IDHS/Division of Mental Health

Executive Summary • Grantee will create a Triage Center. The primary goal of the Triage Center will be to help an individual utilize an alternative, in-person option to an emergency department when experiencing a behavioral health crisis. The Triage Center will promote a sense of control, alleviate distress, promote safety, and promote effective resolution of presenting concerns in the least restrictive, yet clinically appropriate environment possible. The Triage Center shall provide community-based interventions to those experiencing behavioral and psychiatric difficulties within McLean County and in order to provide a diversion from the local emergency departments and law enforcement. 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.

• NA

• 59 Ill. Admin, Code 132 (Rule 132), Section 132.150g • Mental Health Community Services Act (405 ILCS 30/ Section (f)) • Public Act 103-0589, Section 1036, Page 594

• Illinois Administrative Code Part 7000 Grant Accountability and Transparency Act

Program Description • According to the 2022 McLean County Community Health Needs Assessment (CHNA), the percentage of McLean County survey respondents who rated their mental health as poor increased from 12% to 18% from 2018 – 2021. Psychiatric visits were the second most common reason for patient visits to Carle BroMenn Medical Center’s emergency room from 2012 to 2021. The number of deaths by suicide has increased from 16 in 2018 to 28 in 2021. In 2021, 765 suicide related calls from residents in McLean County were made to PATH Crisis Center, up from only 187 in 2019. In order to address the growing behavioral health needs in the county, The McLean County Behavioral Health Coordinating Council was formed. The council consists of leaders from local hospitals, social services agencies (including MCCHS), McLean County Government, the City of Bloomington, Town of Normal, law enforcement, first responders, and other community stakeholders. An integrated crisis system of care based on national best practices was identified as a priority need. Grantee will create a Triage Center. The primary goal of the Triage Center will be to help an individual utilize an alternative, in-person option to an emergency department when experiencing a behavioral health crisis. The Triage Center will promote a sense of control, alleviate distress, promote safety, and promote effective resolution of presenting concerns in the least restrictive, yet clinically appropriate environment possible. The Triage Center shall provide community-based interventions to those experiencing behavioral and psychiatric difficulties within McLean County and provide a diversion from the local emergency departments and law enforcement. The Triage Center’s services will be available a minimum of 8 hours daily, 365 days a year, to anyone located in McLean County requiring this service. The Triage Center will provide referrals to appropriate next steps following stabilization (e.g. hospitalization, psychiatry, counseling, case management). The Triage Center may refer to other organizations and programs which include but are not limited to: McLean County Center for Human Services, Chestnut Health Systems, McLean County FUSE Program, local hospitals, other community social services agencies, and other community medical/primary health providers. Services will be provided in person and over the phone (if needed). Crisis intervention staff will have college-level educational backgrounds in the human service field. Triage staff will also include peer recovery support staff trained in crisis intervention. Crisis Triage staff also have 24-hour access to a Qualified Mental Health Professional for consultation and collaboration. Crisis intervention services will be tailored to the needs of the individuals and will consist of both clinical and peer supports. Crisis interventions provided by program staff will be research based and clinically appropriate to ensure safety and stability of clients. These interventions will align with those utilized by the agency’s mobile crisis team when appropriate. Program staff will provide a mental health assessment and clinical interventions that are strengths-based and client centered. The team will utilize the Roberts Crisis Intervention Model which includes multiple approaches to a crisis assessment. Some elements of this assessment include biopsychosocial and risk assessment, establishing rapport quickly, identifying issues and implementing a safety/action plan. (Roberts & Ottens 2005). The crisis intervention will help the individual find a sense of control, alleviate distress, and promote effective resolution of presenting crisis concerns. A variety of specific, evidenced/research-based techniques will be utilized which and may include brief therapy, de-escalation, cognitive behavioral therapy, trauma-informed care, and motivational interviewing. Specific to trauma-informed care, the agency will utilize SAMHSA guidelines as well as practices involved in TF-CBT (Trauma Focused Cognitive Behavioral Therapy) and ARC (Attachment, Regulation, and Competency Framework). Services will be evidenced-based in nature. Each person served in the triage center will be assessed by their particular need at that moment and will be provided care at the least intensive level that is appropriate for the individual. In addition, resources will be given as needed and appropriate to each individual and each situation. Clients will be able to stay until they feel comfortable leaving, up to 23 hours. In accordance with Suicide Safer Care, all individuals will be assessed for suicidal/homicidal ideation and plans for safety will be made as appropriate. There will be a follow up contact made as part of protocol. The following services will be available: o Screening of all individuals for emergency needs. o Stabilization of individuals in crisis so that they can remain safe and improve functioning in the least restrictive environment, including crisis intervention, de-escalation, and brief therapy/counseling as appropriate. When a Counselor needs to complete a full assessment for crisis stabilization, they use the IMCAT assessment. o Linkage/referral to other community resources as appropriate. o Peer support to promote recovery, collaboration, and mutuality -When a guest chooses to stay in the triage center to relax and continue to de-escalate. There will be snacks and beverages available. There are activities they can choose to do, such as arts/crafts, books/magazines, conversing with staff, and so forth. o Follow up services - Any guest who is seen for an assessment will be contacted for a follow-up within 24 hours of their visit to the crisis triage. Staff check follow-up notifications in the electronic medical record daily and attempt contact with each guest. During the follow-up, staff document how the guest is doing after their interventions at the triage center and offer additional resources if needed. In addition, staff ask guest satisfaction questions and document the responses. Should the agency obtain this grant, measurement of guest satisfaction will transfer to the discharge process rather than this follow-up session. The Triage Center will be co-located with the recovery support services including case management and the therapeutic day program. This location is half a block away from the outpatient and psychiatry services allowing for ease of access. The location is on a bus line and has a large garage available for use by law enforcement for drop offs. The target population for this project will be individuals who are in need of immediate resolution of emergent behavioral health and psychiatric problems. This includes individuals of all backgrounds who are age 18 and older. All persons experiencing such issues are eligible for program services. All services will be provided within McLean County, Illinois. Individuals seeking services will be seen regardless of ability to pay or insurance status. Community members will be able to access services several ways: 1) through a walk in process, 2) via referral from the 9-8-8 Suicide Hotline, 3) via 2-1-1 resource information line, 4) through the mobile crisis team, 5) law enforcement drop off, 6) via referral or warm handoff from emergency rooms and 7) other community resources such as medical offices and other social service agencies. Performance Requirements The Grantee will provide the following services: • Screening of all individuals for emergency needs. • Stabilization of individuals in crisis so that they can remain safe and improve functioning in the least restrictive environment, including crisis intervention, de-escalation, and brief therapy/counseling as appropriate. When a Counselor needs to complete a full assessment for crisis stabilization, they use the IMCAT assessment. • Linkage/referral to other community resources as appropriate. • Peer support to promote recovery, collaboration, and mutuality -When a guest chooses to stay in the triage center to relax and continue to de-escalate. There will be snacks and beverages available. There are activities they can choose to do, such as arts/crafts, books/magazines, conversing with staff, and so forth. • Follow up services - Any guest who is seen for an assessment will be contacted for a follow-up within 24 hours of their visit to the crisis triage. Staff check follow-up notifications in the electronic medical record daily and attempt contact with each guest. During the follow-up, staff document how the guest is doing after their interventions at the triage center and offer additional resources if needed. In addition, staff ask guest satisfaction questions and document the responses. Should the agency obtain this grant, measurement of guest satisfaction will transfer to the discharge process rather than this follow-up session. Performance Measures • Number of unduplicated individuals serviced in-person at the Triage Center. • Number of unduplicated individuals serviced over the phone by Triage Center. • Number of unduplicated individuals serviced through walk in process. • Number of unduplicated individuals serviced through 9-8-8 Suicide Hotline referral. • Number of unduplicated individuals serviced through 2-1-1 resource information line. • Number of unduplicated individuals serviced through referral or warm handoff from an emergency room. • Number of unduplicated individuals serviced through other community resource referral. • Number of unduplicated individuals referred to other organizations. • Number of unduplicated individuals assessed for suicidal/homicidal ideation. • Number of unduplicated individuals assessed for suicidal/homicidal ideation who received follow up. Performance Standards • 50 or more unduplicated individuals serviced in-person at the Triage Center. • 2 or more unduplicated individuals serviced over the phone by Triage Center. • 30 or more unduplicated individuals serviced through walk in process. • 2 or more unduplicated individuals serviced through 9-8-8 Suicide Hotline referral. • 2 or more unduplicated individuals serviced through 2-1-1 resource information line. • 5 or more unduplicated individuals serviced through referral or warm handoff from an emergency room. • 5 or more unduplicated individuals serviced through other community resource referral. • 40 or more unduplicated individuals referred to other organizations. • 100% individuals assessed for suicidal/homicidal ideation received follow up. Cooperative Agreements • Not applicable.

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.

Nonprofit Organizations;

A. This funding opportunity is a Legislative Add-On and the award will be issued in totality to McLean County Center for Human Services. B. The applicant must meet the Registration, Pre-Qualification (https://www.dhs.state.il.us/page.aspx?item=149873), and any other Mandatory Requirements listed in this funding opportunity. 1. The Applicant must provide the following information via the Grantee Portal (https://grants.Illinois.gov/portal) annually to be registered with the State of Illinois as an awardee: a. Organization Name and Contact Information b. Federal Employee Identification Number (FEIN) c. Unique Identity Number (UEI) d. Organization Type 2. The Applicant must be prequalified; therefore, applications from entities that have not prequalified prior to the due date will NOT be reviewed until applicant is prequalified a. Unique Entity Identifiers and SAM Registration. Each applicant (unless the applicant is an individual 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: i. Be registered in SAM.gov (https://sam.gov/content/home) before the application due date. ii. Provide a valid unique entity identifier (UEI) (https://www.fsd.gov/gsafsd_sp?id=kb_article_view&sysparm_article=KB0038428&sys_kb_id=3fcba40b1b0a01d40ca4a97ae54bcbd7&spa=1) in its application. iii. Continue to maintain an active SAM registration with current information at all times during which it has an active award or an application or plan under consideration by the awarding agency. iv. The State Agency may not make an award until applicant has fully complied with all UEI and SAM requirements. b. Must be in “good standing” with the Illinois Secretary of State if the Illinois Secretary of State requires the entity’s organization type to be registered. c. Must not be on the Illinois Stop Payment List. d. Must not be on the SAM.gov Exclusion List. e. Must not be on the Medicaid Sanctions List (https://www.Illinois.gov/hfs/oig/Pages/SanctionsList.aspx) C. The applicant will not receive an award if pre-award requirements (https://www.dhs.state.il.us/page.aspx?item=149875) are not met. Qualified status is re-verified nightly. If the entity’s status changes, an email notice is sent to the designated entity representative with a link to the Grantee Portal (https://grants.Illinois.gov/portal) D. Other factors that would disqualify an applicant or application include: 1. Not Applicable. E. Limit on Number of Applications: More than one application per entity is not permitted.

NA

Direct Payments for Specific Use

Human Services

• None

A. Required Content of Application 1. The application must include the required documents and demonstrate that the program eligibility requirements have been met. B. Actions needed prior to applying: 1. Applicant must be registered with the State of Illinois and Pre-qualified in the GATA portal prior to applying for Illinois awards. Instructions for creating an account and registering are located at the following link: Illinois GATA Grantee Portal (https://grants.Illinois.gov/portal). Additionally, detailed instructions for registration and prequalification requirements, including the expected amount of time for completion are located here: Grant Applicant Pre-Qualification and Pre-Award Requirements (https://www.dhs.state.il.us/OneNetLibrary/27896/documents/Grants/Grant Applicant Pre-Qualification and Pre-Award Requirements_041223.pdf). 2. Registration in CSA is required. The Community Service Agreements (CSA) Tracking System (https://www.dhs.state.il.us/page.aspx?item=61069) 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. The applicant will NOT be issued an award without a fully approved budget in the CSA Tracking System. 3. Unique Entity Identifier and System for Award Management (SAM.gov) a. Each Applicant Must: i. Be registered in SAM.gov before submitting its application; ii. Provide a valid Unique Entity Identifier (UEI) in its application; and iii. Continue to maintain an active registration in SAM.gov with current information at all times during which it has an active award or an application or plan under consideration. b. The Department may not make an award until applicant has fully complied to all UEI and SAM Requirements c. If individuals are eligible to apply, they are exempt from this requirement under 2 CFR 25.110(b). d. If the agency exempts any applicants from this requirement under 2 CFR 25.110(c) or (d), a statement to that effect. C. Pre-application materials must be submitted as follows: 1. Not Applicable.

1. Address to Request Application Package A. The complete application package is available through the Illinois Catalog of State Financial Assistance and the Mental Health Grants – FY 2025 website (https://www.dhs.state.il.us/page.aspx?item=160099). B. The applicant must have access to the internet. The Department’s website will contain information regarding this funding opportunity and materials necessary for submission. It is the responsibility of each applicant to monitor the website and comply with any instructions or requirements related to this funding opportunity. C. A PDF copy may be obtained by emailing the Division of Mental Health at DHS.DMHGrantApp@Illinois.gov. 2. Submission Dates and Times A. Full applications are due on 06/09/2025 at 12:00 p.m. (Noon) Central Time. B. Missed Deadlines i. For your records, please keep a copy of your submission with the date and time the application was submitted along with the email address to which it was sent. 3. The Methods for submitting the application: A. The applicant must electronically submit the complete application packet which includes the following attachments as separate pdf documents: i. Uniform Application for State Grant Assistance ii. Grantee Conflict of Interest Disclosure iii. Budget (entered into the CSA Tracking System as described in 6. Budget and Budget Narrative below. iv. Subcontractor Budgets, if applicable v. Advance Payment Request Cash Budget Form, if wanted B. Applications must be sent electronically to DHS.DMHGrantApp@Illinois.gov. The application will be electronically time-stamped upon receipt. Application submissions or delivery to any other email address or contact, including other IDHS offices or employees, will not be considered for review or funding. Applications will not be accepted if received by fax machine, hard copy, disk, or thumb drive. C. Include the following in the subject line: i. Your Agency Name ii. 515-MHTC Mental Health Triage Center D. Documents must NOT include a password. E. Software or Electronic Capabilities i. Each applicant must have access to the internet. The Department's website will contain information regarding this funding opportunity and materials necessary for submission. 4. If you are experiencing system problems or technical difficulties submitting your application, you may contact: A. Name: Holly Robinson B. Email: DHS.DMHGrantApp@Illinois.gov 5. Intergovernmental Review A. This funding opportunity is NOT subject to Executive Order 12372, “Intergovernmental Review of Federal Programs.” 6. Budget and Budget Narrative A. Applicant must enter a budget electronically in the CSA Tracking System. B. The Budget must be electronically signed and submitted in the CSA Tracking System. The Budget must be signed by the Provider's Chief Executive Officer and/or Chief Financial Officer. C. IMPORTANT: Please be sure the budget status in CSA says "GATA Budget signed and submitted to program review." This status will appear after the budget is electronically signed by the agency CEO or CFO and submitted to IDHS. See IDHS CSA Tracking System webpage for additional information on CSA at IDHS: CSA Tracking System (https://www.dhs.state.il.us/page.aspx?item=61069). A copy is not to be submitted along with the application packet. D. The budget and narrative must tie fiscal activity to program objectives and deliverables and demonstrate that all proposed costs are: i. Reasonable and necessary ii. Allocable, and iii. Allowable as defined by program regulatory requirements and the Uniform Guidance (2CFR 200), as applicable. E. Deadline for submission of the budget, in the CSA Tracking System, is the same as the application deadline. F. 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. The applicant will NOT be issued an award without the applicant’s fully approved budget in the CSA Tracking System. G. NOTE: The Illinois Department of Innovation & Technology (DoIT) is now disabling external Illinois.gov IDs if they have not been used for 114 days. If you receive the error "HPDIA0309W This account is disabled," your ID has been disabled and cannot be re-activated by changing your password. You need to contact the DoIT HelpDesk at [217-524-DoIT (3648) or 312-814-DoIT (3648)] or their website at Report A Problem (https://doit.Illinois.gov/support/rap-step1.html). Request that they create an incident to re-enable your external ID. You will need to provide your external ID (firstname.lastname@external.Illinois.gov) and the error message (this account is disabled). Please be sure to Reset Your Password (https://cmsapps.Illinois.gov/adimprod/Reset/GatherIdentity.aspx) every 3 months so your account is not disabled. H. There is space when preparing the budget on each line item for the budget narrative. For each line in the budget the applicant will describe why each expenditure is necessary for program implementation and how the amount was determined. Please include cost allocations as necessary. The Budget narrative (including MTDC base exclusions as appropriate) must clearly identify indirect costs, direct program costs, direct administrative costs, and describe how the specified resources and personnel have been allocated for the tasks and activities within each line item. See instructions for the CSA Tracking System and Budget Information. The budget should be prepared to reflect 12 months. I. Instructions (https://intranet.dhs.Illinois.gov/oneweb/page.aspx?item=84585) for the Budget Template J. Subcontractor budget(s), If applicable i. 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. ii. Subcontractor budgets shall be submitted on the GATA Uniform Grant Budget Template (GOMBGATU—3002). iii. Subcontractor 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. 7. Required Forms A. Uniform Application for State Grant Assistance: The Uniform Application for State Grant Assistance is a three-page document used to formalize organization's request to apply for funding. i. The document requires the electronic or wet(ink) signature and email address of the organization's authorized representative. This email address will be used for official communication between the Department and the applicant organization for matters regarding this application. ii. Page one of the application is pre-populated with the appropriate information. Applicant must not complete anything on Page one. iii. On Page three, applicant will need to include the amount for which they are applying and sign. iv. The correct application must be used. B. Grantee Conflict of Interest Disclosure - The grantee Conflict of Interest Disclosure (https://www.dhs.state.il.us/page.aspx?item=142947) is a required for all grant award programs. The document requires agencies to identify actual or potential conflicts of interest. The form must be signed by a representative of the organization. 8. Unallowable Costs A. 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. B. 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. C. 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. D. 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 (https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200?toc=1) to determine the appropriateness of costs. 9. Mandatory Forms and Submissions A. Uniform Application for State Grant Assistance (https://www.dhs.state.il.us/page.aspx?item=171491) B. Uniform Grant Budget Template (https://gata.illinois.gov/resources.html) (Submit in CSA)| Instructions (https://www.dhs.state.il.us/page.aspx?item=84585) C. Subcontractor Budget, if applicable submit as a separate attachment D. Conflict of Interest Disclosure (https://www.dhs.state.il.us/page.aspx?item=142947) submit as a separate attachment E. Advance Payment Request Cash Budget Form (https://intranet.dhs.illinois.gov/onenetlibrary/12/documents/Forms/444985-202405.pdf) submit as a separate attachment (no submission will result in default to Reimbursement Method)

1. Responsiveness Review A. The following are the criteria that must be met for eligibility: i. Applicant has a current registration with the State of Illinois in the Grantee Portal. ii. Applicant has an active SAM.gov public account. iii. Applicant has an active Unique Entity Identifier (UEI) with SAM.gov iv. Applicant is in “good standing” with the Secretary of State. v. Applicant is not on the DHS Stop Payment List Service or the Illinois Stop Payment List. vi. Applicant is not on the SAM.gov Exclusion List. vii. Applicant is not on the Illinois Medicaid Sanctions List. viii. Program specific eligibility restrictions a. Not Applicable. B. Restrictions on eligibility for State awards are referenced in 44 Ill Admin Code 7000.70. Program specific eligibility restrictions are referenced in this funding opportunity. 2. Risk Review A. IDHS conducts risk assessments for all awardees, prior to the award being issued. i. An agency wide Internal Control Questionnaire (ICQ) to be completed by the awardee within the Grantee Portal (https://grants.Illinois.gov/portal). The ICQ evaluates fiscal, administrative, and programmatic risk in the following categories: a. Quality of Management Systems b. Financial and Programmatic Reporting c. Ability to Effectively Implement Award Requirements d. Awardee Audits ii. The deadline to submit the FY25 ICQ is at the time of application iii. A program specific Programmatic Risk Assessment conducted by the awarding agency to evaluate the following categories: a. Programmatic financial stability b. Management systems and standards that would affect the program. c. Programmatic audit and monitoring findings d. Ability to effectively implement program requirements. e. External partnerships f. Programmatic reporting iv. Risk assessments are not intended to be punitive in nature, rather they are conducted in order to evaluate the support, technical assistance, and training that may be needed for the awardee and the level of monitoring that is needed for the award. a. Risk assessments may result in Specific Conditions being placed on the award to include more frequent monitoring or the implementation of a corrective action plan. B. Simplified Acquisition Threshold - Federal and State awards i. It is anticipated that grants under this award may receive an award over the Simplified Acquisition Threshold (as defined in 48 CFR part 2, subpart 2.1 (https://www.ecfr.gov/current/title-48/chapter-1/subchapter-A/part-2/subpart-2.1); the dollar amount set by the Federal Acquisition Regulation (FAR), currently at $250,000 (with some exceptions)). Potential grantees under this notice of funding opportunity may receive an award in excess of the simplified acquisition threshold of $250,000. Therefore, the grantee is subject to the simplified acquisition threshold and related requirements. a. Prior to making an award with a total amount greater than the simplified acquisition threshold, IDHS 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 (https://www.govinfo.gov/link/uscode/41/2313)). b. 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. c. 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 applicants’ integrity, business ethics, and record of performance under State and Federal awards when completing the review of risk posed by applicants as described in 2 CFR 200.206 (https://www.ecfr.gov/current/title-2/section-200.206).

Anticipated Start Date and Periods of Performance for new grant awards A. Subject to appropriation, the grant period will begin no sooner than 07/01/2024 and will continue through 06/30/2025. State Award Notices A. The applicant under this Non-Competitive funding opportunity will receive a Notice of State Award (NOSA). The NOSA shall include: i. Grant award amount ii. The terms and conditions of the award iii. Specific conditions, if any, assigned to the applicant based on the fiscal and administrative risk assessment (ICQ), programmatic risk assessments (PRA), and the Merit Review. B. Note: The Department cannot issue a NOSA until the applicant has an approved FY25 budget entered into the CSA Tracking System. The applicant shall receive the NOSA through the Grantee Portal. The NOSA must be signed by the grants officer (or equivalent). This signature effectively accepts the state award amount and all conditions set forth within the notice. The signed NOSA is the document authorizing the department to proceed with issuing an agreement. The Agency signed NOSA must be remitted to the Department as instructed in the notice. C. The NOSA is NOT an authorization to begin performance (to the extent that it allows charging to State awards of pre-award costs; pre-award costs are incurred at the non-State entities own risk unless they have received written prior approval to begin performance). D. The authorizing document to begin performance is the fully executed Uniform Grant Agreement (UGA) signed by the grants officer, or equivalent. This is the official document that obligates funds. The UGA is sent to the non-State entity via the CSA Tracking System. The non-State entity will print and sign the signature page of the UGA and return signature page to DHS.OCA.SignaturePages@Illinois.gov. A final signed copy of the UGA will be provided to the non-State entity via an upload into the CSA Tracking system. E. Applicant who is not eligible due to registration or pre-qualification issues, will be notified that they are ineligible for consideration when their application is processed. Administrative and National Policy Requirements A. 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. B. You can find a sample of the grant agreement at IDHS Uniform Grant Agreement (https://www.dhs.state.il.us/page.aspx?item=29741). C. Payment Terms i. It is the policy of the Illinois Department of Human Services (IDHS) that this policy complies with 2 CFR 200.302, 2 CFR 200.305, 31 CFR 205 (Procedures implementing the Cash Management Improvement Act and Treasury State Agreement (TSA)) and 44 Ill. Admin. Code 7000.120 (GOMB Adoption of Supplemental Rules for Grant Payment Methods). Three different award payment methods exist, namely Advance Payment, Reimbursement, and Working Capital Advance (https://www.dhs.state.il.us/page.aspx?item=140492). ii. 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. iii. 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. iv. Invoice and PFR Email Address for General Grants: DHS.DMHQuarterlyReports@Illinois.gov v. Invoice and PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov vi. Invoice and PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@Illinois.gov D. Payment Forms i. Monthly Invoice (IL444-5257) (https://www.dhs.state.il.us/page.aspx?item=95429) ii. Advance Payment Request Cash Budget Form (https://intranet.dhs.illinois.gov/onenetlibrary/12/documents/Forms/444985-202405.pdf) Only if requesting an advance payment

• The Department must receive the Full Application Packet: o Due on 06/09/2025 at 12:00 p.m. (Noon) Central Time

• 30 - 45 days

• NA

A. This program will be awarded as a 12-month term agreement. B. IDHS/DMH does not anticipate there will be renewals.

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

Pre-Award Costs A. Pre-award costs are not allowable. B. 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. Indirect Costs A. Indirect Costs (https://www.dhs.state.il.us/page.aspx?item=151738) may be applied to this grant award. i. Indirect Cost Rates (https://www.dhs.state.il.us/page.aspx?item=95073#a_IndirectCostRate) must be approved through the Illinois Indirect Cost Rate Election System (ICRES) (https://gata.Illinois.gov/indirect-cost/centralized-indirect-cost-system.html).

A. Reporting, upon execution of the grant agreement, shall be in accordance with the requirements set forth in the UGA and related exhibits which include but is not limited to the following: 1. Periodic Financial Reports submitted electronically in accordance with instructions in the UGA no more frequent than quarterly and no less frequent than annually, unless unusual circumstances exist. 2. Periodic Programmatic Reports submitted electronically in accordance with instructions in the UGA no more frequent than quarterly and no less frequent than annually, unless unusual circumstances exist. 3. Close-out Performance Reports and Financial Reports as instructed in the UGA. 4. Other Unique Programmatic Reporting Requirements: additional annual performance data may be collected as directed by the Department and in the format prescribed by the Department. 5. 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. Noncompliance with any of the identified reports may lead to being placed on the Illinois Stop-Payment List. 6. 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. • PFR Email Address for General Grants: DHS.DMHQuarterlyReports@Illinois.gov • PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov • PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@Illinois.gov • PPR and PRTP Email Address for All Grants: DHS.DMHQuarterlyReports@Illinois.gov 7. DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website (https://www.dhs.state.il.us/?item=27893).

• See JCAR Title 44 Illinois Administrative Code 7000.90 Auditing Standards

• See JCAR Title 44 Illinois Administrative Code 7000.430 Record Retention

• The source of funding for this program is State funds.

• The Department expects to award approximately $500,000.

Number of Grant Awards a. This funding opportunity is a Legislative Add-On (LAO) and the award will be issued in totality to McLean County Center for Human Services. Expected Dollar Amount of Individual Grant Awards a. The Department anticipates that the dollar amount for this award will be $500,000.

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• Title 59: Mental Health of the Administrative Code

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• 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

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5/9/2025

FY 2025 : $500,000