DASA

No NOFO required, funded by Substance Abuse and Mental Health Services - Projects of Regional and National Significance, CFDA 93.243, pursuant to application submitted to, and approved by SAMHSA. Participants were named in Application. Program Description Authorizing Statutes and Regulations: 20 ILCS 301/Alcoholism and Other Drug Dependency Act, 77 Ill. Adm. Code, Part 2060, Alcoholism and Substance Abuse Treatment and Intervention Licenses Funding Priorities: 1. Pregnant injecting drug users. 2. Pregnant and postpartum women. 3. Injecting drug abusers (who are at high risk for HIV infection) and known HIV-infected persons. 4. Service in the U.S. Armed Forces. 5. Parenting substance users. 6. Illinois Department of Children and Family Services referrals; Persons eligible for Temporary Assistance to Needy Families (TANF) and other women and children; Department of Corrections (DOC) releasees who have completed a prison treatment program or clients of a DASA “designated program” for DOC released individuals. This funding is in response to CSAT announcement # TI-14-004, Access to Recovery (ATR). Special Note: Only applicants that have been pre-approved by both CSAT and DHS DASA as a part of this Federal CSAT funding may apply for funding under this NOFO. Funds in this contract will be used to support to the initial and follow-up training of enrollment staff and community-based service providers on the use of I-STARS. This Exhibit sets forth the terms and conditions applicable to treatment and related services funded by the Illinois Department of Human Services (DHS), Division of Alcoholism and Substance Abuse (DASA) for ISTARS Training. Services to be provided: The Provider shall train providers that have been identified and approved by DASA to participate in the ATR project. Provider will also assist providers with entering data into ISTARS. The provider shall provide daily administrative data management, quality assurance, and voucher creation and transaction management services. Eligible services recipients: Providers that have been approved by DASA to participate in the ATR project. Services reporting and billing for these projects are required to adhere to DHS DASA and CSAT reporting requirements as outlined in the Grant agreement with the applicant and with any CSAT requirements for this project, Fiscal The payment method for this award is: 0 Grant-Fixed Rate (post services provision) based upon accepted DARTS services year to date earnings 1 Specified Contract Deliverables 1 Expenditures The applicant must adhere to all fiscal regulations related to the Catalog of Federal and Domestic Assistance (CFDA) number specified on this notice. These projects must adhere to federal CFDA 93.243 requirements and all applicable federal OMB circulars as well as all applicable requirements found in 2CFR/200. Grant Fixed Rate All payment for intervention or treatment services are Grant-Fixed rate and calculated based upon year to date earnings and paid as year to date disbursements. These calculations will use the current IDHS/DASA approved rates for the services as specified in the most current version of the IDHS/DASA Contractual Policy Manual. The applicant shall deliver services in accordance with 77 Ill. Adm. Code, Part 2060 and any applicable protocols in the current Contractual Policy Manual, Service Protocols Section 1, Pages, 24-26 http://www.dhs.state.il.us/page.aspx?item=29747. The applicant must adhere to fiscal requirements as outlined in Ill. Adm. Codes, Parts 509 and 511 and any added fiscal reporting requirements as referenced in the most current IDHS/DASA Program Manual. All expenditures of grant fixed rate funds shall also adhere to 2/CFR 200, as applicable, and all applicable Federal OMB circulars. Specified Contract Deliverables/Expenditures All expenditures shall adhere to 2/CFR 200 allowable expenditures and all Federal OMB circulars. Specific contract deliverables or expenditures shall be identified in the pre-application project proposal requested by IDHS/DASA and the approval letter must be submitted with the application for funding. Indirect Cost Rate The applicant must have an annually negotiated indirect cost rate agreement (NICRA). There are three types of NICRAs: a. Federally Negotiated Rate: Applicants that receive direct federal funds 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 federally NICRA. b. State Negotiated Rate: If the applicant does not have a federally negotiated indirect cost rate or is not using the De Minimis rate specified below, the applicant may negotiate an indirect cost rate with the State of Illinois. This indirect cost rate proposal must be submitted to the State of Illinois within 90 days of the notice of award. c. De Minimis Rate: An applicant that has never received a federally negotiated indirect cost rate or who does not submit an indirect cost rate proposal will, by default, be assigned a de minimis indirect cost rate of 10% of the modified total direct cost (MTDC). Once established, the de minimis rate may be used indefinitely. Unallowable Expenditures Unallowable expenditures for this award are identified in 45 CFR Parts 74 and 92

Public Health Service Act, Title V, Section 509; 516, 42 U.S.C 290bb; Children's Health Act of 2000, Section 520 A-J,581,582, Public Law 106-310. 20 ILCS 301 Alcoholism and Other Drug Abuse and Dependency Act

Performance Measures IDHS/DASA performance measures support the development and maintenance of a community based recovery oriented system of care for individuals and their families recovering from a substance-related disorder. Federal projects funded through the Center for Substance Abuse and Treatment (CSAT) are required to adhere to approved performance measures applicable to the specified funded project. These measures are specified in each grant agreement for each fiscal year. All other funded applicants are subject to annual Performance Reports compiled by IDHS/DASA. These reports measure engagement, retention and continuity of care. Any applicant in the bottom quartile for any of these measures will be placed on a watch list and will be required to submit a corrective action plan within 30 days. In addition, funded applicants shall meet or exceed the following performance measures to be deemed in substantial compliance with the terms of this contract: 1. Accurate reporting of all funded services at least monthly through the Department’s Automated Reporting and Tracking Software (DARTS). 2. Utilization of awards funds that do not indicate under or over production. 3. Monthly analysis of accepted discharge data reported through DARTS. From this data, IDHS/DASA will measure: a. The number of patients who are reported as completing intervention or treatment. b. The number of patients who report no alcohol use at least 30 days prior to discharge. c. The number of patients who report no drug use at least 30 days prior to discharge.

Yes

Government Organizations; Nonprofit Organizations; For-Profit Organizations;

Project Grants

Late applications will not be considered or reviewed unless the responsibility for delay is the state awarding agency’s control/responsibility. Confirmation of submission will be sent via electronic mail documenting the date and time of receipt. Content and Form of Application Submission Application Content Number of pages – Maximum of 5 Font size and typeface - Times New Roman 12 Margins – 1" margins Paper size – 8.5" X 11" Number of copies – 1 Assembly requirements – Title page with signatures on the front of the application Appendix – 1 with a maximum of 2 pages Electronic submission is permitted in Portable Document Format (PDF) readable format only. Application Components/Review Information/Notifications The application and copy must have the name and original signature of the Authorized Organization Representative on the title page. The title page shall also include the mailing address, email and phone number for the Authorized Organization Representative and the applicant’s Federal Tax Identification Number (FEIN). The application must contain a project plan that does not exceed ten pages. The plan must include: ? Brief description of the applicant ? Applicant’s history in providing the services for which funding is requested ? Geographic areas that will be served, including each licensed site location ? DASA License numbers for all sites where funding is requested ? Type of service that will be provided at each funded location ? Target population for each service, including any specialized services or priority populations ? Identification of any evidence based practice utilized at each funded site ? Projected number of unduplicated patients that will be served annually ? A description of how integrated/coordinated services and or supports are utilized ? An assessment of the level of involvement with community self- help/recovery groups ? Specific performance measures (goals, measures, time lines) Documents that are separately attached as references or confirmation commitments from third parties contributing to the project will not be counted toward the ten page project plan limitation. If the application is approved, IDHS/DASA will request submission of a current IRS W-9, if not on file with IDHS already, and a copy of a Certificate of Good Standing from the Illinois Office of the Secretary of State. Application Review Information Cost sharing will not be considered in the evaluation of any application for funding from IDHS/DASA. Each application will be evaluated on the following areas: ? Applicant’s history of providing the services for which funding is requested ? Applicant’s ability to address needs of the populations they propose to serve, including cultural and linguistic competency for the services provided ? Applicant’s ability to understand and accurately submit billing and service data ? Applicant’s history of compliance with Ill. Adm. Code, Part 2060 ? Applicant’s history of fiscal compliance, including any applicable OMB circular reviews ? Applicant’s history relative to any consumer/services complaints ? Applicant’s ability to fully utilize past funding ? Applicant’s ability to provide recovery coaching and/or recovery based support systems that are linked with community based support or self-help groups Notifications IDHS/DASA will provide notice to the successful applicant prior to executing an agreement for the award funds. This notice is not authorization to begin the proposal. Unsuccessful applicants will also be notified at this time. The notice of award letter, sent under separate cover, and signed by the IDHS grants officer (or equivalent) is the authorizing document.

Formula and Matching Requirements (101): Statutory formulas are not applicable to this program. This program has no matching requirements. CMHS and CSAT, STOP DFC. MOE requirements are not applicable to this program. Length and Time Phasing of Assistance (102): Applications will be accepted for a project period of 1 to 7 years with 12 month budget periods. Annual awards will be made subject to continued availability of funds and progress achieved. See the following for information on how assistance is awarded/released: SAMHSA awards grant projects for the 12 months budget period and release at the time the award is issued.

Funds (including direct costs and indirect costs) may be used only for expenses clearly related and necessary to carry out approved activities that will provide immediately useful, practical knowledge that service providers need as they wrestle with the rapidly changing health care environment. Refer FY2010 SAMHSA Grants Funding Opportunities at www.samhsa.gov. 100% of grants funds under this CFDA.

Reports (111): Reports are required quarterly, semi-annually, or annually depending on individual program requirements. Quarterly reports are due to the Division of Payment Management. See above information. The (SF-425) Federal Financial Report is required by SAMHSA, Division of Grant Management 90 days after the end of each 12 month period and 90 days after the final 12 month period. Site Visits, Conference Calls, Program Progress Reports and GPRA Data Reports. Audits (112): In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. Records (113): There is a 3-year records retention requirement; records shall be retained beyond the 3-year period if final audit has not been completed or findings resolved.

45 CFR Parts 74 and 92 and the HHS Grant Policy Statement, terms and conditions of award