Integrated Health Care (760)
CSFA Number: 444-22-0643
Agency Name
Department Of Human Services (444)
Agency Identification
DMH
Agency Contact
Barb Roberson
217-557-5876
Barb.roberson@illinois.gov
Short Description
Exhibit A – Scope of Services
This funding will be used for the enhancement of integrating physical and behavioral health care by building local community-based infrastructures that will allow the Colbert and Williams community mental health Grantees better access and information to evaluate and coordinate total physical health care and behavioral health care. This infrastructure will assist individuals to maintain optimal wellness in the community setting. Persons with mental illnesses have a higher predominance of health care challenges. Attention to their mental illnesses cannot be separated from attention to their physical health. An integrated approach will assure both critical needs to wellness are addressed at the same time, through a coordinated effort.

Exhibit B – Deliverables
The Grantee will be required to submit, to DHS/DMH regional contract manager for approval, a description of their plan to integrate health care with ongoing mental health service delivery.
The plan must specify:
1. Number of professional medical staff positions to be employed
2. Job descriptions and qualifications for each identified position
3. Identification of key health care indicators to be collected, such as percentages of Class Members with complex co-morbid medical conditions, such as cardiac issues, Chronic Obstructive Pulmonary Disease (COPD), sleep apnea, diabetes, hypertension, obesity, etc.
4. Time frames for monitoring and follow-up visits
5. Track measures for unscheduled Emergency Room (ER) visits, hospitalizations, and deaths
Reporting Requirements:
1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.

Exhibit C – 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.DMHColbertInvoices@illinois.gov


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

Exhibit E – 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 professional medical positions identified to be employed.
2. Number of professional medical positions employed.
3. Number of completed job descriptions with qualifications on file.
4. Number of unduplicated Class Members referred to Integrated Health Care staff.
5. Number of unduplicated Class Members seen by Integrated Health Care staff during the first 30 days, post transition from the NF/IMD.
6. Number of Class Members with high risk health challenges.
7. Number of Class Members with high risk health challenges seen on a weekly basis by a RN for nursing assessments (blood pressure checks, blood sugar, weight, etc.).
8. Number of Class Members scheduled for routine annual medical evaluation visits.
9. Number of Class Members scheduled for specialty health care visits.
10. Number of Class Members scheduled for specialty health care visits seen in the scheduled month.
11. Number of Class Members who had an unscheduled ER visits.
12. Number of Class Members who had an unscheduled ER visit seen for a follow up visit by the RN within three days.
13. Number of Class Members whose ER visit resulted in a medical hospitalization.
14. Number of Class Members whose ER visit resulted in a medical hospitalization who were seen by the RN within three days, post discharge.
15. Number of Class Members who did not consent to an RN visit after hospitalization or ER visit.
16. Number medical consultations attempted for Class Members who did not consent to an RN visit after hospitalization or ER visit.
17. Number of Reportable Incidents due to health care complications.
18. Number of Reportable Incidents forms submitted for all incidents due to health care complications.
19. Number of Reportable Incidents due to death.
20. Number of Reportable Incident forms submitted for incidents due to death.

Exhibit F – Performance Standards
1. 100% of positions identified for employment were filled.
2. 100% of job descriptions with staff qualifications are on file.
3. 100% of unduplicated Class Members referred to Integrated Health Care staff seen during the first 30 days, post transition from the NF/IMD.
4. 100% of Class Members with high risk health challenges seen weekly by RN for nursing assessments (blood pressure checks, blood sugar, weight, etc.).
5. 100% of Class Members scheduled with Integrated Health Care had a routine annual medical evaluation visit.
6. 100% of Class Members scheduled for a specialty health care visit were seen in the scheduled month.
7. 100% of Class Members who had an unscheduled ER visit had a follow up visit by the RN within three days.
8. 100% of Class Members whose ER visit resulted in a medical hospitalization were seen by the RN within three days, post discharge.
9. 100% medical consultations were attempted for any Class Member who did not consent to an RN visit after hospitalization or ER visit.
10. 100% Reportable Incident forms submitted for all incidents due to health care complications.
11. 100% Reportable Incident forms submitted on all deaths.
Subject Area
Human Services
Program Function
Health
Enabling Legislation
Mental Health Community Services Act (405 ILCS 30/)

20 ILCS 1705 Sect. 73(a)
Objectives and Goals
The Williams and Colbert Community Mental Health Providers will enhance the integration of physical and behavioral health care of Williams and Colbert clients. This will assist individuals to maintain optimal wellness in community settings. Providers may hire health care positions, schedule routine and annual medical visits at medical facilities, and other medical needs appointments. Persons with mental illnesses have a higher predominance of health care challenges. Attention to their mental illnesses cannot be separated from attention to their physical health.
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 2019 with 2 one-year extensions. FY 2022 will be considered competitive opportunity.
Eligibility Requirements
1. Be certified by IDHS as a Community Mental Health Provider or a Community Mental Health Center;
2. Be in good-standing with the Illinois Secretary of State (not applicable to governmental entities)
3. Not be on the Federal Excluded Parties List;
4. Not be on the Illinois Stop Payment list;
5. Not be on the Department of Healthcare and Family Services Provider Sanctions List;
6. Complete one Fiscal and Administrative Risk Assessment (ICQ);
7. Complete a Programmatic Risk Assessment for each competitive program;
8. Register and access both the Illinois Department of Human Services Community Service Agreement (CSA) tracking system and the Centralized Repository Vault (CRV);
9. Obtain a Dun and Bradstreet University Numbering System (DUNS) number. The DUNS number does not replace an Employer Identification Number. DUNS numbers may be obtained at no cost by calling the DUNS number request line at (866) 705-5711 or by applying online: DUNS Request Service. It is recommended that service providers register at least 30 days before the application due date.
10. Register with the System for Award Management (SAM) and maintain an active SAM registration until the application process is complete, and if a grant is awarded, throughout the life of the award. SAM registration must be renewed annually. It is recommended that service providers finalize a new registration or renew an existing one at least two weeks before the application deadline to allow time to resolve any issues that may arise. Applicants must use their SAM-registered legal name and address on all grant applications to DHS/DMH.
Eligible Applicants
Government Organizations; Nonprofit Organizations;
Application and Award Processing
1. 3 page Uniform Application for State Grant Assistance completed, signed and dated.
2. Uniform Grant Budget completed and submitted in the CSA tracking system
3. Notice of State Award to be accepted or declined. The NOSA shall include:
a. The terms and conditions of the award.
b. Specific conditions assigned to the grantee based on the fiscal and administrative, programmatic risk assessments and merit-based review conditions.
c. The NOSA is not an authorization to begin performance or incur costs.
d. Upon acceptance of the NOSA, announcement of the grant award shall be published by the awarding agency to www.Grants.Illinois.gov
4. Grant Agreement prepared in CSA Tracking system
5. Grant Agreement signed by Grantee and returned to DHS
6. Grant Agreement signed by DHS
7. Grant Agreement obligated at Comptroller Office

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
a) Reporting
The Grantee shall report quarterly allowable grant expenses on the appropriate DMH reporting template to the DMH program contact no later than November 1, February 1, May 1, and August 1, and reported expenses should be consistent with the submitted annual grant budget. If any budget variances are noted, the DMH program contact may request that the provider submit a revised grant budget before subsequent monthly payments will be made. DMH program contacts and reporting templates can be found in the Provider section of the DHS website.

The Grantee shall report quarterly performance on the appropriate DMH reporting template to the DMH program contact no later than November 1, February 1, May 1, and August 1. DMH program contacts and reporting templates can be found in the Provider section of the DHS website.

b) Audits
Grantee shall be subject to the audit requirements contained in the Single Audit Act Amendments of 1996 (31 USC 7501-7507) and subpart F of 2 CFR Part 200, and the audit rules set forth by the Governor’s Office of Management and Budget. See 30 ILCS 708/65(c).

c) Records
Grantee shall maintain for three (3) years from the date of submission of the final expenditure report, adequate books, all financial records and, supporting documents, statistical records, and all other records pertinent to this Award, adequate to comply with 2 CFR 200.333, unless a different retention period is specified in 2 CFR 200.333. If any litigation, claim or audit is started before the expiration of the retention period, the records must be retained until all litigation, claims or audit exceptions involving the records have been resolved and final action taken.




Regulations, Guidelines, Literature
Title 59: Mental Health of the Administrative Code

2 CFR 200/45 CFR Part 75 Uniform Administrative Requirements, Cost Principles, and Audit Requirements

DHS/DMH Attachment B
DHS/DMH Program Manual
Federal Funding
None
Notice of Funding Opportunities
Agency IDAward RangeApplication Range
Details19-444-22-0643-01$31614 - $50232102/02/2018 - 03/12/2018 : 5:00 pm
Details19-444-22-0643-02$31614 - $58417705/01/2018 - 05/04/2018 : 5:00 pm
Agency IDGrantee NameStart DateEnd DateAmount
45CYB03459-45CYB03459THE THRESHOLDS07/01/201906/30/2020598,260
45CYB04007-45CYB04007THE THRESHOLDS07/01/201906/30/2020561,570
45CYB04008-45CYB04008TRILOGY, INC.07/01/201906/30/2020365,147
45CYB03460-45CYB03460TRILOGY, INC.07/01/201906/30/2020330,603
45CYB03375-45CYB03375GRAND PRAIRIE SERVICES07/01/201906/30/2020247,249