Please direct all program related information and questions to:

Glendean Sisk
401 South Clinton, 4th Floor
Chicago, IL  60607
Phone:  312-814-1654
Fax:  312-793-4666

I. Introduction/Definition

The Doula Project in Illinois improves the health and well-being of adolescent mothers and their children and significantly reduces health care costs. The objectives of the Doula Project are to improve the outcomes associated with: adolescent childbearing and parenting, (in particular those related to the health of adolescent mothers and their children); to reduce the health care costs associated with high-risk adolescent births; and to help new parents create an environment that will foster the healthy physical, social, emotional and cognitive development of their children.

II. Policies & Procedures

Policies and Procedures specific to the operation of this project may be found in the application for federal or foundation funds that support this project.

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. Exhibit E, containing Performance Measures
  7. Exhibit F, containing Performance Standards
  8. Exhibit G, containing State Agency Contracts
  9. Attachment E
  10. 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

  1. Provider will provide Doula services to participants receiving evidence-based home visitation services at targeted selected sites throughout the State.These participants will all be low-income teen mothers, the majority of whom are Temporary Assistance for Needy Families (TANF) eligible.
  2. Doula services will be offered during the prenatal and perinatal period, and for up to 12 weeks postpartum for participants at each site and will include the following:
    1. prenatal classes,
    2. developing birthing support plans,
    3. frequent prenatal home visits,
    4. accompanying pregnant teens through labor and delivery, and
    5. extensive postpartum home visiting.
  3. Doulas will work in conjunction with home visiting staff at each site, transitioning teen parents into ongoing home visiting and a support group once the postpartum period has elapsed to achieve the following outcomes including:
    1. increased rate of initiation of breast-feeding,
    2. decreased rate of cesarean section births,
    3. decreased rate of medically-complicated births,
    4. shortened labor times, and
    5. improved parent-child interaction at three months postpartum.
  4. Participants will be screened for postpartum depression.

    Licensed health care workers providing Doula prenatal care and postnatal care to women shall assess new mothers for postpartum mood disorder symptoms as a prenatal check-up visit in the third trimester of pregnancy and at the initial postnatal check-up visit thereafter until the infant's first birthday.

    Doula licensed health care workers providing pediatric care to an infant shall assess the infant's mother for postpartum mood disorder at any well-baby check-up at which the mother is present prior to the infant's first birthday in order to ensure that the health and well-being to the infant are not compromised by an undiagnosed postpartum mood disorder in the mother.

    Doula licensed health care workers providing prenatal and postnatal care to a woman shall include fathers and other family members, as appropriate; in both the education and treatment processes to help them better understand the nature and causes of postpartum mood disorders.

    All Doula licensed health care workers will provide perinatal depression educational materials to include but not be limited to at minimum the DHS Perinatal Depression Brochure which can be ordered from DHS at to charge to the Provider.

    For purposes of the PPMD Act, assessment shall consist of the Edinburg Postnatal Depression Scale, which the new mother shall complete upon checking in for her appointment or at the infant's appointment prior to being seen by the physician or other licensed health care worker.

  5. The Provider will provide intensive training and technical assistance to these program sites, using the Provider's staff and consultants from the Chicago Health Connection (CHC) or other qualified resources. Clinical supervision will also be provided for Doulas at the two sites where there are no medical personnel.
  6. The Provider will submit a quarterly report, due not later than 30 days after the quarter ends. The report will give a detailed account of services provided at each site, number of client's served, number of deliveries per month, number of Doula hours programs, salaries paid, and other costs attributable to provision of program.

    Mail this report to:

    Illinois Department of Human Services
    Glendean Sisk
    401 South Clinton, 4th Floor
    Chicago, IL  60607

VI.  Department Responsibilities

The Department will provide technical assistance and monitoring for all programs operated under Family and Community Services, Bureau of Maternal and Child Health.

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 Family and Community Services, 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
      Tina Finley
      100 South Grand Ave East 2nd FL
      Springfield, IL  62762
      Phone:  217-785-2991
    2. Fax
    3. Email
  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 (pdf)

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 approved by the Provider's Board of Directors.

XI. Appendices/Forms

Not applicable.