Division of Mental Health

Program Summary • The Illinois State PIPBHC Project will bring together two providers of community care in separate areas of the state who will utilize evidence-based practices to support the needs of individuals with serious mental illnesses, serious emotional disturbances, substance use disorders and/or co-occurring disorders to ensure access to physical health care that is integrated with treatment for the behavioral health conditions. These community mental health and substance use providers will coordinate with the federally quali?ed health care providers within their communities to ensure full integration of care for individuals in their communities in need of this care. This new program will allow for expansion of care and further development of expertise. As the grantee from SAMHSA, the Illinois Department of Human Services/Division of Mental Health (DMH) will provide oversight and direction of the two agencies, ensure evaluation of the initiatives, and utilize lessons learned in this project to facilitate statewide learning and potential policy changes to impact the health and well-being of all Illinoisans in need of integrated primary and behavioral health care. 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 • The purpose of this program is to (a) promote full integration and collaboration in clinical practices between physical and behavioral health care; (b) support the improvement of integrated care models for physical and behavioral health care to improve overall wellness and physical health status; and (c) promote the implementation and improvement of bidirectional integrated care services, including evidence-based or evidence-informed screening, assessment, diagnosis, prevention, treatment, and recovery services for mental and substance use disorders, and co-occurring physical health conditions and chronic diseases through integrated care. The Grantee must develop and implement an integration program plan, and must provide services in an underserved community as defined in E.O. 13895 or have a significant focus on serving populations facing health disparities. The Grantee will serve the following special populations of focus: • Adults with severe mental illnesses (SMI); • Adults who have co-occurring mental illness and physical health conditions; • Individuals with a substance use disorder (SUD); and • Individuals with co-occurring mental illness and substance use disorders (COD). • The Grantee must begin delivery of services within seven months of award notice, and must provide services to an unduplicated number of individuals as proposed in the response to this opportunity.

• Substance Abuse and Mental Health Services Projects of Regional and National Significance

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

• Illinois Administrative Code Part 7000 Grant Accountability and Transparency Act

Performance Requirements 1. The Grantee must develop and implement an integration program plan and must provide services in an underserved community as defined in E.O. 13895 or have a significant focus on serving populations facing health disparities. The Grantee will serve the following special populations of focus: • Adults with severe mental illnesses (SMI); • Adults who have co-occurring mental illness and physical health conditions; • Individuals with a substance use disorder (SUD); and • Individuals with co-occurring mental illness and substance use disorders (COD). The Grantee must begin delivery of services within seven months of award notice and must provide services to an unduplicated number of individuals as proposed in the response to this opportunity. 2. Conduct a Program Readiness Review When: Within five months after award The Grantee will work with DMH to conduct a Program Readiness Review to identify barriers, current or potential opportunities, and areas that need improvement in providing integrated primary and behavioral health care. The results of the Program Readiness Review shall be used to develop the required Integration Program Plan and quality improvement activities (refer to Appendix A in the SAMHSA NOFO for details about systematic measurement and quality improvement). The Program Readiness Review shall address the following areas: • Physical and behavioral health conditions commonly experienced by the selected populations of focus and how those conditions are not currently being addressed by providers participating in the program; • The culturally responsive and evidence-based programs that currently address the integrated care needs of the selected populations of focus and needed adaptations to those programs for chosen care settings and the selected populations; • The extent to which health information technology and data-sharing capacity across primary and behavioral health to support integrated care are available or need to be developed; • Any needed processes and infrastructure to support ongoing measurement of population and individual outcomes for both common and specific physical and behavioral health conditions that will be addressed by this project; • The training needs for both the state agency and community providers; • Activities to ensure continuous engagement between state and provider leadership that promote the successful implementation of the integrated care model; and • Any barriers and facilitators that may impact the implementation of the integration program. 3. Develop and Implement an Integration Implementation Plan When: Within seven months of the award The Grantee will work with DMH to develop and implement an Integration Program Plan that includes the activities to be conducted. The Integration Program Plan shall include descriptions of the following: • The demographics and physical and behavioral health needs of the selected populations of focus to be served; • Common physical and behavioral health conditions, and other specific physical and behavioral health conditions that will be addressed directly through the integrated care program; • The plans for how the program will address barriers and facilitators identified in the Program Readiness Review; • Support for partnerships or other arrangements with local health care providers that will provide culturally appropriate services to special populations and, as applicable, in areas with demonstrated need, such as tribal, rural, or other medically underserved communities and those with a workforce shortage of mental health and substance use disorder, pediatric mental health, or other related professionals; and • Integrated care program activities, including the following areas (refer to Appendix A in the SAMHSA NOFO for details about what must be addressed in each of these areas): o Access, screening, referral to care, and follow-up o Evidence-supported prevention and intervention o Ongoing care coordination and care management o Person-centered self-management support o Multidisciplinary team and team-based care o Systematic measurement and quality improvement o Linkages with community and social services o Sustainable funding and practice 4. Develop and implement a Training and Workforce Development Plan When: Within five months of project start The Grantee will work with DMH to develop and implement a Training and Workforce Development Plan to support program implementation, including cross-training between primary care and behavioral health providers team members (e.g., training on health information technology, providing culturally responsive services to advance health equity, trauma-informed care, integrated care processes, chosen interventions, social determinants of health). The plan should also include how provider leadership will be educated and engaged about: • The need for integrated care and the integrated care program; • How the organization will take active steps to change the culture and practices across physical and behavioral health practitioners to support integrated care; and • How integrated care can be used to better serve underserved and marginalized populations. 5. Develop or maintain an existing Provider-level Steering and Implementation Committee When: Within seven months of project start The Grantee will work with DMH to develop or maintain an existing Steering and Implementation Committee at each provider site that includes: • Individuals with lived experience from the special populations being served at the provider site; • People from underserved communities who are served by the program; • Provider executive and clinical leadership; • A state liaison; and • Personnel with expertise in electronic medical record (EMR) data management from the provider organization. If an existing body, with or without modifications, can fulfill the requirements of this activity, it may be used instead of developing a new committee. 6. Develop and implement a Health Information Technology and Data Management Systems Plan (HIT Plan) When: Within seven months of project start The Grantee will work with DMH to develop and implement a Health Information Technology and Data Management Systems Plan (HIT Plan) to ensure that such tools as electronic health records, registries, dashboards, cloud-based systems, digital therapeutics, and other digital health interventions to support care coordination, integrated care workflows, and data sharing across primary care and behavioral health providers are being utilized. This plan should also discuss compliance with health privacy statutes and regulations. 7. The Grantee will implement the following activities if they are clinically appropriate for the selected populations of focus being served by the program: • Screen and refer individuals with HIV, sexually transmitted infections, and viral hepatitis to appropriate care; and • Screen and assess for opioid and alcohol use disorders and immediate warm handoff to prescribers of medications for opioid and alcohol use disorders, including buprenorphine, when needed. 8. Submit a Sustainability Plan When: Within 12 months of project start and updated annually The Grantee will work with DMH to develop and submit a Sustainability Plan that addresses, at the state and provider levels, sustainability for the integrated care program when federal funding ends. The sustainability plan shall include the identification of financing gaps, and administrative and billing challenges, in addition to the identification of sources of support that will be used to support local integration programs. 9. The Grantee will screen for tobacco/nicotine use and promote interventions for tobacco/nicotine cessation, as appropriate to the populations being served. 10. Data Collection/Performance Measurement and Project Performance Assessment The Grantee must collect and report data for SAMHSA to meet its obligations under the Government Performance and Results (GPRA) Modernization Act of 2010. The Grantee must collect and report in SAMHSA’s Performance Accountability and Reporting System (SPARS) data using the Mental Health Client/Consumer Outcome Measures (NOMs) tool. Training and technical assistance on SPARS data collection and reporting will be provided after award. The Grantee must collect NOMS data on each client at baseline (i.e., client entry into the project), at 6-month follow-up, and at client discharge. Data must be entered in SPARS within 7 days after collection. Data will be collected on: • Behavioral Health Diagnoses • Demographic Data • Functioning • Program-specific Questions The Infrastructure Development, Prevention, and Mental Health Promotion (IPP) indicators are project-level data collected and reported in SPARS by DMH on a quarterly basis. The Grantee must collect and report data to DMH on the following IPP assigned indicators: • The number of individuals screened for mental health or related interventions; • The number of individuals referred to mental health or related services; and • The number and percentage of individuals receiving mental health or related services after referral. A cross-site evaluation may be required to build the evidence base for this program. This may include collecting additional supporting data by the evaluation team, staff, and client participation in focus groups, site visits, and/or submission of documents for review. The Grantee must participate in all aspects of the evaluation if selected to be a part of the evaluation. Grantee will be provided with details on the evaluation upon award, including the type of evaluation and research questions, and expectations. Project Performance Assessment The Grantee must periodically review their performance data to assess progress and use this information to improve the management of the project, by determining whether the project goals, objectives, and outcomes are being achieved and if changes need to be made to the project. In addition, one key part of the performance assessment is determining if the project has or will have the intended impact on behavioral health disparities. The Grantee will be expected to collect data to evaluate whether the disparities DMH identified in the Behavioral Health Disparity Impact Statement (DIS) are being effectively addressed. The Grantee will: 1. Work with their health care partner(s) to promote full integration and collaboration in clinical practice between primary and behavioral health care within identified and proposed jurisdiction. 2. Ensure all staff are trained in agreed-upon Evidence-Based Practices (EBPs) to improve the overall wellness and physical health status of the special population(s) they have selected for services. 3. Work with the DMH-appointed Project Evaluator to enhance data collection, measurement, and reporting for primary care and behavioral health care. 4. Promote and offer integrated care services for physical and behavioral health conditions, as detailed in the Integration Program Plan. 5. Appropriate Grantee staff will participate in all DMH planning and project meetings conducted by DHS/DMH and/or the DMH-appointed Project Evaluator. Performance Measures 1. Number of unduplicated individuals who present for services during the quarter. (baseline) 2. Number of unduplicated individuals for whom baseline data is reported in the federal (“SPARS”) reporting system during the quarter. 3. Number of unduplicated individuals for whom follow-up data is reported into SPARS at required intervals during the quarter. 4. Number of unduplicated individuals screened for mental health or related interventions during the quarter. 5. Number of unduplicated individuals referred to mental health or related services during the quarter. 6. Number of unduplicated individuals referred in any quarter who received mental health or related services during the quarter. 7. Number of unduplicated individuals referred in any quarter participating in wellness services to promote health and mental health wellness and recovery during the quarter. 8. Number of unduplicated individuals enrolled at end of previous reporting period. 9. Number of unduplicated individuals enrolled at end of quarter. 10. Number of staff employed in positions on the PIPBHC team at end of quarter. 11. Number of staff trained or received refresher training on specific practices that are identified by the agency as supportive of success of integration of care. 12. Number of staff trained or received refresher training in PIPBHC expectations on all agency-selected evidence-based practices that will be used with PIPBHC clients during the current fiscal year. 13. Number of agency policies to which changes were made during the quarter to accommodate the provision of integrated care. Performance Standards 1. 100% of unduplicated individuals who presented for services (baseline) were screened for mental health or related interventions. 2. 80% or more of unduplicated individuals referred in any quarter, continued services. 3. 100% of unduplicated individuals referred in any quarter participated in wellness services to promote health and mental health wellness and recovery during the quarter. 4. 100% of staff trained or received refresher training on specific practices that are identified by the agency as supportive of success of integration of care. 5. 100% of staff were trained or received a refresher training in PIPBHC expectations on all agency-selected evidence-based practices that will be used with PIPBHC clients during the current fiscal year.

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 not permitted. o Qualified community programs, as defined in section 1913(b)(1) of the PHS Act; health centers as defined in section 330(a) of the PHS Act (including community mental health centers, child mental-health programs, psychosocial rehabilitation programs, and mental health peer-support or consumer-directed programs); rural health clinics, as defined in section 1861(aa) of the Social Security Act; Federally Qualified Health Centers, as defined in section 1861(aa) of the Social Security Act. Eligibility is limited to providers in underserved communities (as defined in E.O. 13895) or providers with a significant focus on serving populations facing health disparities. Providers must have at least two years of experience providing relevant services. o The applicant has met the Prequalification and Mandatory Requirements listed in this funding opportunity.

• NA

Direct Payments for Specific Use

Human Services

• None

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 procedure, refer to Grant Applicant Pre-Qualification and Pre-Award Requirements (state.il.us). • 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 (https://gata.illinois.gov/grants/csfa.html) and at the Mental Health Grants – FY 2025 (https://intranet.dhs.illinois.gov/oneweb/page.aspx?item=160099) 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. • 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. • On Page three, applicants will need to include the amount for which they are applying and sign. • 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 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”. A copy is not to be submitted along with the application packet. 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 9 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. • Instructions for the Budget Template can be found at https://intranet.dhs.illinois.gov/oneweb/page.aspx?item=84585 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 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 same as the application deadline. 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 (https://sam.gov/content/home) 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 November 29, 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 October 1, 2024, and will continue through June 30, 2025. • IDHS cannot guarantee a start date of October 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 Program 510-FPSP Federal PIPBHC Service Provider 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 Templatehttps://intranet.dhs.illinois.gov/oneweb/page.aspx?item=85366 (Submit in CSA)| Instructions https://intranet.dhs.illinois.gov/oneweb/page.aspx?item=84585 • Subcontract Budget, if applicable submit as a separate attachment • Conflict of Interest Disclosure Conflict of Interest Disclosure submit as a separate attachment • Advance Payment Request Cash Budget Form (IL444-4985) https://www.dhs.state.il.us/page.aspx?item=31637 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 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. • The Monthly Invoice IL444-5257 Template must be used for all DMH programs and submitted no later than 15 days after the end of the month. All invoices shall be HIIPA compliant and encrypted utilizing DHS approved encryption software and emailed to DMH at the email address listed above. • 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

• November 29, 2024 at Noon Central Time

• 60 - 90 days

• NA

• This program will be awarded as a 9-month term agreement. • Continued Funding of this Program is at the sole discretion of IDHS and is contingent on meeting the follow 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.

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

• Federally Funded

• Anticipated Availability: $956,059

Number of Grant Awards • The Department anticipates funding 2 grant awards to provide this program. Expected Amounts of Individual Grant Awards • The Department anticipates that grant awards will be between $442,863 and $513,196.

• 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: https://www.dhs.state.il.us/page.aspx?item=61069 o Centralized Repository Vault (CRV): https://vault.dhs.illinois.gov/crvsecure/crv o GATA Learning Management System (LMS): https://gata.illinois.gov/training.html

• NA

• NA

FY 2025 : $956,000