Illinois Promoting Integration of Primary and Behavioral Health Care Project (510-FPBH)
CSFA Number: 444-22-1726
Agency Name
Department Of Human Services (444)
Agency Identification
DMH
Agency Contact
Barb Roberson
(217) 557-5876
Barb.roberson@illinois.gov
Short Description
Generic Description:
Scope of Services
The Grantee shall implement Promoting Integration of Physical and Behavioral Health Care in Illinois (PIPBHC) for adults with serious mental illnesses and children with a serious emotional disturbance, who may also have additional co-occurring illnesses or disorders. Individuals who receive care for behavioral health conditions usually have physical health needs, and the reverse is also true; individuals who have medical needs often have behavioral health needs. This grant will help Grantees promote and expand integrated, co-located care services in three largely rural counties; services will include screening, diagnosis, prevention and treatment of mental and substance use disorders as well as co-occurring physical health conditions and chronic diseases.
Deliverables
Each Grantee will:
1. Work with their local Federally Qualified Healthcare Center (FQHC) partner to promote full integration and collaboration in clinical practice between primary and behavioral health care within identified and proposed jurisdiction.
2. Ensure all staff are trained in agreed upon Evidence Based Practices (EBPs) to improve the overall wellness and physical health status of adults with serious mental illness (SMI) and children with a serious emotional disturbance (SED).
3. Work with TriWest Group to enhance data collection, measurement and reporting for primary care and behavioral health care.
4. Promote and offer integrated care services in co-located sites that include screening, diagnosis, prevention, and treatment of mental and substance use disorders, and co-occurring physical health conditions and chronic diseases.
5. Appropriate Grantee staff will participate in all DMH planning, learning collaborative teleconferences, and project meetings conducted by DHS/DMH and/or TriWest Group.

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 within 30 days of the end of the service quarter to the email address indicated on the template no later than November 1, February 1, May 1, and August 1. 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 October 10, January 10, April 10 and July 10. 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 individuals who present for services (Base-line).
2. Number of individuals for whom baseline data is reported in the federal (“SPARS”) reporting system.
3. Number of individuals for whom follow-up data is reported into SPARS at required 3 month intervals.
4. Number of individuals treated at appropriate levels of care.
5. Number of individuals retained in long-term treatment.
6. Number of individuals participating in activities or skill enhancements.
7. Number of individuals enrolled at beginning of fiscal year.
8. Number of individuals enrolled at end of quarter.
9. Number of staff hired/retained in positions on the PIPBHC team.
10. Number of staff trained on specific practices that are identified by the agency as supportive of success of integration of care.
11. Number of staff trained or receiving refresher training in PIPBHC expectations on Wellness and Recovery Action Plan (WRAP), wellness self-management and principles and practices of wellness and recovery, including all agency-selected evidenced based practices that will be used with PIPBHC clients during the current fiscal year.
12. Number of agency policies to which changes were made during the year to accommodate the provision of integrated care.
Performance Standards
1. 100% of consumers who present for services are treated at appropriate levels of care.
2. 80% of consumer are retained in long-term treatment.
3. 100% of individuals participate in activities or skill enhancements to promote health and mental health wellness and recovery;
4. 10% increase in program enrollment each quarter.
5. 100% of staff hired received ongoing training related to integrated healthcare.
6. 100% of staff are trained in PIPBHC expectations on Wellness and Recovery Action Plan (WRAP), wellness self-management and principles and practices of wellness and recovery, including all agency-selected evidenced based practices that will be used with PIPBHC clients.

Custom Description (TriWest)
Scope of Service
The Provider will perform evaluation / consultation services requested by DMH. These evaluation consultation services are part of DMHs oversight of the Promoting Integration of Primary and Behavioral Health Care (PIPBHC) Grant.

Deliverables

1. Evaluation:
The Provider will train PIPBHC Grant Community Providers in using the SAMHSA-required data collection tools and in developing procedures to ensure compliance with SAMHSAs expectations.

The Provider will conduct site visits and provide on-demand technical assistance to PIPBHC Grant providers.

The Provider will assist DMH in building a data dictionary.

The Provider will plan and help conduct quantitative outcomes analyses, using the SAMHSA-required tools for tracking health outcomes.

The Provider will engage in ongoing project coordination.

2. Infrastructure Support:

The Provider will conduct annual assessments of PIPBHC community providers adherence to their chosen models of primary and behavioral health care integration, mid-year fidelity checks, and project coordination. The infrastructure support will be provided on site and in a collaborative and respectful manner.

The Provider will provide periodic meeting opportunities for PIPBHC community providers and DMH to review the results of both the evaluation and the infrastructure support activities.


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 within 30 days of the end of the service quarter to the email address indicated on the template no later than November 1, February 1, May 1, and August 1. 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 October 10, January 10, April 10 and July 10. 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 Grant Community Providers
1. Number of Grant Community Providers receiving training sessions.
2. Number of providers who had a site visit conducted.
3. Number of providers receiving a mid-year fidelity check.
4. Number of providers who had on-site infrastructure support visits.
5. Number of meetings held with DMH.

Performance Standards

1. 100% of Grant Community Providers received training.

2. 100% of providers received a site visit.

3. 100% of providers had mid-year fidelity checks by the end of the second quarter.

4. 100% of providers had on-site infrastructure support visits.

5. 30 or more meetings held with DMH.

Subject Area
Human Services
Program Function
Health
Enabling Legislation
Children's Health Act of 2000, Section 520 A-J,581,582, Public Law 106-310; Public Health Service Act, Title V, Section 509; 516, 42 U.S.C 290bb.
Objectives and Goals
This proposed Illinois integration project provides an opportunity to incorporate several statewide initiatives into one transformational shift in Promoting Integration of Primary and Behavioral Health Care (PIPBHC) in communities throughout Illinois. This initiative will fund creation of person-centered integrated health homes – serving individuals with co-occurring physical health conditions or chronic diseases: adults with mental illness (MI), including those with co-occurring substance use disorder (COD) or opioid use disorder (OUD) and children/ adolescents with serious emotional disturbances (SED) that will improve physical and behavioral health by providing co-located, fully collaborative integrated primary and behavioral health services within three Central and Southern Illinois providers. All planning for this initiative has been carefully woven into the much larger Illinois transformation initiative. PIPBHC funding would allow the Illinois Department of Human Services/Division of Mental Health (IDHS/ DMH) to fund three significantly underserved areas of Illinois that cover large territories, including mid-size communities and rural areas.

Illinois’ intense focus on behavioral health has been informed by the State’s Healthy Illinois 2021 plan, which encompasses the State Health Assessment (SHA), the State Innovation model (SIM) grant awards and the State Health Improvement Plan (SHIP). Together, these initiatives aim to align all plans, processes, and resources to improve the health of Illinois residents.
Priorities for transformation include the need to reduce siloes in behavioral health care to enable a more efficient system with great integration of physical and behavioral health.

Illinois submitted an 1115 Waiver Application in October 2016 that includes: Integrated Health Homes, First Episode Psychosis Programs, Substance Use initiatives, including Opioid and Addiction Programs and Medication Assisted Treatment programs. The initial focus of the transformation effort is on behavioral health (mental health and substance use) and specifically the integration of behavioral and physical health service delivery. Behavioral health was chosen due to the urgency of the issue in Illinois as well as the potential financial and human impact.
Building a nation-leading behavioral health strategy will not only help bend the healthcare cost curve in Illinois but also help turn the tide of the opioid epidemic. In addition to providing quality, recovery-oriented care, there is a large financial payoff in improving behavioral health. Medicaid members who have behavioral health needs (referred to henceforth as “behavioral health members”) represent 25% of Illinois Medicaid members but account for 56% of all Medicaid spending.

Illinois’ overall goal is to move far beyond co-location of primary and behavioral health care services to build systems that are integrated in all aspects of coordinating care for members with complex behavioral health needs. Assessment, care planning and care coordination and integration must include comprehensive care management, health promotion, comprehensive transitional care and follow-up, patient and family support, and referrals to community and social support services. Many members with behavioral health problems have chronic medical conditions. Some use primary care as their preferred point of contact while others either receive behavioral health services without a formal diagnosis or receive a behavioral diagnosis but no behavioral health services to address these gaps. Illinois believes that through this PIPBHC grant, three large – primarily rural health care providers – will create fully integrated community partnerships to make whole-person care a reality. Behavioral healthcare integration is expected to reduce barriers to access to behavioral health for all members and help ensure they receive evidence-based services in the most appropriate setting.
Types of Assistance
Project Grants
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
Public organizations, such as units of State and local governments and to domestic private nonprofit organizations such as community-based organizations, universities, colleges and hospitals.
Eligible Applicants
Nonprofit Organizations;
Application and Award Processing
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.

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
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.
Post Assistance Requirements
Reports: 1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.

PPR and PPRT Email Address for All Grants:
DHS.DMHQuarterlyReports@illinois.gov


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
CFR 200/45 CFR Part 75 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS awards; also the HHS Grants Policy Statement.
Federal Funding
Notice of Funding Opportunities
None
Agency IDGrantee NameStart DateEnd DateAmount
45CYB03983-45CYB03983CENTERSTONE OF ILLINOIS INC07/01/201906/30/2020600,000
45CYB03984-45CYB03984Chestnut Health Systems, Inc.07/01/201906/30/2020600,000
45CYB03985-45CYB03985COLES COUNTY MENTAL HEALTH ASSN INC DBA LIFELINK07/01/201906/30/2020600,000
45CYB03989-45CYB03989TRIWEST GROUP LLC07/01/201906/30/202095,590