First Episode Presentation Program (510-FEPP)
CSFA Number: 444-22-1294
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 implement the FIRST.IL model of Coordinated Specialty Care (CSC) for Early Serious Mental Illness (ESMI) treatment consistent with evidence-based services for individuals experiencing ESMI.

Deliverables
The FIRST.IL Coordinated Specialty Care Team will:
1. Establish a Coordinated Specialty Care (CSC) Team in each agency that at a minimum includes Prescriber, Team Leader, Individual Resiliency Training (IRT) Therapist, Individual Placement and Support (IPS) Specialist-Supported Employment/Supported Education Specialist (SEE), and Recovery Support Specialist (RSS)/Case Manager (CM).
2. Conduct outreach and community-based education on ESMI including Schizophrenia Spectrum Disorders, Psychotic Disorder NOS, Affective Disorders and Post Traumatic Stress Disorder.
3. Utilize marketing tools consistent with the DMH marketing portfolio provided, including FIRST.IL brochures, Hospital Cards and flyers.
4. After receipt of referral, make initial contact within 24 hours and complete initial Mental Health Assessment (MHA) within 48 hours of initial contact including family input. If an appropriate referral, complete Outcome Review Form (ORF) immediately after the MHA, within the same 48 hours. Completion of these activities may be done using either Grantee site-based and/or outreach methods to assure the timely completion of initial MHAs for individuals referred.
5. Serve individuals identified as experiencing an ESMI with intent to decrease hospitalizations and begin a pathway to recovery, regardless of Medicaid eligibility status, Medicaid, Medicaid Managed Care assignment, or private insurance coverage limits.
6. Integrate the early intervention, shared decision making and CSC Team model features of the FIRST.IL model into their organization to the satisfaction of the program contact.
7. Participate in FIRST.IL trainings, learning collaborative teleconferences, and project meetings conducted by DHS/DMH including FEP Fidelity Training and Reviews and CBT-p Consultations.
8. Develop a plan for sustainment that shall be submitted to the DHS/DMH program contact in the first quarter of the contract period.
9. One Grantee will act in a fiduciary capacity and provide the following services:
a. Process payments for FIRST.IL training and conferences provided by credentialed FIRST.IL specialized training entity as prescribed by DMH.
b. Process payments for expenses agreed upon by DMH and fiduciary.

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 4.3 Cash Management Improvement Act of 1990 and Section 4.7 Timely Billing Required. Grantee shall submit allowable grant expenses on the appropriate DMH invoice template to the email address indicated on the template no later than the 30th day of the month following the end of the service month. Invoiced expenses should be consistent with the approved annual grant budget. Any expenditure variances require prior Grantor approval in accordance with Article VI of the grant agreement to be reimbursable. All invoices shall be HIPPA compliant and encrypted utilizing DHS approved encryption software if so indicated on the invoice template. Invoices shall serve as the request for reimbursement as well as the Periodic Financial Report.

DMH invoice templates 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 templates:
1. Number of days in reporting period.
2. Number of days in reporting period the Coordinated Specialty Care (CSC) Team was fully staffed with positions including Prescriber, Team Leader, Individual Resiliency Training (IRT) Therapist, Individual Placement and Support (IPS) Specialist-Supported Employment/Supported Education Specialist, and Recovery Support Specialist/Case Manager.
3. Number of events of outreach and community-based education on the symptoms of psychosis conducted during the quarter.
4. Number of clients reached through marketing tools per quarter.
5. Number of referred clients.
6. Number of referred client’s initial engagements completed within 48 hours.
7. Number of individuals enrolled meeting FIRST.IL eligibility criteria.
8. Total number of staff team members.
9. Number of staff team members who participated in FIRST.IL trainings, learning teleconferences, and project meetings conducted by DHS/DMH.
Fiduciary Measures: (For contract fiduciary Grantee only)
10. Number of payments presented.
11. Number of payments presented paid.

Performance Standards
1. 75% of the time the Coordinated Specialty Care (CSC) Team is staffed with Prescriber, Team Leader, Individual Resiliency Training (IRT) Therapist, Individual Placement and Support (IPS) Specialist-Supported Employment/Supported Education Specialist and Recovery Support Specialist/ Case Manager.
2. Conduct five or more outreach/community-based education events/activities of the FIRST.IL program per month, including eligibility and the symptoms relative to ESMI.
3. Six or more clients reached through marketing tools per quarter.
4. 100% of referred client’s initial engagements completed within 48 hours of initial contact.
5. 95% of the Team Members participated in FIRST.IL trainings, learning teleconferences and project meetings conducted by DHS/DMH per quarter.
Fiduciary Standards: (For contract fiduciary Grantee only)
6. 100% of payments presented were paid.
Subject Area
Human Services
Program Function
Health
Enabling Legislation
Public Health Service Act, Subpart 1 and III, Title XIX, Part B.
Objectives and Goals
The FIRST.IL Coordinated Specialty Care Team will:
1. Establish a Coordinated Specialty Care (CSC) Team in each agency that at a minimum includes Prescriber, Team Leader, Individual Resiliency Training (IRT) Therapist, Individual Placement and Support (IPS) Specialist-Supported Employment/Supported Education Specialist (SEE), and Recovery Support Specialist (RSS)/Case Manager (CM).
2. Conduct outreach and community-based education on ESMI including Schizophrenia Spectrum Disorders, Psychotic Disorder NOS, Affective Disorders and Post Traumatic Stress Disorder.
3. Utilize marketing tools consistent with the DMH marketing portfolio provided, including FIRST.IL brochures, Hospital Cards and flyers.
4. After receipt of referral, make initial contact within 24 hours and complete initial Mental Health Assessment (MHA) within 48 hours of initial contact including family input. If an appropriate referral, complete Outcome Review Form (ORF) immediately after the MHA, within the same 48 hours. Completion of these activities may be done using either Grantee site-based and/or outreach methods to assure the timely completion of initial MHAs for individuals referred.
5. Serve individuals identified as experiencing an ESMI with intent to decrease hospitalizations and begin a pathway to recovery, regardless of Medicaid eligibility status, Medicaid, Medicaid Managed Care assignment, or private insurance coverage limits.
6. Integrate the early intervention, shared decision making and CSC Team model features of the FIRST.IL model into their organization to the satisfaction of the program contact.
7. Participate in FIRST.IL trainings, learning collaborative teleconferences, and project meetings conducted by DHS/DMH including FEP Fidelity Training and Reviews and CBT-p Consultations.
8. Develop a plan for sustainment that shall be submitted to the DHS/DMH program contact in the first quarter of the contract period.
9. One Grantee will act in a fiduciary capacity and provide the following services:
a. Process payments for FIRST.IL training and conferences provided by credentialed FIRST.IL specialized training entity as prescribed by DMH.
b. Process payments for expenses agreed upon by DMH and fiduciary.

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
Funds may be used at the discretion of the State to achieve the described objectives except for certain requirements. State plans must meet prescribed criteria. Services under the plan will be provided only through appropriate, qualified community programs (which may include community mental health centers, child mental-health programs, psychosocial rehabilitation programs, mental health peer-support programs and mental-health primary consumer- directed programs). Services under the plan will be provided through community mental health centers only if the centers meet prescribed criteria.

Up to 5 percent of grant funds may be used for administering the funds. Funds may not be used to provide inpatient services; to make cash payments to intended recipients of health services; to purchase or improve land, purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or purchase major medical equipment; to satisfy any requirement for the expenditure of nonfederal funds as a condition for the receipt of Federal funds; or to provide financial assistance to any entity other than a public or nonprofit private entity.

States are required to provide systems of integrated services for children with SED. Each year the State shall expend not less than the amount expended in FY 1994. States are also required to set aside 10 percent of their allocation for implementing programs showing strong evidence of effectiveness that targets individuals with a first episode psychosis.

Other statutory requirements also apply.


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
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)
Assistance Consideration
Statutory Formula: Title XIX, Part B, Subpart I and III, Public Law 106-310.

This program has no matching requirements.

This program has MOE requirements, see funding agency for further details. Under 42 USC, 300x-4(b), States are required to maintain aggregate State expenditures for authorized activities at a level that is not less than the average level of such expenditures maintained by the State for the 2-year period preceding the fiscal year for which the State is applying for the grant.
Post Assistance Requirements
Reporting Requirements
1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.
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
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
45CYB03513-45CYB03513THE THRESHOLDS07/01/201906/30/2020335,850
45CYB03506-45CYB03506Chestnut Health Systems, Inc.07/01/201906/30/2020280,900
45CYB03507-45CYB03507ADVOCATE NORTHSIDE HEALTH NETWORK DBA ADVOCATE ILL07/01/201906/30/2020197,849
45CYB03515-45CYB03515ROBERT YOUNG CENTER FOR07/01/201906/30/2020184,266
45CYB03511-45CYB03511COLES COUNTY MENTAL HEALTH ASSN INC DBA LIFELINK07/01/201906/30/2020181,612