IDHS/Division of Mental Health

Executive Summary • A Grantee is needed to provide Rule 140 services to include crisis intervention, linkage and referral, case management, community outreach and therapy/counseling for persons across the lifespan in Stark and Marshall counties. The Grantee will recruit, hire, and employ 2 full-time employees, one being a QMHP and one being a MHP to provide Mental Health First Aid and Suicide Intervention trainings for Teachers, Counselors, Clergy and First Responders to improve identification of mental health needs by professionals in Stark and Marshall counties. The Grantee will sponsor county-specific community events to promote mental health and substance use education and advocacy. 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.

• NA

• 59 Ill. Admin, Code 132 (Rule 132), Section 132.150g • Mental Health Community Services Act (405 ILCS 30/ Section (f))

• Illinois Administrative Code Part 7000 Grant Accountability and Transparency Act

Program Description • The Grantee under this Rural Behavioral Health Access (RBHA) contract will provide access to all Rule 140 services to individuals residing in Stark and Marshall counties. These services will be provided by 2 FTEs, one a QMHP and one MHP. Mental Health promotion, education and advocacy will be provided through county-specific trainings including Mental Health First Aid and Suicide Intervention. Performance Requirements The Grantee will provide the following: • Rule 140 services to include crisis intervention, linkage and referral, case management, community outreach and therapy/counseling for persons across the lifespan in Stark and Marshall counties. • Mental Health First Aid and Suicide Intervention trainings for Teachers, Counselors, Clergy and First Responders to improve identification of mental health needs by professionals in Stark and Marshall counties. • Community events to promote mental health and substance use education and advocacy. Performance Measures • Services provided to individuals 18 years and older o # of crisis intervention service episodes provided to individuals 18 years and older utilizing Medicaid o # of crisis intervention service episodes provided to individuals 18 years and older utilizing private insurance o # of crisis intervention service episodes provided to individuals 18 years and older without insurance • Services provided to individuals under the age of 18 o # of crisis intervention service episodes provided to individuals under 18 years of age utilizing Medicaid o # of crisis intervention service episodes provided to individuals under 18 years of age utilizing private insurance o # of crisis intervention service episodes provided to individuals under 18 years of age without insurance • Total Number of crisis intervention service episodes reported for data analysis purposes. • Number of individuals needing continued care. • Number of individuals needing continued care provided a referral for an Integrated Assessment and Treatment Plan. • Number of Mental Health First Aid and Suicide Intervention training(s) provided during reporting period. • Number of individuals attending Mental Health First Aid and Suicide Intervention training(s). • Number of completed evaluations by attendees of Mental Health First Aid and Suicide Intervention training(s). • Number of community event(s) to promote mental health and substance use education and advocacy held during report period. Performance Standards • 100% of crisis intervention service episodes reported for data analysis purposes. • 100% of those identified as needing continued care were provided a referral for an Integrated Assessment and Treatment Plan. • One or more Mental Health First Aid and Suicide Intervention training(s) provided during the quarter. • 100% of attendees to Mental Health First Aid and Suicide Intervention training(s) completed evaluations. • One or more community event(s) to promote mental health and substance use education and advocacy was held during the quarter. 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.

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. 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) C. Other factors that would disqualify an applicant or application include: 1. Not Applicable. D. Limit on Number of Applications: More than one application per entity is not permitted.

NA

Direct Payments for Specific Use

Human Services

• Staff delivering Mental Health Services should be licensed as required under Rule 132 as a professional of the healing arts.

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 – FY 2026 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 04/09/2025 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. Project Narrative ii. Uniform Application for State Grant Assistance 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 applicable 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. 510-RBHA Regions Rural Behavioral Health Access 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: Holly Robinson 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=170667) 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 must be electronically signed and submitted in the CSA system. Budget must be signed by the Provider's Chief Executive Officer and/or Chief Financial Officer. C. IMPORTANT: Please be sure the budget status in CSA says "GATA Budget signed and submitted to program review." This status will appear after the budget is 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. 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. 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. 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 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=170343) B. Project Narrative 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. Not Applicable. 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) to be completed by the awardee within the Grantee Portal (https://grants.Illinois.gov/portal). Please check the Illinois GATA Grantee Portal to complete this 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 April 16, 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. This award is not anticipated to exceed the Simplified Acquisition Threshold defined in 48 CFR part 2, subpart 2.1 (https://www.ecfr.gov/current/title-48/chapter-1/subchapter-A/part-2/subpart-2.1)

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. iv. Invoice and PFR Email Address for General Grants: DHS.DMHQuarterlyReports@Illinois.gov v. Invoice and PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov vi. Invoice and PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@Illinois.gov D. 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 04/09/2025 at 12:00 p.m. (Noon) Central Time

• 60 - 90 days

• NA

A. This program will be awarded as a 12-month term agreement. B. This is the first renewal of two. 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. i. 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 $121,000.

Number of Grant Awards a. The Department anticipates funding approximately 1 grant award to provide this program. Expected Dollar Amount of Individual Grant Awards a. The Department anticipates that the dollar amount of individual award will be $121,000. Amount of Funding per Grant Award on average in previous years a. Previous funding amounts per grant award was $121,000.

• NA

• Title 59: Mental Health of the Administrative Code

• NA

• IL Department of Human Services, Division of Mental Health

• Program Websites o Mental Health Grants FY26 Website https://www.dhs.state.il.us/page.aspx?item=170290 o https://www.dhs.state.il.us/page.aspx?item=85526 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

• NA

• NA

3/11/2025

FY 2021 : $114,097
FY 2022 : $116,379
FY 2023 : $119,894
FY 2024 : $121,093
FY 2025 : $121,000
FY 2026 : $121,000