IDPH: Office of Health Promotion

The Asthma Control and Health Plans grant program aligns with the Centers for Disease Control and Prevention’s (CDC) EXHALE Technical Package and 6|18 initiative related to Asthma Control. The recipient of the award will strengthen infrastructure and promote the EXHALE and 6|18 Initiative strategies to the Federally Qualified Health Centers (FQHCs) and Medicaid Health Plans. The project will be framed around the four asthma interventions as described in the Control Asthma Evidence Summary: 1) Promote evidence-based medical management following the National Education and Prevention Program (NAEPP) Guidelines; 2) Promote strategies that improve access and adherence to asthma medications and devices; 3) Expand access to intensive self-management education (AS-ME) for individuals whose asthma is not well-controlled with the NAEPP Guidelines-based medical management alone; and 4) Expand access to home visits by licensed professionals or qualified community health workers to improve self-management education and reduce home asthma triggers for individuals whose asthma is not well-controlled with the NAEPP Guidelines-based medical management and intensive self-management education. The recipient of the award will work with the Illinois Asthma Program (Program) in facilitating discussion of evidence-based preventive practices, including AS-ME, and value-based payment and delivery models, with Medicaid Managed Care Organizations (MCOs) and health plans. This strategy will align with the evidence base in the CDC 6|18 Initiative and advocate for access and reimbursement for AS-ME. Additionally, the recipient shall promote health care professional education based on the CDC EXHALE Technical Package. Quality improvement initiatives which support guidelines-based care will be promoted to FQHCs and focused training of health care providers, such as physicians, nurses, community health workers, and pharmacists, involved in team-based care will be facilitated. An Asthma Learning Collaborative shall be promoted for member FQHCs utilizing an online learning management system The platform shall allow users to participate in Asthma Control Measure training modules via live lessons (Zoom), or self-paced (recorded webinars, or a combination of both). The recipient should also work with centers for more intensive quality improvement initiatives, and by the end of the project period, report on any measurable or meaningful change or impact in health outcome, behaviors, or practice.

N/A

Department of Public Health Powers and Duties Law, 20 ILCS 2310/2310-25

N/A

Required Activities: 1. Meet, at a minimum, monthly and as needed, with the Illinois Asthma Program via conference call to discuss Asthma Control and Health Plans Program activities and progress. 2. Participate in annual Illinois Asthma Partnership meetings. 3. Report on National Asthma Program performance measures as part of quarterly progress reports and annual CDC performance measures. 4. Build and strengthen infrastructure to promote the 6|18 Initiative to the Federally Qualified Health Centers (FQHCs) and Medicaid Health Plans. 5. Collaborate with the Illinois Asthma Program to facilitate discussion and promotion of evidence-based preventive practices, including AS-ME, value-based payment, and delivery methods, with Medicaid Managed Care Organizations (MCOs) and health plans. 6. Implement an online Asthma Learning Collaborative for FQHCs utilizing a learning management system. The platform shall allow users to participate in Asthma Control Measure training modules via live lessons (Zoom), or self-paced (recorded webinars, or a combination of both). 7. Assist FQHCs in implementing quality improvement activities and facilitate training of health care providers involved in team-based care. By the end of the grant period, the recipient should report on any measurable or meaningful change or impact in health outcome, behaviors, practices, such as: Health outcomes: Healthcare utilization (hospitalizations & ED visits), clinical asthma measures (including medication use), asthma-related quality of life; Costs: Return on investment (ROI), cost savings, absenteeism from work or school; Behaviors: Asthma control behaviors, trigger reduction behaviors; Practices: Clinical practice quality improvements, practices that support asthma control and/or trigger reduction in homes/schools/workplaces, referrals to tobacco cessation services (e.g., Illinois Tobacco Quitline)

Yes

07/01/2024 - 06/30/2025 The recipient of the award will strengthen infrastructure and promote the EXHALE and 6|18 Initiative strategies to the Federally Qualified Health Centers (FQHCs) and Medicaid Health Plans. The project will be framed around the four asthma interventions as described in the Control Asthma Evidence Summary: 1) Promote evidence-based medical management following the National Education and Prevention Program (NAEPP) Guidelines; 2) Promote strategies that improve access and adherence to asthma medications and devices; 3) Expand access to intensive self-management education (AS-ME) for individuals whose asthma is not well-controlled with the NAEPP Guidelines-based medical management alone; and 4) Expand access to home visits by licensed professionals or qualified community health workers to improve self-management education and reduce home asthma triggers for individuals whose asthma is not well-controlled with the NAEPP Guidelines-based medical management and intensive self-management education. The recipient of the award will work with the Illinois Asthma Program (Program) in facilitating discussion and promotion of evidence-based preventive practices, including AS-ME, and value-based payment and delivery models, with Medicaid Managed Care Organizations (MCOs) and health plans. This strategy will align with the evidence base in the CDC 6|18 Initiative and advocate for access and reimbursement for AS-ME. Additionally, the recipient shall promote health care professional education based on the CDC EXHALE Technical Package. Quality improvement initiatives which support guidelines-based care will be promoted to FQHCs and focused training of health care providers, such as physicians, nurses, community health workers, and pharmacists, involved in team-based care will be facilitated. An Asthma Learning Collaborative shall be promoted for member FQHCs utilizing an online learning management system The platform shall allow users to participate in Asthma Control Measure training modules via live lessons (Zoom), or self-paced (recorded webinars, or a combination of both). The recipient should also work with centers for more intensive quality improvement initiatives, and by the end of the project period, report on any measurable or meaningful change or impact in health outcome, behaviors, or practice.

Nonprofit Organizations;

Illinois Primary Health Care Association is the sole, eligible applicant for this grant.

Federally Qualified Health Centers, individuals with asthma

Non-competitive

Healthcare

N/A

All grantees are required to register with the State of Illinois through the Grant Accountability and Transparency Act (GATA) website, www.grants.illinois.gov, complete a prequalification process, and be determined "qualified" as described in Section 7000.70. Registration and prequalification is required before an organization can apply for an award. The entity is "qualified" to be an awardee if it: 1) has an active UEI number; 2) has an active SAM.gov account; 3) has an acceptable fiscal condition; 4) is in good standing with the Illinois Secretary of State, if the Illinois Secretary of State requires the entity's organization type to be registered. Governmental entities, school districts and select religious organizations are not required to be registered with the Illinois Secretary of State. Refer to the Illinois Secretary of State Business Services website: http://www. cyberdriveillinois.com/departments/business_services/home.html; 5) is not on the Illinois Stop Payment List; 6) is not on the SAM.gov Exclusion List; 7) is not on the Sanctioned Party List maintained by HFS.

Applications must be submitted via the Illinois Department of Public Health's Electronic Grants Administration and Management System (EGrAMS), accessible at idphgrants.com.

Grants will be reviewed and graded based on a 100-point scoring rubric. Applications will be reviewed for content, work plan activities, budget proposals and required application supplemental material. Applicants must use the health equity checklist questions to identify both the short and long-term impacts to health equity, health inequalities and health inequities of the proposed intervention strategy.

A Notice of State Award (NOSA) shall be issued to the finalists who have successfully completed all grant award requirements and have been selected to receive grant funding. The NOSA will specify the funding terms and specific conditions resulting from applicable pre-award risk assessments. The Illinois Department of Public Health (IDPH) is exempt from utilizing the standard NOSA issued on the GATA Grantee Portal. completed by an authorized representative of the grantee organization and submitted to IDPH. A Notice of Denial shall be sent to the applicants not receiving awards.

Applications must be received by 4:00 pm on May 9th 2024. After review, the anticipated award announcement is June 2024.

Applications must be received by the close of business (5:00 pm) on the application due date. After review, the anticipated award announcement is June 2023.

Merit-Based Review Appeal Process For competitive grants, only the evaluation process is subject to appeal. Evaluation scores or funding determinations/outcomes may not be contested and will not be considered by the Department's Appeals Review Officer. To submit an appeal, the appealing party must: o Submit the appeal in writing and in accordance with the grant application document through IDPH's Merit-Based Review Appeal Request Form available in the GATA section of the IDPH website (www.dph.illinois.gov/GATA). o Appeals must be received within 14 calendar days after the date that the grant award notice was published. o Appeals must include the following information: - The name and address of the appealing party - Identification of the grant - A statement of reasons for the appeal - If applicable, documents or exhibits to support statement of reason The IDPH Appeals Review Officer (ARO) will consider the grant-related appeals and make a recommendation to the appropriate Deputy Director as expeditiously as possible after receiving all relevant, requested information. o The ARO must review the submitted Appeal Request Form for completeness and acknowledge receipt of the appeal within 14 calendar days from the date the appeal was received. o The ARO will utilize an Appeal Review Tool to consider the integrity of the competitive grant process and the impact of the recommendation. o The appealing party must supply any additional information requested by the agency within the time period set in the request. o The ARO shall respond to the appeal within 60 days or supply a written explanation to the appealing party as to why additional time is required. Documentation of the appeal determination shall be sent to the appealing party and must include the following: o Standard description of the appeal review process and criteria o Review of the appeal o Appeal determination o Rationale for the determination In addition to providing the written determination, the grant-making office may do the following: o Document improvements to the evaluation process given the findings and re-review all submitted applications. o Document improvements to the evaluation process given the findings and implement improvements into the following year's grant evaluation process. o Provide written notice to the appealing party as to how the identified actions will be remedied. Appeals resolutions may be deferred pending a judicial or administrative determination when actions concerning the appeal have commenced in a court of administrative body.

N/A

Cost Sharing is not required. Eligible applicants may voluntarily identify indirect costs as a programmatic match, in order to allocate the entire grant award for direct costs.

Use of Funds. All grant funds must be used for the sole purposes set forth in the grant proposal and application and must be used in compliance with all applicable laws. Grant funds may not be used as matching funds for any other grant program. Use of grant funds for prohibited purposes may result in loss of grant award and/or place the grantee at risk for recouping of those funds used for the prohibited purpose. Expenditure reports must be submitted quarterly. To be reimbursable under the Department/Office of Health Promotion Grant Agreement, expenditures must meet the following general criteria: • Be necessary and reasonable for proper and efficient administration of the program and not be a general expense required to carry out the overall responsibilities of the applicant. • Be authorized or not prohibited under federal, state or local laws, or regulations. • Conform to any limitations or exclusions set forth in the applicable rules, program description, or grant agreement. • Be accorded consistent treatment through application of generally accepted accounting principles, appropriate to the circumstances. • Not be allocable to or included as a cost of any state or federally-financed program in either the current or a prior period. • Be net of all applicable credits. • Be specifically identified with the provision of a direct service or program activity. • Be an actual expenditure of funds in support of program activities, documented by check number, and/or internal ledger transfer of funds. Unallowable or prohibited uses of grant funds include, but are not limited to the following: • Political or religious purposes • Contributions or donations • Fundraising or legislative lobbying expenses • Conference registration fees • Payment of bad or non-program related debts, fines or penalties • Contribution to a contingency fund or provision for unforeseen events • Research • Incentives, including but not limited to t-shirts, bags, backpacks, hats, pencils, rulers, coloring books, stress balls, band-aid holders, mugs and cookware. • Entertainment, food, alcoholic beverages and gratuities • Membership fees, interest or financial payments, or other fines or penalties • Purchase or improvement of land or purchase, improvement or construction of a building • Lease of facility space. • Expenditures that may create conflict of interest or the perception of impropriety • Audit expenses • Exhibit fees of any kind • Subscription costs • Association dues • Expenses for credentialing (e.g., CHES certification, AE-C) • Airfare • Out of state travel costs

The grantee is required to submit quarterly progress reports on their work plan objectives. Failure to submit required reports in a timely manner will result in delays with approval of reimbursements. The grantee will ensure quarterly reports are submitted in the provided format as follows: 1st Quarter Report due by: October 30; 2nd Quarter Report due by: January 30; 3rd Quarter Report due by: April 30; 4th Quarter Report due by: July 30

Grantee shall be subject to the audit requirements contained in the Single Audit Act Amendments of 1996 (31 USC 7501-7507) and Subpart F of 2 CFR Part 200, and the audit rules and policies set forth by the Governor’s Office of Management and Budget. See 30 ILCS 708/65(c); 44 Ill. Admin. Code 7000.90.

Grantees are required to maintain grant accounting records for a minimum of 3 years after the end of a grant period. If any litigation, claim, negotiation, audit or other action involving the record has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. More detailed information regarding retention requirements is provided in 45 CFR Parts 74 and 92.

733.48230.1900.0100

$85,000

$85,000.00

N/A

N/A

Springfield

Springfield

idphgrants.com

N/A

Final state plan amendment, asthma quality improvement modules

6/10/2022

FY 2020 : $26,000
FY 2021 : $26,000
FY 2022 : $130,831
FY 2023 : $100,000
FY 2024 : $100,000
FY 2025 : $85,000