Supported Residential (820)
CSFA Number: 444-22-1200
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 supply community-based facilities - leased or owned - and provide services to individuals with a moderate level of mental illness or disability, with the goal or intent of moving the individual to self- sufficiency or a less restrictive residential setting.

Deliverables
The Grantee shall deliver residential care to eligible individuals who meet medical necessity criteria prescribed by DMH. Grantee shall register all individuals served under this Exhibit in accordance with the requirements of the Provider Manual and shall report individuals served in this level of care through the submission of claims according to requirements prescribed by the Community Mental Health Service Definition and Reimbursement Guide which can be found at http://www.hfs.illinois.gov/assets/cmhs.pdf


The Grantee is required to have at least one awake staff person available on site at least 36 hours per week. This program shall fund the non-rehabilitative and non-therapeutic costs, such as facility depreciation or rent, utilities, food for Clients and staff costs, associated with providing this level of care and shall not include any costs associated with the delivery and billing of any other available service reimbursable by the Illinois Department of Healthcare and Family Services (HFS) or DHS/DMH.

The Grantee shall exhaust all other resources, including, but not limited to Medicaid, Medicare or other insurance, to assure that DHS/DMH is the funder of last resort for this level of care. Grantee shall comply with all other requirements of the Provider Manual, including, but not limited to Grantee monitoring and utilization management.

Reporting Requirements:
1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.

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. Grantee shall submit a quarterly Periodic Financial Report (GOMBGATU-4002 (N-08-17)) to the appropriate email address below no later than November 1, February 1, May 1, and August 1. 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.DMHColbertInvoices@illinois.gov


DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the DHS website.


Performance Measures
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 no later than November 1, February 1, May 1, and August 1. 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

The following are included in the reporting template:
1. Number of eligible individuals served.
2. Number of individuals for whom registration is submitted in accordance with Provider Manual requirements.
3. Number of individuals for whom claims for nights of care are reported.
4. Number of claims for nights of care submitted in accordance with DHS/DMH requirements.
5. Amount of available capacity for this level of care.
6. Amount of available capacity for this level of care as reported via claims submissions and monthly capacity reports.
7. Number of weeks in reporting period.
8. Number of weeks at least 1 awake staff person is on-site at least 36 hours per week.

Performance Standards
1. 100% of individuals are registered in accordance with Provider Manual requirements.
2. 100% of claims for nights of care were submitted in accordance with DHS/DMH requirements.
3. At least 85% of available capacity for this level of care utilized.
4. 100% of weeks in reporting period at least 1 awake staff person was on-site at least 36 hours per week.
Subject Area
Human Services
Program Function
Housing
Enabling Legislation
Mental Health Community Services Act (405 ILCS 30/)

Public Health Service Act, Subpart 1 and III, Title XIX, Part B.
Objectives and Goals
The Grantee shall deliver residential care to eligible individuals who meet medical necessity criteria prescribed by DMH. Grantee shall register all individuals served under this Exhibit in accordance with the requirements of the Provider Manual and shall report individuals served in this level of care through the submission of claims according to requirements prescribed by the Community Mental Health Service Definition and Reimbursement Guide which can be found at http://www.hfs.illinois.gov/assets/cmhs.pdf


The Grantee is required to have at least one awake staff person available on site at least 36 hours per week. This program shall fund the non-rehabilitative and non-therapeutic costs, such as facility depreciation or rent, utilities, food for Clients and staff costs, associated with providing this level of care and shall not include any costs associated with the delivery and billing of any other available service reimbursable by the Illinois Department of Healthcare and Family Services (HFS) or DHS/DMH.

The Grantee shall exhaust all other resources, including, but not limited to Medicaid, Medicare or other insurance, to assure that DHS/DMH is the funder of last resort for this level of care. Grantee shall comply with all other requirements of the Provider Manual, including, but not limited to Grantee monitoring and utilization management.

Reporting Requirements:
1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.
Types of Assistance
Formula Grants
Uses and Restrictions
Funding for this award will come from the State's General Revenue Fund and does NOT have a match or cost sharing requirement.

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

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 at http://www.dhs.state.il.us/page.aspx?item=120031. 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
Government Organizations; Nonprofit Organizations;
Application and Award Processing
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 at http://www.dhs.state.il.us/page.aspx?item=120031. 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)
Assistance Consideration
The Community Mental Health Block Grant requires Maintenance of Effort be met.
Post Assistance Requirements
1. Financial Report in accordance with Payments
2. Performance Report in accordance with Performance Measures.
DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website at http://www.dhs.state.il.us/page.aspx?item=95429. FY21 reports will be uploaded prior to the due date of the first report.

Regulations, Guidelines, Literature
Title 59: Mental Health of the Administrative Code

45 CFR Part 96; also portions of 2 CFR Part 200/45 CFR Part 75.

DHS/DMH Attachment B
DHS/DMH Program Manual
Federal Funding
Notice of Funding Opportunities
None
Agency IDGrantee NameStart DateEnd DateAmount
45CYB00627-45CYB00627THE THRESHOLDS07/01/201906/30/20202,280,739
45CYB00087-45CYB00087Chestnut Health Systems, Inc.07/01/201906/30/20201,634,585
45CYB00303-45CYB00303GRAND PRAIRIE SERVICES07/01/201906/30/2020840,594
45CYB00231-45CYB00231ECKER CENTER FOR MENTAL HEALTH07/01/201906/30/2020451,382
45CYB00587-45CYB00587STEPPING STONES OF ROCKFORD07/01/201906/30/2020399,471