Crisis Staffing (580)
CSFA Number: 444-22-0231
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
Grantees shall have capacity to respond to mental health crisis needs. This program shall fund costs for telephonic and walk-in community access to BH crisis care services. Grant resources will also be applied to crisis assessment and crisis interventions for individuals with no insurance coverage, or for the portion of crisis response not covered by an individuals’ insurance plan. In other words, grant resources shall not be applied to any costs that can be reimbursable by the Illinois Department of Healthcare and Family Services (HFS) or DHS/DMH, Medicare, or a private insurance company. The Grantee is encouraged to have equal access to services and supports to any adult individual experiencing a health crisis of a behavioral health (BH) nature that poses a risk for movement to a higher level of care, such as inpatient psychiatric or nursing home settings.

Deliverables

Reporting Requirements:
A. Time Period for Required Periodic Financial Reports. Unless a different reporting requirement is specified in Exhibit G, Grantee shall submit financial reports to Grantor pursuant to Paragraph 13.1 and reports must be submitted no later than 30 days after the quarter ends.

B. Time Period for Close-out Reports. Grantee shall submit a Close-out Report pursuant to Paragraph 13.2 and no later than 60 days after this Agreement’s end of the period of performance or termination.

C. Time Period for Required Periodic Performance Reports. Unless a different reporting requirement is specified in Exhibit G, Grantee shall submit Performance Reports to Grantor pursuant to Paragraph 14.1 and such reports must be submitted no later than 30 days after the quarter ends.

D. Time Period for Close-out Performance Reports. Grantee agrees to submit a Close-out Performance Report, pursuant to Paragraph 14.2 and no later than 60 days after this Agreement’s end of the period of performance or termination.

Grantee shall submit a quarterly Periodic Financial Report (GOMBGATU-4002 (N-08-17)) to the appropriate email address. 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.Colbert.Invoices@illinois.gov

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. 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


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

Performance Requirements:
1. Crisis workers should be an appropriately trained Qualified Mental Health Professional (QMHP), or an appropriately trained Mental Health Professional (MHP) with access to a QMHP.
2. Grantees shall have a separately published telephone number (or crisis line) or a distinct crisis option on the automated telephone tree available to the public.
2. Individuals that walk-in to established Grantee service site(s) during regular business hours and requesting immediate help for a BH crisis sites shall be seen by a trained crisis worker within 90 minutes of presentation.
3. All calls to a published crisis line that are not directly answered by a trained crisis worker shall have an option for either a warm transfer to a trained crisis worker or guidance on how to access immediate BH care (e.g., community hospital emergency department, community BH triage center, or crisis stabilization unit).
4. Where a crisis worker determines that a crisis assessment should be performed for either a walk-in or caller, the assessment should be within 90 minutes by a trained crisis worker.
6. For any individual with insurance coverage, the Grantee shall register him/her in accordance with the requirements articulated in the DHS/DMH Community Mental Health Provider Manual (Provider Manual); and, shall submit claims for qualifying services to the insurance provider.
7. Grantees shall outline the 24/7/365 crisis coverage plan in the personnel narrative section of the CSA budget plan at the time of the grant application. The coverage plan shall explain how the staff identified in the personnel table of the CSA budget fit into the coverage plan (e.g., walk-in and telephone availability). In cases where the crisis coverage plan includes staff supported by other streams of revenue (i.e., local government grants, fee-for-service claiming, etc.), explain those role of those staff, titles of staff, and the FTE in the narrative section of the CSA budget.
8. Any significant changes to the Grantee crisis coverage plan shall be submitted to the Program Contact listed on the DMH website.

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.

Performance Measures
1. Number of days during the reporting period the 24/7 crisis coverage, as detailed in the CSA narrative, was in place.
2. Total FTE trained crisis workers and crisis supervisors supported by grant funds according to the approved CSA budget plan reporting period.
3. Total FTE trained crisis workers and crisis supervisors supported by grant funds in place during the reporting period.
4. Total number of individuals (walk-ins and as callers) that requested immediate BH assistance.
5. Number of walk-ins and callers determined to need a full crisis assessment.
6. Number of individuals determined to need full crisis assessment that received the assessment within 90 minutes of presentation.
7. Number of individuals determined to need full crisis assessment having insurance coverage.

Performance Standards
1. Grantee has crisis coverage 24/7 for 100% of days during the reporting period.

2. 90% of FTE staff in the CSA budget plan were in place during the reporting period.

3. 90% of individuals determined to need full crisis assessment will receive the assessment within 90 minutes of presentation.
Subject Area
Human Services
Program Function
Health
Enabling Legislation
405 ILCS30, the Mental Health Community Services Act
Objectives and Goals
Performance Requirements:
1. Crisis workers should be an appropriately trained Qualified Mental Health Professional (QMHP), or an appropriately trained Mental Health Professional (MHP) with access to a QMHP.
2. Grantees shall have a separately published telephone number (or crisis line) or a distinct crisis option on the automated telephone tree available to the public.
2. Individuals that walk-in to established Grantee service site(s) during regular business hours and requesting immediate help for a BH crisis sites shall be seen by a trained crisis worker within 90 minutes of presentation.
3. All calls to a published crisis line that are not directly answered by a trained crisis worker shall have an option for either a warm transfer to a trained crisis worker or guidance on how to access immediate BH care (e.g., community hospital emergency department, community BH triage center, or crisis stabilization unit).
4. Where a crisis worker determines that a crisis assessment should be performed for either a walk-in or caller, the assessment should be within 90 minutes by a trained crisis worker.
6. For any individual with insurance coverage, the Grantee shall register him/her in accordance with the requirements articulated in the DHS/DMH Community Mental Health Provider Manual (Provider Manual); and, shall submit claims for qualifying services to the insurance provider.
7. Grantees shall outline the 24/7/365 crisis coverage plan in the personnel narrative section of the CSA budget plan at the time of the grant application. The coverage plan shall explain how the staff identified in the personnel table of the CSA budget fit into the coverage plan (e.g., walk-in and telephone availability). In cases where the crisis coverage plan includes staff supported by other streams of revenue (i.e., local government grants, fee-for-service claiming, etc.), explain those role of those staff, titles of staff, and the FTE in the narrative section of the CSA budget.
8. Any significant changes to the Grantee crisis coverage plan shall be submitted to the Program Contact listed on the DMH website.
Types of Assistance
Direct Payments for Specific Use
Uses and Restrictions
Funding Information
This award utilizes state appropriated funds. Applicants must submit a program plan which supports the level of funding and detailed service delivery and deliverables.
1. Funding Restrictions
IDHS/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.
2. Allowable Costs
Allowable costs are those that are necessary, reasonable and permissible under the law and can be found in 2 CFR 200 - Subpart E - Cost Principles.
3. Unallowable Costs
Please refer to 2 CFR 200 - Subpart E - Cost Principles to see a collection of unallowable costs.
4. Indirect Cost Rate Requirements
Please refer to 2 CFR 200.414 regarding Indirect (F&A) Costs. To charge indirect costs to a grant, agencies must have an annually negotiated indirect cost rate agreement (NICRA). If the agency has multiple NICRAs, IDHS will accept only the lesser rate. 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 of this website. 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
Nonprofit Organizations; Government Organizations;
Application and Award Processing
Application and Submission Information 1.Application Packet
Each applicant must have access to the internet. Applicants may obtain application forms at the Division's Grant Information website http://www.dhs.state.il.us/page.aspx?item=121818. Questions from applicants and their respective responses (Q&A) will be posted at http://www.dhs.state.il.us/page.aspx?item=121998. It is the responsibility of each applicant to monitor that website and comply with any instructions or requirements relating to the NOFO.

2.Content and Form of Application Submission a.Each applicant is required to submit a Uniform Application for State Grant Assistance. This is a 3- page document with the first page already completed by the Division of Mental Health. This document must be signed and dated.

b.Each applicant is required to list which county(ies) they intend to serve in Box 40 of the application, based on the table below:

Adams

67,103



Alexander
8,238

Bond
17,768

Boone
54,165

Brown
6,937

Bureau
34,978

Calhoun
5,089

Carroll
15,387

Cass
13,642

Champaign
201,081

Christian
34,800

Clark
16,335

Clay
13,815

Clinton
37,762

Coles
53,873

Cook
5,194,675

Crawford
19,817

Cumberland
11,048

DeKalb
105,160

De Witt
16,561

Douglas
19,980

DuPage
916,924

Edgar
18,576

Edwards
6,721

Effingham
34,242

Fayette
22,140

Ford
14,081

Franklin
39,561

Fulton
37,069

Gallatin
5,589

Greene
13,886

Grundy
50,063

Hamilton
8,457

Hancock
19,104

Hardin
4,320

Henderson
7,331

Henry
50,486

Iroquois
29,718

Jackson
60,218

Jasper
9,698

Jefferson
38,827

Jersey
22,985

Jo Daviess
22,678

Johnson
12,582

Kane
515,269

Kankakee
113,449

Kendall
114,736

Knox
52,919

Lake
703,462

La Salle
113,924

Lawrence
16,833

Lee
36,031

Livingston
38,950

Logan
30,305

McDonough
32,612

McHenry
308,760

McLean
169,572

Macon
110,768

Macoupin
47,765

Madison
269,282

Marion
39,437

Marshall
12,640

Mason
14,666

Massac
15,429

Menard
12,705

Mercer
16,434

Monroe
32,957

Montgomery
30,104

Morgan
35,547

Moultrie
14,846

Ogle
53,497

Peoria
186,494

Perry
22,350

Piatt
16,729

Pike
16,430

Pope
4,470

Pulaski
6,161

Putnam
6,006

Randolph
33,476

Richland
16,233

Rock Island
147,546

St Clair
270,056

Saline
24,913

Sangamon
197,465

Schuyler
7,544

Scott
5,355

Shelby
22,363

Stark
5,994

Stephenson
47,711

Tazewell
135,394

Union
17,808

Vermilion
81,625

Wabash
11,947

Warren
17,707

Washington
14,716

Wayne
16,760

White
14,665

Whiteside
58,498

Will
677,560

Williamson
66,357

Winnebago
295,266

Woodford
38,664


c.Each applicant is required to submit a Program Proposal. The Program Proposal must include the following: i. Executive Summary
ii.Need
iii.Capacity
iv.Quality
v.Data Collection, Evaluation and Reporting
vi.Resource Availability

d.The Program Proposal shall not exceed 10 pages. Items included as Attachments are NOT included in the page limitations.
e.The Program Proposal, including attachments should be sequentially page numbered.
f.The Program Proposal must be typed single-spaced with 1-inch margins on all sides.
g.All documents must be typed using 12-point type and at 100% magnification.
h.The PDF submission must be on 8 1/2 x 11-inch page size.
i.Except for letterhead and stationery for letter(s) of support, the entire application and program proposal packet should be in black typeface on a white background.

3.Budget Requirements a.A budget and budget narrative need to be completed in the CSA tracking database. There is space when preparing the budget on each line item for the budget narrative. Instructions for the CSA Tracking System can be found at http://www.dhs.state.il.us/page.aspx?item=61069.
b.A Budget Template and Instructions can be used as a tool to assist in determining expenses; however, the final budget must be completed in the CSA Tracking System. The pdf budget or paper copy will not be accepted nor should be included in the application packet.
c.The budget narrative should describe how the specified resources and personnel have been allocated for the services and activities described in the budget narrative.
d.The budget should be prepared to reflect a full fiscal year.

4.Dun and Bradstreet Universal Numbering System (DUNS) Number and System for Award Management (SAM) a.See Section C Eligibility Information, #1 Eligible Applicants, letters h and I.

5.Submission Dates and Times a.To be considered for award, application materials must be in the possession of the IDHS email address DHS.GrantApp@illinois.gov and by the designated date and time listed in Box 17 of the NOFO Summary Information. Emails into this box are electronically date and time stamped upon arrival. For your records, please keep a copy of your email submission with the date and time the proposal was submitted, along with the email address to which it was sent. The deadline will be strictly enforced. In the event of a dispute, the applicant bears the burden of proof that the proposal was received on time at the location listed above.
b.Applications and Program Proposals will only be accepted electronically and should be emailed to: DHS.GrantApp@illinois.gov. Those that are delivered by any other means will not be accepted and will be immediately disqualified. IDHS/DMH is under no obligation to review applications that do not comply with the above requirements. There will be no exceptions.
c.Within 72 hours of receipt, applicants will receive an email to notify them that the application was received and if it was received by the due date and time. The email reply will be sent to the original sender of the application and program proposal. Applications and program proposals received after the due date and time will not be considered for review and funding.
d.All proposals must include the following mandatory documents: i.Uniform Grant Application for State Grant Assistance
ii.Program Proposal
iii.Uniform Grant Budget submitted in the CSA Tracking System.

e.Submit the completed application and program proposal as a single document to: DHS.GrantApp@illinois.gov. The subject line of the email MUST state: ""Provider Organization Name; Program 580; 21-444-22-0231-01; Barb Roberson". i.The submission must be in the following order:
ii.Uniform State Grant Application (3-page document) (Not included in page limit) ?Program Proposal
?Attachments (Not included in page limit). This would include Linkage Agreements (if applicable).


f.The term of the agreement will be July 1, 2020 continuing through June 30, 2021 and will require the mutual consent of both parties, be dependent upon the Grantee's performance and adherence to program requirements and the availability of funds.
g.IDHS may withdraw this Notice of Funding Opportunity at any time prior to the actual time a fully executed agreement is filed with the State of Illinois Comptroller's Office.
h.The FY 2021 Fiscal and Administrative Risk Assessment, also known as the Internal Control Questionnaire (ICQ), must be completed in the Illinois Grantee Portal.
i.The FY 2021 Programmatic Risk Assessment (PRA) must be completed using the following link http://www.dhs.state.il.us/page.aspx?item=121879 by the deadline listed in Box 17 of the Summary Information above.



E.Application Review Information
All applicants must demonstrate that the NOFO requirements are met as identified in Section C, #1, a - i.
1.Review and Selection Process Proposals will be reviewed by IDHS/DMH staff familiar with the requirements of the program including services to be performed in specified geographic locations, if applicable. Review team members will have no conflicts of interest and will read and evaluate proposals independently.
The maximum score is 50 points. All submissions will be reviewed, evaluated and based on the following criteria:


Criteria

Purpose

Score



Executive Summary

The purpose of this section is for the applicant to present the agency description, history, achievements,

service description, financial overview and future.
5


Capacity - Agency Qualifications/

Organizational Capacity

The purpose of this section is for the applicant to present an accurate picture of the agency's ability

to meet the program requirements.
10

Need - Description of Need

The purpose of this section is for the applicant to provide a clear and accurate picture of the need for these

services within the community and how the proposed project will address these needs.
5


Quality -

Description of Program Services

The purpose of this section is for the applicant to provide a detailed, clear and accurate picture of its intended

program design.
15

Data Collection, Evaluation and Reporting

To ensure accountability at all levels of service provision, IDHS is implementing the practice of performance-based

contracting with its Grantee agencies. The articulation and achievement of measurable outcomes help to ensure that

we are carrying out the most effective programming possible. At a minimum, Grantees will be expected to collect and

report data indicators and measures as described in this NOFO.
5

Resource Availability

Describe what resources and other knowledge, skill and abilities in addition to those specific to the duration of the

funding cycle the applicant possesses or will budget for in order to support the objective of this program. These may

include, but not limited to the availability of space like meeting rooms, space to carry out this program, etc.
10

2.Merit-Based Evaluation Appeal Process a.Competitive program grant appeals are limited to the merit-based evaluation process only. Evaluation scores cannot be protested.
b.An appeal must be submitted electronically, in accordance with the grant application document.
c.An appeal must be received within 14 calendar days after the date that the grant award notice has been published.
d.The written appeal shall include at a minimum the following: i.The name and address of the appealing party
ii.Identification of the grant
iii.A statement of reasons for the appeal

e.Appeals are to be submitted to Barb Roberson, via email, to the following address: Barb.Roberson@illinois.gov.
f.Response to appeal: i.IDHS/DMH will acknowledge receipt of an appeal within fourteen calendar days from the date the appeal was received by the applicant.
ii.The appealing party must supply any additional information requested by DHS/DMH within a reasonable time period.




F.Award Administration Information 1.State Award Notices
It is anticipated that Notices of State Award (NOSA) will be made in May 2020.

Applicants recommended for funding under this NOFO following the above review and selection process will receive a Notice of State Award (NOSA). The NOSA shall include:
a.The terms and conditions of the award.
b.Specific conditions assigned to the grantee based on the potential grantee answers on the Fiscal and Administrative Risk Assessment (ICQ), the Programmatic Risk Assessment and the Merit-Based Review.
c.The NOSA is not an authorization to begin services or incur costs.
d.Once grantee accepts the NOSA, announcement of the grant award shall be published by IDHS/DMH at www.grants.Illinois.gov. The grant agreement will also be published in the CSA Tracking System for signature.
e.A written Notice of Non-Selection shall be sent to the applicants not receiving awards.

2.Administrative and National Policy Requirements a.Applicants awarded these funds shall provide services as set forth in the IDHS grant agreement and shall act in accordance with all state and federal statutes and administrative rules applicable to the provision of the services including indirect cost rate requirements in Section B: Funding Information, #4 Indirect Cost Rate Requirements.
b.The legal agreement between IDHS and the successful applicant(s) will be the standard IDHS Uniform Grant Agreement. If selected for funding, the applicant will be provided an IDHS grant agreement for signature and return. A sample of the agreement may be found at http://www.dhs.state.il.us/page.aspx?item=29741.

3.Reporting
Reporting requirements for the grant agreement shall be in accordance with the requirements set forth in Section A, Payment Terms and Performance Measures and shall also comply with the requirements of Exhibits C and E of the Uniform Grant Agreement.



G.State Awarding Agency Contact(s) 1.IDHS encourages inquiries concerning this funding opportunity and welcomes the opportunity to answer questions from applicants. Questions from applicants and their respective answers (Q&A) will be posted at the following link: http://www.dhs.state.il.us/page.aspx?item=121998.
2.Questions about this NOFO, must be sent via email to Barb.Roberson@illinois.gov. The subject line of the email MUST state: "Provider Organization Name; Program 580; 21-444-22-0231-01; Barb Roberson".
3. Questions will only be accepted electronically. Those that are delivered by any other means will not be addressed.
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
Reporting requirements for the grant agreement shall be in accordance with the requirements set forth in the Short Description, Payment Terms and Performance Measures.

IDHS reserves the right to request additional information that could assist with its award decision. Applicants are expected to provide the additional information within a reasonable time period. Failure to provide the information could result in the rejection of the proposal.
The release of this Notice of Funding Opportunity does not compel IDHS to make an award.
This funding opportunity is considered a new application.

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 Each Applicant must maintain records which are consistent with their State laws and requirements.

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
Details18-444-22-0231-01$3193 - $114130403/20/2017 - 05/01/2017 : 12:00 pm
Details18-444-22-0231-01$3193 - $114130405/09/2017 - 05/22/2017 : 12:00 pm
Details18-444-22-0231-01$3193 - $114130406/01/2017 - 06/05/2017 : 12:00 pm
Details19-444-22-0231-01$0 - $3431812/29/2018 - 01/28/2019 : 5:00 pm
Agency IDGrantee NameStart DateEnd DateAmount
45CYB00016-45CYB00016ADVOCATE NORTHSIDE HEALTH NETWORK DBA ADVOCATE ILL07/01/201906/30/20201,520,788
45CYB00880-45CYB00880HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC. HRDI07/01/201906/30/20201,427,174
45CYB00750-45CYB00750ROSECRANCE, INC.07/01/201906/30/20201,204,095
45CYB00215-45CYB00215DUPAGE COUNTY HEALTH DEPARTMENT07/01/201906/30/2020691,041
45CYB00908-45CYB00908HABILITATIVE SYSTEMS, INC.07/01/201906/30/2020666,223