QUESTIONS AND ANSWERS

  1. QUESTION:  Deliverable number 8 speaks about a 30-day report that includes a treatment plan. Can completion of the IM-CANS meet this criteria? Or is this completely different documentation that would be completed in addition to the CANS?

    DHS Response:  This is something completely different and specific to forensic statute. There may be information form the IM-CANS that can/will inform the completion of the 30-day admission report and treatment plan.

  2. QUESTION:  If people who are found UST have housing needs, will the grant dollars cover housing? And can an agency use state funded halfway houses?

    DHS Response:  There may very well be consumers who would require housing resources to be supported as an outpatient. DHS/DMH does not believe that the grant funds for this opportunity would be sufficient to cover housing. However, any housing resources for which the consumer would otherwise be eligible and have funding to support, would be acceptable.

  3. QUESTION:  Our organization provides services for residents of [County] who do not have any private health insurance coverage. Specifically, we only provide services to those with Medicaid, Medicare, or no insurance. For purposes of this opportunity, it notes "the Division of Mental Health clarifies that resources from this grant shall not be applied to any costs associated with the delivery of any services and supports that can be reimbursable by the Illinois Department of Healthcare and Family Services (HFS) or Illinois Department of Human Services, Division of Mental Health (IDHS/DMH), Medicare, or a private insurance company". When we currently receive referrals from DMH for outpatient fitness restoration, we are unable to serve anyone who has private insurance or lives outside of [County]. If we were to apply for and be awarded this grant, is it allowable to deflect referrals based on our internal criteria? Or, since our internal process precludes us from billing a person's private insurance plan, would it be allowable to use grant resources?

    DHS Response:  Due to your internal rules, we believe this would have to be acceptable to deflect those cases which you cannot serve. The NOFO advises that the grant funds cannot be used for services that could be reimbursable through another payor, including private insurance.

  4. QUESTION:  Regarding coordination of services, would it be acceptable for our agency to apply to coordinate the outpatient needs of referred clients without the capacity to directly offer all services? We have internal capacity for mental health treatment, but would be looking to community partners for psychiatric and substance use treatment services. Furthermore, if we were to apply and use the grant funds to support a case coordinator, would we be able to bill Medicaid for eligible clients for services administered by a clinician or is it the purpose of the grant funding to fund all of the services for eligible clients?

    DHS Response:  It would be acceptable to coordinate services by other service providers, but there has to be a primary provider of the fitness restoration services that will be responsible for the case as it relates to court reporting.

  5. QUESTION:  Is the Outpatient Fitness Restoration grant opportunity only looking to fund services for adults? Or would it apply to both adults and youth?

    DHS Response:  This grant will fund outpatient restoration services for both adults and juveniles.

  6. QUESTION: Would DHS be able to provide the number of individuals identified as unfit to stand trial per county?

    DHS Response:  DHS/DMH does not currently have the number of individuals identified as unfit to stand trial by county. However, we estimate 80-100 statewide annually with approximately 50 of those in Regions 1 & 2.

  7. QUESTION: Deliverable #8 states "complete the 30-day admission reports, individual treatment plan and progress reports per statute".  In our current practice, the 30-day report and individual treatment plan have been completed by DHS, as they have completed the fitness evaluation. Our initiation of treatment/restoration has been based on DHS' 30-day report. Our agency has then been responsible for the 90-day progress reports. Can you clarify if there's a proposed change to this process requiring that we complete the 30-day report and treatment plan?

    DHS Response:  DHS does not complete the fitness evaluation. That happens by a county appointed clinician, not DHS. When DHS receives the order from the court for outpatient, DHS providers' state staff will do an evaluation to assess whether outpatient is indeed appropriate. Currently for some existing providers, state staff do this part. By statute, a 30-day admission report/treatment plan is completed to concur that outpatient is appropriate and to outline where/what treatment they will receive.

  8. QUESTION:  Deliverable #9 states "provide transportation assistance for individuals served in the program who lack adequate funding, resources, or support".  Grantee organization helps link clients with transportation through their Medicaid/MCO provider. Outside of that, grantee organization does not have additional funding to provide transportation to/from appointments. If the expectation is that organizations assist with transportation, does this grant provide funding to assist clients with transportation?

    DHS Response: It is possible through the grant to budget for funding to assist with transportation costs to/from outpatient fitness restoration services.  However services that could be funded through another payor, such as Medicaid/MCO, should be used before any grant funds.

  9. QUESTION: The NOFO says that the program has to be operated by a licensed mental health professional. We wanted to clarify what this means. Does it have to be a psychologist or could a Master's Level licensed clinician provide the work?

    DHS Response: There needs to be at least a Licensed Clinical Psychologist or Psychiatrist available as Supervisor. Clinicians providing services can be Master's level.