Question:We currently receive a grant for Supervised Residential.  I am assuming that this competitive NOFO is required to request continued grant funding in FY 2018.  Apologies for the simple question, however this application is significantly earlier than last year's application which we submitted at the end of April last year, so I wanted to make certain.

Answer:  The Supervised Residential program was not competitively bid for FY 2018; however, this is an opportunity for an expansion of services for Williams Class Members. This funding opportunity is an addition to the services and clients already provided in specific geographical locations.

Per the NOFO, Letter C: Eligibility Information - "This funding opportunity is available to any DMH Medicaid certified, Accredited agency. The Supervised Residential setting(s) must serve Williams Class Members, who meet medical necessity for this level of care. Each site should have capacity to accommodate between 10 and 12 individuals, mix gender, preferably. Two sites must be located in the city of Chicago. One site must be located in reasonable geographical proximity to the cities of Decatur and Peoria."

Question:Is the Notice of Funding Opportunity for the Supervised Residential Program strictly or solely for new services OR can a current provider that is already funded for 830 services request additional funding for the provider's current program?

Answer:  The Supervised Residential program was not competitively bid for FY 2018; however, this is an opportunity for an expansion of services for Williams Class Members. This funding opportunity is in addition to the services and clients already provided in specific geographical locations.

Per the NOFO, Letter C: Eligibility Information -

"This funding opportunity is available to any DMH Medicaid certified, Accredited agency. The Supervised Residential setting(s) must serve Williams Class Members, who meet medical necessity for this level of care. Each site should have capacity to accommodate between 10 and 12 individuals, mix gender, preferably. Two sites must be located in the city of Chicago. One site must be located in reasonable geographical proximity to the cities of Decatur and Peoria."

Question:  Is there some flexibility regarding the location in the NOFO? We have several landlords we work with that are within 2 blocks from each other, and within the same 2 blocks as our office. These landlords own buildings on side streets of Grand Avenue, so public transportation is accessible and there is a grocery store right across the street.

Answer: Cluster Housing needs to be in a geo area where there are a volume of Class Members who may want to live in the area and we know they will want to access the units. Class Members have choice to pick geo areas and very few are choosing to move to Franklin Park.

Question:  As long as there is 24/7 access to staff, does that suffice? Or is the requirement the same as in the Supervised Residential, that a staff member be onsite and awake 24/7?

Answer:  Staff are to be accessible to the cluster site (in a staff office) 24 hours a day. And, yes assumedly awake. They need to be able to immediately respond.

Question:  Will the Williams members have a rental subsidy and funds to furnish the apartments?

Answer:  These are leased held apartments that are under a Master Lease between Catholic Charities and the landlord. However, the Class Member holds the lease and is responsible for tenancy under tenant/landlord law. They are also responsible for paying 30% of income toward the total rental amount. There is a bridge subsidy that pays for the remaining balance of the rental amount.

Question:  We also have a facility that could be reconfigured to house a Supervised Residential Program. However this is in Hoffman Estates. Is there flexibility in the location?

Answer:  Hoffman Estates is not geographically feasible to any Williams provider agency for a Supervised Residential site.

All Class Members are afforded $2,800 in transition funds to set up basic household needs and items for living a Cluster Housing model.

Question:  Since this program must serve Williams Class Members, does the subject property have to meet the requirements relative to capacity of no more than 25% of available units for class members? In other words, would I need a 40 unit building to house 10 Williams clients?

Answer:  Supervised Residential sites (group homes) do not have a 25% capacity limitation. However, the site cannot house more than 15 unrelated people. It is recommended that capacity not exceed 12.

Question: Is the Department's expectation for each resident to have their own apartment? Own room? Own "space" (e.g., 40 sqft of personal space)?

Answer:  No, a Supervised Residential site can be two person shared bedrooms, congregant living environments. The bedrooms must have sufficient floor space to accommodate two adults (beds, dresser, side tables) and must not be a general means of egress.

Question: My understanding is that there are less than a handful of agencies state-wide designated to work with Williams/Colbert class members, if my organization was awarded the grant, wouldn't we be required to work closely with the designated agency (e.g., HRDI, Grand Prairie Services, etc.) for continuity of care? If yes, should we secure linkage agreements with those agencies? And, would we be able to bill for on-site Rule 132 services along with the designated agency?

Answer:  If the applicant agency is not currently a designated Williams provider agency, the applicant would be expected to develop a working agreement of reciprocity with the Williams provider agency, for exactly continuity of care. Billing would be allowed for services provided in the residential site (in accordance with Medicaid), during hours of occupancy, as long as there are no duplicative services provided.

Question: There is a requirement that the agency maintain, at minimum, 85% utilization of available capacity for this level of care. Does the Department or aforementioned designated agency provide support by way of Williams referrals to ensure that this performance measure is met?

Answer:  The goal is to maintain optimal occupancy at all times. However, Class Members retain the right to refuse this recommended referral.

Question: Does this prioritize Williams folks? If so, is there an exception to the 25% occupancy rule under one roof?

Answer: The Supervised Residential NOFO expansion is to be 100% Williams Class Members. There is no 25% restriction.