Please direct all program related information and questions to:

Ana Maria Accove
401 South Clinton, 4th Floor
Chicago, IL  60607
Phone:  312-793-2748
Fax:  312-793-4666
Email:  AnaMaria.Accove@illinois.gov

I. Introduction/Definition

The Provider will work with the Department to develop a community-based system of health and human services for families with young children, birth to eight years old.

II. Policies & Procedures

Maternal and Child Health Services Code, 77 Illinois Administrative Code 630 (77 ILL. Adm. Code 630)

III. Contract and Amendment Process

Contract Process

The contract between the Department and the Provider is generally referred to as the Agreement and consists of several parts:

  1. Community Service Agreement, containing the standard contract language used for all Department contracts
  2. Exhibit A, containing Scope of Services/Purpose of Grant
  3. Exhibit B, containing Deliverables
  4. Exhibit C, containing Payment Information
  5. Exhibit D, containing Contact Information
  6. Attachment E
  7. The Program Manual, attached by reference to the Agreement, contains the program service provisions.

The Department will initiate the contract by having it online for the Provider to obtain and sign.  The Provider will fax signature page to the Department to obtain the Secretary's signature and the Department will return a copy of the executed signature page of the contract to the Provider via pdf email.

Amendment Process

There are two types of amendments to an executed Community Service Agreement.

  1. Letters of increase or decrease - A letter is sent to the Provider stating the intent to increase or decrease dollars to specific program services existing in the Community Service Agreement. There is no need for the Provider to sign and return this document.
  2. Formal amendments - A two-party signed agreement to an executed Agreement is a formal amendment. The following process is required for a formal amendment to be processed:
    1. Adding new program services - An amendment to add a new program service must contain a detailed summary of services to be provided under the executed Community Services Agreement and a method of payment.
    2. Extending the service dates of the Community Services Agreement* - An amendment to extend the service dates of the Community Services Agreement must contain the following information: Agreement number as it appears on the original Community Services Agreement; Provider name; clause stating the new term of the Agreement; signatures of the Provider and the Secretary of the Department of Human Services.

      *NOTE: A Community Services Agreement end date should only be June 30 due to mandates in the State Finance Act regarding audit period. Language on pages one through nine in the Community Services Agreement may not be changed.

    3. Extending the service dates of an existing program attachment - An amendment to extend the date of a specific attachment in the existing Community Services Agreement must contain the following information: Agreement number as it appears on the original Community Services Agreement; Provider name; clause stating the new term and the specific attachment name and number; signatures of the Provider and the Secretary of the Department of Human Services.
    4. Changing language within an existing program attachment - An amendment to change language in an existing program attachment of the Community Services Agreement must contain the following information:Agreement number as it appears on the Community Services Agreement; Provider name; clause(s) stating the new language; signatures of the Provider and the Secretary of the Department of Human Services

IV. Deliverables/Costs/Payments

  1. Payments to the Provider will be made on a prospective basis, rounded to the nearest $100.00. The final prospective payment may be greater or lesser than the previous payments due to rounding.
  2. The Department will compare the amount of the prospective payments made to date with the documented expenditures provided to the Department by the Provider. In the event the documented services provided by the Provider do not justify the level of award being provided to the Provider, future payments may be withheld or reduced until such time as the services documentation provided by the Provider equals the amounts previously provided to the Provider. Failure of the Provider to provide timely documentation may result in a reduction to the total award.
  3. The final payment from the Department under this Agreement shall be made upon the Department's determination that all requirements under this Agreement have been completed, which determination shall not be unreasonably withheld. Such final payment will be subject to adjustment after the completion of a review of the Provider's records as provided in the agreement.

V. Provider Responsibilities

The Provider will work with the Department to develop a community-based system of health and human services for families with young children. The Provider will hire one (1.0) FTE Network Coordinator to work within the geographically assigned area. The Network Coordinator's responsibilities include, but are not limited to the following activities:

  1. Develop and maintain a community collaborative (the Network) representing agencies, organizations, and individuals with interests and services for pregnant women and families with young children on a monthly or bi-monthly basis.
  2. Establish procedures for the coordination of services among agencies within communities that serve families with young children.
  3. Conduct, every five years in conjunction with the local IPLAN, a mandatory planned community assessment utilizing primary and secondary data sources and incorporating an appreciative inquiry approach to identify a minimum of three local strategies to be address over the next five years resulting in a strategic plan that is developed into a Plan on a Page to be approved by IDHS.
  4. Utilizing the community assessment and the Network's strategic plan, monitor and evaluate progress addressing those deliverables as Outlined by the Deportment and summarizing progress in a Community Report Card to be approved by IDHS and widely distributed.
  5. Involve family members in the planning, implementation and evaluation of the Network through periodic focus groups, Parent Boards, Parent Councils, participation in Network meetings and community events, written surveys, and public education campaigns.
  6. Promote the professional development of the local AOK coordinator by participating in mandatory statewide meetings with the Department held three times a year, attending mandatory AOK-sponsored regional trainings, promoting the experience and lessons learned of the AOK initiative at state or national conferences, and attending professional development opportunities recommended by the Department.
  7. Provide a copy of the Network budget to the AOK State Coordinator during the first month of the contract period.
  8. Submit mandatory reports by the due dates to provide an update to the Department on the Network's progress on all five systems goals and local strategies identified on the plan on a page.
  9. Annually collect data on AOK Logic Model Indicators and/or Parent and Provider surveys and conduct collaborative self assessments with tool provided by Department and submit as indicated.
  10. It is an expectation of the grant that health department Administrators/ Directors and on-site supervisors of AOK coordinators attend an annual AOK update meeting.
  11. Develop an inventory of early childhood services (and related services to families with children from 0-8 years old) and publish and update resource directories/cards and make available a website posting this information.
  12. Participate in process and outcome evaluation services provided by the AOK designated contractor as determined necessary by the Department.

VI. Department Responsibilities

The Department will provide technical assistance and monitoring for all programs operated under Community Health and Prevention.

VII. Support Services

Utilization of Community Resources

It shall be the responsibility of each project director to coordinate the services provided through the project with other sources of care in the community, such as:

  1. The Illinois Medical Assistance Program
  2. Local Health Departments
  3. Neighborhood Health Centers
  4. Local Child Development Clinics
  5. Division of Specialized Care for Children
  6. Local Hospitals
  7. Local Children and Family Services Programs
  8. Local Schools
  9. Vocational Rehabilitation Services
  10. Regional Perinatal Centers
  11. Local Early Intervention Programs for Infants and Toddlers with Handicaps
  12. Other related social service agencies

Please refer to 77 Ill. Adm. Code 630.160 and 630.170; Other Applicable Rules; and to the program-specific Exhibits for additional requirements.

VIII. Billing Instructions

Providers shall use the following methodology to document the use of these funds:

  1. The Provider shall provide summary documentation by line item of actual expenditures incurred for the purchase of goods and services necessary for conducting program activities. The Provider shall use generally accepted accounting practices to record expenditures and revenues as outlined in DHS Rule 509, Fiscal Administrative Recordkeeping and Requirements.
  2. Expenditures shall be recorded in the Provider's records in such a manner as to establish an audit trail for future verification of appropriate use of Agreement funds.
  3. Expenditure documentation shall be submitted in a format, defined by the Division of Community Health and Prevention, to the Department on a quarterly basis, within 30 days after the end of each calendar quarter. However, the Provider shall have the option to report monthly.
  4. The Provider shall submit expenditure documentation by one of the following means: 
    1. Mailing Address
      Tom Evering, Accountant
      815-823 East Monroe Street
      Springfield, IL  62701
      Phone:  217-557-2936
    2. Fax
      217-524-2491
    3. Email
      tom.evering@illinois.gov
  5. All financial record keeping on the part of the Provider shall be in accordance with generally accepted accounting principles consistently applied.

Expenditure Documentation Form Instructions

Expenditure Documentation Form

IX. Program Monitoring

Programs operated by the Provider under this contract will be monitored by the Department to review the program's progress according to stated goals, measurable objectives and administrative operations.

X. Program Budget

Providers agree to establish and utilize a budget that supports Network activities and has been approved by the Provider's Board of Directors.

XI. Appendices & Forms

Not applicable.