Illinois Dept of Healthcare and Family Services

Grants to Hospitals as appropriated in Public Act 103-0006 in support of ordinary and contingent expenses to the following hospitals that participate in the State’s Medicaid managed care program.

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Public Act 103-0006. Grant Accountability and Transparency Act: 30 ILCS 708/.

Title 44 Section 7000

To provide financial assistance to Illinois Hospitals to support of ordinary and contingent expenses to the following hospitals that participate in the State’s Medicaid managed care program.

Yes

Article XXV- Project Specific Terms 25.1. Standing and Authority. Section 22.10 of Part ONE notwithstanding, this section shall take precedence over Section 3.1. This Grant is being issued based on formulaic funding and the submission of the Uniform Grant Application is not required. 25.3. Indirect Cost Rate Submission. Section 22.10 of Part ONE notwithstanding, this section shall take precedence over Section 7.2. Indirect costs are not an allowable use of funds under this Grant Agreement. 25.4. Non-compliance. Section 13.3 of Part ONE is modified to add the sentence “Such actions may include steps necessary to initiate recoupment which may include offsets of future Medicaid reimbursement payments or other non-related state payments” to read as follows: "If Grantee fails to comply with the U.S. Constitution, applicable statutes, regulations or the terms and conditions of this or any Award, Grantor may impose additional conditions on Grantee, as described in 2 CFR 200.208. If Grantor determines that non-compliance cannot be remedied by imposing additional conditions, Grantor may take one or more of the actions described in 2 CFR 200.339. The Parties shall follow all Grantor policies and procedures regarding non-compliance, including, but not limited to, the procedures set forth in the State of Illinois Grantee Compliance Enforcement System. 44 Ill. Admin. Code 7000.80 and 7000.260. Such actions may include steps necessary to initiate recoupment which may include offsets of future Medicaid reimbursement payments or other non-related state payments.” 25.5. Budget Submission. The Grant Funds awarded pursuant to this Agreement are being issued without an application process. Grantees are required to submit a Budget using the required Grantor template. Receipt of the Budget by HFS does not constitute approval of the spending plan contained therein. Failure to submit a complete Budget to Grantor in a timely manner may result in cancellation of this award. The Grantee shall program Grant Funds in accordance with the terms and conditions of this Agreement and the submitted Budget. The Grantor will reference the Budget during the review of Final Reporting (ARTICLE XIII) as part of the closeout process of this Award. The Grantee will be notified during the closeout process of any funds deemed to be misspent and any subsequent repayment amounts (see Section 13.3 as modified above for non-compliance).

Other;

Illinois Hospitals specifically identified in Public Act 103-0006

St. Anthony’s Hospital – Chicago; Presence Mercy Center – Aurora; Presence St. Mary and Elizabeth – Chicago; RML Specialty Hospital – Hinsdale; Kindred Hospital Chicago North – Chicago; AMITA Health Holy Family Medical Center – Des Plaines; AMITA Health Alexian Brothers Behavioral Health Hospital Hoffman Estates – Hoffman Estates; Linden Oaks Behavioral Health – Naperville; Hartgrove Behavioral Health System – Chicago; Chicago Behavioral Hospital – Des Plaines

Formula Grants

Healthcare

Registration in GATA portal. Entity must be an eligible enrolled Medicaid provider.

Registration in GATA portal. Entity must be an eligible enrolled Medicaid provider.

The Grant Funds awarded pursuant to the project Agreements are being issued on a formula basis without an application process. Grantees are required to submit a Budget using the required Grantor template. Payments may be distributed prior to the submission of the Budget. Receipt of the Budget by HFS does not constitute approval of the spending plan contained therein. Failure to submit a complete Budget to Grantor (HFS) in a timely manner may result in recoupment of Grant Funds and suspension of future payments. The Grantee shall program Grant Funds in accordance with the terms and conditions of their Agreement and the submitted Budget.

The Grant Funds awarded pursuant to the project Agreements are being issued on a formula basis without an application process.

The Grant Funds awarded pursuant to the project Agreements are being issued on a formula basis without an application process.

As stated in issued grant agreements, per section 25.5

As stated in issued grant agreements, per section 25.5

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Yes

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Funds may be used on the eligible expenditure types outlined in the Grant Agreement. Hospitals may spend their distributions on qualifying purposes as permitted by Section 9901 of the American Rescue Plan Act of 2021 and the Final Rule as follows, except that these funds may be used for premium pay for work performed after April 10, 2023: a) Premium pay, as that term is defined Treasury’s Final Rule (Treasury Final Rule) for work performed by eligible employees, including for work performed on or after April 10, 2023, b) Payroll and covered benefit expenses for health care employees and similar employees.

Article XXIII - Grantor Specific Terms 23.4. Ad-hoc Reporting: The Department may request ad-hoc reports and supporting documentation. 23.5. Quarterly Reporting: The Grantee shall submit Quarterly Reports. The Grantee is expected to include a report of actual expenditures and the reporting of performance measures outlined in Exhibit E Performance Measures and Part THREE. The format of this Quarterly Report shall follow a format prescribed by the Department. 23.6. Final Reporting: The Grantee shall submit a Final Report. The format of this Final Report shall follow a format prescribed by the Department. Documentation to be submitted by the Grantee may include receipts, invoices, proof of payment, before and after pictures with timestamps, equipment serial numbers, vendor bids and contracts.

As per JCAR Title 44 Illinois Administrative Code 7000.90 - see also Article XXII and Article XXV of the issued grant agreements. HFS was granted an exception related to the audit standards in an effort to not impose additional audit requirements for this round of funding on entities which do not fall under the Single audit or GATA requirements based on other funding received. For entities not subject to these audit requirements due to other funding received, the Department will rely on cost reports which are submitted by providers as well as other planned monitoring activities to address the risk of non-compliance and determine whether the funds have been expended in accordance with the grant agreement, on eligible expenditures and within the expenditure period. Grantees which are subject to Single Audit should not include these funds in the calculation of the threshold or report them on their Schedule of Expenditures of Federal Awards (SEFA).

Article IX: MAINTENANCE AND ACCESSIBILITY OF RECORDS; MONITORING 9.1. Records Retention. Grantee must maintain for three (3) years from the date of submission of the final expenditure report, adequate books, all financial records and, supporting documents, statistical records, and all other records pertinent to this Award, adequate to comply with 2 CFR 200.334, unless a different retention period is specified in 2 CFR 200.334, 44 Ill. Admin. Code 7000.430(a) and (b) or PART TWO or PART THREE. 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. 9.2. Accessibility of Records. Grantee, in compliance with 2 CFR 200.337 and 44 Ill. Admin. Code 7000.430(f), must make books, records, related papers, supporting documentation and personnel relevant to this Agreement available to authorized Grantor representatives, the Illinois Auditor General, Illinois Attorney General, any Executive Inspector General, Grantor’s Inspector General, federal authorities, any person identified in 2 CFR 200.337, and any other person as may be authorized by Grantor (including auditors), by the State of Illinois or by federal statute. Grantee must cooperate fully in any such audit or inquiry.

0324-478-65-4900-03-00

PY: 0; CY: 16,500,000; BY: 16,500,000

15,000 - 5,730,000

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Prescott Bloom Building 201 South Grand Avenue East Springfield, Illinois 62763

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478-00-2484: Coronavirus Relief Fund (CFDA 21.019); 478-00-2719 Coronavirus State and Local Fiscal Recovery Funds (CFDA 21.027)

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FY 2024 : $16,500,000