Substance Abuse and Mental Health Services - Projects of Regional and National Significance – MAT-PDOA
CSFA Number: 444-26-1457
Agency Name
Department Of Human Services (444)
Agency Identification
SUPR
Agency Contact
Joseph Tracy
312-814-6359
Joseph.Tracy@illinois.gov
Short Description
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-16-014 Targeted Capacity Expansion: Medication Assisted Treatment - Prescription Drug and Opioid Addiction (MAT-PDOA).

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.

The Illinois Department of Human Services, Division of Alcoholism and Substance Abuse (IDHS/DASA), submitted an application in response to SAMHSA/CSAT Funding Opportunity announcement (FOA) # TI-16-014, Targeted Capacity Expansion –Medication Assisted Treatment-Prescription Drug and Opioid Addiction (MAT-PDOA). Illinois was one of the 28 eligible states listed in Appendix V of the FOA. It is projected that at least 300 unduplicated male and female adults will be admitted to these expanded and enhanced treatment services over the three years of SAMHSA/CSAT funding. The requested SAMHSA/CSAT MAT-PDOA funds will support an expansion and enhancement of: 1) expanded outpatient methadone treatment (OMT) services for opiate-addicted persons who are residents of City of Chicago community areas; 2.) expanded Vivitrol injection services for primary opiate offenders who are released from incarceration in the Sheridan Correctional Center and are returning to Chicago community areas; and, 3) expanded (OMT) services for opiate-addicted persons who are residents of Sangamon County in central Illinois. These two targeted geographic areas were selected based on the seriousness of opiate addiction and related problems within these areas of Illinois, coupled with their relative gaps in service needs.

A DASA approved data collection instrument will be used to obtain information to be collected and will be reported on the SAMHSA Common Data Platform.

Government Performance and Results Modernization Act of 2010 updated some aspects of the Government Performance and Results Act (GPRA) of 1993. Federal agencies are required to set long-term goals and objectives as well as specific near-term performance goals. As part of this federal mandate, all SAMHSA grantees are required to collect and report performance data using approved measurement tools.

These services shall focus on the unique needs of the individual and the impacted families. Services will be specified in the individuals personal treatment and recovery plan as allowable by TITLE 77: PUBLIC HEALTH CHAPTER X: DEPARTMENT OF HUMAN SERVICES SUBCHAPTER d: LICENSURE PART 2060 ALCOHOLISM AND SUBSTANCE ABUSE TREATMENT AND INTERVENTION LICENSES.

Fiscal

The payment methods for this award are:
Grant-Fixed Rate (post services provision) based upon accepted DARTS services year to date earnings

Specified Contract Deliverables

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 2 CFR 200.
Subject Area
Human Services
Program Function
Health
Enabling Legislation
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
Objectives and Goals
Substance Abuse and Mental Health Service Administration (SAMHSA) was reauthorized by the Children's Health Action of 2000, Public law 106-310. Under this reauthorization, SAMHSA was given the authority to address priority substance abuse treatment, prevention and mental health needs of regional and national significance through assistance (grants and cooperative agreements) to States, political subdivisions of States, Indian tribes and tribal organizations, and other public or nonprofit private entities. Under these sections, CSAT, CMHS and CSAP seek to expand the availability of effective substance abuse treatment and recovery services available to Americans to improve the lives of those affected by alcohol and drug additions, and to reduce the impact of alcohol and drug abuse on individuals, families, communities and societies and to address priority mental health needs of regional and national significance and assist children in dealing with violence and traumatic events through by funding grant and cooperative agreement projects. Grants and cooperative agreements may be for (1) knowledge and development and application projects for treatment and rehabilitation and the conduct or support of evaluations of such projects; (2) training and technical assistance; (3) targeted capacity response programs (4) systems change grants including statewide family network grants and client-oriented and consumer run self-help activities and (5) programs to foster health and development of children; (6) coordination and integration of primary care services into publicly-funded community mental health centers and other community-based behavioral health settings funded under Affordable Care Act (ACA).

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.
Types of Assistance
Direct Payments for Specific Use
Uses and Restrictions
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.
Eligibility Requirements
To be eligible for funding under this Notice of Funding Opportunity (NOFO) the applicant must be:
1. in good standing with the Illinois Secretary of State Vendor Registry;
2. in good standing with all State and federal tax entities;
3. certified as a vendor with the Illinois Office of the Comptroller;
4. currently licensed by IDHS/DASA for all services and sites where funding is requested; and
5. registered as a provider in the Grant Accountability and Transparency Act (GATA) Grantee Portal.
GATA Grantee Portal Registration
An applicant may apply for funding but will not be eligible for an award until the applicant has pre-qualified through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www.grants.illinois.gov. During pre-qualification, Dun and Bradstreet verifications are performed including a check of Debarred and Suspended status and good standing with the Secretary of State. The pre-qualification process also includes a financial and administrative risk assessment utilizing an Internal Controls Questionnaire. If applicable, the applicant will be notified that it is ineligible for award as a result of the Dun and Bradstreet verification. The applicant will be informed of corrective action needed to become eligible for a grant award.
Each applicant (unless the applicant is an individual or federal or state awarding agency that is exempt from requirements under 2 CFR § 25.110(b) or (c), or has an exception approved by the federal or state awarding agency under 2 CFR § 25.110(d)) is also required to:
1. Be registered in System for Award Management (SAM) before submitting the application. If needed, the link for SAM registration is: https://governmentcontractregistration.com/sam-registration.asp;
2. Provide a valid number from the Dun and Bradstreet Universal Numbering System (DUNS) in the application; and
3. continue to maintain an active SAM registration with current information at all times during which it has an active Federal, Federal pass-through or State award or an application or plan under consideration by a Federal or State awarding agency.
A Federal pass-through or State award cannot be made until the applicant has complied with all applicable DUNS and SAM requirements. If an applicant has not fully complied with the requirements by the time the State awarding agency is ready to make a Federal pass-through or State award, the State awarding agency may determine that the applicant is not qualified and use that determination as a basis for making a Federal pass-through or State award to another applicant.
Failure to meet any of the criteria for eligibility by the time of the application deadline will result in the State awarding agency returning the application without review or, even though an application may be reviewed, will preclude the State awarding agency from making a State award.

Project Eligibility
Licensure/Pre-Approval
Applicants must be licensed by IDHS/DASA, as specified in 77 Ill. Adm. Code, Part 2060, for any proposed substance-related disorder intervention or treatment service

PRIOR to submitting an application.
Applicants must attach an IDHS/DASA pre-approved project plan with the funding application when the only request for funding is for specialized recovery support or outreach services that will be delivered as Community Intervention.
Non Discrimination Requirements
The applicant must comply with all applicable provisions of state and federal laws and regulations pertaining to nondiscrimination, sexual harassment and equal employment opportunity including, but not limited to: The Illinois Human Rights Act (775 ILCS 5/1-101 et seq.), The Public Works Employment Discrimination Act (775 ILCS 10/1 et seq.), The United States Civil Rights Act of 1964 (as amended) (42 USC 2000a-and 2000H-6), Section 504 of the Rehabilitation Act of 1973 (29 USC 794), The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.), and The Age Discrimination Act (42 USC 6101 et seq.)

Service Delivery/Documentation/Post-Payment Audit
All services must be provided in accordance with 77 Ill. Adm. Code, Part 2060. All funded intervention and treatment services shall be documented in accordance with Section 2060.325 Patient/Client Records. All recovery support and/or community services require individual service documentation notes. Any intervention service that cannot be individually documented shall be documented in activity/staff activity logs and notes.
All reimbursed services are subject to IDHS/DASA post-payment audit at least annually or upon request. Any reimbursed service that cannot be verified or reconciled with applicable billing reports may result in recoupment.
Any applicant, who meets or exceeds the IDHS State funding threshold, shall submit an annual audit. Applicants who are under this established threshold are required to have an annual financial statement on file.
Funding Restrictions/Contract Conditions
Pre-award costs are not reimbursable.
Each applicant may submit only one application for new funding for each notice of funding opportunity.
Each applicant must agree to adhere to conditions outlined in the following documents:
DASA Contractual Policy Manual - http://www.dhs.state.il.us/page.aspx?item=29747
Grant Agreement - http://www.dhs.state.il.us/page.aspx?item=29741
Eligible Applicants
Government Organizations; Nonprofit Organizations; For-Profit Organizations;
Application and Award Processing
Preapplication Coordination
Applicants must comply with the Executive Order (E.O.) 12372 if their state(s) participates. Review process recommendations from the state Single Point of Contact (SPOC) are due no later than 60 days after application deadline. Environmental impact information is not required for this program. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. 45 CFR Part 75 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards and HHS Grants Policy Statement. All applicants must use the Application for Federal Assistance SF-424 form.

Award Procedure
Applications for grants and cooperative agreements recommended for approval by the initial review group and concurred in by the appropriate National Advisory Council and the Center Director(s) are awarded directly by the appropriate Center (CMHS, CSAP, CSAT) of SAMHSA to the applicant organization.
Assistance Consideration
Formula and Matching Requirements

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
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.
Post Assistance Requirements
Reports:
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:
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:
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
Regulations, Guidelines, Literature
45 CFR Parts 75 and the HHS Grant Policy Statement, terms and conditions of award
Federal Funding
Notice of Funding Opportunities
None
Agency IDGrantee NameStart DateEnd DateAmount
43CYC03151-43CYC03151Family Guidance Centers, Inc.07/01/201906/30/2020279,024
43CYC03152-43CYC03152Chestnut Health Systems, Inc.07/01/201906/30/202095,562
43CYC03163-43CYC03163RINCON FAMILY SERVICES07/01/201906/30/202041,507
43CYC03153-43CYC03153TASC Inc07/01/201906/30/202030,209