Division of Mental Health

Program Summary Under the Comprehensive Class Member Transition Program, Grantees provide oversight and care management during the entire process of transitioning Class Members to Community-Based Settings 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. Project Description Under the Comprehensive Class Member Transition Program, Grantees will be responsible for providing oversight and care management during the entire process of transitioning Class Members to Community-Based Settings, including ensuring adequate supports are in place post-transition for the Class Member to safely and successfully remain in the community. The Grantees will be responsible and accountable for the entirety of the transition process for Class Members from Outreach through Transition and beyond. The transition process should be seamless to Class Members, with limited handoffs, and safe. 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 the Outreach, Assessment, or 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: • Outreach to all Class Members still residing in assigned Nursing Facilities (NFs) or Specialized Mental Health Rehabilitation Facilities (SMHRFs) to inform them of their rights to seek transition services under both the Williams and Colbert Consent Decrees; • Care Manager Assessments of Class Members to determine appropriateness for transition to a Community-Based Setting based on Consent Decrees' mandates; • Care Management, including developing Comprehensive Service Plans based on the 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 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, by any means appropriate, including, but not limited to staff retention bonuses/incentives. • 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.

NA

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

Illinois Administrative Code Part 7000 Grant Accountability and Transparency Act

Performance Requirements Outreach Deliverables Outreach 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. IDHS prefers that Outreach be delivered by peers, that is, individuals with lived recovery experience and/or individuals who have successfully transitioned from a SMHRF or NF to a Community-Based Setting. The Grantee will deliver the following Outreach services: 1. Maintain a full array of Outreach staff—preferably peers, that is, individuals with lived recovery experience and/or individuals who have successfully transitioned from a SMHRF or NF to a Community-Based Setting. 2. Conduct weekly activities with all assigned nursing facilities and Specialized Mental Health Rehabilitation Facilities (SMHRFs) to provide information about the CCMTP. These weekly contacts are also intended to develop professional relationships and create a seamless pathway to connect with Class Members. 3. Schedule and hold at least one initial, individual meeting with each consenting resident of the assigned Nursing Facilities (NFs) or Specialized Mental Health Rehabilitation Facilities (SMHRFs) to: (1) Provide literature and brochures on integrated Community-Based living options and support services; (2) Show videos about prior SMHRF/NF residents who have successfully transitioned into the community; and (3) Identify relevant services and supports available to the Class Member to encourage the Class Member to explore community-based settings and transition options and to ensure safe and successful transitions. Repeat meetings will be held if requested by the Class Member, as often as desired. 4. 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. 5. Build rapport with facility staff to facilitate Class Member access and engagement. 6. Take Class Members into the community to observe different settings, such as housing options or Drop-In Centers, as appropriate. 7. At least annually (once every twelve months), re-engage Class Members who decline outreach or consent to participate, or who were found appropriate for transition but declined to move forward with transition. 8. Convene quarterly resident advisory council meetings, community meetings and/or community forums in the NFs or SMHRFs to share information on transition options with larger audiences. 9. Meet with all Class Members at least once every 30 days that have a positive outreach and request transition services. Care Management & Assessment Deliverables Any Class Member who consents to participate in the transition process during Outreach will be connected to a Care Manager for a further Assessment and Service Plan development. Assessments are thorough clinical and functional assessments of a Class Member's appropriateness for transition to a Community-Based Setting. Care Management staff complete Initial Assessments once a Class Member has agreed to explore transition. In addition, all Class Members must be offered the opportunity for an Assessment. Class Members may also request additional Assessments up to four times each year (quarterly). In conjunction with the 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 (i) sufficient initial Assessments to achieve overall transition targets, (ii) quarterly Assessments upon request, (iii) service planning, and (iv) all other Care Management tasks. Care Management and Assessment 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. 25% of Care Management staff should be an RN. 3. Ensure staff participate in hosted/scheduled training sessions, webinars, and/or teleconferences. 4. Care Management staff supervisors are responsible for ensuring quality assurance of the Care Manager’s work, including Assessment and Service Plans. Assessment 5. Approach Williams and Colbert Class Members to obtain consent to conduct Assessments and Service Plans through warm hand-offs from Outreach staff. 6. Complete medical record reviews of Williams and Colbert Class Members for Assessments. 7. Conduct and complete strengths-based Assessments of consenting Class Members (initially and upon request), using a tool approved by IDHS. 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: a. Initial Service Plans must be completed within 45 days of the initiation of an initial Assessment. A Service Plan is required unless the Class Member declines to continue involvement with the program; b. Service Plan updates are required every 180 days to identify and address any changes in the Class Member's clinical, medical or behavioral status, goals, change in Class Member preferences and desires and any other updates related to the Class Member's transition to the Community; and c. A Transition Service Plan is required 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 submitted to IDHS within the 30-60 days preceding the Class Member’s move to the community. 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 Care Manager’s Assessment, 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. Implementation of Comprehensive Service Plans 1. Care Management staff are responsible for monitoring the implementation of Class Member Comprehensive Service Plans. This requires continuous 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 identified as high-risk. Transition 1. Prior to a Class Member's transition from a SMHRF/NF, the Care Management staff must ensure the Service Plan, Risk Assessment and Mitigation Strategy needs for the Class Member have been appropriately provided/addressed with the Class Member and with collateral input. 2. Care Management staff must document the Class Member’s transition status minimally monthly; reporting on progress, housing status, challenges and any action steps being taken. 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 in-person attempts to visit Class Members. The minimum monitoring schedule is as follows (more frequent visits may be required based on Class Member needs): a. At least in-person weekly for four (4) weeks from initial transition. b. If weekly in-person visits are not successful, in person attempts are required c. At least in-person monthly for the remaining seventeen (17) months post-transition. d. If in-person monthly visits are not successful, in person attempts are required 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. Pre and post transition notes should include a brief description of the Care Manager’s or nurse’s engagement with the class member. This should include at minimum; a. A descript of the Class Member’s status, including any changes since the last encounter b. Any interventions provided; c. Any interdisciplinary discussion or consultation; d. A plan for future service plan implementation; and e. A summary of any outstanding care needs. 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 reporting requirements are as follows (see Reportable Incident Report documentation for definitions): a. Level I Incidents: Level I, or "Critical" incidents, must be reported within 24 hours; b. Level II Incidents: Level II, or "Serious" incidents, must be reported within 48 hours; and c. Level III Incidents: Level III, or "Significant" incidents, must be reported within 72 hours. 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. 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 been approved for transition through an Assessment and 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 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 Transition Flexible Funds to purchase interim expenses on behalf of transitioning Class Members until approved Medicaid and SSI/SSDI benefits are active. Purchases may include (but are not limited to) temporary medications, medical and testing supplies, non-covered medical equipment, past unpaid utility bills, Class Members' rent portions, food, landlord mitigation funds, and transportation expenses; 14. 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 $1,000 per Class Member, but may be over or under this average for any individual Class Member; 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 1. RNs must complete nursing assessments for all Class Members within 30 days of the initiation of the IDHS approved recommended assessment, including 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. Post -Transition 1. Class Members to receive an RN visit within two weeks of transition into the community (can count as a required care management contractual visit) 2. All Class Members must have a follow up contact, or attempted contact by an RN within 7 days from discharge from an unscheduled ER visit or hospitalization while in the community. If notification is after hospital visit and discharge, the RN must visit within 7 days of notification or awareness. RN visit should include updating any new medical conditions, reconciling medication lists and updating or advising the Care Manager to update the Service plan as needed. 3. Coordinate Class Members medical health needs with all medical providers. 4. RN must review and update all Class Member’s medication lists while in the community quarterly, and upon discharge from an emergency room visit or hospitalization. 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 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 Grantee's geographic coverage area for Consent Decree services. This includes all aspects of the transition process, including Outreach, Assessment, 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 Exhibit E-Performance Measures and Reporting, and Exhibit F-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, hiring bonuses, performance-based annual bonuses, 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. Performance Measures Data reported should, unless otherwise noted, be limited to quarterly data only, 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: Outreach 1. Number of Outreach staff currently employed by Provider. 2. Number of unduplicated Class Members engaged in any Outreach activity (including attendance at a quarterly meeting) during this reporting period. 3. Number of unduplicated Class Members interested in a follow up Outreach contact. 4. Number of unduplicated Class Members interested in a follow up Outreach contact who had a follow up contact completed by an Outreach Worker within seven (7) days. 5. Number of NFs or SMHRFs assigned to the provider. 6. Number of assigned NFs or SMHRFs where weekly CCMTP activities were conducted. 7. Number of NFs or SMHRFs where Outreach staff held a Community meeting/forum and/or Resident Advisory Council meeting during the quarter. Care Management & Assessment 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). 3. Number of Care Management staff that are RN’s. 4. Number of Class Members who have agreed to an assessment 5. Number of Class Members who have had pre-transition contacts in person a minimum of every 30 days. 6. Number of Class Members not seen, and who had in person attempt contacts a minimum of every 30 days 7. Number of Class Members during this quarter due to be seen, in person weekly, during the first four weeks after transition to the community. 8. Number of Class Members who received an in-person, weekly visit from the care manager for the first four weeks after their transition to the community. 9. Number of Class Members who did not receive a visit from a care manager within the first four weeks in the community and an in-person attempt was made. 10. Number of Class Members during this quarter due to be seen, monthly, in–person within their second through eighteenth month after transition. 11. Number of Class Members who did not receive a monthly in person visit within their second through eighteenth month after transition, and an in-person attempt was made. 12. Number of Class Members who have had an increase from monthly visits due to a change in class members needs requiring increased visits to ensure CMs safety and stability in the community. 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 had nursing assessments scheduled by 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. 5. Number of Class Members who had an unscheduled ER visit or hospitalization seen for a follow up visit or attempted visit by the RN within 7 days after discharge from the ER or hospital, or notification. 6. Number of Class Members the RN coordinated medical health needs with medical providers, post transition, this quarter. 7. Number of Class Members the RN visited in person, within two weeks of transition to the community. 8. Number of Class Members’ medication lists needing reviewed/reconciled and updated for Class Members who previously transitioned to the community, and following an ER/Hospital visit, this quarter. 9. Number of Class Members the RN reviewed/reconciled and updated the medication lists for Class Members in the community this quarter, following transition, or an ER/Hospital visit. Integrated Health Care: General Health Care 10. Number of unduplicated Class Members who transitioned to the community during this reporting period who scheduled a primary care appointment during the first 30 days after transition from the NF/SMHRF. 11. Number of unduplicated Class Members who transitioned to the community during this reporting period who scheduled and 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 12. Number of occupational therapists currently employed or contracted by Provider. 13. Number of unduplicated Class Members referred for an OT assessment. 14. Number of unduplicated Class Members scheduled for an OT assessment. 15. Number of unduplicated Class Members whose OT assessments were completed. 16. 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: Outreach 1. Number of unduplicated Class Members who expressed an interest in transition. Assessment 2. Number of unduplicated Class Members referred from Outreach for Assessment and Service Planning and residing in the NF/SMHRF (not discharged/transferred or deceased). 3. Number of unduplicated Class Members referred from Outreach for Assessment and Service Planning and residing in the NF/SMHRF (not discharged/transferred or deceased) for whom a full Initial Assessment was completed. Comprehensive Service Plans 4. Number of Initial Comprehensive Service Plans due to be completed. 5. Number of Initial Comprehensive Service Plans completed within 45 days after assessment was initiated. 6. Number of Comprehensive Service Plan Updates due to be completed. 7. Number of Comprehensive Service Plan Updates completed within 180 days of last Comprehensive Service Plan. 8. Number of Comprehensive Service Plans for Transition due to be completed. 9. Number of Comprehensive Service Plans for Transition completed within 30-60 days preceding Class Member’s transition to the community. Reportable Incident Reports 10. Number of Reportable Incidents that occurred during this reporting period. 11. Number of Reportable Incident Report forms submitted for all incidents within the required timeframe. 12. Number of Reportable incidents in which a 30-day follow-up was completed by the agency. Transition Coordination 13. Number of unduplicated Class Members assessed for transition during the quarter. 14. Number of unduplicated Class Members assessed for transition during the quarter who were contacted by transition coordination staff. 15. Number of unduplicated Class Members who refuse transition coordination activities after contact by transition coordination staff. 16. Number of unduplicated Class Members engaged in a housing search during the following time frames: a. Within two weeks of initial contact; b. Between two weeks and two months after initial contact; c. Between two months and four months after initial contact; and d. More than four months after the initial contact. 17. 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: Outreach 1. 85% of unduplicated Class Members interested in a follow-up contact with an Outreach Worker were engaged by Outreach staff within 7 days of request. 2. 95% of NFs or SMHRFs had a quarterly community meeting/forum or resident advisory council meeting. Care Management & Assessment 1. 100% of Care Management staff meet Qualified Professional credentials. 2. 25% of Care Management staff are RNs. 3. 90% of Class Members who have agreed to an assessment had an in-person, pre-transition contacts a minimum of every 30 days. 4. No more than 10% of pre-transition contacts with a Class Member will be identified an “attempt.” 5. 95% of Class Members due to be seen, weekly, in–person or attempted, during the first four weeks after transition to the community received a weekly visit from the care manager. 6. 95% of Class Members due to be seen monthly during their second through eighteenth month after transition received a monthly in–person or attempted care manager's visit. 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, transitioned, cumulatively, throughout fiscal year. (25% after first quarter, 50% after 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 assessments scheduled are completed by RN. 2. 90% of Class Members who had an unscheduled ER visit or hospitalization have a follow up visit or attempted visit by the RN within 7 days after discharge from the ER or hospital. 3. 90% of Class Members who transitioned have an RN visit within two weeks of transition. 4. 90% of Class Members’ medical health needs are coordinated with other health providers post transition. 5. 100% of Class Members’ medication lists reviewed and updated while in the community at least quarterly and following an ER/Hospital visit. Integrated Health Care: General Health Care 6. 100% 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 7. 100% of the Class Members referred for an OT assessment have an assessment scheduled. 8. 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: Outreach Assessment 1. 80% of unduplicated Class Members referred from Outreach for Assessment and Service Planning and residing in the NF/SMHRF (not discharged/transferred or deceased) had an Initial Assessment completed. Comprehensive Service Plans 2. 80% of Initial Comprehensive Service Plans completed within 45 days after date assessment was initiated. 3. 80% of Comprehensive Service Plan Updates due were completed within 180 days of last Comprehensive Service Plan. 4. 90% of Comprehensive Service Plans for Transition completed 30-60 days preceding transition. Reportable Incident Reports 5. 100% of Reportable Incident Reports submitted within the required timeframe (Level I-24 hours, Level II-48 hours, and Level III-72 hours). Transition Coordination 6. 100% of unduplicated Class Members recommended for transition during the quarter were contacted by transition coordination staff.

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;

• This non-discretionary funding opportunity is limited to applicants that meet the following requirements: o More than one application per entity is permitted. o The types of applicants that may apply for the grant award are: ? Government Organizations ? Nonprofit Organizations o Applicants may also be: ? Community-Based Agencies ? Hospital Systems ? Federally Qualified Health Centers (FQHCs) ? Healthcare for the Homeless Centers (HHCs), and ? Managed Care Organizations (MCOs) o The applicant has met the Prequalification and Mandatory Requirements listed in this funding opportunity.

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

Prequalification • Applicant entities will not be eligible to apply for a grant award until they have prequalified through the Grant Accountability and Transparency Act (GATA) Grantee Portal. Registration and prequalification are required annually. During prequalification, verifications are performed including a check of federal Debarred and Suspended status on the Illinois Stop Payment or the Illinois Debarred and Suspended List and good standing with the Secretary of State. An automated email notification is sent to the entity alerting them of "qualified" status or providing information about how to remediate a negative verification (e.g., inactive UEI, not in good standing with the Secretary of State). A federal Debarred and Suspended status cannot be remediated. • For assistance navigating government application prequalification procedures, refer to IDHS GATA Prequalification Assistance. • Applicants must be prequalified; therefore, applications from entities that have not prequalified prior to the due date of this application will NOT be reviewed until applicant is prequalified. • The following information is required to complete registration: o Organization's Unique Entity Identifier (UEI); For additional information on UEI, refer to Section Unique Entity Identifier and System for Award Management (SAM) below; o Organization's Federal Employer Identification Number (FEIN); o Organization type; o Illinois Secretary of State File ID (required for non-profits, for-profits and limited liability corporations); o Organization's name; o Organization's mailing address; o Organization's primary email address; o Organization's primary phone number; o Organization's fiscal year-end date • Applicants will not receive an award if pre-award requirements are not met. Indirect Cost Rates Indirect Costs may be applied to this grant award. Indirect cost rates must be approved. Indirect Cost Requirements and Restrictions • In order to charge indirect costs to this grant, the applicant organization must have a Federal or State annually negotiated indirect cost rate agreement (NICRA) or must elect to use the De Minimis Rate. • Every organization that receives a state award must make an indirect cost rate proposal or election in the State of Illinois Grantee Portal, Centralized Indirect Cost Rate Election System, including organizations that are choosing not to claim payment for indirect costs. • Indirect Cost Rate Election: o Federally Negotiated Rate: Organizations that receive direct federal funding may have an indirect cost rate that was negotiated with the Federal Cognizant Agency. Illinois will accept the federally negotiated rate. The organization must provide a copy of the federal NICRA and submit an Indirect Cost Rate Proposal in the Illinois Centralized Indirect Cost Rate System. o State Negotiated Rate: The organization must negotiate an indirect cost rate with the State of Illinois by completing an indirect cost rate proposal in the Illinois Centralized Indirect Cost Rate System if they do not have a Federally Negotiated Rate and would like to negotiate a rate with the State of Illinois. o De Minimis Rate: An organization may elect a De Minimis rate of 10% of modified total direct cost (MTDC)**. Once established, the De Minimis rate may be used indefinitely. If programs elect to use the De Minimis rate, it is critical that program budgets accurately calculate the MTDC base. Please see the regulation below and note the exclusions to MTDC. **2 CFR § 200.68 Modified Total Direct Cost (MTDC). MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and subawards and subrecipient s up to the first $25,000 of each subaward or subcontractor (regardless of the period of performance of the subawards and subrecipients under the award). MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward and subcontractor in excess of $25,000. Other items may only be excluded when necessary to avoid a serious inequity in the distribution of indirect costs, and with the approval of the cognizant agency for indirect costs. o No Rate: Grantees have discretion not to claim payment for indirect costs. Grantees that elect not to claim indirect costs cannot be reimbursed for indirect costs. The organization must record an election of "No Indirect Costs" into the Indirect Cost Rate Election System. o State Funded Universities/Institutions: Maximum reimbursement for indirect costs is restricted to 10% Off Campus and 20% On Campus with MTDC base. • The Illinois Centralized Indirect Cost Rate System will allow your organization to document your already established federally approved indirect cost rate or complete an indirect cost rate proposal (see State Negotiated Rate above). Submission requirements are located on page 2 of the Uniform Budget Template as well as 2 CFR 200 Appendices IV, V & VII. • Organizations which have not previously made an indirect cost rate election must submit an election (and indirect cost rate proposal, if necessary) immediately and no later than 3 months after receiving an award notification. If the organization elects to submit a Federally Negotiated Rate or a State Negotiated Rate, they will receive an invitation to submit their proposal in the Illinois Centralized Indirect Cost Rate System. • Organizations that have previously established an indirect cost rate election and would like to continue with a Federal or State Negotiated Rate must submit a new indirect cost rate election immediately and no later than 6 months after the close of their organization's fiscal year. • Organizations that do not make a submission inside the Illinois Centralized Indirect Cost Rate System within the required timeframes will not be allowed to claim indirect cost reimbursement. • For more information, see: Centralized Indirect Cost Rate User Manual GATA Registration in CSA The CSA Tracking System 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. While registration in CSA is not part of the prequalification process, successful applicants will NOT be issued an award without a fully approved budget in the CSA System.

Address to Request Application Package • The complete application package (this Notice of Funding Opportunity, including links to required forms) is available through the Illinois Catalog of State Financial Assistance and at the Mental Health Grants – FY 2025 Website. • Each applicant must have access to the internet. The Department's website will contain information regarding the materials necessary for submission. • Additional copies may be obtained by contacting the Division of Mental Health by emailing DHS.DMHGrantApp@illinois.gov. Content and Form of Application Submission Required Content • Applications must include the required documents and demonstrate that the program eligibility requirements have been met. The Department will not contact applicants for missing items listed below. Applicants that do not include all the following documents will be considered substantially incomplete and will not be considered for funding. • All Application Materials should be submitted in one email (size permitting), as separate pdf documents: o Uniform Application for State Grant Assistance o Project Narrative o Conflict-of-Interest Disclosure o Subcontractor Budgets, if applicable o Advance Payment Request Cash Budget Form, if applicable Required Forms • The Uniform Application for State Grant Assistance is a three-page document used to formalize organization's request to apply for funding. The document requires the signature and email address of the organization's authorized representative. Applicants must apply for the Consent Decree they currently serve. A Suffix will need to be used when submitting your budget (under “Grant Suffix” in CSA). Details about this can be found under Budget Requirements below. A separate application and Project Narrative must be submitted for each Consent Decree. For example, if an applicant applies for funding for the Colbert Consent Decree and the Williams Consent Decree, two applications and two narratives must be submitted, one associated with each Consent Decree for the program. • Page one of the application is pre-populated with the appropriate information. Applicants must not complete anything on Page one. The correct application must be used. • Page one of the application is pre-populated with the appropriate information. Applicants must not complete anything on Page one. The correct application must be used. • The applicant submission email address will be used for official communication between the Department and the applicant organization for matters regarding this application. Budget Requirements • Deadline for submission of the budget, in the CSA Tracking System, is the same as the application deadline. • The CSA Tracking System is where the IDHS requires all applicants to enter their GATA Budget information. It is also where IDHS staff will review and take action on the proposed budget. The CSA Tracking system requires that you have different credentials than what you have for the Illinois GATA Grantee Portal. • A separate budget and budget narrative must be completed, electronically signed, and submitted in the CSA tracking system with the status as “GATA Budget signed and submitted to program review” for each Consent Decree for which you are applying. Under “Grant Suffix” Column in CSA you must include the suffix listed. o The Consent Decree and suffixes are as follows: ? Colbert Consent Decree: Suffix CCD ? Williams Consent Decree: Suffix WCD • 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. • 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. Subcontractor budget(s) • 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. • Subcontractor budgets shall be submitted on the GATA Uniform Grant Budget Template (GOMBGATU—3002). Grant Fund Use Requirements • 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. • 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. • 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. • 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 to determine the appropriateness of costs. In addition, and specific to this grant, the following costs will be unallowable without specific prior written approval from IDHS: o Entertainment costs, except where specific costs that might otherwise be considered entertainment have a programmatic purpose and are authorized in the approved budget (2 CFR 200.438) o Capital expenditures for general purpose equipment, including any vehicle regardless of cost, buildings, and land (2 CFR 200.439) o Capital expenditures for improvements to land, buildings, or equipment which materially increase their value or useful life (2 CFR 200.439) o Food, and other goods or services for personal use of the grantee's employees, contractors, or consultants of the grantee unless authorized as per diem under the State of Illinois Governor's Travel Control Board (2 CFR 200.445). o Deposits for items, services, or space Pre-Award Requirements • All applicants are required to complete a risk assessment prior to execution of a grant award. The Internal Controls Questionnaire (ICQ) is the instrument used to assess risk of grantees by identifying an organization's potential weaknesses. The ICQ is accessed through the Grantee Portal. • The deadline to submit the ICQ is April 15, 2024, 12:00 PM (Noon) Central Time Unique Entity Identifiers and SAM Registration • Each applicant (unless the applicant is an individual or Federal 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: o Be registered in SAM.gov before the application due date. o Provide a valid unique entity identifier (UEI) in its application. o Continue to maintain an active SAM registration with current information at all times during which it has an active Federal, Federal pass-through or State award or an application or plan under consideration by a Federal or State awarding agency. o The Department may not make an award until applicant has fully complied with all UEI and SAM requirements. o The Department may determine that an applicant is not qualified if they have not complied with requirements and use that determination as a basis to award another applicant. Application Due Date and Time: • The Department must receive the Full Application: o Due on April 8, 2024, at Noon Central Time. • Applicants must electronically submit the complete application including all required narratives and attachments to DHS.DMHGrantApp@Illinois.gov. • Documents must NOT include a password nor be encrypted. • Subject to appropriation, the grant period will begin no sooner than July 1, 2024, and will continue through June 30, 2025. • IDHS cannot guarantee a start date of July 1, 2024, if application submissions are received after the due date referenced in the Program Summary above. • Emails into this box are electronically date and time stamped upon arrival. For your records, please keep a copy of your email submission with the date and time it was submitted, along with the email address to which it was sent. The email of the original sender of the application will be used for official communication between the Department and the applicant organization for matters regarding this application. • If an applicant experiences technical difficulties, an email must be sent to DHS.DMHGrantApp@illinois.gov prior to the submission deadline. If State systems are deemed to be working properly, it is the applicant's responsibility to ensure their application materials arrive at the appropriate email address before the submission deadline date and time. • IDHS/DMH is under no obligation to review applications that do not comply with the above requirements. • Applicants will receive an email to notify them that the application was received. The email reply will be sent to the original sender of the application materials. • The subject line of the email MUST state: o Your Entity’s name o 850 Comprehensive Class Member Transition Program Intergovernmental Review Not applicable to Illinois State Awards. Grantee Conflict of Interest Disclosures • Every grantee and subcontractor must disclose in writing any actual or potential Conflict of Interest as part of the grant application packet using the Grantee Conflict of Interest Disclosure Form IL444-5205. • Grantee Conflicts of Interest include, but are not limited to: o Grantee has an employee, board member, trustee, or immediate family member who: ? Holds an elected or appointed office in Illinois. ? Holds a seat in the Illinois General Assembly. ? Is an officer or employee of any State board, commission, authority, or holds an elected or appointed position or is employed in any of the offices or agencies of State government. o Grantee has a financial interest, including ownership of stocks or bonds, in a firm which is a vendor or contractor. o Grantee has outstanding financial commitments to any vendor or contractor. o Grantee has a close personal relationship. such as a spouse, dependent child, or member of the technical advisor's household, that may compromise or impair the fairness and impartiality of the technical advisor and grants officer during the solicitation development, proposal evaluation, award selection process, and management of an award. o Grantee has any negotiation of employment with current or potential subcontractor or vendor. • Additional examples of Grantee Conflicts of Interest can be found in the Grant Accountability and Transparency Act (GATA) Website Resource Library. Mandatory Forms • Uniform Application for State Grant Assistance • Project Narrative • Uniform Grant Budget Template (Submit in CSA)| Instructions • Subcontract Budget, if applicable submit as a separate attachment • Conflict of Interest Disclosure submit as a separate attachment • Advance Payment Request Cash Budget Form (IL444-4985) submit as a separate attachment (no submission will result in default to Reimbursement Method)

Project Narrative A Project Narrative 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.

State Award Notices • Applicants recommended for funding under this non-discretionary opportunity will receive a Notice of State Award (NOSA). This notification is sent to the main contact listed in the Grantee Portal; therefore, it is important to keep contact information in the Grantee Portal updated. The NOSA shall include: o Grant award amount o The terms and conditions of the award o Specific conditions, if any, assigned to the applicant based on the fiscal and administrative risk assessment (ICQ). • Note: The Department cannot issue a NOSA until the successful applicant has an approved budget entered into CSA. The applicant shall receive the NOSA through the Grantee Portal. The NOSA must be Accepted or Declined by the grants officer (or equivalent). This acceptance of the NOSA effectively accepts the state award amount and all conditions set forth within the notice. This accepted NOSA is the document authorizing the Department to proceed with issuing a grant agreement. The NOSA must be Accepted or Declined through the Grantee Portal. A hard copy is not required. • The NOSA is NOT an authorization to begin performance (to the extent that it allows charging to State awards of pre-award costs at the non-State entity's own risk). • After the Uniform Grant Agreement is published in the CSA Tracking System, it must be signed, and the signature page submitted to the Office of Contract Administration at DHS.DHSOCA@Illinois.gov. • An award is NOT considered to be fully executed until both parties have signed the grant agreement. IDHS/DMH is not obligated to reimburse applicants for expenses or services incurred prior to the complete and final execution of the grant agreement and filing with the Illinois Office of the Comptroller. Simplified Acquisition Threshold – Federal and State Awards • Potential grantees under this funding announcement may receive an award in excess of the Simplified Acquisition Threshold (currently $250,000) (Refer to 2 CFR 200 Section 200.1 Definitions). Therefore, the grantee is subject to Simplified Acquisition Threshold and related requirements. o IDHS prior to making an award with a total amount greater than the Simplified Acquisition Threshold, 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); o 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; o 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 applicant's integrity, business ethics, and record of performance under State and Federal awards when completing the review of risk posed by applicants as described in § 200.206. • (From 2 CFR 200.1 Definitions): Simplified Acquisition Threshold means the dollar amount below which a non-Federal entity may purchase property or services using small purchase methods (see § 200.320). Non-Federal entities adopt small purchase procedures in order to expedite the purchase of items at or below the simplified acquisition threshold. The simplified acquisition threshold for procurement activities administered under Federal awards is set by the FAR at 48 CFR part 2, subpart 2.1. The non-Federal entity is responsible for determining an appropriate simplified acquisition threshold based on internal controls, an evaluation of risk, and its documented procurement procedures. However, in no circumstances can this threshold exceed the dollar value established in the FAR (48 CFR part 2, subpart 2.1) for the simplified acquisition threshold. Recipients should determine if local government laws on purchasing apply. Administrative and National Policy Requirements • 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. • You can find a sample of the FY25 grant agreement at IDHS Uniform Grant Agreement. Payment Terms • Grantees will receive payment by one of the three payment methodologies (Advance Payment, Reimbursement or Working Capital Advance). Grantees will automatically be paid via Reimbursement Method unless a request for Advance Payment Method or Working Capital Advance Method is made using the IDHS Advance Payment Request Cash Budget Template (Cash Budget). • Advance Payment Method (Advance and Reconcile) o An initial payment will be processed in an amount equal to the first two months' cash requirements as reflected in the Advance Payment Requirements Forecast (Cash Budget) Form submitted with the Grantee's application. The initial payment will be processed upon execution of the grantee's Uniform Grant Agreement. o Grantees must submit monthly invoices in the format and method prescribed in the Grantee's executed Uniform Grant Agreement. Invoices must be submitted no later than 15 days following the end of any respective monthly invoice period, or as indicated in their UGA Exhibit F - Payments. Invoices must include only allowable incurred costs that have been paid by the Grantee. For programs that have Grantee matching requirements, allowable costs are only reimbursable when matching costs have also been incurred. o Subsequent monthly payments will be based on each monthly invoice submitted by Grantee to Grantor, and will be adjusted up or down, based on a comparison of actual cumulative expenditures to cumulative advance payments, to date. o Grantees that do not expend all advance payment amounts by the end of the Award term or that are unable to demonstrate that all incurred costs were necessary, reasonable, allowable, or allocable as approved in their respective budget, must return the funds within 45 days. o Grantees may be required to submit supporting documentation for their requests at the request of and in a manner prescribed by the Grantor. o Failure to abide by advance payment governance requirements may result in grantee losing their right to advance payments. • Reimbursement Method o IDHS will disburse payments to Grantee based on actual allowable costs incurred as reported in the monthly financial invoice submitted for the respective month, as described below. o Grantees must submit monthly invoices in a format prescribed by Grantor. Invoices must include all allowable incurred costs for the first and each subsequent month of operations until the end of the Award term. Invoices must be submitted no later than 15 days following the end of any respective monthly invoice period, or as indicated in their UGA Exhibit F - Payments. As practicable, Grantor shall process payment within 30 calendar days after receipt of the invoice, unless the State awarding agency reasonably believes the request to be improper. o Grantees may be required to submit supporting documentation for their requests at the request of and in a manner prescribed by the Grantor. • Working Capital Advance Method o IDHS Grant Program Managers will advance working capital payments to the grantee to cover their estimated disbursement needs for an initial period not to exceed two months of grant expenses. Startup costs may be approved if determined by IDHS Grant Program Managers to be allowable. o Grantees must submit monthly invoices for each of the one or two months covered by the Working Capital Advance in the format and method prescribed by the Grantor. Invoices must be submitted no later than 15 days following the end of any respective monthly invoice period, or as indicated in their UGA Exhibit F - Payments. Invoices must include only allowable incurred costs that have been paid by the grantee. For grant programs that have grantee matching requirements, allowable costs are only reimbursable when matching costs have also been incurred. o Grantees may be required to submit supporting documentation for their requests at the request of and in a manner prescribed by the Grantor. o Working Capital Advance Payments are limited to a single occurrence per grant term. o Following the initial working capital advance payment, grantees will be paid via advance or reimbursement method as appropriate. • 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. • 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. • 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: (1) 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. (2) 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. (3) 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. (4) 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. • 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. DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website. • Invoice and PFR Email Address for General Grants: DHS.DMHQuarterlyReports@illinois.gov • Invoice and PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov • Invoice and PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@illinois.gov • Payment Forms o Monthly Invoice IL444-5257 o Advance Payment Request Cash Budget Form (IL444-4985) Only if requesting an advance payment

April 8, 2024, at Noon Central Time

45-60 Days

NA

• This program will be awarded as a 12-month term agreement. • This is the second renewal of five. • Renewals are at the sole discretion of IDHS and are contingent on meeting the following criteria: o Applicant has performed satisfactorily during the most recent past funding period. o All required reports have been submitted on time, unless a written exception has been provided by the Division. o No outstanding issues are present (i.e., in good standing with all pre-qualification requirements); and o Funding for the budget year has been appropriated in the state's approved fiscal year budget.

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

Procurement Contract Allowability • Subcontract 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 applicant Agency shall retain sole responsibility for the performance and monitoring of the Subcontractor. • The release of this funding opportunity does not obligate the Illinois Department of Human Services to make an award. Funding Restrictions Pre-Award Costs • Pre-award costs are not allowable. • 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.

• Upon execution of the grant agreement, reporting shall be in accordance with the requirements set forth in the Uniform Grant Agreement and related Exhibits which includes, but is not limited to the following: o Periodic Financial Reports. o Close-out Reports. o Periodic Performance Reports. o Close-out Performance Reports. o Other Unique Programmatic Reporting Requirements: Additional annual performance data may be collected as directed by the Department and in a format prescribed by the Department. • 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. • 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. o PFR Email Address for General Grants: DHS.DMHQuarterlyReports@illinois.gov o PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov o PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@illinois.gov o PPR and PRTP Email Address for All Grants: DHS.DMHQuarterlyReports@illinois.gov • DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website.

See JCAR Title 44 Illinois Administrative Code 7000.90 Auditing Standards

See JCAR Title 44 Illinois Administrative Code 7000.430 Record Retention

State Funding

Anticipated Availability: $50,287,234

Number of Grant Awards • The Department anticipates funding approximately 16 grant awards to provide this program. Expected Amounts of Individual Grant Awards • The Department anticipates that grant awards will be between $90,000 and $8,506,800. • Previous funding amounts per grant award on average was $2,958,073

NA

Title 59: Mental Health of the Administrative Code

NA

IL Department of Human Services, Division of Mental Health

• Program Websites o https://www.dhs.state.il.us/page.aspx?item=160099 o https://www.dhs.state.il.us/page.aspx?item=85526 o IDHS website: www.dhs.state.il.us o Community Service Agreements (CSA) Tracking System o Centralized Repository Vault (CRV) o GATA Learning Management System (LMS)

710-Outreach 720-Drop In Center 791 Accessible Housing and Assistive Technology 792 Quality Assurance and Data Analytics 796 Neuropsych Assessments

• 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) • CSH-Corporation for Supportive Housing- analysis of housing capacity

3/7/2024

FY 2021 : $52,889,756
FY 2022 : $50,038,964
FY 2023 : $50,287,234
FY 2024 : $50,287,234
FY 2025 : $50,287,234