Psychiatric Medications (574)
CSFA Number: 444-22-0635
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 Grantee will purchase psychiatric medications for consumers who are in emergent situations and are likely, without needed medications, to require more expensive and intensive services (such as hospitalization). An emergent situation is defined as an immediate need for psychiatric medication to prevent exacerbation of psychiatric symptoms for an individual who is without the funds to purchase them, and is not eligible for Medicaid, or if eligible for Medicaid, is not able to immediately access these medications using the Medicaid benefit.


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
The Grantee will provide psychiatric medication to individuals who are considered in an emergent situation and have no resources with which to access necessary medications. The Grantee will exhaust all resources, including pharmaceutical assistance, samples provided by pharmaceutical companies, and Medicaid prior approval procedures, before accessing funds for payment of medications. The Grantee is required to spend no less than 85% of funds for the purchase of medications for these individuals.

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 consumers receiving medications funded through this program.
2. Number of consumers receiving medications funded through this program who have applied for Medicaid benefits in the last 24 months.
3. Number of consumers receiving medications funded through this program who are at 400% or below of the Federal Poverty Level (FPL).
4. Number of consumers receiving medications funded through this program who are not eligible for Medicaid (excluding retroactive eligibility).

Performance Standards
1. 95% of consumers receiving medications funded through this program have applied for Medicaid benefits in the last 24 months.
2. 90% of consumers receiving medications funded through this program are at or below 400% of the Federal Poverty Level (FPL).
3. 90% of consumers receiving medications funded through this program are not eligible for Medicaid (excluding retroactive eligibility).
Subject Area
Human Services
Program Function
Health
Enabling Legislation
405 ILCS30, the Mental Health Community Services Act
Objectives and Goals
Performance Requirements
The Grantee will provide psychiatric medication to individuals who are considered in an emergent situation and have no resources with which to access necessary medications. The Grantee will exhaust all resources, including pharmaceutical assistance, samples provided by pharmaceutical companies, and Medicaid prior approval procedures, before accessing funds for payment of medications. The Grantee is required to spend no less than 85% of funds for the purchase of medications for these individuals.
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;
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=120031. 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.Each applicant is required to list which county(ies) they intend to serve in Box 40 of the application, based on the table below:

County

Census

County

Census

County

Census

County

Census

County

Census



Adams
67,103 DuPage 916,924 Jo Daviess 22,678 Massac 15,429 Schuyler 7,544

Alexander
8,238 Edgar 18,576 Johnson 12,582 Menard 12,705 Scott 5,355

Bond
17,768 Edwards 6,721 Kane 515,269 Mercer 16,434 Shelby 22,363

Boone
54,165 Effingham 34,242 Kankakee 113,449 Monroe 32,957 Stark 5,994

Brown
6,937 Fayette 22,140 Kendall 114,736 Montgomery 30,104 Stephenson 47,711

Bureau
34,978 Ford 14,081 Knox 52,919 Morgan 35,547 Tazewell 135,394

Calhoun
5,089 Franklin 39,561 Lake 703,462 Moultrie 14,846 Union 17,808

Carroll
15,387 Fulton 37,069 La Salle 113,924 Ogle 53,497 Vermilion 81,625

Cass
13,642 Gallatin 5,589 Lawrence 16,833 Peoria 186,494 Wabash 11,947

Champaign
201,081 Greene 13,886 Lee 36,031 Perry 22,350 Warren 17,707

Christian
34,800 Grundy 50,063 Livingston 38,950 Piatt 16,729 Washington 14,716

Clark
16,335 Hamilton 8,457 Logan 30,305 Pike 16,430 Wayne 16,760

Clay
13,815 Hancock 19,104 McDonough 32,612 Pope 4,470 White 14,665

Clinton
37,762 Hardin 4,320 McHenry 308,760 Pulaski 6,161 Whiteside 58,498

Coles
53,873 Henderson 7,331 McLean 169,572 Putnam 6,006 Will 677,560

Cook
5,194,675 Henry 50,486 Macon 110,768 Randolph 33,476 Williamson 66,357

Crawford
19,817 Iroquois 29,718 Macoupin 47,765 Richland 16,233 Winnebago 295,266

Cumberland
11,048 Jackson 60,218 Madison 269,282 Rock Island 147,546 Woodford 38,664

DeKalb
105,160 Jasper 9,698 Marion 39,437 St Clair 270,056

De Witt
16,561 Jefferson 38,827 Marshall 12,640 Saline 24,913

Douglas
19,980 Jersey 22,985 Mason 14,666 Sangamon

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 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
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
Details18-444-22-0635-01$273 - $22496403/20/2017 - 05/01/2017 : 12:00 pm
Details18-444-22-0635-01$273 - $22496405/15/2017 - 05/22/2017 : 12:00 pm
Agency IDGrantee NameStart DateEnd DateAmount
45CYB00688-45CYB00688Chestnut Health Systems, Inc.07/01/201906/30/2020171,709
45CYB00714-45CYB00714Metropolitan Family Services07/01/201906/30/2020111,866
45CYB00748-45CYB00748ROSECRANCE, INC.07/01/201906/30/202096,991
45CYB03931-45CYB03931MCDERMOTT CENTER07/01/201906/30/202085,000
45CYB00700-45CYB00700GRAND PRAIRIE SERVICES07/01/201906/30/202072,939