IDHS/SUPR

IDHS/SUPR plans to fund mobile MAR services for community programs, FQHCs, and other organizations providing SUD and other health treatment programs. This funding can be used for vans/buses, staff/personnel, and medication and counseling services that are not otherwise funded through health insurance, IDHS/SUPR grants or correctional institutions/jails. It is our goal that the targeted area will have a single standard of care so that persons with an Opioid Use Disorder (OUD) have access to all FDA-approved forms of MAR via an individualized treatment plan.

HHS block grants under 45 CFR Part 96, Subpart C, and, 45 CFR Part 75, as specified. Except for section §75.202 of Subpart C, and sections §§75.351 through 75.353 of Subpart D, the requirements in Subpart C, Subpart D, and Subpart E do not apply to this program (reference 45 CFR Part 75 Subpart B, §75.101(d)).

Public Law 106-310, 20 ILCS 301 Substance Use Disorder Act

Public Health Service Act, Subpart II and III, Title XIX, Part B.

Provide or increase Mobile MAR services including medication dispensing, counseling, and naloxone distribution to significantly address the gaps in access for two of the most under-served and high-risk patient populations in Illinois: 1) those in geographically hard to reach communities, and; 2) those with significant social determinants of health barriers to accessing services, including vulnerable populations such as those who experience housing insecurity and/or are justice involved.

Yes

N/A

Government Organizations; Nonprofit Organizations; For-Profit Organizations;

For specific guidance please refer to IDHS/SUPR provider website: https://www.dhs.state.il.us/page.aspx?item=29747 1.Have a Federal Employer Identification Number (FEIN) 2.Have an current DUNS number 3.Have a current registration with WWW.SAM.GOV 4.Register and be in good standing with the Illinois Secretary of State (does not apply to government entities and schools) 5.Register with the GATA system in the Grantee Portal 6.Be Licensed under rule 2060 for Methadone as an adjunct to treatment and Medicaid Certified under rule 2090.

For specific guidance please refer to IDHS/SUPR customer information webpage: https://www.dhs.state.il.us/page.aspx?item=29725 Funding Priorities: 1. Pregnant injecting drug users. 2. Pregnant and postpartum women. 3. Injecting drug abusers (who are at high risk for HIV infection) and known HIV-infected persons. 4. Service in the U.S. Armed Forces. 5. Parenting substance users. 6. Illinois Department of Children and Family Services referrals; Persons eligible for Temporary Assistance to Needy Families (TANF) and other women and children; Department of Corrections (DOC) releasees who have completed a prison treatment program or clients of a SUPR “designated program” for DOC released individuals.

Formula Grants

Human Services

Please refer to IDHS grant webpage for the most current information regarding credentials needed. https://www.dhs.state.il.us/page.aspx?item=85526

N/A

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Portions of 2 CFR 200/45 CFR Part 75 applies to this program. The Chief Executive Officer of the State, must apply annually for an allotment. New applicants: After having completed the licensing process of the Illinois Department of Human Services, Division of Substance Use Prevention and Recovery (SUPR) and being approved to hold a license, an organization can operate as a non-funded entity. In the event that the licensed organization desires to obtain funding to serve eligible indigent individuals and/or their families, they may submit a request for funding to SUPR. An application for funding can be submitted by responding to a Request for Proposal issued by the Illinois Department of Human Services or by sending a letter of inquiry regarding the availability of future funding opportunities. This inquiry may be emailed to Leanna.Altamore@Illinois.gov. The letter should highlight the following: •Rationale for and amount of funding requested. •Population and geographic area to be served. •Number of persons projected to receive services. •Verification of unmet need. •Brief history of the organization/individual vitae. •Three letters of community support. •Provider's ability to deliver services using evidence based models. •Provider's history in delivering substance use disorder treatment and other related services. Responses should be brief and the letter should not exceed more than five pages, single-spaced on standard 8.5 x 11 paper. Each letter of inquiry will be reviewed on its own merit and a response will be issued regardless of whether or not funding is available or awarded. If proposal is accepted, must submit Internal Controls Questionnaire (ICQ), Uniform Grant Application, Budget in CSA Tracking System, and Programmatic Risk Assessment. See https://www.dhs.state.il.us/page.aspx?item=85526

Each application will be evaluated on the following areas: - Applicant’s history of providing the services for which funding is requested - Applicant’s ability to address needs of the populations they propose to serve, including cultural and linguistic competency for the services provided - Applicant’s ability to understand and accurately submit billing and service data - Applicant’s history of compliance with Ill. Adm. Code, Part 2060 - Applicant’s history of fiscal compliance, including any applicable OMB circular reviews - Applicant’s history relative to any consumer/services complaints - Applicant’s ability to fully utilize past funding - Applicant’s ability to provide recovery coaching and/or recovery based support systems that are linked with community based support or self-help groups

Notifications IDHS/SUPR will provide notice to the successful applicant prior to executing an agreement for the award funds. This notice is not authorization to begin the proposal. Unsuccessful applicants will also be notified at this time. The notice of award letter, sent under separate cover, and signed by the IDHS grants officer (or equivalent) is the authorizing document.

Applications for the current fiscal year must be received prior to April 1st.

SUPR has 35-45 days to review application to make a decision.

N/A

Grant subject to annual renewal upon availability of state and federal funding.

Statutory Formula: Title XIX , Part B, Subpart II and III, Public Law 106-310. This program has no matching requirements. This program has MOE requirements, see funding agency for further details. Under 42 USC 300x-30, States expenditure for authorized activities at a level that is not less than the average level of such expenditures maintained by the State for the 2-year period preceding the fiscal year for which the State is applying for the grant.

Funds may be used at the discretion of the States to achieve the statutory objectives, including the fulfillment of certain requirements. States shall expend not less than 5 percent of the grant to increase (relative to fiscal year 1994) the availability of treatment services designed for pregnant women and women with dependent children (either by establishing new programs or expanding the capacity of existing programs). In addition, a State that has a rate of acquired immune deficiency syndrome in excess of the rate stipulated at 42 USC 300A-24(b) must expend the portion of its block grant specified by 300A-24(b) for HIV early intervention services as defined by the PHS Act. States must require programs of treatment for intravenous drug abuse to admit individuals into treatment within 14 days after making such a request or 120 days of such a request, if interim services are made available within 48 hours. States will provide, directly or through arrangements with other public or nonprofit entities, tuberculosis services such as counseling, testing, treatment, and early intervention services for substance abusers at risk for the human immunodeficiency virus (HIV) disease. Other statutory requirements also apply. Grant funds may not be used, directly or indirectly, to purchase, prescribe, or provide marijuana or treatment using marijuana. Treatment in this context includes the treatment of opioid use disorder. Grant funds also cannot be provided to any individual who or organization that provides or permits marijuana use for the purposes of treating substance use or mental disorders. See, e.g., 45 C.F.R. 75.300(a) (requiring HHS to "ensure that Federal funding is expended . . . in full accordance with U.S. statutory . . . requirements."); 21 U.S.C. 812(c) (10) and 841 (prohibiting the possession, manufacture, sale, purchase or distribution of marijuana). This prohibition does not apply to those providing such treatment in the context of clinical research permitted by the DEA and under an FDA-approved investigational new drug application where the article being evaluated is marijuana or a constituent thereof that is otherwise a banned controlled substance under federal law.

Reporting Requirements: A. Time Period for Required Periodic Financial Reports. Unless a different reporting requirement is specified in Exhibit G, Grantee shall submit financial reports to Grantor pursuant to Paragraph 13.1 and reports must be submitted no later than 30 days after the quarter ends. B. Time Period for Close-out Reports. Grantee shall submit a Close-out Report pursuant to Paragraph 13.2 and no later than 60 days after this Agreement's end of the period of performance or termination. C. Time Period for Required Periodic Performance Reports. Unless a different reporting requirement is specified in Exhibit G, Grantee shall submit Performance Reports to Grantor pursuant to Paragraph 14.1 and such reports must be submitted no later than 30 days after the quarter ends. D. Time Period for Close-out Performance Reports. Grantee agrees to submit a Close-out Performance Report, pursuant to Paragraph 14.2 and no later than 60 days after this Agreement's end of the period of performance or termination.

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. Audits. 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. 1. Consolidated Year-End Financial Reports (CYEFR). All grantees are required to complete and submit a CYEFR through the Grantee Portal. The CYEFR is a required schedule in the Grantee's audit report if the Grantee is required to complete and submit an audit report as set forth herein. a. This Paragraph 15.2 applies to all Grantees, unless exempted pursuant to a federal or state statute or regulation, which is identified in PART TWO or PART THREE. b. The CYEFR must cover the same period as the Audited Financial Statements, if required, and must be submitted in accordance with the audit schedule at 44 Ill. Admin. Code 7000.90. If Audited Financial Statements are not required, however, then the CYEFR must cover the Grantee's fiscal year and must be submitted within 6 months of the Grantee's fiscal year-end. c. CYEFRs must include an in relation to opinion from the auditor of the financial statements included in the CYEFR. d. CYEFRs shall follow a format prescribed by Grantor. 2. Entities That Are Not “For-Profit”. a. This Paragraph applies to Grantees that are not “for-profit” entities. b. Single and Program-Specific Audits. If, during its fiscal year, Grantee expends $750,000 or more in Federal Awards (direct federal and federal pass-through awards combined), Grantee must have a single audit or program-specific audit conducted for that year as required by 2 CFR 200.501 and other applicable sections of Subpart F of 2 CFR Part 200. The audit report packet must be completed as described in 2 CFR 200.512 (single audit) or 2 CFR 200.507 (program-specific audit), 44 Ill. Admin. Code 7000.90(h)(1) and the current GATA audit manual and submitted to the Federal Audit Clearinghouse, as required by 2 CFR 200.512. The results of peer and external quality control reviews, management letters, AU-C 265 communications and the Consolidated Year-End Financial Report(s) must be submitted to the Grantee Portal. The due date of all required submissions set forth in this Paragraph is the earlier of (i) 30 calendar days after receipt of the auditor's report(s) or (ii) nine (9) months after the end of the Grantee's audit period. c. Financial Statement Audit. If, during its fiscal year, Grantee expends less than $750,000 in Federal Awards, Grantee is subject to the following audit requirements: (i) If, during its fiscal year, Grantee expends $500,000 or more in Federal and state Awards, singularly or in any combination, from all sources, Grantee must have a financial statement audit conducted in accordance with the Generally Accepted Government Auditing Standards (GAGAS). Grantee may be subject to additional requirements in PART TWO, PART THREE or Exhibit G based on the Grantee's risk profile. (ii) If, during its fiscal year, Grantee expends less than $500,000 in Federal and state Awards, singularly or in any combination, from all sources, but expends $300,000 or more in Federal and state Awards, singularly or in any combination, from all sources, Grantee must have a financial statement audit conducted in accordance with the Generally Accepted Auditing Standards (GAAS). (iii) If Grantee is a Local Education Agency (as defined in 34 CFR 77.1), Grantee shall have a financial statement audit conducted in accordance with GAGAS, as required by 23 Ill. Admin. Code 100.110, regardless of the dollar amount of expenditures of Federal and state Awards. (iv) If Grantee does not meet the requirements in subsections 15.3(b) and 15.3(c) (i-iii) but is required to have a financial statement audit conducted based on other regulatory requirements, Grantee must submit those audits for review. (v) Grantee must submit its financial statement audit report packet, as set forth in 44 Ill. Admin. Code 7000.90(h)(2) and the current GATA audit manual, to the Grantee Portal within the earlier of (i) 30 calendar days after receipt of the auditor's report(s) or (ii) 6 months after the end of the Grantee's audit period. 3. “For-Profit” Entities. a. This Paragraph applies to Grantees that are “for-profit” entities. b. Program-Specific Audit. If, during its fiscal year, Grantee expends $750,000 or more in Federal Awards (direct federal and federal pass-through awards), from all sources, Grantee is required To have a program-specific audit conducted in accordance with 2 CFR 200.507. The auditor must audit Federal programs with Federal Awards expended that, in the aggregate, cover at least 50 percent (0.50) Of total Federal Awards expended. The audit report packet must be completed as described in 2 CFR 200.507 (program-specific audit), 44 Ill. Admin. Code 7000.90 and the current GATA audit manual, and must be submitted to the Grantee Portal. The due date of all required submissions set forth in this Paragraph is the earlier of (i) 30 calendar days after receipt of the auditor's report(s) or (ii) nine (9) months after the end of the Grantee's audit period c. Financial Statement Audit. If, during its fiscal year, Grantee expends less than $750,000 in Federal Awards and state Awards, singularly or in any combination, from all sources, Grantee must follow all of the audit requirements in Paragraphs 15.3(c)(i)-(v), above. d. Publicly-Traded Entities. If Grantee is a publicly-traded company, Grantee is not subject to the single audit or program-specific audit requirements, but is required to submit its annual audit conducted in accordance with its regulatory requirements. 4. Performance of Audits. For those organizations required to submit an independent audit report, the audit is to be conducted by a Certified Public Accountant or Certified Public Accounting Firm licensed in the state of Illinois or in accordance with Section 5.2 of the Illinois Public Accounting Act (225 ILCS 450/5.2). For all audits required to be performed subject to Generally Accepted Government Auditing standards or Generally Accepted Auditing standards, Grantee shall request and maintain on file a copy of the auditor's most recent peer review report and acceptance letter. Grantee shall follow procedures prescribed by Grantor for the preparation and submission of audit reports and any related documents. 5. Delinquent Reports. Grantee should refer to the State of Illinois Grantee Compliance Enforcement System for the policy and consequences for late reporting. 44 Ill. Admin. Code 7000.80.

Grantee shall maintain for three (3) years from the date of submission of the final expenditure report, adequate books, all financial records and, supporting documents, statistical records, and all other records pertinent to this Award, adequate to comply with 2 CFR 200.334, unless a different retention period is specified in 2 CFR 200.334 or 44 Ill. Admin. Code 7000.430(a) and (b). If any litigation, claim or audit is started before the expiration of the retention period, the records must be retained until all litigation, claims or audit exceptions involving the records have been resolved and final action taken. The organization shall submit all closings to the Division as follows: within one month after a patient has completed or been transferred, patients in outpatient treatment within 30 days of having no contact and patients in residential treatment within three (3) days of having no contact. The discharge record shall include completion of the National Outcome Measures (NOMS) fields. All services documentation must be kept as required by Part 2060.325 Patient/Client Records and/or written correspondence from the Division.

Appropriation FY: 2022 Appropriation Code: 0001.44426.4400.001000NE Appropriation Code: 0013.44426.4400.001000NE

FY22 $900,000

FY22 $900,000

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45 CFR Part 96; also portions of the 2 CFR Part 200/45 CFR Part 75

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Division of Substance Use Prevention and Recovery 600 E Ash St Building 500 3rd Floor North Springfield, IL 62703

SUPR website for providers: https://www.dhs.state.il.us/page.aspx?item=29747 website to billing and forms needed for program: https://www.dhs.state.il.us/page.aspx?item=68197

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3/1/2022