Regions Deaf Special Progam (515-RDSP)
CSFA Number: 444-22-1184
Agency Name
Department Of Human Services (444)
Agency Identification
DMH
Agency Contact
Barb Roberson
(217) 557-5876
barb.roberson@illinois.gov
Short Description
Scope of Services
The Grantee shall deliver mental health services to individuals who are Deaf, Hard of Hearing or DeafBlind by utilizing a cultural affirmative approach. This approach will adhere to the Americans with Disabilities Act. Each of these minority populations have unique cultural and linguistic needs, which are not exclusively homogeneous.

The cultural affirmative service delivery shall provide any level of outpatient mental health service delivered by staff who directly provide such in the individual’s language and communication mode. Additionally, these staff will exhibit a distinct knowledge base, specialized clinical skills, and specialized cultural linguistic skills. The service delivery may also include staff who exhibit a knowledge base in serving these minority populations and utilize reasonable accommodations for the individual’s language needs and communication modes. The Grantee’s staff providing mental health services may include, but are not limited to: case managers, therapists, counselors, and/or psychiatrists.

The Grantee shall communicate in an accessible manner, by utilizing Video Phones, TTYs, licensed sign language interpreters and/or other reasonable accommodations according to the individual’s needs. The Grantee shall have the capacity to provide mental health services to unfunded individuals from these populations as well.


There are community networks across the state of Illinois that serve as a separate referral source for these minority populations. In these networks, information is communicated on how and where to access these services that are delivered in a cultural affirmative approach. The Grantee shall serve as an embedded entity of these community networks as it relates to their cultural affirmative service delivery of mental health services. The Grantee’s staff will
outreach, collaborate, and network across various service systems to effectively address these challenges.

As a part of this, the Grantee will assist individuals served in addressing the complex language, cultural, clinical, and administrative challenges when navigating the various service systems and their associated processes. Most often, these systems’ information is not readily accessible in the population’s native language and communication mode. Specifically, the Grantee’s staff will assist individuals in identifying and linking to other applicable providers, how to access their services, and/or apply for applicable benefits.

Additionally, there is an absence of any evidence-based mental health treatment developed for or evaluated for use with these populations. The grantee shall adapt evidence-based mental health treatment using an effective and culturally affirmative approach. This shall include, but is not limited to: consideration of the individual’s culture, community, beliefs, thinking and learning style, communication mode(s), and language needs.

This funding is designated to support costs associated with cultural affirmative service delivery approach; the necessary outreach, networking, and collaboration necessary as an embedded entity providing for these populations; adaptation of evidence-based mental health treatment; paying for licensed sign language interpreter services; and serving unfunded individuals from these populations.

The mental health services provided are billed to Healthcare and Family Services’ Illinois Medicaid as well as any of their associated Medicaid Managed Care Organizations (MCOs). Therefore, the Grantee must also have certification as (Comprehensive) Community Mental Health Center (CMHC), as defined in Part 132, Subparts B and C.


Deliverables

Reporting Requirements:
A. Time Period for Required Periodic Financial Reports. Unless a different reporting requirement is specified in Exhibit G, Grantee shall submit financial reports to Grantor pursuant to Paragraph 13.1 and reports must be submitted no later than 30 days after the quarter ends.

B. Time Period for Close-out Reports. Grantee shall submit a Close-out Report pursuant to Paragraph 13.2 and no later than 60 days after this Agreement’s end of the period of performance or termination.

C. Time Period for Required Periodic Performance Reports. Unless a different reporting requirement is specified in Exhibit G, Grantee shall submit Performance Reports to Grantor pursuant to Paragraph 14.1 and such reports must be submitted no later than __30___ days after the quarter ends.

D. Time Period for Close-out Performance Reports. Grantee agrees to submit a Close-out Performance Report, pursuant to Paragraph 14.2 and no later than ___60___ days after this Agreement’s end of the period of performance or termination.

Grantee shall submit a quarterly Periodic Financial Report (GOMBGATU-4002 (N-08-17)) to the appropriate email address. 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 Uniform Grant Agreement 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

The Grantee shall submit quarterly Periodic Performance Report (GOMBGATU-4001 (N-08-17)) and the Periodic Performance Report Template by Program (PRTP) to the appropriate email address below. Reporting templates and instructions for submitting reports can be found in the Provider section of the DHS website.

PPR and PPRT 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 DHS website.

Performance Requirements:


The grantee shall provide mental health services by adapting evidence-based mental health treatment using an effective and culturally affirmative approach. This shall include, but is not limited to: consideration of the individual’s culture, community, beliefs, thinking and learning style, communication mode(s), and language needs.


The Grantee’s staff shall exhibit the distinct knowledge base, specialized clinical skills, and specialized cultural and linguistic skills to effectively serve these populations. This also includes the various outreach, collaboration, and networking necessary to establish and maintain the Grantee as an embedded entity in the populations’ community networks.

Specifically, this includes staff who are fluent in American Sign Language (ASL), exhibit specialized clinical skills, and knowledgeable in Deaf, Hard of Hearing or DeafBlind culture. These staff shall be knowledgeable on how to provide the necessary reasonable accommodations when delivering the mental health services to individuals who are Deaf, Hard
of Hearing or DeafBlind.

Additionally, the Grantee’s staff may include staff who are not fluent in American Sign Language (ASL), and provide services using reasonable accommodation(s), according to the individual’s need(s). These staff shall, not only exhibit the knowledge base as it relates to providing mental health services with a reasonable accommodation, but also as it relates to the individual’s culture and linguistic nuances.

The Grantee shall communicate in an accessible manner, by utilizing Video Phones, TTYs, licensed sign language interpreters and/or other reasonable accommodations according to the individual’s needs.

The Grantee shall have the capacity to provide mental health services to unfunded individuals who are Deaf, Hard of Hearing, or DeafBlind.

DeafBlind is defined as having any degree of vision loss and any degree of hearing loss.
Reasonable accommodation may include, but is not limited to: licensed sign language interpreter, Video Phone, large print material, Communication Access RealTime Translation (CART), Brailled written material, and/or TTY.



Payment

Reference the Uniform Grant Agreement, Article IV Payment, Section 4.2 Return of Grant Funds and 4.3 Cash Management Improvement Act of 1990. Payment will be issued monthly and reconciled with reported allowable expenses.


Performance Measures

1. Number of Deaf, Hard of Hearing and DeafBlind individuals who received mental health services during the period.


2. Number of Deaf, Hard of Hearing and DeafBlind individuals who received mental health services from agency’s culturally affirmative service delivery approach.
3. Number of individuals served who identify as DeafBlind.
4. Number of new Deaf, Hard of Hearing and DeafBlind individuals who began receiving mental health services during this reporting period.
5. Number of Deaf, Hard of Hearing and DeafBlind individuals who received mental health services provided by staff fluent in American Sign Language (ASL).
6. Number of Deaf, Hard of Hearing and DeafBlind individuals who received mental health services provided by staff using a reasonable accommodation.
7. Number of hours of mental health mental health services delivered to Deaf, Hard of Hearing and DeafBlind individuals.
8. Number of hours of mental health services delivered to Deaf, Hard of Hearing and DeafBlind individuals by staff fluent in ASL.
9. Number of hours of mental health services delivered to Deaf, Hard of Hearing and DeafBlind individuals by staff using a reasonable accommodation.
10. Number of new Deaf, Hard of Hearing and DeafBlind individuals unable to be served during
the reporting period due to lack of capacity of this grant funding.


Performance Standards
1. 100% of Deaf, Hard of Hearing and DeafBlind individuals receive mental health services from a culturally affirmative service delivery approach.
2. At least 70% mental health services delivered to Deaf, Hard of Hearing and DeafBlind individuals will be delivered by staff fluent in ASL.
3. Less than 30% of mental health services delivered to Deaf, Hard of Hearing and DeafBlind individuals will be provided by staff using a reasonable accommodation.
4. 100% of hours of mental health services delivered to Deaf, Hard of Hearing and DeafBlind individuals are delivered using staff fluent in ASL or by staff using a reasonable accommodation.

Subject Area
Human Services
Program Function
Health
Enabling Legislation
Mental Health Community Services Act (405 ILCS 30/)
Objectives and Goals
Reporting Requirements:
A. Time Period for Required Periodic Financial Reports. Unless a different reporting requirement is specified in Exhibit G, Grantee shall submit financial reports to Grantor pursuant to Paragraph 13.1 and reports must be submitted no later than 30 days after the quarter ends.

B. Time Period for Close-out Reports. Grantee shall submit a Close-out Report pursuant to Paragraph 13.2 and no later than 60 days after this Agreement’s end of the period of performance or termination.

C. Time Period for Required Periodic Performance Reports. Unless a different reporting requirement is specified in Exhibit G, Grantee shall submit Performance Reports to Grantor pursuant to Paragraph 14.1 and such reports must be submitted no later than __30___ days after the quarter ends.

D. Time Period for Close-out Performance Reports. Grantee agrees to submit a Close-out Performance Report, pursuant to Paragraph 14.2 and no later than ___60___ days after this Agreement’s end of the period of performance or termination.

Grantee shall submit a quarterly Periodic Financial Report (GOMBGATU-4002 (N-08-17)) to the appropriate email address. 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 Uniform Grant Agreement 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

The Grantee shall submit quarterly Periodic Performance Report (GOMBGATU-4001 (N-08-17)) and the Periodic Performance Report Template by Program (PRTP) to the appropriate email address below. Reporting templates and instructions for submitting reports can be found in the Provider section of the DHS website.

PPR and PPRT 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 DHS website.

Performance Requirements:


The grantee shall provide mental health services by adapting evidence-based mental health treatment using an effective and culturally affirmative approach. This shall include, but is not limited to: consideration of the individual’s culture, community, beliefs, thinking and learning style, communication mode(s), and language needs.


The Grantee’s staff shall exhibit the distinct knowledge base, specialized clinical skills, and specialized cultural and linguistic skills to effectively serve these populations. This also includes the various outreach, collaboration, and networking necessary to establish and maintain the Grantee as an embedded entity in the populations’ community networks.

Specifically, this includes staff who are fluent in American Sign Language (ASL), exhibit specialized clinical skills, and knowledgeable in Deaf, Hard of Hearing or DeafBlind culture. These staff shall be knowledgeable on how to provide the necessary reasonable accommodations when delivering the mental health services to individuals who are Deaf, Hard
of Hearing or DeafBlind.

Additionally, the Grantee’s staff may include staff who are not fluent in American Sign Language (ASL), and provide services using reasonable accommodation(s), according to the individual’s need(s). These staff shall, not only exhibit the knowledge base as it relates to providing mental health services with a reasonable accommodation, but also as it relates to the individual’s culture and linguistic nuances.

The Grantee shall communicate in an accessible manner, by utilizing Video Phones, TTYs, licensed sign language interpreters and/or other reasonable accommodations according to the individual’s needs.

The Grantee shall have the capacity to provide mental health services to unfunded individuals who are Deaf, Hard of Hearing, or DeafBlind.

DeafBlind is defined as having any degree of vision loss and any degree of hearing loss.
Reasonable accommodation may include, but is not limited to: licensed sign language interpreter, Video Phone, large print material, Communication Access RealTime Translation (CART), Brailled written material, and/or TTY.
Types of Assistance
Direct Payments for Specific Use
Uses and Restrictions
This award utilizes state appropriated funds. Applicants must submit a program plan which supports the level of funding and detailed service delivery and deliverables.
1. Funding Restrictions
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.
2. Allowable Costs
Allowable costs are those that are necessary, reasonable and permissible under the law and can be found in 2 CFR 200 - Subpart E - Cost Principles.
3. Unallowable Costs
Please refer to 2 CFR 200 - Subpart E - Cost Principles to see a collection of unallowable costs.
4. Indirect Cost Rate Requirements
Please refer to 2 CFR 200.414 regarding Indirect (F&A) Costs. To charge indirect costs to a grant, agencies must have an annually negotiated indirect cost rate agreement (NICRA). If the agency has multiple NICRAs, IDHS will accept only the lesser rate. There are three types of NICRAs:
a. Federally Negotiated Rate;
b. State Negotiated Rate; and
c. De Minimis Rate

Funding Restrictions
DHS/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.

Allowable Costs
Allowable costs are those that are necessary, and reasonable and permissible under the law and can be found in 2 CFR 200 - Subpart E - Cost Principles.

Unallowable Costs
Please refer to 2 CFR 200 - Subpart E - Cost Principles to see a collection of unallowable costs.

Indirect Cost Rate Requirements
Please refer to 2 CFR 200.414 regarding Indirect (F&A) Costs.

In order to charge indirect costs to a grant, agencies must have an annually negotiated indirect cost rate agreement (NICRA). There are three types of NICRAs: a. Federally Negotiated Rate; b. State Negotiated Rate and c. De Minimis Rate

5. Renewals
This program is a 12 month contract with 2, one-year renewal options. Renewals are at the discretion of the DHS/DMH and are contingent on the meeting the following criteria:
a. Applicant has performed satisfactorily during the past six months; b. All required reports have been submitted on time, unless a written exception has been provided by the Division; and c. No outstanding issues are present (i.e. in good standing with all pre-qualification requirements and no outstanding corrective action, etc.)

This program was competitively bid through the Notice of Funding Opportunity (NOFO) process in FY 2018 with 2 one-year extensions. FY 2021 will be considered competitive opportunity.
Eligibility Requirements
All applicants must make certain the following are completed before an award can be made.
1. Complete and submit a Grant Application to DHS.GrantApp@illinois.gov. Each application must be sent in a separate email. Links are provided under the "GA" column of this website. Page 1 of the applications are pre-populated.
a. The subject line of the email MUST state:
i. Provider Organization Name
ii. CSFA Number (444-22-XXXX)
iii. Contact Name (Barb Roberson)
2. Complete and submit the Fiscal and Administrative Risk Assessment, also known as the ICQ, (short for Internal Control Questionnaire). This is done only once per entity per fiscal year via the GATA Grantee Portal https://www2.illinois.gov/sites/GATA/Pages/default.aspx. While it does not have to be completed prior to submitting the application, this step must be done before an applicant or their application can be considered for an award.
3. Complete and Submit the Programmatic Risk Assessment (PRA) for each grant opportunity. Links are provided under the "PRA" column below;
4. Complete and submit the FY 2021 Uniform Grant Budget in the IDHS CSA Tracking System (http://www.dhs.state.il.us/page.aspx?item=61069);
In addition, the following are eligibility requirements:
a. Register with the Illinois Grant Accountability and Transparency Act Grantee Portal.
b. Have a current DUNS number;
c. Have a current FEIN Number;
d. Have a current System for Award Management Account SAM.gov account;
e. Be in Good Standing with the Illinois Secretary of State, (government entities are exempt);
f. Register and access both the Illinois Department of Human Services Community Service Agreement (CSA) tracking system and the Centralized Repository Vault (CRV);
g. If indirect costs are included in the budget, have an annually negotiated indirect cost rate agreement (NICRA).
h. Not be on the Department of Healthcare and Family Services Provider Sanctions list;
i. Not be on the Federal Excluded Parties List.
Eligible Applicants
Nonprofit Organizations;
Application and Award Processing
Each applicant must have access to the internet. Applicants may obtain this application form at the Division's Grant Information website http://www.dhs.state.il.us/page.aspx?item=120031. Questions and DMH Responses will also be posted on this website. It is the responsibility of each applicant to monitor that website and comply with any instructions or requirements relating to the NOFO.
b. Application Procedure/Content and Form of Application Submission
i. Each applicant is required to submit a Uniform Application for State Grant Assistance. This is a 3-page document with the first page already completed by the Division of Mental Health. This document must be signed and dated.
e. Award Procedure
i. Applicants will receive a Notice of State Award (NOSA). The NOSA shall include:
1) The terms and conditions of the award.
2) Specific conditions assigned to the grantee based on the potential grantee answers on the Fiscal and Administrative Risk Assessment (ICQ), the Programmatic Risk Assessment and the Merit-Based Reviews.
ii. The NOSA is not an authorization to begin services or incur costs.
iii. Once grantee accepts the NOSA, announcement of the grant award shall be published by IDHS/DMH at www.grants.Illinois.gov. The grant agreement will also be published in the CSA Tracking System for signature.
f. Renewals
i. Renewals are at the sole discretion of the IDHS and are contingent on meeting the following criteria:
ii. Applicant has performed satisfactorily during the most recent past-funding period;
iii. All required reports have been submitted on time, unless a written exception has been provided by the Division;
iv. No outstanding issues are present (i.e. in good standing with all pre-qualification requirements); and
v. Funding for the budget year has been appropriated in the state's approved fiscal year budget.
g. Administrative and National Policy Requirements
i. Applicants awarded these 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 including indirect cost rate requirements in Section B: Funding Information, #4 Indirect Cost Rate Requirements.
ii. The legal agreement between IDHS and the successful applicant(s) will be the standard IDHS Uniform Grant Agreement. If selected for funding, the applicant will be provided an IDHS grant agreement for signature and return. A sample of the agreement may be found at http://www.dhs.state.il.us/page.aspx?item=29741.

Assistance Consideration
Serves as Maintenance of Effort to the Federal Substance Abuse and Mental Health Services Administration Community Mental Health Block Grant

Post Assistance Requirements
Reporting
Reporting requirements for the grant agreement shall be in accordance with the requirements set forth in the Short Description, Payment Terms and Performance Measures.

IDHS reserves the right to request additional information that could assist with its award decision. Applicants are expected to provide the additional information within a reasonable time period. Failure to provide the information could result in the rejection of the proposal.
The release of this Notice of Funding Opportunity does not compel IDHS to make an award.
This funding opportunity is considered a new application.

Audits 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 Each Applicant must maintain records which are consistent with their State laws and requirements.
Regulations, Guidelines, Literature
Title 59: Mental Health of the Administrative Code

DHS/DMH Attachment B
DHS/DMH Program Manual
Federal Funding
None
Notice of Funding Opportunities
Agency IDAward RangeApplication Range
Details18-444-22-1184-01$23104 - $17028703/20/2017 - 05/01/2017 : 12:00 PM
Agency IDGrantee NameStart DateEnd DateAmount
45CYB00452-45CYB00452MOUNT SINAI HOSP MEDICAL CTR07/01/201906/30/2020174,544
45CYB00063-45CYB00063CENTER ON DEAFNESS07/01/201906/30/202093,723
45CYB00019-45CYB00019ADVOCATE NORTHSIDE HEALTH NETWORK DBA ADVOCATE ILL07/01/201906/30/202023,682