs within 7 days of transitioning into the community. Integrated Health Care (Nursing & Occupational Therapy) Deliverables Registered Nurse Deliverables Pre-Transition 1. RNs must complete nursing assessments for any Class Member for whom such an assessment is recommended by the Care Manager or IDHS, including documenting the review of medical, clinical charts and/or other pertinent documents, interviews with the Class Member, family members, guardians, and/or significant others, as appropriate, about the Class Member's past and present functional levels, capabilities and performances, including prior Community-Based experiences and circumstances of admissions to SMHRF/NF, and complete narrative reports of these assessment outcomes with recommendations; 2. RNs must use appropriate assessment tools and/or communication aids to assist in communication with Class Members who have a communication deficit or language barrier. 3. RNs must deliver any intervention and/or skill building as needed for the Class Member, in preparation for transition and after transition if needed. 4. RN assessments must be completed, uploaded in the Member’s WebApp file within 14 calendar days. Post -Transition 1. Class Members to receive an RN visit in person within 14 calendar days of transition into the community (can count as a required care management contractual visit). The visit should be documented as an RN Care Management visit in the WebApp. This RN visit should be a discussion of medication needs, medical equipment needs (if applicable) as well as upcoming medical appointments scheduled. 2. All Class Members must have an in-person follow up contact, by an RN within 7 days from learning of a discharge from an unscheduled ER visit or hospitalization while in the community. 3. Coordinate Class Members medical health needs with all medical providers. General Health Care Deliverables 1. All Class Members must have an initial appointment scheduled, attended, or attempted with a Primary Care Provider (PCP) in the community within 30 days after transition; 2. As appropriate, all Class Members scheduled for specialty Health Care visits must continue to be seen as scheduled while in the community. Occupational Therapy Deliverables 1. Occupational Therapists must complete occupational therapy assessments for any Class Member for whom such an assessment is recommended by IDHS or the Care Manager, including review of medical, clinical charts, and/or other pertinent documents for the Class Member, interviews with the Class Member, family members, guardians, and/or significant others, as appropriate, regarding the Class Member’s past and present functional levels, capabilities and performance, and the use of appropriate assessment tools; and 2. Occupational Therapists must deliver any intervention and/or skill building as needed for the Class Member, in preparation for transition and after transition if needed. Grantee Service Capacity & Medicaid Spenddown Deliverables The Grantee must ensure staffing levels are adequate to transition ALL Class Members who have chosen to reside in the State of Illinois for Consent Decree services. This includes all aspects of the transition process, including Service Planning, Transition Coordination, Housing, and Post-Transition Services. Grantee must have sufficient staff and resources to provide these services and supports according to the specifics contained in Performance Measures and Reporting, and Performance Standards, and within the time frames identified in this contract and in IDHS policies. Any failure to meet these performance measures in a timely manner will require a justification of said deficiencies, including identifying staffing resources that may have contributed to the deficiency. Grantee is required to maintain sufficient staff or partnerships to meet all obligations under this Grant, which may include but is not limited to utilization of the following: provision of appropriate wages, and funding non-Medicaid costs associated with ensuring appropriate Assertive Community Treatment and Community Support Team capacity. The Grantee must also ensure that assigned Class Members continue to maintain their Medicaid eligibility by ensuring that any required Medicaid spenddown is met. The Grantee will facilitate completion of all necessary paperwork and supporting activities to establish the spenddown deductible prior to the Class Member moving from the NF/SMHRF. For each Class Member with a spenddown, the Grantee will complete the spenddown enrollment form and submit it to the Illinois Department of Healthcare and Family Services (HFS), monitor the Class Member’s allowable bills to determine if these bills are sufficient to meet the spenddown deductible, and make a payment to HFS no later than the 20th day of the month to ensure the continuation of the spenddown. Program Audit Deliverables The Grantee must ensure all personnel and programmatic records are made available to IDHS for scheduled and/or unscheduled program audits. This includes availability of all staff responsible for management and implementation of Consent Decree Services. The Grantee must have and give CCMTP agency internal operating procedures upon IDHS request. Performance Measures Data reported should, unless otherwise noted, be limited to quarterly data only in the PRTP, not cumulative. In addition to quarterly reporting via the Periodic Performance Report Template by Program, performance will also be monitored based on data entered in the IDHS-prescribed data management system. PRTP Performance Measures: The following performance measures must be reported to IDHS using the Periodic Performance Report Template by Program (PRTP) each quarter: Class Member CCMTP Education/Information 1. Number of assigned NFs or SMHRFs. 2. Number of assigned NFs or SMHRFs where monthly CCMTP activities were conducted. Care Management 1. Number of Care Management staff currently employed by Provider. 2. Number of Care Management staff currently employed by Provider who meet Qualified Professional credentials (Master’s Degree in Counseling, Social Work, Psychology, or other highly related field, supervised by an LPHA, RN or OT with oversight of the Care Manager’s work). SSS/SOAR 1. Number of current SSS/SOAR staff currently employed or contracted by Provider. 2. Number of current SSS/SOAR staff who have a Bachelor’s degree or who are certified as a CRSS. 3. Number of Class Members newly identified as having no income (excluding those with an undocumented status) during the quarter. 4. Number of Class Members newly identified as having no income (excluding those with an undocumented status) during the quarter who were assigned to the agency's Social Security Specialists (SSS). 5. Number of Class Members who have pending SSI/SSDI applications not initiated by SSS. 6. Number of Class Members who have pending SSI/SSDI applications not initiated by SSS who are receiving assistance by the SSS/SOAR staff. 7. Number of initial SOAR applications completed and submitted by Grantee to SSA. 8. Number of initial SOAR applications which received a determination status during the quarter. 9. Number of initial SOAR applications with initial outcome information entered in SOAR-OAT (national database). 10. Number of SOAR applications approved for benefits (SSI/SSDI) during the quarter. 11. Number of SOAR applications denied benefits (SSI/SSDI) during the quarter. 12. Number of denied SOAR applications for which a first appeal was submitted to SSA. 13. Number of first appeals denied as of the end of the quarter. 14. Number of first appeals denied which had a second appeal submitted to SSA. Transition Coordination 1. Number of transition coordination staff currently employed or contracted by Provider. 2. Fiscal Year Class Member transition target. 3. Number of Class Members transitioned (moved) from the NF or SMHRF to the community, this quarter. 4. Number of Class Members transitioned (moved) from the NF or SMHRF to the community, year-to-date. 5. Number of unduplicated Class Members accompanied to purchase basic household items/supplies. Integrated Health Care: Nursing 1. Number of nursing staff (RNs) currently employed or contracted by Provider. 2. Number of unduplicated Class Members who were referred for a nursing assessment by an RN. 3. Number of unduplicated Class Members whose nursing assessments were completed by RN. 4. Number of Class Members who had an unscheduled ER visit or hospitalization this reporting quarter. 5. Number of Class Members who had an unscheduled ER visit or hospitalization and were seen in-person for a follow up visit by the RN within 7 days after discharge from the ER or hospital, or notification or within 7 days after receiving knowledge of the discharge from the ER or hospital. 6. Number of Class Members who transitioned, year-to-date. 7. Number of Class Members who transitioned, year-to-date, and were visited in person by an RN, within 14 calendar days of transition to the community. Integrated Health Care: General Health Care 1. Number of unduplicated Class Members who transitioned to the community during this reporting period who were scheduled for a primary care appointment during the first 30 calendar days after transition from the NF/SMHRF. 2. Number of unduplicated Class Members who transitioned to the community during this reporting period who attended, or attempted to attend, a primary care appointment during the first 30 days after transition from the NF/SMHRF. Integrated Health Care: Occupational Therapy 1. Number of occupational therapists currently employed or contracted by Provider. 2. Number of unduplicated Class Members referred for an OT assessment. 3. Number of unduplicated Class Members scheduled for an OT assessment. 4. Number of unduplicated Class Members whose OT assessments were completed. 5. Number of unduplicated Class Members whose OT assessment was aborted by the clinician due to Class Member distress or other symptoms. Medicaid Spenddown 1. Number of unduplicated Class Members with a current spenddown as of the end of the quarter. 2. Number of unduplicated Class Members with sufficient expenses incurred each month that can be applied to offset the monthly spenddown amount without grant assistance. 3. Number of unduplicated Class Members for whom grant funds were used to meet their Medicaid spenddown. 4. Number of unduplicated Class Members who lost Medicaid eligibility during the quarter due to an unmet spenddown. Other Performance Measures: The following performance measures will be monitored using data entered in the IDHS-prescribed data management system: Referral 1. Number of unduplicated Class Member referrals received during this reporting quarter. 2. The number of unduplicated Class Members whose transitional referrals were claimed within 1 business day of the referral date. 3. Number of unduplicated Class Member who received in-person contact within 14 calendar days of the referral date. Care Management 1. Number of Class Members during this quarter due to be seen, monthly, in–person within their 18 months after transition. 2. Number of Class Members who received an in-person monthly visit within their 18 months after transition. Comprehensive Service Plans 1. Number of Initial Comprehensive Service Plans due to be completed this reporting quarter. 2. Number of Initial Comprehensive Service Plans completed within 45 days after the referral was received. 3. Number of Comprehensive Service Plan Updates due to be completed this reporting quarter. 4. Number of Comprehensive Service Plan Updates completed within 180 days of last Comprehensive Service Plan. 5. Number of Comprehensive Service Plans for Transition due to be completed. 6. Number of Comprehensive Service Plans for Transition completed within 30-60 days preceding Class Member’s transition to the community. 7. Number of Comprehensive Service Plans at program termination due to be completed. 8. Number of Comprehensive Service Plans at program termination completed. Reportable Incident Reports 1. Number of Reportable Incidents that occurred during this reporting period. 2. Number of Reportable Incident Report forms submitted for all incidents within the required timeframe. 3. Number of Reportable incidents in which a 30-day follow-up was completed by the agency. Transition Coordination 1. Number of unduplicated Class Members referred for transition during the quarter. 2. Number of unduplicated Class Members referred for transition during the quarter were contacted by transition coordination staff. 3. Number of referred Class Members who have agreed to CCMTP services. 4. Number of unduplicated Class Members who refuse transition coordination activities after contact by transition coordination staff. 5. Number of referred Class Members who have agreed to CCMTP services who received in-person, pre-transition contact a minimum of every 30 days. 6. Number of unduplicated Class Members engaged in a housing search within two weeks of initial contact. 7. Number of unduplicated Class Members engaged in a housing search between two weeks and two months after initial contact. 8. Number of unduplicated Class Members engaged in a housing search between two months and four months after initial contact. 9. Number of unduplicated Class Members engaged in a housing search more than four months after the initial contact. 10. Number of unduplicated Class Members engaged in housing search as of the end of the quarter. Performance Standards Performance Standards are the minimum expected grantee/subgrantee performance for each enumerated item. In addition to quarterly reporting via the Periodic Performance Report Template by Program, performance will also be monitored based on data entered in the IDHS-prescribed data management system. PRTP Performance Standards: The following performance standards will be calculated using data reported to IDHS using the Periodic Performance Report Template by Program (PRTP) each quarter: Class Member CCMTP Education/Information 1. Monthly CCMTP activities were conducted in 100% of assigned NFs or SMHRFs. Care Management 1. 100% of Care Management staff meet Qualified Professional credentials. SSS/SOAR 1. 100% of SSS/SOAR staff have a Bachelor’s degree or are certified as a CRSS. 2. 100% of Class Members newly identified as having no income (excluding those with an undocumented status) during the quarter were assigned to the agency's SSS. 3. 85% of Class Members who have pending SSI/SSDI application not initiated by SSS are receiving assistance by the SSS/SOAR staff. 4. 100% of initial SOAR applications which received a determination status during the quarter have initial outcome information entered in SOAR-OAT (national database). 5. 95% of SSA applications denied had a first appeal submitted to SSA. 6. 95% of SSA first appeals denied had a second appeal submitted to SSA. Transition Coordination 1. 25% or more of fiscal year target are transitioned, cumulatively, throughout the fiscal year. (at least 25% by the end of the first quarter, at least 50% by the end of the 2nd quarter, 75% after 3rd quarter, and 100% after 4th quarter). 2. 100% of Class Members transitioned from the NF or SMHRF are accompanied to purchase basic household items prior to transition. Integrated Health Care: Nursing 1. 90% of nursing assessment referrals are completed by RN. 2. 90% of Class Members who had an unscheduled ER visit or hospitalization have an in person follow up visit by the RN within 7 days after discharge from the ER or hospital, or within 7 days of notification of the ERN or hospital discharge. 3. 90% of Class Members who transitioned, year-to-date, had an in-person RN visit within 14 calendar days of transition. Integrated Health Care: General Health Care 4. 100% of unduplicated Class Members who transitioned to the community during this reporting period, attended, or attempted to attend, a primary care appointment during the first 30 days after transition from the NF/SMHRF. Integrated Health Care: Occupational Therapy 5. 100% of the Class Members referred for an OT assessment had an assessment scheduled. 6. 90% of scheduled OT assessments are completed. Medicaid Spenddown 1. 90% of Class Members with a current spenddown have sufficient expenses that can be applied to offset the monthly spenddown amount without grant assistance. 2. No more than 10% of Class Members will lose Medicaid eligibility due to an unmet spenddown. Other Performance Standards: The following performance standards will be monitored using data entered in the IDHS-prescribed data management system: Referral 1. 90% of Class Member’s referrals claimed within 1 business day of referral. 2. 90% of Class Members referred were seen in person within 14 calendar days. Care Management 1. 75% of Class Members due to be seen, monthly, during the 18 months after transition to the community received an in-person- visit from the care manager. Comprehensive Service Plans 1. 80% of Initial Comprehensive Service Plans were finalized within 45 days after the referral date. 2. 80% of Comprehensive Service Plan Updates due were finalized within 180 days of last finalized Comprehensive Service Plan. 3. 90% of Comprehensive Service Plans for Transition were completed 30-60 days preceding transition. Reportable Incident Reports 1. 100% of Incident Reports were submitted within the required timeframe. 2. 100% of Incident Reports had a 30-day follow up completed by the agency. Transition Coordination 1. 100% of unduplicated Class Members recommended for transition during the quarter were contacted by transition coordination staff. 2. 90% of referred Class Members who have agree to CCMTP services received in person pre transition contact a minimum of every 30 days. Cooperative Agreements Not Applicable.

Yes

(Grantor-Specific Terms) This Notice of State Award (NOSA) is not an agreement nor a guarantee of an agreement. IDHS will publish its agreements in the CSA Tracking System after the NOSA is accepted. A signed hard copy is not needed. You also have the option to decline. If your response(s) to the ICQ questions indicate a weakness in the identified area below, a Corrective Action Plan (CAP) is required to be submitted to your cognizant agency. If IDHS is your Cognizant Agency, please send an email to DHS.DMHGrantApp@Illinois.gov to begin communicating the direction and requirements of the CAP. (Program-Specific Terms) The eligibility and program requirements outlined in this funding opportunity must be adhered to as the funded project is implemented. Grantees must comply with the milestones and deliverables, performance standards, performance measures, performance data collection and specific conditions as reflected in the grant agreement, DMH Attachment B and Program Manual. Additional terms and/or conditions may be applied to this award if outstanding financial or programmatic compliance issues are identified by IDHS.

Government Organizations; Nonprofit Organizations;

A. The applicant must meet the Registration, Pre-Qualification (https://www.dhs.state.il.us/page.aspx?item=149873), and any other Mandatory Requirements listed in this funding opportunity. 1. Applicants must provide the following information via the Grantee Portal (https://grants.illinois.gov/portal) annually to be registered with the State of Illinois as an awardee: a. Organization Name and Contact Information b. Federal Employee Identification Number (FEIN) c. Unique Identity Number (UEI) d. Organization Type 2. Applicants must be prequalified; therefore, applications from entities that have not prequalified prior to the due date of this application will NOT be reviewed and will NOT be considered for funding. Items a) through e) below are the prequalification requirements. a. Unique Entity Identifiers and SAM Registration. Each applicant (unless the applicant is an individual or State awarding agency that is exempt from those requirements under 2 CFR § 25.110(b) or (c), or has an exception approved by the Federal or State awarding agency under 2 CFR § 25.110(d)) is required to: i. Be registered in SAM.gov (https://sam.gov/content/home) before the application due date. ii. Provide a valid unique entity identifier (UEI) (https://www.fsd.gov/gsafsd_sp?id=kb_article_view&sysparm_article=KB0038428&sys_kb_id=3fcba40b1b0a01d40ca4a97ae54bcbd7&spa=1) in its application. iii. Continue to maintain an active SAM registration with current information at all times during which it has an active award or an application or plan under consideration by the awarding agency. iv. The State Agency may not make an award until applicant has fully complied with all UEI and SAM requirements. v. The State Agency may determine that an applicant is not qualified if they have not complied with all requirements and use that determination as a basis to award another applicant or applicants. b. Must be in “good standing” with the Illinois Secretary of State if the Illinois Secretary of State requires the entity’s organization type to be registered. c. Must not be on the Illinois Stop Payment List. d. Must not be on the SAM.gov Exclusion List. e. Must not be on the Medicaid Sanctions List (https://www.illinois.gov/hfs/oig/Pages/SanctionsList.aspx) B. Applicants may also be: 1. Community-Based Agencies 2. Hospital Systems 3. Federally Qualified Health Centers (FQHCs) 4. Healthcare for the Homeless Centers (HHCs), and 5. Managed Care Organizations (MCOs) C. Successful Applicants will not receive an award if pre-award requirements (https://www.dhs.state.il.us/page.aspx?item=149875) are not met. Qualified status is re-verified nightly. If the entity’s status changes, an email notice is sent to the designated entity representative with a link to the Grantee Portal (https://grants.illinois.gov/portal) D. Other factors that would disqualify an applicant or application include: 1. Not Applicable. E. Limit on Number of Applications: More than one application per entity is permitted.

NA

Direct Payments for Specific Use

Human Services

• Master’s degrees in social work, Counseling and/or psychology • LPHA- Licensed Practitioner of Healing Arts • LCSW-Licensed Clinical Social Work • RN- Licensed Registered Nurses • Master’s Degree- Occupational Therapist

A. Required Content of Application 1. Applications must include the required documents and demonstrate that the program eligibility requirements have been met. B. Actions needed prior to applying: 1. Applicants must be registered with the State of Illinois and Pre-qualified in the GATA portal prior to applying for Illinois awards. Instructions for creating an account and registering are located at the following link: Illinois GATA Grantee Portal (https://grants.illinois.gov/portal). Additionally, detailed instructions for registration and prequalification requirements, including the expected amount of time for completion are located here: Grant Applicant Pre-Qualification and Pre-Award Requirements (https://www.dhs.state.il.us/OneNetLibrary/27896/documents/Grants/Grant Applicant Pre-Qualification and Pre-Award Requirements_041223.pdf). 2. Registration in CSA is required. The Community Service Agreements (CSA) Tracking System (https://www.dhs.state.il.us/page.aspx?item=61069) is the system the IDHS utilizes for approving budgets and issuing grant awards. It is strongly recommended that if an applicant entity is not already registered in the CSA Tracking System, they should begin the registration as soon as possible so they may submit a signed budget in CSA. Applicants will NOT be issued an award without a fully approved budget in the CSA System. 3. Unique Entity Identifier and System for Award Management (SAM.gov) a. Each Applicant Must: i. Be registered in SAM.gov before submitting its application; ii. Provide a valid Unique Entity Identifier (UEI) in its application; and iii. Continue to maintain an active registration in SAM.gov with current information at all times during which it has an active award or an application or plan under consideration. b. The Department may not make an award until applicant has fully complied to all UEI and SAM Requirements c. If individuals are eligible to apply, they are exempt from this requirement under 2 CFR 25.110(b). d. If the agency exempts any applicants from this requirement under 2 CFR 25.110(c) or (d), a statement to that effect. C. Pre-application materials must be submitted as follows: 1. Not Applicable.

1. Address to Request Application Package A. The complete application package is available through the Illinois Catalog of State Financial Assistance and the Mental Health Grants FY26 website https://www.dhs.state.il.us/page.aspx?item=170290. B. Each Applicant must have access to the internet. The Department’s website will contain information regarding this funding opportunity and materials necessary for submission. It is the responsibility of each applicant to monitor the website and comply with any instructions or requirements related to this funding opportunity. C. A PDF copy may be obtained by emailing the Division of Mental Health at DHS.DMHGrantApp@illinois.gov. 2. Submission Dates and Times A. Full applications are due on 05/08/2025 at 12:00 p.m. (Noon) Central Time. B. Missed Deadlines i. IDHS cannot guarantee a start date of July 1, 2025, if application submissions are received after the due date referenced in the Program Summary above. ii. For your records, please keep a copy of your submission with the date and time the application was submitted along with the email address to which it was sent. The deadline will be strictly enforced. 3. The Methods for submitting the application: A. Applicants must electronically submit the complete application packet which includes the following attachments as separate pdf documents: i. Uniform Application for State Grant Assistance ii. Project Narrative iii. Grantee Conflict of Interest Disclosure iv. Budget (entered into the CSA system as described in 7. Budget and Budget Narrative below. v. Subcontractor Budgets, if applicable vi. Advance Payment Request Cash Budget Form, if wanted B. Applications must be sent electronically to DHS.DMHGrantApp@illinois.gov. The application will be electronically time-stamped upon receipt. Application submissions or delivery to any other email address or contact, including other IDHS offices or employees, will not be considered for review or funding. Applications will not be accepted if received by fax machine, hard copy, disk, or thumb drive. C. Include the following in the subject line: i. Your Agency Name ii. 850 Comprehensive Class Member Transition Program D. Documents must NOT include a password. E. Software or Electronic Capabilities i. Each applicant must have access to the internet. The Department's website will contain information regarding this funding opportunity and materials necessary for submission. 4. If you are experiencing system problems or technical difficulties submitting your application, you may contact: A. Name: Barb Roberson B. Email: DHS.DMHGrantApp@Illinois.gov 5. Intergovernmental Review A. This funding opportunity is NOT subject to Executive Order 12372, “Intergovernmental Review of Federal Programs.” 6. Project Narrative Content and Attachments A. The Project Narrative (https://www.dhs.state.il.us/page.aspx?item=170389) is required to support the Uniform Application for State Grant Assistance (GA) for non-competitive grants. The purpose of the Project Narrative is to describe the organization’s program activities and design for implementing and administering the program for the upcoming State Fiscal Year (SFY). This Project Narrative will include information that is specific to your organization’s proposed program services and be considered part of your grant agreement. Submission of this Project Narrative is required to fulfill contractual obligations. 7. Budget and Budget Narrative A. Applicants must enter a budget electronically in the CSA system. B. Budget(s) must be electronically signed and submitted in the CSA system. Budget(s) must be signed by the Provider's Chief Executive Officer and/or Chief Financial Officer. C. IMPORTANT: Please be sure each budget status in CSA says "GATA Budget signed and submitted to program review." This status will appear after the budget(s) are electronically signed by the agency CEO or CFO and submitted to IDHS. See IDHS CSA Tracking System webpage for additional information on CSA at IDHS: CSA Tracking System (https://www.dhs.state.il.us/page.aspx?item=61069). A copy is not to be submitted along with the application packet. . A separate budget and budget narrative must be completed, for each Consent Decree for which you are applying. Under “Grant Suffix” Column in CSA you must include the suffix listed. 1. The Consent Decree and suffixes are as follows: a. Colbert Consent Decree: Suffix CCD b. Williams Consent Decree: Suffix WCD D. The budget and narrative must tie fiscal activity to program objectives and deliverables and demonstrate that all proposed costs are: i. Reasonable and necessary ii. Allocable, and iii. Allowable as defined by program regulatory requirements and the Uniform Guidance (2CFR 200), as applicable. E. Deadline for submission of the budget, in the CSA Tracking System, is the same as the application deadline. F. A Budget Template can be used as a tool to assist in determining expenses; however, the final budget must be completed in the CSA Tracking System. The pdf budget or paper copy will not be accepted. Applicants will NOT be issued an award without the applicant’s fully approved budget in the CSA System. G. NOTE: The Illinois Department of Innovation & Technology (DoIT) is now disabling external Illinois.gov IDs if they have not been used for 114 days. If you receive the error "HPDIA0309W This account is disabled," your ID has been disabled and cannot be re-activated by changing your password. You need to contact the DoIT HelpDesk at [217-524-DoIT (3648) or 312-814-DoIT (3648)] or their website at Report A Problem (https://doit.illinois.gov/support/rap-step1.html). Request that they create an incident to re-enable your external ID. You will need to provide your external ID (firstname.lastname@external.illinois.gov) and the error message (this account is disabled). Please be sure to Reset Your Password (https://cmsapps.illinois.gov/adimprod/Reset/GatherIdentity.aspx) every 3 months so your account is not disabled. H. There is space when preparing the budget on each line item for the budget narrative. For each line in the budget the applicant will describe why each expenditure is necessary for program implementation and how the amount was determined. Please include cost allocations as necessary. The Budget narrative (including MTDC base exclusions as appropriate) must clearly identify indirect costs, direct program costs, direct administrative costs, and describe how the specified resources and personnel have been allocated for the tasks and activities within each line item. See instructions for the CSA Tracking System and Budget Information. The budget should be prepared to reflect 12 months. I. Instructions (https://www.dhs.state.il.us/page.aspx?item=84585) for the Budget Template J. Subcontractor budget(s), If applicable i. If applicant is planning to use a subcontractor, a pdf copy of the subcontractor budget must be submitted as a separate pdf document with the other application materials. Subcontractor budgets must be submitted for each application submitted as outlined above. ii. Subcontractor budgets shall be submitted on the GATA Uniform Grant Budget Template (GOMBGATU—3002). iii. Subcontractor Agreement(s) and budgets must be pre-approved by the Department and on file with the Department. Subcontractors are subject to all provisions of this Agreement. The successful applicant Agency shall retain sole responsibility for the performance and monitoring of the subcontractor. 8. Required Forms A. Uniform Application for State Grant Assistance: The Uniform Application for State Grant Assistance (is a three-page document used to formalize organization's request to apply for funding. Applicants must apply for the Consent Decree they are serving. A Suffix will need to be used when submitting your budget (under “NOFO Suffix” in CSA). Details about this can be found in Section IV(A)(3) above. A separate application and Program Narrative must be submitted for each Consent Decree. For example, if an applicant applies for funding for the Colbert Decree and the Williams Consent Decree, two applications and two narratives must be submitted, one associated with each Consent Decree for the program. i. The document requires the signature and email address of the organization's authorized representative. This email address will be used for official communication between the Department and the applicant organization for matters regarding this application. ii. Page one of the application is pre-populated with the appropriate information. Applicants must not complete anything on Page one. iii. On Page three, applicants will need to include the amount for on each individual application which they are applying and sign. iv. The correct application must be used. B. Grantee Conflict of Interest Disclosure - The grantee Conflict of Interest Disclosure (https://www.dhs.state.il.us/page.aspx?item=142947) is a required for all grant award programs. The document requires agencies to identify actual or potential conflicts of interest. The form must be signed by a representative of the organization. 9. Unallowable Costs A. All applicants will use grant funds according to the guidelines, conditions, and parameters set forth in this funding notice and in compliance with federal statutes, regulations and the terms and conditions of any applicable federal awards. B. Please refer to 2 CFR 200 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, PART 200 Subpart E - Cost Principles to determine the appropriateness of costs. C. Allowable costs are those that are necessary and reasonable based on the activity(ies) contained in the scope of work, are justified in the Budget Narrative, and are allowable under Subpart E of 2 CFR 200. It is expected that administrative costs, both direct and indirect, will represent a small portion of the overall program budget. Any budget deemed to include inappropriate or excessive administrative costs will not be approved. Program budgets and narratives must detail how all proposed expenditures are necessary for program implementation. D. Unallowable costs: Please refer to 2 CFR 200 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, PART 200 Subpart E - Cost Principles (https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200?toc=1) to determine the appropriateness of costs. 10. Mandatory Forms and Submissions A. Uniform Application for State Grant Assistance (https://www.dhs.state.il.us/page.aspx?item=170294) B. Project Narrative (https://www.dhs.state.il.us/page.aspx?item=170389) C. Uniform Grant Budget Template (https://www.dhs.state.il.us/page.aspx?item=85366)(Submit in CSA)| Instructions (https://www.dhs.state.il.us/page.aspx?item=84585) D. Subcontractor Budget, if applicable submit as a separate attachment E. Conflict of Interest Disclosure (https://www.dhs.state.il.us/page.aspx?item=142947) submit as a separate attachment F. Advance Payment Request Cash Budget Form (https://www.dhs.state.il.us/page.aspx?item=31637) submit as a separate attachment (no submission will result in default to Reimbursement Method)

1. Responsiveness Review A. The following are the criteria that must be met for eligibility: i. Applicant has a current registration with the State of Illinois in the Grantee Portal. ii. Applicant has an active SAM.gov public account. iii. Applicant has an active Unique Entity Identifier (UEI) with SAM.gov iv. Applicant is in “good standing” with the Secretary of State. v. Applicant is not on the DHS Stop Payment List Service or the Illinois Stop Payment List. vi. Applicant is not on the SAM.gov Exclusion List. vii. Applicant is not on the Illinois Medicaid Sanctions List. viii. Program specific eligibility restrictions a. Must be a community-based agencies b. hospital systems B. Restrictions on eligibility for State awards are referenced in 44 Ill Admin Code 7000.70. Program specific eligibility restrictions are referenced in this funding opportunity. 2. Risk Review A. IDHS conducts risk assessments for all awardees, prior to the award being issued. i. An agency wide Internal Control Questionnaire (ICQ)) is to be completed by the awardee within the Grantee Portal (https://grants.illinois.gov/portal) prior to the deadline listed below. The ICQ evaluates fiscal, administrative, and programmatic risk in the following categories: a. Quality of Management Systems b. Financial and Programmatic Reporting c. Ability to Effectively Implement Award Requirements d. Awardee Audits ii. The deadline to submit the FY26 ICQ is 05/08/2025, 12:00 PM (Noon) Central Time iii. A program specific Programmatic Risk Assessment conducted by the awarding agency to evaluate the following categories: a. Programmatic financial stability b. Management systems and standards that would affect the program. c. Programmatic audit and monitoring findings d. Ability to effectively implement program requirements. e. External partnerships f. Programmatic reporting iv. Risk assessments are not intended to be punitive in nature, rather they are conducted in order to evaluate the support, technical assistance, and training that may be needed for the awardee and the level of monitoring that is needed for the award. a. Risk assessments may result in Specific Conditions being placed on the award to include more frequent monitoring or the implementation of a corrective action plan. B. Simplified Acquisition Threshold - Federal and State awards i. It is anticipated that grants under this award may receive an award over the Simplified Acquisition Threshold (as defined in in 48 CFR part2, subpart 2.1 (https://www.ecfr.gov/current/title-48/chapter-1/subchapter-A/part-2/subpart-2.1; the dollar amount set by the Federal Acquisition Regulation (FAR), currently at $250,000 (with some exceptions)). Potential grantees under this notice of funding opportunity may receive an award in excess $250,000. Therefore, the grantee is subject to the simplified acquisition threshold and related requirements. a. Prior to making an award with a total amount greater than the simplified acquisition threshold, IDHS is required to review and consider any information about the applicant that is in the designated integrity and performance system accessible through SAM. (Currently FAPIIS) (See 41 U.S.C. 2313 (https://www.govinfo.gov/link/uscode/41/2313)). b. That an applicant, at its option, may review information in the designated integrity and performance systems accessible through SAM and comment on any information about itself that a State or Federal awarding agency previously entered and is currently in the designated integrity and performance system accessible through SAM. c. IDHS will consider any comments by the applicant, in addition to the other information in the designated integrity and performance system, in making a judgment about the applicants’ integrity, business ethics, and record of performance under State and Federal awards when completing the review of risk posed by applicants as described in 2 CFR 200.206 (https://www.ecfr.gov/current/title-2/section-200.206).

Anticipated Start Date and Periods of Performance for new grant awards A. Subject to appropriation, the grant period will begin no sooner than 07/01/2025 and will continue through 06/30/2026. State Award Notices A. Applicants recommended for funding under this Non-Competitive funding opportunity will receive a Notice of State Award (NOSA). The NOSA shall include: i. Grant award amount ii. The terms and conditions of the award iii. Specific conditions, if any, assigned to the applicant based on the fiscal and administrative risk assessment (ICQ), programmatic risk assessments (PRA), and the Merit Review. B. Note: The Department cannot issue a NOSA until the successful applicant has an approved FY26 budget entered into the CSA system. The applicant shall receive the NOSA through the Grantee Portal. The NOSA must be signed by the grants officer (or equivalent). This signature effectively accepts the state award amount and all conditions set forth within the notice. The signed NOSA is the document authorizing the department to proceed with issuing an agreement. The Agency signed NOSA must be remitted to the Department as instructed in the notice. C. The NOSA is NOT an authorization to begin performance (to the extent that it allows charging to State awards of pre-award costs; pre-award costs are incurred at the non-State entities own risk unless they have received written prior approval to begin performance). D. The authorizing document to begin performance is the fully executed Uniform Grant Agreement (UGA) signed by the grants officer, or equivalent. This is the official document that obligates funds. The UGA is sent to the non-State entity via the CSA system. The non-State entity will print and sign the signature page of the UGA and return signature page to DHS.OCA.SignaturePages@illinois.gov. A final signed copy of the UGA will be provided to the non-State entity via an upload into the CSA Tracking system. E. Applicants who are not eligible due to registration or pre-qualification issues, or late applications will be notified that they are ineligible for consideration when their application is processed. Administrative and National Policy Requirements A. The agency awarded funds shall provide services as set forth in the IDHS grant agreement and shall act in accordance with all State and Federal statutes and administrative rules applicable to the provision of the services. B. You can find a sample of the grant agreement at IDHS Uniform Grant Agreement (https://www.dhs.state.il.us/page.aspx?item=29741). C. Payment Terms i. It is the policy of the Illinois Department of Human Services (IDHS) that this policy complies with 2 CFR 200.302, 2 CFR 200.305, 31 CFR 205 (Procedures implementing the Cash Management Improvement Act and Treasury State Agreement (TSA)) and 44 Ill. Admin. Code 7000.120 (GOMB Adoption of Supplemental Rules for Grant Payment Methods). Three different award payment methods exist, namely Advance Payment, Reimbursement, and Working Capital Advance (https://www.dhs.state.il.us/page.aspx?item=140492). ii. Grantees selecting the Advance Payment Method, or the Working Capital Advance Payment Method must complete the Advance Payment Request Cash Budget Template as described in the procedures above. In addition, please note: If you will be submitting the Advance Payment Request Cash Budget, it must be submitted with the application materials as a separate document. iii. The Monthly Invoice IL444-5257 Template must be used for all DMH programs and submitted no later than 15 days after the end of the month. All invoices shall be HIIPA compliant and encrypted utilizing DHS approved encryption software and emailed to DMH at the email address listed above. D. For number of transitions, please consult your individual Exhibit “Deliverables”. E. Payment Incentives The Department must pay the Provider $5,000 for every Class Member transitioned to an independent community living setting that is above the projected number of transitions for each fiscal year identified in the grant agreement deliverables. F. Penalties If at any time during the grant agreement period the Department determines that the Provider has/is failing to provide the deliverables identified in the grant agreement, the Department reserves the right in its sole discretion to institute the following actions: i. The Department reserves the right in its sole discretion to provide notice of grant performance deficiencies and to work with the Provider to identify the reasons for the underperformance and provide direction on remedying the deficiencies within a reasonable time, with demonstrable progress and improvement within sixty (60) days of said notice. ii. If the Provider fails to demonstrate improvement within 60 days of the notice of deficiencies, the Department reserves the right in its sole discretion to require a written Corrective Action Plan. The Corrective Action Plan must identify with specificity the actions and outcomes necessary to bring the Provider into compliance with the grant agreement deliverables and be approved by the Department. The Provider will have a maximum of sixty (60) days from the date of the approval of the Corrective Action Plan to achieve compliance with the grant agreement deliverables and remain in good standing with the Department. iii. In the event the Provider fails to perform the actions and meet the outcomes contained in the Corrective Action Plan, the Department reserves the right in its sole discretion to adjust the budget of the Provider. This action includes, but is not limited to, reassigning one or more of the facilities (SMHRFs and/or NFs) and/or one or more of the Class Members currently served by Provider to another Comprehensive Program Provider. Reassignment of facilities or Class Members (i.e. a partial termination of the agreement) may be done at any time either as part of or after a Corrective Action Plan is agreed upon, in the event circumstances warrant such action to ensure transition targets are reached. Any such reassignments will include agreement and budget amendments to reflect the same, that will be proportional to the reduced anticipated transitions as a result of reassignment. iv. If the Provider continues to underperform, in addition to all other termination rights identified in the grant agreement, the Department reserves the right to immediately terminate the grant agreement without penalty to the Department. This does not preclude the Department from terminating all or part of a grant for any other reason, as provided for in the grant agreements. In the event a grant agreement is terminated either in whole or in part, the Provider must work cooperatively with the Department to transition Class Member records and data relevant to the Comprehensive Program grant services. This includes, but is not limited to case records, medical information, and service data for all Class Members supported and served by the grant agreement. G. Amendments The Department reserves the right to renegotiate terms and payments with the grantee based on changes to Sub-recipient budgets. This will be accomplished through amendments to the grant agreements. H. DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website. I. Amendments The Department reserves the right to renegotiate terms and payments with the grantee based on changes to Sub-recipient budgets. This will be accomplished through amendments to the grant agreements. ii. Invoice and PFR Email Address for General Grants: DHS.DMHQuarterlyReports@illinois.gov iii. Invoice and PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov iv. Invoice and PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@illinois.gov J. Payment Forms i. Monthly Invoice (IL444-5257) (https://www.dhs.state.il.us/page.aspx?item=95429) ii. Advance Payment Request Cash Budget Form (IL444-4985) (https://www.dhs.state.il.us/page.aspx?item=31637) Only if requesting an advance payment

• The Department must receive the Full Application Packet: o Due on 05/08/2025 at 12:00 p.m. (Noon) Central Time

30 - 45 days

NA

A. This program will be awarded as a 12-month term agreement. B. This is the third renewal of four. C. Renewals are at the discretion of the Department and are based on sufficient appropriation and performance criteria including, but not limited to: i. Grantee has performed satisfactorily during the previous reporting period. ii. All required reports have been submitted on time, unless a written exception has been provided by the Division/Department. iii. No outstanding issues are present (e.g., in good standing with all pre-qualification requirements and no outstanding corrective action, etc.).

Cost Sharing or Match Requirements A. Providers are not required to participate in cost sharing or provide match. B. Serves as Maintenance of Effort to the Federal Substance Abuse and Mental Health Services Administration Community Mental Health Block Grant.

Pre-Award Costs A. Pre-award costs are not allowable. B. IDHS grants are governed by 2 CFR. Part 200, Subpart E-Cost Principles and 30 ILCS 708 which include information on allowable costs, audit requirements, and financial records. Indirect Costs A. Indirect Costs (https://www.dhs.state.il.us/page.aspx?item=151738) may be applied to this grant award. Indirect Cost Rates (https://www.dhs.state.il.us/page.aspx?item=95073#a_IndirectCostRate) must be approved through the Illinois Indirect Cost Rate Election System (ICRES) (https://gata.illinois.gov/indirect-cost/centralized-indirect-cost-system.html).

A. Reporting, upon execution of the grant agreement, shall be in accordance with the requirements set forth in the UGA and related exhibits which include but is not limited to the following: 1. Periodic Financial Reports submitted electronically in accordance with instructions in the UGA no more frequent than quarterly and no less frequent than annually, unless unusual circumstances exist. 2. Periodic Programmatic Reports submitted electronically in accordance with instructions in the UGA no more frequent than quarterly and no less frequent than annually, unless unusual circumstances exist. 3. Close-out Performance Reports and Financial Reports as instructed in the UGA. 4. Other Unique Programmatic Reporting Requirements: additional annual performance data may be collected as directed by the Department and in the format prescribed by the Department. 5. If the State share of any State award may include more than $500,000 over the period of performance applicants are also subject to the reporting requirements reflected in Appendix XII to 2 CFR 200. Noncompliance with any of the identified reports may lead to being placed on the Illinois Stop-Payment List. 6. Non-compliance with any of the identified reports may lead to being placed on the Illinois Stop Payment List (SSPL). Grantee shall submit these reports) to the appropriate email address listed below. Reported expenses should be consistent with the approved annual grant budget. Any expenditure variances require prior Grantor approval in accordance with Article VI of the UGA to be reimbursable. • PFR Email Address for General Grants: DHS.DMHQuarterlyReports@illinois.gov • PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov • PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@illinois.gov • PPR and PRTP Email Address for All Grants: DHS.DMHQuarterlyReports@illinois.gov 7. DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website (https://www.dhs.state.il.us/?item=27893).

See JCAR Title 44 Illinois Administrative Code 7000.90 Auditing Standards

See JCAR Title 44 Illinois Administrative Code 7000.430 Record Retention

The source of funding for this program is State funds.

The Department expects to award approximately $44,664,859.

Number of Grant Awards The Department anticipates funding approximately 16 grant awards to provide this program. Expected Dollar Amount of Individual Grant Awards The Department anticipates that the dollar amount of individual awards will be between $354,164 and $7,656,120. Amount of Funding per Grant Award on average in previous years Previous funding amounts per grant award on average was $3,149,561

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Title 59: Mental Health of the Administrative Code

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IL Department of Human Services, Division of Mental Health

• Program Websites o Mental Health FY26 Website https://www.dhs.state.il.us/page.aspx?item=170290 o IDHS website: https://www.dhs.state.il.us/?item=27893 o Community Service Agreements (CSA) Tracking System: https://www.dhs.state.il.us/page.aspx?item=61069 o Centralized Repository Vault (CRV): https://vault.dhs.illinois.gov/crvsecure/crv o GATA Learning Management System (LMS): https://gata.illinois.gov/training.html

710-Outreach 720-Drop In Center 791 Accessible Housing and Assistive Technology 792 Quality Assurance and Data Analytics

o University of Illinois Jane Addams College of Social Work Studies have included (Colbert Williams Service Capacity, Class Members returning to LTC, Members declining program activities) o CSH-Corporation for Supportive Housing- analysis of housing capacity

4/9/2025

FY 2021 : $52,889,756
FY 2022 : $50,038,964
FY 2023 : $50,287,234
FY 2024 : $50,287,234
FY 2025 : $50,392,974
FY 2026 : $44,664,859