Il Dept of Healthcare and Family Services

HFS is implementing new provider types that will be delivered by non-profit community-based organizations (CBOs) that have limited infrastructure and capacity to contract and become Medicaid providers. These provider types include CBOs that will provide health related social needs (HRSN) services under the 1115 waiver, community health worker (CHW) services, and new maternal health services (e.g., doulas, lactation consultants). To help prepare and develop the infrastructure needed to support these organizations in becoming Medicaid providers, HFS will fund a state-wide network system entity to build the network of providers that will deliver these services and provide training, technical assistance and capacity building funding. HFS will select one statewide organization through a competitive NOFO process to serve as the Social Health Care Network. HFS strongly encourages the use of subrecipients to ensure adequate reach across the state of Illinois.

Title XIX of the Social Security Act

305 ILCS 5

89 Illinois Administrative Code

The objective of the Social Health Care Network Program is for them to develop in coordination with community partners a network of social service providers that can provide health related social needs services, community health worker services and maternal community health services to Medicaid customers. The program will be successful if Medicaid customers have access to these services in their community. This will be accomplished by the SHCN and its subrecipients conducting outreach and education to community based organizations and providing training and capacity building assistance.

Yes

All relevant project requirements and definitions outlined in the NOFO (CMS-XXX-25-001) apply to this award and have been incorporated into the Terms and Conditions of Award by reference.

Nonprofit Organizations;

Applicants must be a nonprofit organization and i) Have strong connections to the communities served. ii) Can develop, strengthen, support and continuously manage a network of CBOs that can deliver HRSN and other community-based services; iii) Are financially sound; and iv) Have ability to make and monitor subgrants. Applicants that are not eligible to apply include: managed care organizations (MCOs) or other health plans, a hospital or health system. For a full list of criteria, please see the NOFO.

The applicant must be a nonprofit organization who will support and collaborate with community-based organizations to enhance service access for Medicaid customers. The Medicaid customers are individuals who would benefit from Medicaid-approved services delivered by community-based organizations. This includes but is not limited to customers that are food or housing insecure, women in need of prenatal or postpartum supports, and those with chronic diseases that need education and assistance navigating their care.

Project Grants

Healthcare

Registration and pre-qualification through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www.grants.illinois.gov/portal. Applicant organizations must also submit documentation of non-profit status and good standing with the Illinois Secretary of State.

Registration and pre-qualification through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www.grants.illinois.gov/portal.

Applications for this funding opportunity must be submitted through AmpliFund. https://il.amplifund.com.

Applications will be subject to the merit-based review process. HFS will select one awardee to serve statewide.

The SHCN will be selected based on a merit-based review of eligible applications submitted. An initial allotment of funding will be distributed to the awardee. Thereafter, reimbursement will be based on monthly reporting.

June 15, 2026 at 11:59 PM Central Time.

As identified in the notice of funding opportunity.

Competitive grant appeals are limited to the evaluation process. Evaluation scores may not be protested. Only the evaluation process is subject to appeal. Appeals pursuant To Administrative Code Title 44, Subtitle F, Chapter I, Part 7000, Section 7000.350.

Sustained funding will be renewed subject to Illinois appropriation authority.

Not applicable.

Funding cannot be used for capital expenditures and must follow guidelines as set forward in the NOFO.

Funded applicants will be required to abide by the grant agreement, submit Periodic Performance Report and Periodic Financial Report, progress reports on a quarterly basis, expenditure reports on a monthly basis, and communicate performance data to the State of Illinois on a regular basis.

Grantee must comply with the audit requirements listed in Administrative Rule, 44 Illinois Administrative Code 7000.90.

Grantees must maintain for three (3) years from the date of submission of the final expenditure report, adequate books, all financial records and, supporting documents, statistical records, and all other records pertinent to this Award, adequate to comply with 44 Ill. Admin. Code 7000.430(a) and (b).

0793-47865-4900-0098

FY27- $8 million subject to final appropriation

$8M

1. Community-based providers are established as Medicaid providers to deliver HRSN services, CHW services and maternal health community-based services. 2. Appropriate contracting is in place for CBOs to submit Medicaid claims for eligible services. 3. Providers are available in the community for Medicaid customers to receive services.

https://hfs.illinois.gov/content/dam/soi/en/web/hfs/sitecollectiondocuments/ilhealthcaretransappvl07022024.pdf https://hfs.illinois.gov/content/dam/soi/en/web/hfs/sitecollectiondocuments/ihtprotcolapplet.pdf

Statewide

IL Healthcare and Family Services Chicago Main Office 401 South Clinton, Chicago, IL 60607

https://hfs.illinois.gov/medicalproviders/cc/1115transformation.html

N/A

New program.

None

FY 2027 : $8,000,000
FY 2028 : $8,000,000
FY 2029 : $8,000,000