1. PART I
    1. Date of Issuance 6/8/2015
    2. Issuing Organizational Unit
    3. RFA Availability
    4. Due Date, Location and Time of Application Opening
    5. Audit Submission Requirements
    6. Application Submission Requirements
    7. Eligible Applicants
    8. Questions and Answers
    9. Award Process
    10. Review Panel
    11. Estimated Length of Agreement
    12. Withdrawal Disclaimer
    13. Modifications to Applications by Applicants
    14. Modifications to Application by DHS
    15. Clarifications, Negotiations or Discussions Initiated by DHS
    16. Late Application/Responses
    17. Commencement of Services
    18. Public Information
    19. Contract
    20. Program Evaluation and Reporting Requirements
    21. Training and Technical Assistance
    22. Congressional and Legislative Districts
    23. Additional Information
    24. Sectarian Issue
    25. Abuse, Neglect, Exploitation and Death Reporting and Investigation
    26. Registry and Criminal Background Checks
    27. Hiring and Employment Policy
  2. PART II
  3. INTRODUCTION
    1. Intent of the RFA
    2. Department's Need for Services (Rationale)
    3. Requirements
    4. Objectives/Services to be Performed (the Approach)
    5. Award Amount
  4. APPLICATION CONTENT (SCORED AS INDICATED)
    1. Executive Summary (4 pages maximum) - Not scored
    2. Organization Qualifications/Organizational Capacity (8 pages maximum) (50 points)
    3. Application (20 pages maximum) (100 points)
    4. Evaluation and Monitoring (8 pages maximum) (40 points)
    5. Budget Narrative/Justification and Budget Forms (12 pages maximum-Budget Forms are NOT included in this page limitation) (60 points)
  5. Attachment A: Applicant Cover Sheet
  6. Attachment B: Application Content Checklist
  7. Attachment C: Budget Instructions and Budget Forms
  8. Attachment D: Allowable Costs

PART I

  1. Date of Issuance 6/8/2015

  2. Issuing Organizational Unit


    • Illinois Department of Human Services
      Division of Developmental Disabilities
      319 E. Madison St., Suite 4N
      Springfield, IL 62701

    • Contact Person
      All questions about the contents of the RFA should be directed to Dave Adden via email at Dave.Adden@Illinois.gov . Please insert "24-Hour Stabilization Services RFA" in the Subject line of your email.
      Note: Answers to all submitted questions will be posted on the DHS website at the following link: http://www.dhs.state.il.us/page.aspx?item=49141
  3. RFA Availability


    • Copies of this RFA may be downloaded from the Illinois Department of Human Services (DHS) website at www.dhs.state.il.us . Look under "for Providers, RFPs".
  4. Due Date, Location and Time of Application Opening


    • Applications must be received by 07/31/2015 at 2:00 p.m. The application package will be date and time-stamped upon receipt. All applicants should add the RFA name (24-Hour Stabilization Services) on the outside of the application package. Applications submitted by electronic mail, on diskette or by facsimile will not be accepted. When submitting the application, include two (2) printed originals and four (4) copies. The signatures on the original application must be in blue ink. Additionally, applicants must include one (1) completed electronic copy of the application (disk, USB drive, etc.) Faxed copies will not be accepted.

  • Mail or deliver completed application(s) to:
  • Illinois Department of Human Services
    DHS Procurement Office - Attention: Pamela Enno
    401 North 4th Street
    2nd Floor
    Springfield, IL 62702
  1. Audit Submission Requirements

    • Organizations applying for State funds must submit one (1) copy of their most recent audited financial statements as part of their application. This material should be included as Appendix F of the application. The Department will use the audited financial statements to ascertain the fiscal health of applicants.
      While the audit will not be scored as part of the review, the Department reserves the right to use information in the audit to assist in the final recommendation for funding. Applicants are expected to demonstrate through their audits a strong financial position.
      Units of government (such as cities and counties, schools, health departments, etc.) do not need to submit an audit.
  2. Application Submission Requirements


    • To be considered, applications must be in the possession of the Department of Human Services staff at the specified location and by the designated date and time listed above. The deadline will be strictly enforced without exception. In the event of a dispute, the applicant bears the burden of proof that the application was received by the Department on time at the location listed above.
      APPLICATIONS THAT ARE FAXED, HANDWRITTEN, SINGLE-SPACED AND/OR LATE WILL NOT BE ACCEPTED AND WILL BE IMMEDIATELY DISQUALIFIED. THERE WILL BE NO EXCEPTIONS.
      All applications must be typed on 8 1/2 x 11 inch paper using 12 point type and at 100% magnification (not reduced). With the exception of letterhead and stationery for letter(s) of support/collaboration, the entire proposal should be typed in black ink on white paper. The program narrative must be typed, double-spaced, on one side of the page, with 1-inch margins on all sides. The program narrative must not exceed the specific page limits outlined in this RFA. The attachments, assurances, letters of support/collaboration and budget forms are NOT included in the page limitation.
      The entire application, including appendices, must be sequentially page numbered. Applications should be bound with a single staple or binder clip in the upper left-hand corner. Applicants must not use any other form of binding, including ring binders, spiral binders, report covers or rubber bands as well as subject dividers or tabs to extend beyond the 8 1/2 x 11 inch page.
      Failure to adhere to these guidelines for application preparation and submission constitutes grounds for application disqualification. Therefore, the Department is under no obligation to review applications that do not comply with the above requirements.
  3. Eligible Applicants

    • All public, private or not-for-profit providers or prospective providers are eligible to apply for funds under this Request for Applications. The funds will be distributed as a grant. The funding opportunity is not limited to those organizations or individuals that currently have a contract award from the Department of Human Services.
  4. Questions and Answers

    • Each applicant must have access to the Internet. The Department's website will contain information regarding the RFA. It is the responsibility of each applicant to monitor that website and comply with any instructions or requirements relating to the RFA.
      "Frequently Asked Questions with Answers" will be posted on the Department's website at http://www.dhs.state.il.us/page.aspx?item=49141 .  The site will be updated periodically.
  5. Award Process

    • Successful applicants will be notified in writing by letter from the Secretary of the Department of Human Services. A notice of grant award is not equivalent to an agreement with the Department to commence providing services. Successful applicants will receive the current Community Services Agreement and applicable attachments and exhibits. The Community Services Agreement, after review and signature by the successful applicant(s), must be returned to the Department by the time and date designated by the Department. The release of this RFA does not compel the Department of Human Services to make an award.
  6. Review Panel


    • Applications will be reviewed by a panel established by DHS, which may include Department staff familiar with the requirements of the program, academics and experts in relevant fields, and community-based social services providers who are not party to applications for funding under this RFA. Panel members will initially read and evaluate applications independently using guidelines developed by DHS and will subsequently participate in review panel meetings during which applications will be reviewed and scored collectively.
      The Department reserves the right to consider factors other than the applicant's final score in determining final grant recommendations. Such factors may include (but are not limited to) geographic service area, applicant's past performance, or degree of need for services.
  7. Estimated Length of Agreement


    • The Department estimates that the term of the agreement resulting from this RFA will be upon execution of the Community Services Agreement and continuing through June 30, 2020. Each State fiscal year will require both parties to sign a Community Services Agreement for the new fiscal year and be dependent upon the Grantee's performance and adherence to program requirements and the availability of funds.
  8. Withdrawal Disclaimer


    • The Department of Human Services may withdraw this Request for Applications at any time prior to the actual time a fully executed agreement is filed with the State of Illinois Comptroller's Office.
  9. Modifications to Applications by Applicants


    • To make a modification to an application after it has been submitted, the applicant must submit a complete replacement application package, as described above under "Application Submission Requirements," accompanied by a letter requesting that the replacement application be considered. The replacement application must still be received at the prescribed location by date and time designated under Item D.
  10. Modifications to Application by DHS


    • If it becomes necessary or appropriate for DHS to change any part of the RFA, a modification to the RFA will be available at the Department's website at http://www.dhs.state.il.us/page.aspx?item=49141 . Notice will be issued to all known recipients of the RFA. In case of such an unforeseen event, DHS will provide detailed instructions for how to proceed.
  11. Clarifications, Negotiations or Discussions Initiated by DHS


    • The Department may contact any applicant prior to the final award for the following purposes.
      As part of the Department's review process, the Department may request an applicant clarify its application. An applicant may not be allowed to materially change its application in response to a request for clarification.
      Discussions may be held to promote understanding of the Department's requirements and the applicant's application and/or to facilitate arriving at an agreement that will be most advantageous to the State considering price and other evaluation factors set forth in the RFA.
      When the Department knows or has reason to conclude that a mistake has been made, the Department will ask the applicant to confirm the information. Situations in which confirmation will be requested include, but are not limited to, obvious or apparent errors in the application or a price unreasonably lower than the price others submitted. If the applicant alleges a mistake, the application may be corrected or withdrawn following the conditions set forth by the State of Illinois.
  12. Late Application/Responses


    • Late applications will not be opened or considered and will be automatically disqualified, but will be retained by the Department. The Department will notify all applicants whose application will not be considered because of lateness or other non-compliance with application preparation or submission requirements.
  13. Commencement of Services


    • The Department will not reimburse applicants for expenses incurred prior to the complete and final execution of the written agreement. If the applicant receives an award letter from the Secretary, then it is reasonable to assume that the Department will be forwarding the applicant an agreement.
      No services can be paid for prior to the full and complete execution of the Community Services Agreement and filing of the agreement with the Illinois Office of the Comptroller.
  14. Public Information


    • Some information submitted pursuant to this RFA is subject to the Illinois Freedom of Information Act. The successful applicant must recognize and accept that any material marked proprietary or confidential that must be made a part of the agreement may be considered open for public inspection. Price information submitted by the successful applicants will be considered public.
      For applications that are not selected for funding, only the list of those submitting applications will be considered public. Any internal documentation used to determine grant selections will not be considered public information.
      Applicant scores will NOT be made public. The Department may give applicants feedback about their application(s) upon request and at the discretion of the Department.
  15. Contract


    • The standard DHS Community Services Agreement (CSA) will be used as the legal agreement between the Department and the successful applicant(s). The current Community Services Agreement can be found at http://www.dhs.state.il.us/page.aspx?item=29741 . The Developmental Disabilities Community Services Agreement Attachment A can be found at http://www.dhs.state.il.us/page.aspx?item=70174 . The Community Services Agreement and Developmental Disabilities CSA Attachment A are subject to change. It is the applicant's and, thereafter, the successful applicant's/Grantee's responsibility to be cognizant of the Department and Division requirements and other mandates therein. Applicants are advised that some of the requirements and mandates from the CSA and CSA Attachment A are referred to in this RFA although many requirements and mandates are not further specifically mentioned in this RFA.
      If selected for funding, the applicant will be provided a DHS Community Services Agreement for their signature and return. Applicants must review the CSA, exhibits and Developmental Disabilities CSA Attachment A and ensure that they meet all requirements and mandates. Applicants must clearly note any exceptions to requirements and mandates contained in the CSA, exhibits and Attachment A. All exceptions must be agreed to by DHS before awarding any grants and final execution of the CSA.
  16. Program Evaluation and Reporting Requirements


    • To assure accountability at all levels of service provision, the Department mandates performance-based contracting with its Grantee agencies. The successful applicants in response to this RFA will be responsible for performance measures-related data collection and reporting in areas such as, but not limited to, response time upon DDD assigned admission of an individual, interdisciplinary team meetings no later than the third working day after the individual's initial participation, average length of stay of individuals in the 24-Hour Stabilization Services homes, maximum length of stay of individuals in the homes, participation and involvement of previous provider(s)/individual service coordination agency in planning for return of individuals to previous home in the community or appropriate alternative and successful return of individuals to previous home in the community or appropriate alternative. Performance measures will be part of the contractual agreement with successful applicants and identified in an exhibit to the Community Services Agreement.
  17. Training and Technical Assistance


    • Grantees must agree to receive consultation and technical assistance from the Department and/or authorized representatives of the Department. The Grantee and collaborating partners will be required to be in attendance at site visits by the Department or its authorized representatives. Grantees will be required to attend regular meetings and training as provided by the Department or an authorized representative of the Department.
  18. Congressional and Legislative Districts


    • On the required Application Cover Sheet, the applicant must provide, the Congressional District (by number) available at the following web site: http://www.house.gov/  and the Illinois House and Senate Legislative Districts (by number) available on the Illinois General Assembly web site at http://www.ilga.gov/.
  19. Additional Information

    • The Department reserves the right to request additional information that could assist the Department with its award decision. Applicants are expected to provide the additional information by the date and time announced by the Department. Failure to provide the information could result in the rejection of the application.
  20. Sectarian Issue


    • Applicant organizations may not expend federal or State funds for sectarian instruction, worship, prayer, or proselytization. If the applicant organization is a faith-based or religious organization that offers such activities, these activities must be voluntary for the individuals receiving services and offered separately from the 24-Hour Stabilization Services -program.
  21. Abuse, Neglect, Exploitation and Death Reporting and Investigation


    • Each organization engaged in the provision of services within the scope of 24-Hour Stabilization Services is subject to full compliance with the Department's requirements regarding abuse, neglect, exploitation and death reporting and investigation. These requirements can be found in Developmental Disabilities CSA Attachment A at http://www.dhs.state.il.us/page.aspx?item=70174  in section VIII.M.
  22. Registry and Criminal Background Checks


    • Each organization engaged in the provision of services within the scope of 24-Hour Stabilization Services is subject to full compliance with the Department's requirements regarding registry and criminal background checks. These requirements can be found in Developmental Disabilities CSA Attachment A in section VIII.A.
  23. Hiring and Employment Policy


    • It is the policy of the Department to encourage cultural diversity in the work environment and to promote employment opportunities through its programs. The Department's philosophy is that the program workforce should appropriately reflect the populations to be served, with special attention given to hiring individuals indigenous to those communities. Consistent with Department policy, whenever a position becomes available, funded programs are encouraged to consider Temporary Assistance for Needy Families (TANF) clients for employment, contingent upon their qualifications in the areas of education and work experience.

PART II

INTRODUCTION

  1. Intent of the RFA

    • The Illinois Department of Human Services' Division of Developmental Disabilities (DHS' DDD) seeks to fund applicants to provide 24-Hour Stabilization Services that will aid adults 18 or older with developmental disabilities who are experiencing maladaptive behaviors that jeopardize the continuation of their community-based services.
      Services will be delivered upon referral and will be available in two geographical areas of the State (Northern Illinois and Central/Southern Illinois). The intent is to award two separate agreements (one agreement per geographical area) for two (2) four-person homes in each of the geographical areas. Note that a single provider, single consortium of providers who enter into a partnership, single prospective provider or single consortium of prospective providers who enter into a partnership may potentially provide 24-Hour Stabilization Services in both geographical areas.
      Each individual served is anticipated to have a length of stay of 30 calendar days or less. Consideration of individuals participating in the 24-Hour Stabilization Services program will only be when there is clear documentation that all efforts have been employed to stabilize the individual in his current community home. Furthermore, it is expected that the 24-hour Stabilization Services provider(s) will collaborate with the individuals' families/guardians and/other entities providing services to the individuals in developing a plan for successful return to the community.  Note: Two (2) four-person homes in each of the two (2) geographical service areas are both the minimum and the maximum scope of this RFA.
    • Background
      DHS' DDD is committed to promoting the integration and inclusion of people with developmental disabilities into their local communities. DDD's goal is to ensure that individuals with developmental disabilities receive the services and supports they need to lead fulfilling and productive lives in their local communities.
    • DDD currently supports (approximately) 5,300 individuals in private ICFs/DD, 21,000 individuals in home and community-based settings and 1,700 individuals in State Operated Developmental Centers (SODCs).
    • Currently SODCs provide stabilization services within the concept of short-term admissions. The capacities of such services are limited. In recent years, SODCs have admitted approximately 80 individuals annually due to individuals' inability to be served in their respective setting (community provider or home-based). The majority of these admissions are projected to be short-term.
    • DDD created the Support Services Teams in 2010 to assist individuals, families/guardians and their service providers in maintaining their current residential and/or vocational services. With the program's success, there has been an increased identification of the need for alternate stabilization service models that currently do not exist.
  2.  Department's Need for Services (Rationale)

    • Currently, Community Integrated Living Arrangement (CILA) models/providers' capabilities and capacities vary in serving individuals with complex behavioral needs. DDD works with individuals, families/guardians and service providers to address issues that are jeopardizing current living arrangements, e.g. funding additional staff, technical assistance, seeking new providers where appropriate, etc. However, these efforts may not fully achieve the necessary stabilization of individuals which can jeopardize current living arrangements. When this occurs, the current default option is to seek an admission to a SODC for stabilization. 24-Hour Stabilization Services will, in part, reduce the need for utilization of SODCs for short-term stabilization services. 
  3. Requirements

    • DDD seeks applicants to provide the necessary supports for individuals needing behavioral stabilization. Applicants should develop a proposal for two (2) four-person homes in one or both of the geographical areas that addresses the Mandatory Requirements delineated below. DDD welcomes creative, evidenced-base solutions to providing a 24-Hour Stabilization Services model.
    • Mandatory Requirements
      1. Provide evidence of licensure status as a Community Integrated Living Arrangements (CILA) provider or ability to comply with all DHS requirements to become a licensed CILA provider (see http://www.dhs.state.il.us/page.aspx?item=47487 ).
        • Interested applicants should note the following program specific mandatory requirements.
        • Eligible applicant will:
          1. Describe prior experience in the delivery of quality behavioral services for individuals with developmental disabilities within a habilitation model.
          2. Describe the organizational and staff capabilities and capacities to develop and sustain a comprehensive 24-Hour Stabilization Services program(s).
          3. Establish a project service area(s) that will represent two (2) four-person accessible homes in reasonable proximity to ensure ready access to provider and professional resources. Note: Two (2) four-person homes in each of the two (2) geographical service areas are both the minimum and the maximum scope of this RFA.
            Each home must:
            1. Have four single bedrooms.
            2. Accommodate both males and females (in each of the RFA's project service areas). Application must clearly describe how accommodations will be ensured for either males or females when vacancies exist in one or both homes in a service area.
              • Project service areas are defined as:
                Northern Illinois
                This area is representative of Illinois' DDD service regions of Northwest, North Suburban, City of Chicago, and South Suburban.
              • Central/Southern Illinois

                This area is representative of Illinois' DDD service regions of North Central, Central and Southern.

              • For listing of counties for each DDD service region, go to: www.dhs.state.il.us/page.aspx?item=48541
          4. Provide estimated costs for 24-Hour Stabilization Services. Note: It is imperative that an applicant who proposes to provide services in both geographical service areas (Northern Illinois and Central/Southern Illinois) describe to what extent (if any) costs would change if the applicant's application is accepted for funding for only one geographic service area.
            • The rates for these services will be established through this Request for Applications process. Applicants must detail proposed rates including the following components:
              • Direct support staff wages; 
              • Professional staff wages and clinical contracts, e.g., QIDPs, Board Certified Behavior Analysts, nurses, etc.;
              • Employment-related expenditures, e.g., employee benefits, FICA, unemployment insurance, workers' compensation, etc.;
              • Program-related expenditures, e.g., supervision, supplies, etc.;
              • Utilization factors;
              • Administration, e.g., administrative salaries, staff travel, office space and expenses;
              • Transportation of individuals; and
              • Room and Board.
          5. Provide a detailed description of proposed specific service delivery model. Said description must clearly describe the model from the point in time when an individual is considered for participation in the program to the point in time when an individual returns to his community home or an appropriate alternative home. The service model must ensure timely admittance to a home if a vacancy exists and an individual has been approved for participation in the program.
          6. Provide a general geographical location of proposed settings - i.e. planned community. A specific address is not necessary at the time of response to the RFA.
          7. Provide a detailed timeline specifying the projected dates for various phases of implementing the services model, e.g. acquiring housing stock, staff hiring and training, projected date of availability of the program for start of services. The applicant must describe and provide justification regarding any situations or circumstances which might delay offering services on or before the projected date of availability of services in the 24-Hour Stabilization Services program.
          8. Provide a staffing model (with ratios), inclusive of Direct Support Persons (DSP), Qualified Intellectual Disabilities Professionals (QIDP), nursing, Board Certified Behavior Analyst(s) and other clinical professional staff, home supervision and program administration.
          9. Adopt Illinois' base requirements for staff found in the DDD Training Requirements Manual at http://www.dhs.state.il.us/page.aspx?item=48120 . Also, for the 24-Hour Stabilization Services model, an additional 20 hours of training will be required for both the QIDPs and DSPs to increase their skills to best achieve successful program implementation and service delivery. The complete training curriculum for this additional 20 hours of training and the credentials and experience of the trainer or trainers proposed by the provider must be approved in advance by the Division of Developmental Disabilities. The training must be focused on initial and on-going safety and well-being of the individual (and other individuals and staff in the 24-Hour Stabilization Services home) and specific program and behavioral needs of the individual to facilitate the individual's return to his previous home or an appropriate alternative. Training topics for QIDPs and DSPs must include, but not be limited to:
            • Welcome of the individual into the new temporary home
            • Introduction of the individual to other individuals in the temporary home
            • Building rapport/developing relationships
            • Signs and symptoms of medication toxicity or non-therapeutic medication levels
            • Recognizing, describing (verbally and in writing) and addressing escalating behavior
            • Tension reduction and behavior de-escalation
            • Restraint techniques, if necessary (inclusive of physical, mechanical and chemical restraint)
            • Organizing meaningful structure of the day, evening and night
            • Aiding in return by the individual to the structure of the day, evening or night after escalation of behavior/de-escalation of behavior
            • Aiding in return of the individual to his previous home or an appropriate alternative
            • Training with a curriculum and trainers approved by the DDD will be required of QIDPs and DSPs in advance of service delivery in the 24-Hour Stabilization Services setting. Refresher training will be required by the DDD at least every two years after initial training inclusive of training topics which may be identified through the provider's program operations and provider or DDD quality assurance activities.
          1. Ensure and describe a strong leadership role and clearly identified responsibilities for the QIDP, including additional oversight of the home(s). The role of the QIDP will require active involvement with DSPs including intensive data tracking and reporting, behavior modeling, team leadership, and post service progress. The individual QIDP ratio will be 1 to 4. Applicants should consider site-based QIDPs but, regardless, applications must describe schedules for each home that require that the QIDP is physically on site in the home when individuals are in the home for no less than 75% of the QIDP's scheduled hours. Schedules provided by applicants should place the assigned QIDP in each home for some portion of early morning, evenings, nights, Saturdays and Sundays.
          2. Ensure and describe a strong leadership role and clearly identified responsibilities for the Board Certified Behavior Analyst (BCBA). Behavior therapy consultation and supervision must be provided by a Board Certified Behavior Analyst. This consultation and supervision must include such activities as training provider staff and family members/guardians in individualized behavioral analysis concepts and responses, demonstrating and modeling individualized techniques, educating staff regarding best practice methods as they may be relevant to specific individuals, developing individual-specific data collection and reporting systems, and monitoring individual service implementation and outcomes. Behavior plans will be written by the Board Certified Behavior Analyst with consultation and coordination from the QIDP.
          3. Adopt and describe a plan for timely admission to and timely discharge from the 24-Hour Stabilization Services home. In advance of an individual's participation in 24-Hour Stabilization services, the 24-Hour Stabilization Services provider will secure copies of the current service plan and behavior plan and consult with current provider(s). It is the expectation of the DDD that the current service plan, as deemed partially or wholly appropriate, be implemented to the fullest extent possible in the 24-Hour Stabilization Services setting in anticipation of the individual's return to the previous home provider or an appropriate alternative at the conclusion of 24-Hour Stabilization Services. (It is understood that an individual might participate in 24-Hour Stabilization Services without previously or currently receiving any other services. Thus, a current service plan would not be available.) The 24-Hour Stabilization Services provider's Board Certified Behavior Analyst will develop a behavior plan for use upon the individual's entry into the 24-Hour Stabilization Services setting to ensure safety and well-being and to begin to address the individual's identified behavior and/or medication-related needs. The behavior plan developed by the Board Certified Behavior Analyst, coupled with the current service plan, if one exists, will serve as the initial plan and guide initial delivery of services. In advance of the individual's participation in 24-Hour Stabilization Services, the QIDP will coordinate planning and readiness of the provider, even in the absence of a current service plan, to ensure safety, well-being and an appropriate service plan/behavior plan for participation of the individual. The QIDP will convene an interdisciplinary team meeting no later than the third working day after the individual's initial participation to review plans and adjust as needed. The QIDP will convene additional team meetings as necessary and in preparation for the individual's return to his previous home or an appropriate alternative. The admission and discharge policy and procedure(s) should also describe the provider's plan for assisting the individual service coordination agency when necessary to identify an alternative placement after validating and documenting the reasons why a return to the previous community home is not a viable option.
          4. Providers must include nursing oversight, mental health expertise, when needed, and coordination of ancillary services.
          5. Provide detail on planned home accommodations, e.g. number of baths, fenced-in yard, etc. and anticipated modifications to the home, e.g. plexi-glass windows, reinforced wallboard, cabinet locks, etc. and the associated one-time cost.
          6. In addition to mandatory requirements listed above, each vendor will participate in programs and activities as directed by DDD, generally via the Bureau of Clinical Services. Such activities may include sharing of best practices and lessons learned and participation in collaborative planning with DDD, Support Services Teams, Clinical and Administrative Review Team (CART), etc.
  4. Objectives/Services to be Performed (the Approach)

    • The purpose of this section of the RFA is to further describe, in tandem with the Mandatory Requirements detailed in Part II.C., the Department's desired general approach to the provision of 24-Hour Stabilization Services for adults 18 or older with developmental disabilities who are experiencing significant behavioral challenges in their current placement, thus requiring alternate temporary services.
    • Note: Stabilization Services are intended to reduce individuals' behaviors and/or accommodate necessary programmatic and/or clinical changes within the referring entity. Absolute remediation of individual behaviors, while desirable, will not necessarily be a condition of discharge from 24-Hour Stabilization Services.
    • Referrals for short term admission for 24-Hour Stabilization Services will be made by DDD based on individual needs.
    • Applicants are encouraged to propose sustainable innovative approaches to service delivery. However, the practice and clinical approach used to serve individuals through the program must emphasizes the entire person, including his or her medical, psychological, social, and environmental circumstances which, further, must be taken into consideration during the assessment, treatment and habilitation processes.
    • DDD envisions the following provider service model:
      1. Provider ability to receive/admit individuals within 24 hours of notice (when capacity exists) on a no decline basis.
      2. Provider staffing, capacities and competencies which accommodate intensive and specialized delivery of stabilization services to individuals who present with serious and challenging behaviors.
        1. Implementation of positive and necessary behavior interventions
        2.  Development of sustainable behavior plan and interventions
        3. Monitoring and tracking individuals' behavior
      3. Provider linkage with appropriate clinical and behavioral services specific to individual needs.
      4. Provider ability to implement meaningful and engaging training options; and activities/day programs as appropriate to individuals' stabilization goals.
      5. Provider competence to develop and maintain data tracking and reporting systems for both individual services and service billing to the Department.
      6. Provider will, in conjunction with appropriate entities, coordinate continuity of services and discharge planning with individual's referring entity.
      7. Provider will initiate post-discharge follow-up review on individuals' progress and phone consultation with initial referring entity or appropriate alternative regarding the potential remediation of identified post-discharge issues.
      8. Provider will display appropriate staffing competencies and interventions including, but not limited to:
        1. Direct Support Persons (DSP)
          • All DSPs working in 24-Hour Stabilization Services homes will be well-trained and prepared to meet individuals' needs through:
            • Skilled relationship techniques ( informal counseling, coaching, and friendly support)
            • Development of positive behaviors and the reduction of maladaptive behaviors 
            •  Appropriate methods of intervention
            •  Principles and techniques of behavioral change, dynamics of groups, etc.
        2. Qualified Intellectual Disabilities Professional(QIDP)
          • Skilled and well-trained QIDPs to complete intensive stabilization case coordination including, but not limited to:
            • Intake/admission and discharge planning
            • Coordination of therapeutic milieu
            • Intensive data tracking and reporting
            • Behavioral modeling and staff training of intervention and behavior techniques
            • Team leadership for DSP staff
            •  Monitoring individual progress post discharge
        3. Behavioral Services
          • Skilled Board Certified Behavior Analysts to address individuals' behavioral needs including, but not limited to:
            • Assessing psychiatric symptoms
            • Developing behavior support and medication plans that are consistent with best practices 
            • Conducting direct observation, monitoring, and necessary follow-up 
            • Conducting and/or assisting with functional assessments 
            • Providing consumer-specific behavioral support plan training 
            • Participating in individual support planning meetings 
            • Training provider staff and family members/guardians in behavioral analysis and service delivery for specific individuals
            • Demonstrating/modeling training techniques for support staff and family members/guardians
            • Educating staff about related topics in day program settings
            • Monitoring specific program implementation and outcomes
            • Assisting in and/or developing and implementing data collection and reporting systems
        4. Medical and Ancillary Services
          • Provide linkage with appropriate clinical and behavioral services including, but not limited to, physician, psychiatrist or other psychiatric services provider, ancillary therapies, e.g. psychologist, speech, OT, PT etc.
  5. Award Amount

    • DDD seeks to ensure that 24-Hour Stabilization Services are available, and assuming fundable applications, will give priority to applications that DDD believes will have the greatest potential for serving individuals' needs.

APPLICATION CONTENT (SCORED AS INDICATED)

Applicants must submit an application that contains the information outlined below. Each section must have a heading that corresponds to the headings listed below. 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 and limits set for in each section and must be in the specified order below. Exceeding the prescribed page limits is grounds for automatic disqualification. See Part I.F. (Application Submission Requirements) for specifications about page and font size requirements.

Applications will be reviewed and evaluated using the criteria described in this section. The corresponding point values indicate the relative importance placed on review criterion. Points will be allocated based on the extent to which the application addresses each of the criteria listed. Applicants should address these criteria in their application materials, as they are the basis upon which competing applications will be judged during the objective review.

Additionally, for applicants proposing to provide 24-Hour Stabilization Services in both service areas, the application should clearly identify these as separate sections and should propose budget options for funding one or both of the service areas. It is imperative that an applicant who proposes to provide services in both service areas (Northern Illinois and Central/Southern Illinois) describe to what extent (if any) variable and fixed costs would change if the applicant's application is accepted for only one geographic area.

  1. Executive Summary (4 pages maximum) - Not scored

  2. Organization Qualifications/Organizational Capacity (8 pages maximum) (50 points)

    • The purpose of this section is for the applicant to present an accurate picture of the organization's ability to provide 24-Hour Stabilization Services. Applicants will be scored on their demonstrated ability, experience, qualifications, and capacity which will allow them to successfully implement the proposed program.
      1. Organization's Mission (5 points)
        Applicants will be scored on the extent to which the organization's mission is aligned to that of DHS and the work to be completed through this grant.
        Information in this section should include, but not be limited to, the following.
        • Organization's mission statement.
      2. Organization's History, Background, and Experience (25 points) Applicants will be scored on the extent to which the applicant demonstrates:
        • How the organization's history, background, and past achievements demonstrate success working on similar projects and with similar populations and how this experience positions the organization to be successful with the proposed project.
        • The organization's ability to provide timely and efficient services within a 24-Hour Stabilization Services model.
          • Information in this section should include, but not be limited to, the following descriptions. 
        • Current relevant programs and total number of clients served in its relevant programs. 
        • Organization's history, milestones, major achievements. 
        • Geographic area(s) served. 
        • How applicant is experienced/poised to serve in stabilization services model. 
        • Organization's readiness and capacity for service delivery. Include any identified needs and any linkages that are already in place with other service providers, if applicable. 
        • Evidence that the applicant is experienced and capable of carrying out the support services of the proposed program. . Describe prior experience in serving individuals with developmental disabilities. Include in the application the theory of action that guides and informs practice and specify the strategies proven to be effective for bringing about change and enhanced quality. Provide specific examples of successful and effective work in serving individuals with maladaptive behaviors. 
        • Involvement with existing advisory groups and collaborative relationships with community partners related to providing services for individuals with developmental disabilities to achieve high levels of quality services.
      3. Organizational Structure and Capacity (20 points) Applicants will be scored on the extent to which the application demonstrates:
        • An organizational structure and clear lines of responsibility that supports the accomplishment of program objectives and will assure high quality services. 
        • A qualified staff with the skills and abilities to implement an effective, high-quality program. 
        • The organizational capacity to implement, monitor, and evaluate the outcomes of high-quality services for individuals with developmental disabilities.
          • Information in this section should include, but not be limited to, the following descriptions.
            1. The applicant's organizational structure and capacity that will allow successful completion of the work. 
            2. Evidence of current staff qualifications, including information about their specific experience working with individuals with developmental disabilities. If training is needed, describe what those training needs are, as well as the applicant's willingness to ensure that all staff in need of training receive it prior to commencement of service delivery.
            3. Procedures to ensure program staff is capable and sensitive to working with the target population.
            4. Qualifications of the staff that would be involved in the project.
            5. The procedure for conducting registry and background checks, as needed
            6. The applicant's data management capabilities, as needed, to track and monitor support services and performance outcomes of programs.
              • The following organizational background items should be included as Appendices:
                • Appendix A: Resumes of the applicant's chief administrator and program/project director. 
                • Appendix B: Job descriptions for employee positions that will be funded within in this project, including the program/project director, and an indication of the percent of time those employees will spend in this program. 
                • Appendix C: Organizational chart of the applicant's organization indicating where the program and its staff will be placed. If subcontractors will be used, include the subcontractors within the chart. 
                • Appendix D: If desired, letters of support/reference letters from up to three organizations or other entities for which the applicant has provided similar or comparable services as those called for in this RFA.
                • Appendix E: Letters of Agreement/Support from Collaborating Agencies/Organizations, if applicable (if not applicable, leave blank). o Appendix F: Copy of the most recent audited financial statements.
                • Appendix F: Copy of the most recent audited financial statements.
  3. Application (20 pages maximum) (100 points)

    1. Purpose of Funding 
      • The purpose of this section is for the applicant to describe the design and approach of the proposed program and how it will meet the needs of the population it plans to serve.
        1. Program Description (35 points)
          Applicants will be scored on the extent to which the application demonstrates:
          • An approach that is research/evidence based with a proven theory of action for how supports will help individuals with developmental disabilities achieve higher levels of stabilization. 
          • An approach for working with referring entities administration and staff to improve the continuity of stabilization approaches upon individuals' return to their home. 
          • An efficient approach building upon existing State or local structures, programs, services, and/or relationships.
          • How services will be delivered in a culturally appropriate and sensitive manner and in a setting appropriate to the target population.
            • Information in this section should include, but not be limited to, the following descriptions.
          • A framework plan to provide support services to individuals with developmental disabilities within a 24-Hour Stabilization Services model.
          • The research/evidence base that supports the proposed approach, including a proven theory of action for how supports will stabilize individuals' maladaptive behaviors.
          • How the proposed plan will leverage and build upon existing State or local structures or systems.
          • Any resources, materials, or structures that might be available to support programs in the future. How the approach could be expandable over time, if possible. 
          • How services will be delivered in a culturally appropriate and sensitive manner and in a setting appropriate to the target population.
        2. Program Timeline and Work Plan (35 points)
          Applicants will be scored on the extent to which the application demonstrates:
          • A rigorous and achievable work plan that will assist in the development and sustainment of a 24-Hour Stabilization Services model.
          • A timeline for each fiscal year of the work plan that includes planning activities, partner meetings, provision of stabilization services, and ongoing evaluation of the program's impact and success.
            • Information in this section should include, but not be limited to, the following descriptions.
            • Describe program implementation timeline for each fiscal year. Include:
          • When the initial activities will begin
          • A description/planned dates for:
            • Key meetings with partners o
            • Development of program implementation structure
            • Selection of program delivery site(s) 
            • Hiring of personnel, as needed 
            • Provision of services to individuals 
            • Evaluation of program impact and success 
            • Other plan components as needed
    2. Target Population(15 points)
      The applicant should identify the target population that it proposes to serve.
      Applicants will be scored on the extent to which the application demonstrates:
      • The degree to which the plan will support programs that serve individuals with developmental disabilities.
        • Information in this section should include, but not be limited to, the following descriptions.
      • The number of programs to be served (a single geographical service area or both).
      • The proposed area(s) of excellence for support services.
    3. Community Outreach and Collaboration (15 points)
      Applications should discuss any existing relationships that the organization has with the community it proposes to serve. 
      Applicants will be scored on the extent to which the application demonstrates:
      • Existing relationships and/or experience with the population it proposes to serve. 
      • A plan to develop relationships and or linkages to other supports or programs in the communities it proposes to serve
      •  Letters of commitment from organizations with which the applicant has existing relationships.
        • Information in this section should include, but not be limited to, the following descriptions.
      • Related existing linkages or relationships to other community resources and services.
      • If linkages do not exist, describe how and when they will be established, as appropriate. 
      • If linkages do exist, letters of commitment and support from those entities will strengthen the proposal and should also be included in Appendix D.
  4. Evaluation and Monitoring (8 pages maximum) (40 points)

    • The purpose of this section is for the applicant to describe how it will monitor and evaluate the ongoing progress, impact, and success of the work, inclusive of performance measures to be identified in an exhibit to the Community Services Agreement.
    • Applicants will be scored on the extent to which the application demonstrates:
      • A plan to use feedback and performance-based indicators to determine the impact and success of the work and to use feedback to improve or alter the services provided to programs. 
      • A plan to report to DHS on the progress of the services towards stabilization of individuals maladaptive behaviors. \
        • Information in this section should include, but not be limited to, the following descriptions.
      • The applicant's ability to provide data/information to evaluate the program.
      • Information about performance measures by which the applicant and DDD can measure program success and continuously improve its approach as needed. 
      • How the applicant will track program participants' experiences and outcomes.
      • How the applicant will evaluate and report the degree to which it has achieved all measurable objectives described above.
  5. Budget Narrative/Justification and Budget Forms (12 pages maximum-Budget Forms are NOT included in this page limitation) (60 points)

    • This section will evaluate the extent to which:
      • The project's costs are appropriate and reasonable in view of:
        • the activities to be carried out.
        • the types and number of programs to be served.
        • the anticipated outcomes.
    • For applicants proposing to provide services in both service areas, the application should clearly identify these as separate sections and should propose budget options for funding one or both of the areas. Separate budget forms must be submitted for each fiscal year. Applicants should be generous in providing footnotes, narrative and/or other explanation that clarify any aspect of budget submission.
    •  Budget Forms do NOT have to be double-spaced. Applicants can single space Budget Forms, if preferred.
    • Information in this section should include, but not be limited to, the following.
      • Completed Budget Forms found in the Attachments, in consideration of examples of Allowable/Non-Allowable Costs.
      • Budget Narrative/Justification describing line items in budget (Budget Forms) and how appropriate resources and personnel have been allocated for the tasks and activities described.
      • Clear presentation of any initial staff training and start-up funds requested. This material should be presented separately from the Budget Forms. Reasonable start-up costs may be allowed, but the proposal must indicate how those start-up activities would be completed in a brief, initial start-up period. 
      • Travel to and from regularly scheduled meetings with DHS and other Grantees should also be included in the budget.
      • Clear, detailed description of any utilization factors employed in the development of the proposed costs for each fiscal year. This description should be presented separately from the Budget Forms.

Attachment A: Applicant Cover Sheet

Attachment B: Application Content Checklist

Attachment C: Budget Instructions and Budget Forms

Attachment D: Allowable Costs