NOFO 19-444-26-2007-01 Digital Toolkit Recovery Support - SOR

Helping Families. Supporting Communities. Empowering Individuals.

Summary Information

1. Awarding Agency Name: Illinois Department of Human Services
2. Agency Contact:

Joseph Tracy

joseph.tracy@illinois.gov

3. Announcement Type: Initial announcement
4. Type of Assistance Instrument: Grant
5. Funding Opportunity Number: 19-444-26-2007
6. Funding Opportunity Title: Digital Recovery Support Toolkit - SOR Grant
7. CSFA Number: 444-26-2007
8. CSFA Popular Name: Digital Recovery Support Toolkit --- SOR
9. CFDA Number(s): 93.788
10. Anticipated Number of Awards: 5-8
11. Estimated Total Program Funding: $1,000,000
12. Award Range A single application budget may not exceed $200,000
13. Source of Funding: Federal
14. Cost Sharing or Matching Requirement: No
15. Indirect Costs Allowed Yes
Restrictions on Indirect Costs 2 CFR 200
16. Posted Date: March 4, 2019
17.Application Range: March 4, 2019 - April 2, 2019.
18. Technical Assistance Session: No

A. Program Description

Purpose

Digital Recovery Support Toolkit - SOR Grant.

The purpose of this Notice of Funding Opportunity (NOFO) is to pilot the use of Digital Recovery Support Toolkit to enhance and support individuals in long term recovery from opioid use disorders (OUD)Interested organizations can utilize and/or expand existing digital recovery supports or develop a new recovery-oriented digital toolkit that support long-term recovery. A digital toolkit is defined by IDHS/SUPR as a collection of individualized digital resources, online or not (e.g. webpages, videos, chat rooms, secure texting or one-way texting, secure evidence-based applications, etc.) that are developed and/or collected and presented as a recovery support to individuals in or seeking recovery. This NOFO will not fund the development of new "apps", defined as web-based or mobile applications.

Definitions:

  • Recovery - A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. (SAMHSA Working Definition, https://store.samhsa.gov/product/SAMHSA-s-Working-Definition-of-Recovery/PEP12-RECDEF)
  • Recovery Community Organization (RCO) - RCOs are independent, non-profit organizations led and governed by representatives of local communities of recovery. (More information at https://facesandvoicesofrecovery.org/resources/recovery-community-organizations.html, note the "RCO Toolkit.")
  • Recovery Oriented System of Care (ROSC) - SAMHSA defines ROSC as a "coordinated network of community-based services and supports that is person-centered and builds on the strength and resilience of individuals, families, and communities to achieve abstinence* and improved health, wellness and quality of life for those with or at risk of alcohol and drug problems." (https://www.samhsa.gov/sites/default/files/rosc_resource_guide_book.pdf) *Note that abstinence is in the SAMHSA ROSC definition, but others have replaced "abstinence" with "recovery".
  • ROSC Council - Local ROSC Councils are defined by IDHS/SUPR as local membership organizations that seek to improve the local ROSC and participate in the statewide ROSC Council. Membership includes individuals that live in the community as well as local hospitals, primary care, mental health, law enforcement, local business owners, local government representatives and policy makers, persons with lived experience and SUD intervention, treatment, prevention and recovery support service providers. The size and scope of the community is defined by the ROSC Council. ROSC Council leadership and organization styles may vary, but usually include one or more leaders or "champions" that provide influence and direction. In order to facilitate communication to and from the ROSC Council, each ROSC Council identifies an "organizational representative" as its main contact.
  • Medication Assisted Therapy - Medication Assisted Therapy (MAT) is the use of one of three FDA-approved medications coupled with behavioral therapy and supportive services and is a highly effective way of treating opioid use disorder. Each of the three medications - buprenorphine, methadone and naltrexone - is covered by Medicaid in Illinois.

Background

In June 2018, the Substance Abuse and Mental Health Services Administration (SAMHSA) issued Funding Opportunity Announcement #TI-18-015, State Opioid Response Grants (SOR). This SAMHSA grant program aims to address the opioid crisis by increasing access to medication-assisted treatment (MAT) using the three FDA-approved medications for the treatment of OUD, reducing unmet treatment need, and reducing opioid overdose-related deaths through the provision of prevention, treatment and recovery activities for OUD (including prescription opioids, heroin, and illicit fentanyl and fentanyl analogs).

On August 14, 2018, the Illinois Department of Human Services, Division of Substance Use Prevention and Recovery (IDHS/SUPR) submitted an application in response to SAMHSA FOA #TI-18-015. This application proposed a comprehensive continuum of OUD outreach, referral to MAT, recovery support, and prevention services in response to the critical nature of the opioid crisis in Illinois. Decisions regarding the service components of this continuum were based on input from the strategic plan developed during Year 1 of Illinois's Opioid - State Targeted Response (STR) grant, and on learnings and experience gained from implementation of Opioid-STR services. IDHS/SUPR received notice of an Opioid-SOR grant award on September 20,2018.

Need for Digital Recovery Support

While various population groups and areas of the State of Illinois have been differentially impacted by opioid use-related problems, virtually all communities and residents of our state have in some way been impacted by the opioid crisis. Perhaps none of the problems associated with the national opioid crisis have heightened the general public's awareness as much as the dramatic increase in opioid overdose deaths. From 1999 to 2016, more than 350,000 Americans died from an overdose involving any opioid. In 2016, there were about 42,000 opioid-related overdose deaths in this country which was about five times higher than the comparable number in 1999 (Centers for Disease Control and Prevention, 2018). Like most states, Illinois has experienced a notable increase in drug overdose deaths that can primarily be attributed to an increase in opioid overdose deaths. Death records obtained from the Illinois Department of Public Health (IDPH) showed 2,110 drug-related overdose deaths during 2017. Based on their review of multiple national databases, the Centers for Disease Control (CDC) has concluded that for everyone opioid overdose death there are 130 individuals who have some form of OUD. If this estimation is applied to Illinois, it can be projected that there are over 250,000 persons in our state with an OUD.

SAMHSA estimates that there are approximately 2.5 million patients who need specialty treatment for OUD, but only a small fraction of this population are able to access it (Park-Lee, E., Lipari, R. N., Hedden, S. L., Kroutil, L. A., & Porter, J. D. 2017, September, Receipt of services for substance use and mental health issues among adults: Results from the 2016 National Survey on Drug Use and Health. NSDUH Data Review. Retrieved from https://www.samhsa.gov/data/). As more federal resources target the opioid epidemic, and as access to treatment and recovery services increase, there will be a concomitant need for resources that support individuals in their recovery. Recovery support services such as Recovery Coaches and Peer Recovery Support have become more popular and have become a tool in the armory of SUD treatment although there is minimal insurance coverage for these services.

Hendry, Hill, and Rosenthal (2014) define Addiction Recovery Coaches or Mentors as "personal guides, mentors, and role models for individuals seeking to achieve or sustain long term recovery from addiction regardless of their pathways to recovery." Recovery Coaches, Peer Recovery Support Specialists, and other individuals who provide recovery support services are becoming an essential part of the arsenal to support the recovery process, since they focus on issues that can be challenges for someone new to recovery such as housing and employment. The recovery process can be overwhelming since the brain of an individual with SUD's is healing at its own pace, sometimes working with, and sometimes against, recovery. Recovery coaches can provide formal and informal connections within communities, and a variety of recovery supporting activities, such as "sober escort/transport, in-home meetings, live-in recovery support, telephone or internet-based recovery coaching, linkage to recovery support meetings, transportation to meetings, co-attendance at meetings, facilitation of virtual recovery groups, facilitation of daily readings, step work, meetings with families guidance on daily journaling, leisure activities, and daily nutrition."

In spite of the potential growth of Recovery Support Services, due to the variety of demographics impacted by the opioid epidemic, the need for recovery supports across all areas of Illinois presents a challenge. The use of digital tools has the potential to address these challenges in a similar way that the digital tools have addressed treatment access challenges found in MAT deserts. However, the use of technology can also pose potential issues that have not yet been well monitored.

A variety of digitally based tools and applications to address or support recovery from Substance Use Disorders have appeared on the market. According to Glenn and Monteith (2014), "As of 2012, there were about 13,000 health apps for consumers on the Apple AppStore, of which 5.8 % were related to mental health, 4.13 % to sleep, and 11.44 % to stress and relaxation". This trend continued to grow in 2013 with 14,000 health apps available, 558 of which were for mental health and behavioral disorders.

Since the majority of these applications are not classified as medical devices, they do not require FDA approval, nor do HIPAA regulations apply. This has created a wealth of behavioral health data gathered by these apps, that is not controlled by existing confidentiality rules. The data is managed by the software vendor and as such can be sold to third party sites for analytics and advertising services.

In spite of this concern, clients are driven by need to seek recovery supports on their own. Naslund, Grande, Aschbrenner, and Elwyn (2014) found that people with severe mental health issues sought peer support on YouTube regardless of the lack of anonymity and associated risks of being identified. They found that individuals sought recovery support across four themes: minimizing a sense of isolation and providing hope; finding support through peer exchange and reciprocity; sharing strategies for coping with day-to-day challenges of severe mental illness; and learning from shared experiences of medication use and seeking mental health care. Dugdale, Elison, Davies, Ward, and Jones, (2016) have identified a significant growth in the availability of online resources dedicated to treatment and recovery from substance misuse, including online interventions and mutual-aid groups and forums. They found that individuals in one particular stage of recovery, early stage "working towards recovery", sought therapeutic online resources. Dugdale, et. al. found forums to be the greatest online accessed resource, but also found a potential interaction between offline and online resources. For example, online resources may provide initial contact information for offline recovery meetings, or in-person support with developing digital skills could facilitate access to online resources. Even though there are potential benefits from online recovery resources, "there is limited signposting advice to direct people to appropriate online treatment and recovery resources for their substance misuse…" Several online recovery support categories were identified including: therapeutic resources such as SMART, 12 step, In the rooms; forums such as Facebook, Twitter, Soberistas, Club soda, Hello Sunday Morning; information such as NHS, DrugScope Daily, Deirdre Boyd, William White, Russell Webster, Youtube, Drink and Drugs News, Film Exchange on Alcohol and Drugs, Treatment provider; harm reduction such as Bluelight, EROWID, Frank, DAN24/7, Know the score; and others, such as family and friends.

According to the Pew Research Center 2018 Internet & Technology Factsheet (Pew, 2018) the majority of people living in the United States (95%) now own a cellphone. The rate of Americans that own a smartphone has grown 42% since the Center's first survey of cellphone ownership in 2011, with77% of individuals in the United States owning a smartphone. Cellphone ownership crosses a variety of demographic groups, by age, income, ethnicity, etc., but in contrast, smartphone ownership exhibits greater variation. Reliance on smartphones for online access is especially common among younger adults, non-whites, and lower income Americans. According to U.S. Census data (retrieved from: https://www.census.gov/quickfacts/fact/table/il/INT100217), from 2013-2017, 78.4% of households in Illinois had a broadband internet subscription which includes smartphones, laptops, tablets, and personal computers.

There is still a lack of research that can support the identification of evidence-based practices in this sphere. Only two mobile applications have been classified as Evidence-Based Practices. The ReSET mobile application has been found to increase time in outpatient treatment and was recently approved by the U.S. Food and Drug Administration as a mobile medical application for individuals with OUD (retrieved from: https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm576087.htm). The other application is a web-based program, CBT4CBT, which uses media to teach cognitive behavioral skills, and has been shown to be as effective as offline self-guided programs (retrieved from: https://www.drugabuse.gov/news-events/latest-science/computer-assisted-delivery-cognitive-behavioral-therapy-efficacy-durability-cbt4cbt-among-cocaine).

Inclusion of Digital Toolkits in Illinois' SOR Grant Goals and Objectives

The grants that will be funded through this NOFO are consistent with the below SAMHSA-funded Illinois Opioid-SOR award goal and objective:

  • Project Goal 2 - Increase the availability of evidence-based information, outreach, linkage/referral, medication-assisted treatment (MAT), recovery support, and prevention services that are available for Illinois residents with opioid use disorders (OUD),
  • Project Objective 2.9 was included to increase use of evidence-based mobile recovery support applications among persons admitted to IDHS/SUPR-licensed services, particularly those persons with an Opioid Use Disorder receiving MAT.

IDHS/SUPR has allocated $1,000,000 per SOR project year to fund between five to seven community-based organizations to implement the digital toolkit project with their clients who are participating in Medication Assisted Therapy (MAT). There is a maximum funding award of $200,000 for a single application per SOR project year. A minimum of 75 clients must be served for maximum awards. The minimum number of clients served will be prorated for awards less than the maximum amount.

Eligible applicants include but are not limited to SUD treatment organizations licensed by IDHS/SUPR, Recovery Oriented System of Care Councils, Recovery Community Organizations, or local public health departments.

IDHS/SUPR is committed to supporting the development of digital recovery supports at the local level that can support recovery in communities impacted by the opioid epidemic. These projects will develop digital recovery support toolkits to support their clients within specified sites and particular client demographics.

Performance

Successful applicants will be responsible for researching and collecting digital recovery support resources to present individualized digital toolkits for specific client demographic types and their families that will support and enhance their recovery. While we are seeking responses consistent with the overall intent of the NOFO, we encourage innovative solutions consistent with current literature and known evidence-based practices. New approaches to partnerships with indigenous recovery supports that can be made more accessible through digital means, collaborations with Recovery Community Organizations, the use of a variety of digital platforms, or other concepts are encouraged. Award funds are expected to be used to gather and use digital recovery resources that can support clients who may or may not be in treatment (for example RCO clients) during all hours, after service completion, etc. Funds are not to be used to develop new mobile applications but may be used to implement the use of existing evidence-based mobile applications among the applicant's clients. Sustainability of these resources after the current SOR funding source ends should be a key consideration.

Successful applicants will demonstrate a keen understanding of their clients' technology ownership and use, can demonstrate how that information will drive their implementation of digital toolkits, can demonstrate how they can individualize toolkits and integrate them with current treatment approaches (if clients are in treatment) to support recovery, include others supportive of a clients' recovery including family needs, and assure digital information security.

Successful applicants will be responsible for the administration of the baseline version of the SAMHSA/CSAT GPRA data collection to each patient admitted to the funded RSC service. The applicant will also be responsible for completion of the CSAT/GPRA tool at the time of discharge from RSC services. IDHS/SUPR will provide training on the administration and completion of these SAMHSA/CSAT GPRA tool versions, along with instructions for the submission of completed tools.

Successful applicants will also be responsible for collaborating with an IDHS/SUPR-contracted organization that will be responsible for administering the CSAT GPRA tool to admitted patients at three-month and six-month post-admission follow-up. This collaboration will primarily consist of assisting the contractor in establishing an initial introduction regarding the follow-up process and collecting locating information that will be used by the contractor in contacting patients at time of follow-up.

Each applicant will define the specific client population that will be offered digital recovery support in addition to Opioid Use Disorder treatment and/or recovery support services. The digital recovery support may consist of a variety of online tools that are supportive of client recovery either in or out of treatment. Each applicant must include the following key components:

  • Identification or development of online digital recovery support tools which may include: blogs, videos, chats, online recovery support content, one-way text communication, etc., that are appropriate for the Opioid Use Disorder (OUD) client population served.
  • Compilation of tools into a digital recovery "toolkit" that can be easily accessed by clients.
  • Verification that the identified tools are private (such as private Facebook pages) and that identity protection was offered to the client.
  • Quarterly testing of all tools to assure that they are up to date and active digital resources.
  • For online and provider-based resources, due diligence to assure that applications are HIPAA and 42CFR Part 2 compliant.
  • For digital resources that providers will manage, such as a private Facebook page, documentation of security measures (similar to what would be expected of an EHR)
  • For online applications, due diligence to assure that they are evidence-based and provide the needed functionality for the population served
  • An education plan for clients on the use of their digital toolkit
  • Access and delivery of client education on the use of technology and digital recovery support tools
  • Access to technology within or by the organization for clients with limited access to technology and ability to monitor and maintain inventory as per organizational policies.
  • Staffing plan that assures digitally proficient staff are compiling recovery support tools and working with counseling staff to support client use
  • Description of how the organization will integrate digital recovery support tools into treatment for those clients that are in treatment and how it will support access for clients who are no longer receiving OUD treatment services or who are only receiving recovery support services.
  • Description of how the organization will develop an internal digital champion; this is the person or team that will provide education and leadership within the organization to assure integration with other treatment and recovery services
  • Required key team member(s) to participate in a learning collaborative
  • Ability to assess the extent that digital recovery tools are incorporated into treatment and recovery services and the ability to assess their use by clients.

Deliverables

Successful applicants will be responsible for the following deliverables and associated timelines:

  • Delivery of services within the first 30 days of receiving the award, consistent with the submitted implementation plan.
  • Successful applicants will ensure submission of monthly reports, monthly expenditure reports, Periodic Performance Review forms, and other forms/reports as developed, to necessitate compliance with federal award requirements and approval by IDHS/SUPR on a timely basis.
  • The report format will be developed by IDHS/SUPR to be compliant with SAMHSA -SOR grantee reporting requirements as stated in the federal FOA, and which may be communicated to state grantees by SAMHSA post-award. IDHS/SUPR will provide directions for the completion of these reports and their submission. The monthly reports will be due within 15 calendar days of the end of the reporting month.
  • Successful applicants will be responsible for the administration of the baseline version of the SAMHSA/CSAT GPRA data collection to each patient admitted to the funded RSC service. The applicant will also be responsible for completion of the CSAT/GPRA tool at the time of discharge from RSC services. IDHS/SUPR will provide training on the administration and completion of these SAMHSA/CSAT GPRA tool versions, along with instructions for the submission of completed tools.
  • Successful applicants will also be responsible for collaborating with an IDHS/SUPR-contracted organization that will be responsible for administering the CSAT GPRA tool to admitted patients at three-month and six-month post-admission follow-up. This collaboration will primarily consist of assisting the contractor in establishing an initial introduction regarding the follow-up process and collecting locating information that will be used by the contractor in contacting patients at time of follow-up.
  • Successful applicants will ensure that an IDHS Recipient Identification Number (RIN) is assigned to each patient admitted to an RSC. The IDHS RIN will be used as the unique non-identifying number for all baseline and follow-up data collection tools.
  • Successful applicants will be expected to participate in additional information and data collection activities that will be associated with a process evaluation of the development, implementation, and functioning of this Illinois Opioid-SOR funded program.
  • Successful applicants will identify key staff who will attend any required meetings and will serve as the organizational representative for reporting and communications.
  • Successful applicants will be expected to participate in site visits by IDHS/SUPR or contractor staff that will include sample reviews of client records involved in the project.

B. Funding Information

  1. This grant program is 100% Federally-funded. Funding for this award will come from the SAMHSA SOR grant award to IDHS/SUPR and does not have a match requirement. This NOFO is considered a new application.
  2. Subject to appropriation, the project period will begin upon the execution of the grant agreement and will continue through September 29, 2020, contingent upon Federal funding conditions. Award amount maybe adjusted based upon funds available as well as award start date.
  3. Pre-award costs for services in anticipation of an award are not allowable.
  4. All reimbursed expenditures are subject the IDHS/SUPR post-payment audit. Any reimbursed expenses that cannot be verified or reconciled with applicable billing reports may result in recoupment. Any applicant who meets or exceeds the DHS State funding threshold shall submit an annual audit. Applicants who are under this established threshold are required to have an annual financial statement on file.
  5. Applicants may submit more than one proposal; however, only one site may be included in a single application. Applicants should submit one complete application per site for consideration.
  6. All Subcontractor Agreement(s) must be approved by IDHS/SUPR. Subcontractors are subject to all provisions of the Agreement(s). The successful applicant agency shall retain sole responsibility for the performance of the subcontractor.
  7. The release of this NOFO does not obligate IDHS to make an award.

Letter of Intent

A letter of intent is requested to allow Division staff to estimate the potential review workload and plan the review. The letter is not required, is not binding, and does not enter into the review of a subsequent application.

Applicants are requested to submit a letter of intent on or before March 15, 2019, and should include the following:

  • Number and title of this funding opportunity
  • A brief description of the proposed project
  • Name, email address and telephone number(s) of the lead agency contact

The letter of intent should be sent to Joseph.Tracy@illinois.gov

The Agency, Opportunity Number and the label "LOI" (letter of intent) must be in the subject line. Specifically, the subject line must be:

* Your Organization Name, 19-444-26-2007-01, LOI

C. Eligibility Information

Eligible applicants include but are not limited to SUD treatment organizations licensed by IDHS/SUPR, Recovery Oriented System of Care Councils, Recovery Community Organizations, or local public health departments. Awardees must show they are committed to supporting persons involved in any form of MAT achieve recovery from Opioid Use Disorder. The entity will also need demonstrate that it is able to perform the services submitted in response to this NOFO.

To be eligible to receive funding under this Notice of Funding Opportunity (NOFO), the applicant must be:

  • In good standing with all State and federal tax entities;
  • Certified and in good standing as a vendor with the Illinois Office of the Comptroller
  • In good standing with IDHS/SUPR which means that the applicant, if licensed, has demonstrated ability to meet all applicable requirements specified in Part 2060 as verified through any or all of the following: verbal interview; absence of IDHS license or funding sanctions; or site visit/inspection or post-payment audit determined to be in substantial compliance.

All applicants are required to provide the requested information as outlined in this NOFO to be considered for funding. Successful proposals will serve as the basis for the applicant's program plan and budget for the SFY2019 grant period.

Applicant agencies may not apply for a grant award until they have registered and pre-qualified through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www.grants.illinois.gov. During pre-qualification, verifications are performed including a check of the Federal SAM.gov Exclusion List and status on the Illinois Stop Payment List. The Grantee Portal alerts the entity of "qualified" status or informs how to remediate a negative verification (e.g., inactive DUNS, not in good standing with the Secretary of State). Inclusion on the SAM.gov Exclusion List cannot be remediated.

There are no cost sharing or matching requirements for this funding opportunity.

Indirect costs and direct administrative costs must adhere to all 2 CFR 200 requirements.

Reimbursement under this grant will be expenditure based for allowable services and expenditures outlined in this NOFO.

Federally Negotiated Indirect Cost Rate Agreement (NICRA) Per 2 CFR 200, organizations that receive direct federal funding may have an indirect cost rate that was negotiated with the Federal Cognizant Agency. Illinois will accept the federally negotiated rate. The organization must provide a copy of the Federal NICRA letter.

The applicant that is awarded funds through this NOFO must demonstrate the ability to provide and maintain the personnel and technical infrastructure required to successfully fulfill the conditions of the contract.

Each applicant must have access to the internet. The IDHS website will contain information regarding the NOFO and materials necessary for submission. Questions and answers will also be posted on the Department's website as described later in this announcement. It is the responsibility of each applicant to monitor that website and comply with any instructions or requirements relating to the NOFO.

Agencies awarded funds through this NOFO must have system supports that meet the following minimum specifications for the purpose of utilizing the required IDHS reporting forms and the receipt/submission of electronic program and financial information:

  • Internet access, preferably high-speed
  • Scanning and Email capability
  • Microsoft Excel
  • Microsoft Word

Training and Technical Assistance

Programs must agree to receive consultation/technical assistance from authorized representatives of the Department. This includes training on the SAMHSA-required SOR data collection and reporting expectations. The program and collaborating partners will be required to be in attendance at any site visits by IDHS/SUPR staff. Programs will be required to attend regular meetings and training as provided by IDHS or a subcontractor of IDHS. This will include team participation in a learning collaborative.

Sectarian Issue

Applicant organizations may not expend federal or state funds for sectarian instruction, worship, prayer, or to proselytize. If the applicant organization is a faith-based or a religious organization that offers such activities, these activities shall be voluntary for the individuals receiving services and offered separately from the program. Policies and procedures must comply with federal regulations pertaining to Charitable Choice (42 CFR Part 54) regarding service access and restrictions.

Background Checks

Background checks are required for all program staff and volunteers who have the potential for one-on-one contact with children and youth. Funded programs will be required to have a written protocol on file requiring background checks, as well as evidence of their completion.

D. Application and Submission Information

Application materials can be found on the Illinois Department of Human Services web site at: http://www.dhs.state.il.us/page.aspx?item=101591 in user/printer friendly format. Additional copies may be obtained by contacting the contact person listed below.

Contact:

  • Joseph Tracy
    Illinois Department of Human Services
    Division of Substance Use Prevention and Recovery
    401 South Clinton, 2nd Floor
    Chicago, IL 60607
    email: Joseph.Tracy@illinois.gov

Content and Form of Application Submission

Applicants must submit a single proposal that contains the information outlined below in pdf format. Each section must have a heading that corresponds to the headings in bold type listed below. Within each section, you must indicate the Section number and letter in your response, before your response to each narrative item. If the applicant believes that the subject has been adequately addressed in another part of the application narrative, then provide the cross-reference to the appropriate part of the narrative. The narrative portion must follow the page guidelines set for each section and must be in the order requested.

The Proposal Narrative text must be legible. Pages must be typed in black on letter-size (8 1/2 x 11) paper, single-spaced, using a font of Times New Roman 12, with all margins (left, right, top, bottom) at least one inch each. You may use Times New Roman 10 only for charts, tables, and footnotes. Pages must be numbered consecutively from beginning to end of the Proposal Narrative. The page limit for the Proposal Narrative is 12 pages. Any narrative information that exceeds the 12-page limit will be discarded and excluded from the review process.

The Application must include:

  1. Organization Qualifications (20 Points) The purpose of this section is for the applicant to provide a description of the organization's experience and qualifications generally, and specific to the development of digital toolkits.
    1. Provide a brief description of the full array of services provided by your organization and partners included in this application. Include numbers of persons served annually in your service programs, types of services delivered, and the general demographics of service program participants.
    2. Describe the use of digital recovery-oriented resources currently provided by your organization and partners. Include the site locations of where these resources are provided, the number of persons that received these resources by type during SFY2017 or SFY2018 (please indicate which year you choose), and the demographic characteristics of these persons (e.g. race, gender, average age, Hispanic/Latino ethnicity, and sexual identity).
    3. Describe how you will reach the intended target population of persons with Opioid Use Disorders (OUD). State the unduplicated number of clients that you propose to serve during SFY2019. State the total funds being requested and the estimated average cost per client during this funding period.
    4. Provide a brief description of the staff member(s) that will be responsible for the collection, maintenance, and development of client digital toolkits including their educational background, organizational affiliation, years of experience and other relevant information particular to digital information. Also include how you will use personnel to address the data collecting needs of this grant.
    5. Provide a summary of existing formal and informal agreements between the key partners (if any) and with external community resources and services, particularly with organizations that have digital resources addressing recovery support services such as employment, human, and health services not provided by the applicant organization.
  2. Population of Focus and Statement of Need (20 points)
    Identify specific population types that the organization plans to support with specific digital resources and the sites at which these clients will be served. Describe the characteristics of the general population per site that the population serves and the expected characteristics of the persons who will be served with digital recovery supports. Indicate per population type the need for digital recovery support services instead of, or in addition to, traditional face to face recovery support services.
    1. Provide a demographic profile of the general population of this geographic area in terms of race, ethnicity, language, gender, age, rural/urban population, and socioeconomic (including insurance) status.
    2. Provide an expected demographic profile of persons with an OUD who will receive digital recovery support toolkits and platforms by which they will access their toolkit. Full points will be given to organizations that can describe their intended population's use of technology.
    3. Provide a summary of the need for recovery support services for clients who have an OUD. Include mention of your organization's involvement in local activities and strategies in response to the opioid crisis, including your local ROSC Council if applicable.
  3. Description of Program Services (40 points) - Provide the following information regarding the collection, maintenance, and development of individualized toolkits that will be delivered to the identified populations. Address each point listed below and make sure your document follows the order listed:
    1. Provide an overview of your plan to research and develop a digital toolkit recovery support service for particular population types of clients that have an OUD, addressing the key components and deliverables from Section A - Program Description of this NOFO as well as the following points:
      1. an overall plan with goals, objectives and timeframes of overall development and implementation as well as review of use of digital toolkits by clients.
      2. a longer-term portion within the plan with goals, objectives and timeframes for the sustainability of the digital services developed.
      3. provide a detailed staffing plan consistent with project budget submitted and training that may be needed consistent with Section A key components including appropriate supervision.
    2. Describe your development of procedures and protocols that will assure the appropriate use of digital resources as per the key components and deliverables from Section A.
    3. Describe the clinical, recovery supports, and/or case management coordination approaches that you will use to ensure consistent and individualized recovery toolkits that support client individualized treatment/recovery plans. Include coordination of digital resources that may target family and/or recovery support others.
    4. Include the development of digital toolkits that support recovery for co-occurring disorders and coordination with both recovery support needs.
    5. Describe the development of guidelines for the use of digital toolkits by clients and staff to use in coordination with treatment and/or recovery services overall and for specific population types.
    6. Describe your plan for how you will encourage clients use their digital toolkits to support their recovery process.
    7. Describe current barriers that you expect to face and explain how you plan to approach them; for example, digitally naïve clinical staff.
  4. Performance Data Collection and Reporting (20 points) - 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, applicants will be expected to collect, and report data indicators and measures as described in this NOFO. The applicant agency must address the following items in regard to performance data collection and reporting.
    1. Describe your experience with the collection and reporting of program service and performance data. Make mention of any experience that your organization has with administration of the SAMHSA/CSAT GPRA tool.
    2. Describe your organizational procedures for collection, maintenance, and reporting of client demographic and service data.
    3. Describe your organization's capacity and commitment to collect and report the service and performance data specified in this NOFO.
    4. Describe your experience developing data collection processes and using data to assess the use of services including potential outcomes.
    5. Describe your experience in designing and implementing quality improvement activities to improve the provision of services.
  5. Budget and Budget Narrative
    (No page limit-include as Attachment A), Not Scored
    The SFY2019 Digital Toolkit Project service contracts of successful applicants will contain an expense-based budget that follows the instructions for the Uniform Grant Budget Template Instructions. The development of the budget to support staffing patterns should take into account the data collection and reporting requirement. Award amount maybe adjusted based upon funds available as well as award start date.

Dun and Bradstreet Universal Numbering System (DUNS) Number and System for Award Management (SAM) and Pre-qualification Process

Each applicant is required to:

  • Be registered in SAM before submitting the application. The following link provides a connection for SAM registration: www.sam.gov.
  • Provide a valid DUNS number in its application.
  • Continue to maintain an active SAM registration with current information at all times in which the applicant has an active Federal, Federal pass-through or State award or an application or plan under consideration by a Federal or State awarding agency.
  • Have a completed pre-qualification process in place through the GOMB website.
  • Be registered and currently in good standing with the Illinois Secretary of State as an entity doing business within the state of Illinois.

IDHS may not make a Federal pass-through or State award to an applicant until the applicant has complied with all applicable DUNS and SAM requirements and, if an applicant has not fully complied with the requirements by the time IDHS is ready to make the award, IDHS may determine that the applicant is not qualified to receive the award and use that determination as a basis for making the award to another applicant.

Submission Dates and Times:

Applications must be received no later than 12:00 p.m. on Apirl 2, 2019. The application container will be date and time-stamped upon receipt via email. The Department will not accept applications submitted by mail, overnight mail, diskette, or by fax machine.

Submit the completed grant proposal to DHS.GrantApp@Illinois.gov and submit the proposal electronically on or before April 2, 2019 at 12:00 p.m. Applications must be emailed.

* If you have trouble emailing the document due to the file size, please utilize the CMS File Transfer Utility located at https://filet.illinois.gov/filet/PIMupload.asp. Please follow the instructions to attach your application. Remember to include the subject line above.

To be considered, proposals must be emailed by the designated date and time listed above. For your records, please keep a copy of your email submission with the date and time the application 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 date and time and to the email address listed above.

Intergovernmental Review: Not Applicable

Other Submission Requirements:

  1. Proposal Container and Format Requirements: All applications must be typed on 8 1/2 x 11-inch paper using 12-point type and at 100% magnification. Tables may be used to present information with a 10-point type.
  2. The program narrative must be typed single-spaced, on one side of the page, with 1-inch margins on all sides. The program narrative must not exceed the page totals specified in Section D: Application and Submission Information, #2 - Content and Form of Application Submission.
  3. The entire application, including appendices, must be sequentially page numbered (hand written page numbers are acceptable). Items included in other than the program narrative are NOT included in the page limitations. The program narrative has a maximum of 10 pages.
  4. Applicants must submit the proposal via an email. Submit the proposal to DHS.GrantApp@Illinois.gov. The Department is under no obligation to review applications that do not comply with the above requirements.
  5. The Agency Opportunity Number and the program contact must be in the subject line. Specifically, the subject line must be:
    • Your Organization Name_19-444-26-2007-01_Joseph Tracy
  6. Successful applicants will be required to submit a complete electronic version of their approved application and budget.
  7. The Uniform State Grant Application is available at GA-19-444-26-2007-01 (pdf), Uniform Grant Budget Template and Uniform Grant Budget Template Instructions can be found at http://www.dhs.state.il.us/page.aspx?item=84584.
  8. Applicants must submit a single proposal in pdf format. All items, including attachments and appendices, must be scanned or formatted as a PDF and sent in a single e-mail.
  9. ALL Applications MUST include the following mandatory attachments sent as three separate pdf files. Each file should be labeled according to the following conventions:
    1. Application: Your Organization Name, 19-444-26-2007-01, Uniform State Grant Application
    2. Budget: Your Organization Name, 19-444-26-2007-01, Fixed Rate Budget
    3. Proposal Narrative: Your Organization Name, 19-444-26-2007-01, Proposal Narrative

Please use your organization's full legal name on all forms and documents. (An abbreviation in the filename and subject line is allowed as long as it is consistent throughout.)

Funding Restrictions:

  1. The grant program is subject to the cost principles found in Subpart E 2 CFR200 and audit requirements in 2 CFR 200/Subpart F.
  2. Examples of unallowable costs include, but are not limited to:
    • Bad debts
    • Contingencies or provision for unforeseen events
    • Contributions and donations
    • Entertainment, food, alcoholic beverages, gratuities
    • Cash incentives to participate in treatment/recovery support sessions
    • Housing costs
    • Fines and penalties
    • Interest and financial costs
    • Legislative and lobbying expenses
    • Real property payments or purchases
  3. Grant funds cannot be used for existing services provided by the applicant organization; the use of these funds to supplant existing resources is not allowed.
  4. The use of a federally-approved indirect cost rate for research is not allowable.

E. Application Review Information

  1. Criteria: Funding is not guaranteed. All applicants must demonstrate that they meet all requirements under this NOFO as described throughout. Applications that fail to meet the criteria described in "Eligible Applicants" as identified in Section C "Eligibility Information" will not be scored and considered for funding.
    • Review teams comprised of three individuals in IDHS serving in the Division of Substance Use Prevention and Recovery will be assigned to review applications. Applications will first be reviewed and scored individually. Scores will be sent to the application Review Coordinator to be compiled and averaged to produce the final application score.
  2. Proposal Scoring: Application Narratives will be evaluated on the following criteria -
    • Organizational Qualifications - 20 points
    • Population of Focus and Statement of Need - 20 points
    • Description of Program Services - 40 points
    • Performance Data Collection and Reporting - 20 points
    • Budget and Budget Narrative - Not scored
    • Total available - 100 points
      • The application criteria to be reviewed and scored are found under each category in this announcement in Section E. Content and Form of Application Submission. Please include relevant information in the appropriately headed section; otherwise, your information may not be reviewed. Do not refer back to information in other sections of the application.
  3. Review and Selection Process: Proposals will be reviewed by a team consisting of qualified individuals assigned by staff from IDHS. Panel members will read and evaluate applications independently using guidelines furnished by IDHS. Scoring will be on a 100-point scale. Scoring will not be the sole award criteria. While recommendations of the review panel will be a key factor in the funding decisions, IDHS considers the findings of the review panel to be non-binding recommendations. IDHS maintains final authority over funding decisions and reserves the right to consider additional factors, such as geographical distribution of proposed service areas and client population characteristics, when making final award decisions.
    • Final award decisions will be made by the Secretary, at the recommendation of the Director of the Division of Substance Use Prevention and Recovery. IDHS reserves the right to negotiate with successful applicants to cover under-served areas that may result from this process.
    • In NO case will more than one proposal be funded for the same provider organization. IDHS may contact applicants to obtain clarification regarding any aspects of an application prior to making any awards. IDHS is not obligated to make any State award as a result of the announcement. The issuance of grants under this NOFO is contingent upon federal funds awarded to IDHS/SUPR in response to the Illinois SOR application to SAMHSA.
  4. Merit-Based Evaluation Appeal Process: Competitive grant appeals are limited to the evaluation process. Evaluation scores may not be protested. Only the evaluation process is subject to appeal and shall be reviewed by the IDHS' Appeal Review Officer (ARO).
  5. Submission of Appeal: An appeal must be submitted in writing to Danielle Kirby, Director of IDHS/SUPR, who will send to the ARO for consideration.
    • An appeal must be received within 14 calendar days after the date that the grant award notice has been published.
    • The written appeal shall include at a minimum the following: the name and address of the appealing party, identification of the grant, a statement of reasons for the appeal.
  6. Response to Appeal: IDHS will acknowledge receipt of an appeal within 14 calendar days from the date the appeal was received.
    • IDHS will respond to the appeal within 60 days or supply a written explanation to the appealing party as to why additional time is required.
    • The appealing party must supply any additional information requested by IDHS within the time period set in the request.
  7. Resolution: The ARO shall make a recommendation to the Agency Head or designee as expeditiously as possible after receiving all relevant, requested information.
    • In determining the appropriate recommendation, the ARO shall consider the integrity of the competitive grant process and the impact of the recommendation on the State Agency.
    • The Agency will resolve the appeal by means of written determination.
    • The determination shall include, but not be limited to: review of the appeal, appeal determination; and rationale for the determination.

F. Award Administration Information

  1. State Award Notices: Applicants recommended for funding under this NOFO following the above review and selection process will receive a "Notice of State Award Finalist." This notice will identify additional grant award requirements that must be met before a grant award can be executed. These will include one or more of the following:
    • Grantee Pre-Qualification Process
    • Financial and Administrative Risk Assessment - Internal Control Questionnaire
    • Conflict of Interest and Mandatory Disclosures
  2. A Notice of State Award (NOSA): A NOSA will be issued to the review finalists that have successfully completed all grant award requirement. Based on the NOSA, the review finalist is positioned to make an informed decision to accept the grant award. The NOSA shall include:
    • The terms and condition of the award.
    • Specific conditions assigned to the grantee based on the fiscal and administrative and programmatic risk assessments.
    • Upon acceptance of the grant award, announcement of the grant award shall be published by the awarding agency to Grants.Illinois.gov.
    • A Notice of Non-Selection as a State Award Finalist shall be sent to the applicants not receiving awards.
    • The NOSA must be signed by the grants officer (or equivalent). This signature effectively accepts the state award and all conditions set forth within the notice. This signed NOSA is the authorizing document. The Agency signed NOSA must be remitted to the Department as instructed in the notice.
  3. Administrative and National Policy Requirements: The agency awarded 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.
    • To review a sample of the FY2019 IDHS contract/grant agreement, please visit the IDHS website at Sample FY19 Uniform Grant Agreement (UGA) (pdf)
    • The agency awarded funds through this NOFO must further agree to comply with all applicable provisions of state and federal laws and regulations pertaining to nondiscrimination, sexual harassment and equal employment opportunity including, but not limited to: The Illinois Human Rights Act (775 ILCS 5/1-101 et seq.), The Public Works Employment Discrimination Act (775 ILCS 10/1 et seq.), The United States Civil Rights Act of 1964 (as amended) (42 USC 2000a-and 2000H-6), Section 504 of the Rehabilitation Act of 1973 (29 USC 794), The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.), and The Age Discrimination Act (42 USC 6101 et seq.). Additional terms and conditions may apply.
  4. Indirect Cost Rate Requirements:
    • Federally Negotiated Indirect Cost Rate Agreement (NICRA) - Organizations that receive direct federal funding may have an indirect cost rate that was negotiated with the Federal Cognizant Agency. Illinois will accept the federally negotiated rate. The organization must provide a copy of the Federal NICRA letter which confirms a valid federal rate for the SFY2019 time period.
    • State Negotiated Rate - The organization must negotiate an indirect cost rate with the State of Illinois if it does not have a Federally Negotiated Indirect Cost Rate or the organization may elect to use a de minimis rate. The indirect cost rate proposal must be submitted to the State of Illinois within 90 days of the notice of award.
    • De Minimis Rate - An organization that has never received a Federally Negotiated Indirect Cost Rate may elect a de minimis rate of 10% of modified total direct costs (MTDC). Once established, the de minimis rate may be used indefinitely. The State of Illinois must verify the calculation of the MTDC annually in order to accept the de minimis rate.
  5. Reporting:
    1. The Provider will submit monthly expenditure payment voucher forms (MEPVs) in the format prescribed by IDHS. The MEPVs must be submitted no later than the 15th day of each month for the preceding month by email.
    2. The Provider will be responsible for the deliverables and data collection and reporting expectations listed in Section A of this NOFO.
    3. The Provider will submit audits and/or Financial Reports in a format provided by the Department and by the established deadlines.

G. State Awarding Agency Contact(s)

Questions and Answers: If you have questions related to this NOFO, please send them via email to: Joseph.Tracy@illinois.gov with "Illinois SOR - Digital Toolkit Project - NOFO" in the subject line of the email.

NOTE: The final deadline to submit any written questions regarding the Illinois SOR - Digital Toolkit Project - NOFO is March 15, 2019.

H. Other Information, if applicable

Mandatory Forms -- Required for All Agencies

  1. GA-19-444-26-2007-01 (pdf)
  2. Uniform Grant Budget Template | Instructions

Important Dates for this NOFO

What? When? Who/Where? Subject of Email
Bidders' Conference N/A N/A N/A
Letter of Intent March 15, 2019 DHS.GrantApp@Illinois.gov Your Organization Name,
19-444-26-2007-01, LOI
Questions Submitted March 15, 2019 Joseph.Tracy@illinois.gov OUD MAT Services in Federally
Qualified Health Centers
Proposals Due April 2, 2019
at 12:00 p.m.
DHS.GrantApp@Illinois.gov Your Organization Name,
19-444-26-2007-01,
Joseph Tracy