Capitated Community Care (410)
CSFA Number: 444-22-0632
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 services and supports funded by these contracts consist primarily of the services of the Medicaid Community Mental Health Services Program (Rule 132) (or its successor) but can also include any other services or supports the community mental health Grantees determine to be needed to achieve the recovery goals of the individual and avoid more restrictive and expensive services. It is expected, that at a minimum, 80% of the services provided to Crisis Care System (CCS) consumers will be services defined by 59 Ill. Adm. Code 132 (Rule 132) (or its successor). The Grantee may use 20% of the funding allocated flexibly for other services and supports that are tailored to meet the needs of the CCS consumer per the consumer’s treatment plan.

Deliverables
The participating community mental health services Grantee ensures every individual determined to be eligible for CCS is registered with the designated identifier in the DHS/DMH consumer registration/enrollment information system and is required to abide by DMH policy on submission of claims/encounters.
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 4.2 Return of Grant Funds and 4.3 Cash Management Improvement Act of 1990. Payment will be issued monthly and reconciled with reported allowable expenses. Grantee shall submit a quarterly Periodic Financial Report (GOMBGATU-4002 (N-08-17)) to the appropriate email address below no later than November 1, February 1, May 1, and August 1. 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

DMH reporting templates and detailed instructions for submitting reports 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 template:
1. Number of individuals referred
2. Number of individuals seen face-to-face within 24 hours of referral
3. Number of individuals for whom application was submitted for Medicaid eligibility
4. Total number of consumers being treated at the provider agency.
5. Number of admissions to State Hospital for psychiatric care at 30 days (i.e., no presentations to a state hospital or community hospital emergency department or psychiatric unit) The 30-day readmission rate will be calculated by using the total number of consumers being treated by the provider.
6. Number of CCS eligible individuals transitioned.
7. Number of CCS eligible individuals transitioned to appropriate services or DHS/DMH service benefit packages following twelve months of services and supports (presumes consumer acceptance)
8. Number of services delivered
9. Number services delivered defined in Rule 132.
10. Number of individuals for whom registrations were submitted.
11. Number of individuals for whom registrations were submitted according to DMH policy.

Performance Standards
1. 100% of individuals seen face-to-face within 24 hours of referral
2. 100% of individuals screened for Medicaid eligibility
3. 30-day “readmission” rate (i.e., no presentations to a state hospital or community hospital emergency department or psychiatric unit) is less than or equal to 6.7%
4. 80% of services delivered were defined in Rule 132
5. 100% of registrations submitted according to DMH policy
Subject Area
Human Services
Program Function
Health
Enabling Legislation
The Mental Health Community Services Act (405 ILCS 30/) (from Ch. 91 ½, par. 901) Section 2
Objectives and Goals
Deliverables
The participating community mental health services Grantee ensures every individual determined to be eligible for CCS is registered with the designated identifier in the DHS/DMH consumer registration/enrollment information system and is required to abide by DMH policy on submission of claims/encounters.
Reporting Requirements:
1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.

Funding Information
This NOFO is considered a competitive application for funding. It is not a guarantee of funding.
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
Types of Assistance
Direct Payments for Specific Use
Uses and Restrictions
Funding for this award will come from the State's General Revenue Fund and does NOT have a match or cost sharing requirement.

Funding Restrictions
DHS/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.

Allowable Costs
Allowable costs are those that are necessary, and reasonable and permissible under the law and can be found in 2 CFR 200 - Subpart E - Cost Principles.

Unallowable Costs
Please refer to 2 CFR 200 - Subpart E - Cost Principles to see a collection of unallowable costs.

Indirect Cost Rate Requirements
Please refer to 2 CFR 200.414 regarding Indirect (F&A) Costs.

In order to charge indirect costs to a grant, agencies must have an annually negotiated indirect cost rate agreement (NICRA). There are three types of NICRAs: a. Federally Negotiated Rate; b. State Negotiated Rate and c. De Minimis Rate

5. Renewals
This program is a 12 month contract with 2, one-year renewal options. Renewals are at the discretion of the DHS/DMH and are contingent on the meeting the following criteria:
a. Applicant has performed satisfactorily during the past six months; b. All required reports have been submitted on time, unless a written exception has been provided by the Division; and c. No outstanding issues are present (i.e. in good standing with all pre-qualification requirements and no outstanding corrective action, etc.)

This program was competitively bid through the Notice of Funding Opportunity (NOFO) process in FY 2018 with 2 one-year extensions. FY 2021 will be considered competitive opportunity.
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;
Application and Award Processing
a. Application Packet
Each applicant must have access to the internet. Applicants may obtain this application form at the Division's Grant Information website http://www.dhs.state.il.us/page.aspx?item=121788 . Questions and DMH Responses will also be posted on this website. It is the responsibility of each applicant to monitor that website and comply with any instructions or requirements relating to the NOFO.
b. Application Procedure/Content and Form of Application Submission
i. 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.

e. Award Procedure
i. Applicants process will receive a Notice of State Award (NOSA). The NOSA shall include:
1) The terms and conditions of the award.
2) 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 Reviews.
ii. The NOSA is not an authorization to begin services or incur costs.
iii. 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.

f. Renewals
i. Renewals are at the sole discretion of the IDHS and are contingent on meeting the following criteria:
ii. Applicant has performed satisfactorily during the most recent past-funding period;
iii. All required reports have been submitted on time, unless a written exception has been provided by the Division;
iv. No outstanding issues are present (i.e. in good standing with all pre-qualification requirements); and
v. Funding for the budget year has been appropriated in the state's approved fiscal year budget.
g. Administrative and National Policy Requirements
i. 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.
ii. 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.
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
Details18-444-22-0632-01$24199 - $94160003/20/2017 - 05/01/2017 : 12:00 pm
Details18-444-22-0632-01$24199 - $94160005/17/2017 - 05/22/2017 : 12:00pm
Agency IDGrantee NameStart DateEnd DateAmount
45CYB03382-45CYB03382HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC. HRDI07/01/201906/30/2020965,140
45CYB03032-45CYB03032GRAND PRAIRIE SERVICES07/01/201906/30/2020615,000
45CYB03035-45CYB03035Metropolitan Family Services07/01/201906/30/2020590,810
45CYB00859-45CYB00859Sinnissippi Centers, Inc.07/01/201906/30/2020316,396
45CYB03036-45CYB03036HELEN WHEELER CENTER FOR07/01/201906/30/2020206,717