Illinois Dept of Healthcare and Family Services

Grants to Elevate Care Palos Heights LLC as appropriated in Section 290 of Public Act 104-0003 for purposes permitted by Section 9901 of the American Rescue Plan Act of 2021 and related federal guidance.

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Illinois Public Aid Code (305 ILCS 5)

89 Ill. Admin Code 140

To provide financial assistance to Elevate Care Palos Heights LLC for purposes permitted by Section 9901 of the American Rescue Plan Act of 2021, related federal guidance, and otherwise provided by law and consistent with appropriations of the General Assembly, except that these funds may also be used for premium pay for work performed after April 10, 2023s

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. 25.2. Timely Billing Required. Section 22.10 of Part ONE notwithstanding, this section shall take precedence over Section 4.8. Section 4.8 is not applicable to this Grant Agreement as all payments will be made as upfront payments, and no payment requests will be submitted by the Grantee. 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, Granter may impose additional conditions on Grantee, as described in 2 CFR 200.208. If Granter determines that non-compliance cannot be remedied by imposing additional conditions, Granter may take one or more of the actions described in 2 CFR 200.339. The Parties shall follow all Granter 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 Granter template no later than August 31, 2025. Receipt of the Budget by HFS does not constitute approval of the spending plan contained therein. Failure to submit a complete Budget to Granter 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 Granter 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). 25.6. Interest. Section 22.10 of Part ONE notwithstanding, this section shall take precedence over Section 4.7 (a). All interest earned on Grant Funds held by a Grantee may be retained by the Grantee to pay for administrative expenses associated with this grant or the normal operating expenses of the Grantee.

Other;

Elevate Care Palos Heights LLC as specifically identified in Public Act 104-0003

Elevate Care Palos Heights LLC

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 not 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. Grantees 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. Eligible expenditures include the following: At least 65% of such funds a) Shall be expended only for premium pay for eligible workers; in addition to any wages or remuneration the eligible worker has already received; and shall be subject to the other requirements and limitations set forth in the American Rescue Plan Act of 2021 and related federal guidance OR retention incentives for eligible workers that are necessary for the facility to respond to the impacts of the public health emergency which are incurred between July 1, 2023 and June 30, 2024 and paid by August 31, 2024, except that these funds may also be used for premium pay for work performed after April 10, 2023, b) Upon receipt of funds, recipients shall distribute funds such that eligible workers receive an amount up to $13 per hour, but no more than $25,000 for the duration of the program. Recipients shall provide a written certification to the Department acknowledging compliance with this paragraph, c) No portion of these funds shall be spent on volunteer or temporary staff, and these funds shall not be used to make retroactive premium payments before July 1, 2023, d) Each recipient under this paragraph shall submit appropriate documentation acknowledging compliance with State and federal law. For purposes of this section, "eligible worker" means a permanent staff member, regardless of union affiliation, of a facility licensed by the Department of Public Health under the Nursing Home Care Act as a skilled nursing facility or intermediate care facility engaged in "essential work", as defined by Section 9901 of the American Rescue Plan Act of 2021 and related federal guidance, as well as whose total pay is below 150% of the average annual wage for all occupations in the worker's county of residence, as defined by the Bureau of Labor Statistics Occupational Employment and Wage Statistics; or is not exempt from the federal Fair Labor Standards Act overtime provisions, e) Grantees are required to spend a minimum of 65% and not more than $33,466.19 on the following pandemic-related uses for front line workers: retention incentives incurred for eligible workers that are necessary for the facility to respond to the impacts of the public health emergency OR pandemic bonus pay incurred for front line employees at your licensed facilities from July 1, 2023 through June 30, 2024, which is paid prior to August 31, 2024 (hazard, hero, premium pay and premium wages, or other temporary wage increases), which meet the definition of premium pay per Treasury’s Final Rule effective April 1, 2022, except that these funds may also be used for premium pay for work performed after April 10, 2023. Remaining funds a) Grantee may spend a maximum of $1.70 per nursing hour used in the Department’s calculation of Grant Funds on the following pandemic-related uses: eligible expenses incurred from July 1, 2023 through June 30, 2024 and paid prior to August 31, 2024 related to the public health impacts of the COVID-19 public health emergency, including, but not limited to, costs related to COVID-19 testing for residents, COVID-19 prevention and treatment equipment, medical supplies, and personal protective equipment, b) Shall not be expended for premium pay or retention incentives. Facilities that do not receive or accept the premium pay funds described above are not eligible to receive these additional funds.

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 its first Quarterly Report no later than October 31, 2025. The format of this Quarterly Report shall follow a format prescribed by the Department. The Grantee is expected to include a report of actual expenditures and the reporting of performance measures outlined in Exhibit D, above. The format of this Quarterly Report shall follow a format prescribed by the Department. This Quarterly report shall not be required if Grantee submits its Final Report prior to this date. 23.6. Final Reporting: The Grantee shall submit a Final Report no later than February 15, 2026. 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.

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: 203,765.76; BY: 203,765.76

203,765.76

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

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

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 2026 : $203,766