Front Door Diversion Project (800)
CSFA Number: 444-22-1529
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
1. Front Door Diversion Program (FDDP) services and supports are to be provided to eligible persons who, without such services, might incur a referral and/or admission to a nursing facility level of care. FDDP participation should help people served to avoid such placement and remain in a community-based setting. Engagement into the FDDP may, be initiated at different “intercept points”, such as the following:
a. State hospital inpatient psychiatric units;
b. Community hospital inpatient psychiatric units;
c. Community hospital crisis stabilization units;
d. Community provider crisis programs sites;
e. DMH sponsored “Living Room” sites;
f. Community-based triage crisis centers;
g. DHS sponsored Crisis Residential (Program 860) sites;
h. Other DHS supported programs for people at high risk for bad outcomes, such as the Projects to Assist in the Transition from Homelessness (PATH); and
i. Other community sites as approved by the FDDP Program Contact.

2. Grantees may create immediate housing capacity using grant funds as per the approved contract budget. This housing shall be used to provide immediate access to safe community housing while the FDDP works to link the person(s) to other housing opportunities using a housing-first, permanent supportive housing (PSH) approach. Length of stay in such immediate housing should be 90 days or less, however, extensions can be approved by the FDDP Program Contact if it facilitates the desired outcome of securing safe affordable housing of choice for the person served. Grantee must always explore all possible housing program options to help realize a move to independent PSH style housing, including FDDP Bridge Subsidy Program, PAIRS, State Referral Network, 811 Vouchers, etc.
3. To facilitate diversion from higher levels of care, grantees may use contract funds to provide for the emergent support needs of persons served. Those supports may include: transportation vouchers/cards, emergency clothing, emergency food, emergency medications, and emergency communication (cell phones). Grantees will first utilize any available governmental or community resources for these needs, or transition individuals to these other support options as soon as is possible.

4. Grantees may incur budgeted approved costs for direct service staff to perform outreach to referral sites and to perform interviews, assessments, and the other tasks needed to case find eligible people, engage and offer diversion alternatives.

5. Grantees may incur administrative support costs that may be needed to administer the emergency support and housing supports detailed in the two preceding paragraphs in this section.

6. Use of grant funds 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.

Deliverables

1. Responding to referrals from identified intercept settings/sites:
a. Grantee shall have the capacity available with appropriately trained and credentialed staff to respond to referrals made from any of the sites identified in the first paragraph of the contract Scope of Services.
b. Grantee shall have the capacity to perform face-to-face assessments by an MHP (with immediate 24/7/365 access to a QMHP) or QMHP no later than 1 business day of referral.
2. To increase the likelihood of intercept/engagement to services, the Grantee shall have the capacity to:
a. conduct telephone outreach;
b. follow a person to other sites if the person moves or is transferred during the assessment/engagement process;
c. within 24 hours, attempt a telephone or face-to-face assessment, determine if a diversion plan is feasible, and make an offer of the diversion plan to the person;
d. provide continuing care management for people accepting the proposed diversion plan option utilizing clinically appropriate Rule 140 services; and,
e. register each person engaged by a diversion plan using the unique Front Door Diversion Project identifier in accordance with the requirements of the Provider Manual.
3. To maximize the impact of the grant funding, the Grantee shall:
a. submit Medicaid fee-for-service (FFS) claims according to the requirements prescribed by Rule 140; and,
b. otherwise exhaust all other resources, such as Medicare , private insurance, etc., to assure that grant resources is the funding of last resort for continuing health care and behavioral health care.

Reporting Requirements:
1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.
3. The Division of Mental Health (DMH) may require additional monthly reporting requirements which will identify participants at all levels of engagement and their statuses at those stages as well as costs of services.


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.

The FDDP invoice template can be found in the Provider section of the DHS website.

For the purpose calculating tenure for FDDP participants/members, the day the person accepts an offer of diversion and begins active program services will count as Day 1. Rate based services will be reimbursed as follows:
1. Milestone 1 Outcome Payment. For each person agreeing to the offer of a diversion, registered for FFS claiming, receiving initial outreach by the Grantee FD staff/team, and still engaged on Day 3, the Grantee can invoice and will be reimbursed $3,000.
2. Milestone 2 Outcome Payment. For each person continuing to avoid nursing home level of care and remaining connected to the FD staff/team on Day 30, the Grantees can invoice and will be reimbursed $2,500.
3. Milestone 3 Outcome Payment. For each person continuing to avoid nursing home level of care and remaining connected to the FD staff/team on Day 90, the Grantee can invoice and will be reimbursed $2,500.
4. Milestone 4 Outcome Payment. For each person continuing to avoid nursing home level of care and remaining connected to the FD staff/team on Day 180, the Grantee can invoice and will be reimbursed $2,500.
5. Desk Audit Fee. Grantees may invoice and be reimbursed $80 for each person referred for whom the agency can show documentation a completed review of financial eligibility and for broad clinical eligibility (ruling out medically complicated presentations and/or a person with acute behavioral health care needs). The Desk Audit should indicate that the person is generally eligible for a FDDP telephone or face-to-face assessment interview.

Expense based services will be reimbursed as follows:
1. Emergency Support Needs: Grantee will submit monthly invoices utilizing the DMH invoice template and delineating allowable expenses during the month as described in Exhibit A – Scope of Services, paragraph 3.
2. Temporary Residential Housing Option(s): Grantee will submit monthly invoices utilizing the DMH invoice template and delineating allowable expenses during the month as described in Exhibit A – Scope of Services, number 5.
3. Administrative Support Costs: Grantee will submit monthly invoices utilizing the DMH invoice template and delineating allowable expenses during the month as described in Exhibit A – Scope of Services, number 6.

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 for each quarterly period:
1. Referral Source:
a. Total number of individuals referred.
b. Number of individuals referred from psychiatric inpatient units.
c. Number of individuals referred from DMH Crisis Residential sites.
d. Number of individuals referred from crisis stabilization units.
e. Number of individuals referred from community crisis triage centers.
f. Number of individuals referred from other settings. stabilization units.
2. Desk Audits, Assessments, Diversion Plan Offers, and Diversion Plan Acceptance: persons leaving inpatient settings.
a. Number of individuals referred (from 1.a above) for whom a desk audit to determine eligibility was performed.
b. Number of individuals from 2.a (above) that were found eligible for Front Door diversion assessment.
c. Number of face-to-face assessment interviews of eligible individuals (from 2.b above) performed within 1 business day of referral.
d. Number of assessments from 2.c (above) resulting in the offer of a diversion plan.
e. Number of individuals from 2.d (above) accepting the diversion plan offer.

3. Connection to FDDP, PAIRS, and the Need for Immediate Housing:
a. Number of unduplicated individuals receiving a first Front Door outreach contact after accepting the diversion plan offer.
b. Number of unduplicated individuals diverted in the previous 30 days that were registered into PAIRS.
c. Number of unduplicated individuals from 3.a (above) who needed immediate housing as part of the diversion plan.
d. Number of unduplicated individuals from 3.c (above) who transitioned into Front Door Immediate Housing.

Performance Standards
1. 100% of referrals receive a desk audit to determine eligibility for a FDDP assessment.
2. 100% of eligible individuals receive a face-to-face assessment by FDDP in 1 business day.
3. 80% of individuals completing a FDDP assessment receive a FDDP offer for diversion.
4. 80% of FDDP offers for diversion are accepted by the individual.
5. 100% of individuals accepting a diversion plan receive a first FD outreach contact.
6. 80% of individuals needing a diversion plan with FD immediate housing transitioned to immediate housing.
Subject Area
Human Services
Program Function
Housing
Enabling Legislation
Mental Health Community Services Act (405 ILCS 30/ Section (f))
Objectives and Goals
1. Responding to referrals from identified intercept settings/sites:
a. Grantee shall have the capacity available with appropriately trained and credentialed staff to respond to referrals made from any of the sites identified in the first paragraph of the contract Scope of Services.
b. Grantee shall have the capacity to perform face-to-face assessments by an MHP (with immediate 24/7/365 access to a QMHP) or QMHP no later than 1 business day of referral.
2. To increase the likelihood of intercept/engagement to services, the Grantee shall have the capacity to:
a. conduct telephone outreach;
b. follow a person to other sites if the person moves or is transferred during the assessment/engagement process;
c. within 24 hours, attempt a telephone or face-to-face assessment, determine if a diversion plan is feasible, and make an offer of the diversion plan to the person;
d. provide continuing care management for people accepting the proposed diversion plan option utilizing clinically appropriate Rule 140 services; and,
e. register each person engaged by a diversion plan using the unique Front Door Diversion Project identifier in accordance with the requirements of the Provider Manual.
3. To maximize the impact of the grant funding, the Grantee shall:
a. submit Medicaid fee-for-service (FFS) claims according to the requirements prescribed by Rule 140; and,
b. otherwise exhaust all other resources, such as Medicare , private insurance, etc., to assure that grant resources is the funding of last resort for continuing health care and behavioral health care.

Reporting Requirements:
1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.
3. The Division of Mental Health (DMH) may require additional monthly reporting requirements which will identify participants at all levels of engagement and their statuses at those stages as well as costs of services.
Types of Assistance
Direct Payments for Specific Use
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)
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
Serves as Maintenance of Effort to the Federal Substance Abuse and Mental Health Services Administration Community Mental Health Block Grant
Post Assistance Requirements
Reporting 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

DHS/DMH Attachment B
DHS/DMH Program Manual
Federal Funding
None
Notice of Funding Opportunities
Agency IDAward RangeApplication Range
Details19-444-22-1529-01(R)$0 - $012/21/2018 - 02/15/2019 : 5:00 PM
Details19-444-22-1529-02$0 - $003/18/2019 - 04/12/2019 : 5:00 PM
Agency IDGrantee NameStart DateEnd DateAmount
45CYB04020-45CYB04020NATIONAL YOUTH ADVOCATE PROGRAM07/01/201906/30/2020987,000
45CYB04022-45CYB04022TRILOGY, INC.07/01/201906/30/2020985,000
45CYB04021-45CYB04021THE THRESHOLDS07/01/201906/30/2020899,000
45CYB04019-45CYB04019Kenneth Young Center07/01/201906/30/2020746,000
45CYB04018-45CYB04018HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC. HRDI07/01/201906/30/2020653,000