Summary Information
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Awarding Agency Name |
Illinois Department of Human Services |
Awarding Division Name |
Division of Mental Health |
Agency Contact |
Barb Roberson DHS.DMHGrantApp@illinois.gov |
Announcement Type |
Non-Competitive/Exception |
Funding Opportunity Title |
796 Neuropsych Assessments |
Funding Opportunity Number |
24-444-22-1195 |
Application Posting Date |
February 24, 2023 |
Application Closing Date |
March 27, 2023, 12:00 PM Central Time |
Catalog of State Financial Assistance (CSFA) Number |
444-22-1195 |
Catalog of State Financial Assistance (CSFA) Popular Name |
796 Neuropsych Assessments |
Catalog of Federal Domestic Assistance (CFDA) Number(s) |
NA |
Scope of Services
The Grantee will fulfill two needs related to the Colbert and Williams Consent Decrees. First, the Grantee will facilitate completion of face-to-face neuropsychological assessments/evaluations on identified Williams and Colbert Class Members when there is a suspicion of dementia or other organic brain syndrome and, if so, to determine whether the disease is so severe or persistent it adversely affects the individual's ability and capability to transition from a nursing home setting to independent living (Permanent Supportive Housing (PSH)) or other appropriate community-based housing alternatives. The outcome of this clinical battery/assessment will recommend the most appropriate level of care setting and, if transition is the outcome, the individual's capability to maintain wellness in the community.
Second, the Grantee will conduct desk audits to determine if Colbert Class Members meet certain exclusionary criteria. The Colbert Consent Decree specifies when a Class Member can be excluded from outreach or assessment activities. The Exclusionary Criteria defined in the Colbert Consent Decree are severe dementia or another clinically significant and progressive cognitive disorder that is unlikely to improve. Exclusionary Criteria must be assessed by a qualified professional and confirmed by a physician unaffiliated with the nursing facility.
The Williams and Colbert Consent Decree requires that a strength-based assessment, one that considers individual goals, interests and desires, as well as, explores other indicators such as risks (medical, behavioral and physical), criminal histories, functional capability and cognitive abilities, is conducted on consenting residents of the nursing facilities/ Specialized Mental Health Rehabilitation Facility (NFs//SMHRFs). Class Members who have not been recommended for transition due to the suspicion of dementia, Alzheimer's or other organic brain syndrome may have a secondary, specialized assessment conducted by a Board-Certified neuropsychologist to determine the severity of the disease. This specialized assessment as conducted by the neuropsychologist is to include confirmation by a medical doctor of the exclusionary diagnosis.
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Deliverables
Performance Requirements:
There are two types of services required under this grant - (1) face-to-face assessments and (2) desk reviews.
Each assessment is estimated at an average of eight hours to complete.
The Grantee will:
- Accept referrals from DMH Comprehensive Class Member Transition Program on behalf of Williams and Colbert Class Members who require a specialized neuropsychological assessment.
- Schedule time slots for each Class Member referred.
- Review medical, clinical charts and/or other pertinent documents made available by the NF/SMHRF and documentation from the community mental health center, as appropriate.
- Conduct interviews with family members, guardians or significant others, as appropriate, about the Class Member's past and present functional levels, capabilities and performances.
- Conduct a face-to-face interview with the Class Member using state-of-the art batteries or appropriate assessment tool.
- Complete narrative reports on assessment outcomes with recommendations.
- Complete all assessment outcomes for Class Members who have not been recommended for transition with diagnoses documentation, when appropriate (severe dementia, a cognitive or physical condition requiring 24hr level of care and not likely to improve) as confirmed by a medical doctor.
Each desk review will take no longer than one hour to complete.
The Grantee will:
- Accept referrals from DMH Comprehensive Class Member Transition Program on behalf of Williams and Colbert Class Members who require an exclusionary criteria desk review. Exclusionary Criteria consist of:
- Severe dementia; or
- clinically significant and progressive cognitive disorder or medical condition that is not likely to improve.
- Assign to a member of the UIC DoP Medical Review Team within one (1) business day of receiving the referral packet.
- Review medical, clinical charts and/or other pertinent documents made available by the nursing facility (NF/SMHRF) and documentation from the community mental health center, as appropriate.
- Laboratory reports (most recent 3 months);
- MoCA or MoCA Blind (multiple assessments over time, if available);
- Mini Mental Status Exam (MMSE, if available);
- Functional/occupational therapy assessments (conducted by the Prime);
- Medication list and other physician's orders; and
- Other pertinent documentation relating to the Exclusionary Criteria.
- The entire desk review process should be confirmed within three (3) business days after receipt of all required documentation.
- Complete the Exclusionary Criteria Desk Evaluation to confirm diagnosis and/or exclusionary criteria.
- Complete the Attestation document for each desk review completed.
- The Attestation should be submitted to CCMTP Administrative Staff within one (1) business day of completion .
Payment Terms
Grantees will receive payment by one of the three payment methodologies (Advance Payment, Reimbursement or Working Capital Advance). Grantees will automatically be paid via Reimbursement Method unless a request for Advance Payment Method or Working Capital Advance Method is made using the IDHS Advance Payment Request Cash Budget Template (Cash Budget).
I. Advance Payment Method (Advance and Reconcile)
- An initial payment will be processed in an amount equal to the first two months' cash requirements as reflected in the Advance Payment Requirements Forecast (Cash Budget) Form submitted with the Grantee's application. The initial payment will be processed upon execution of the grantee's Uniform Grant Agreement.
- Grantees must submit monthly invoices in the format and method prescribed in the Grantee's executed Uniform Grant Agreement. Invoices must be submitted no later than 15 days following the end of any respective monthly invoice period, or as indicated in their UGA Exhibit F - Payments. Invoices must include only allowable incurred costs that have been paid by the Grantee. For programs that have Grantee matching requirements, allowable costs are only reimbursable when matching costs have also been incurred.
- Subsequent monthly payments will be based on each monthly invoice submitted to the grant program, and will be adjusted up or down, based on a comparison of actual cumulative expenditures to cumulative advance payments, to date.
- Grantees that do not expend all advance payment amounts by the end of the grant term or that are unable to demonstrate that all incurred costs were necessary, reasonable, allowable, or allocable as approved in their respective grant budget, must return the funds or be subject to grant funds recovery.
- Grantees may be required to submit supporting documentation for their requests at the request of and in a manner prescribed by the Grantor.
- Failure to abide by advance payment governance requirements may result in grantee losing their right to advance payments.
II. Reimbursement Method
- IDHS will disburse payments to Grantee based on actual allowable costs incurred as reported in the monthly financial invoice submitted for the respective month, as described below.
- Grantees must submit monthly invoices in a format prescribed by Grantor. Invoices must include all allowable incurred costs for the first and each subsequent month of operations until the end of the Award term. Invoices must be submitted no later than 15 days following the end of any respective monthly invoice period, or as indicated in their UGA Exhibit F - Payments. As practicable, Grantor shall process payment within 30 calendar days after receipt of the invoice, unless the State awarding agency reasonably believes the request to be improper.
- Grantees may be required to submit supporting documentation for their requests at the request of and in a manner prescribed by the Grantor.
III. Working Capital Advance Method
- IDHS Grant Program Managers will advance working capital payments to the grantee to cover their estimated disbursement needs for an initial period not to exceed two months of grant expenses. Startup costs may be approved if determined by IDHS Grant Program Managers to be allowable.
- Grantees must submit monthly invoices for each of the one or two months covered by the Working Capital Advance in the format and method prescribed by the Grantor. Invoices must be submitted no later than 15 days following the end of any respective monthly invoice period, or as indicated in their UGA Exhibit F - Payments. Invoices must include only allowable incurred costs that have been paid by the grantee. For grant programs that have grantee matching requirements, allowable costs are only reimbursable when matching costs have also been incurred.
- Grantees may be required to submit supporting documentation for their requests at the request of and in a manner prescribed by the Grantor.
- Working Capital Advance Payments are limited to a single occurrence per grant term.
- Following the initial working capital advance payment, grantees will be paid via reimbursement method unless an IDHS Advance Payment Request Cash Budget Template is submitted for Advanced Payment Method.
Additional Advance Payments
Additional working capital advance payments may be considered on a case-by-case basis. Such requests must be made in writing, may require supporting documentation and must be approved by IDHS Executive Staff.
Note: If you will be submitting the Advance Payment Request Cash Budget, it must be submitted with the application packet as a separate document.
Grantee shall submit allowable grant expenses on the DHS prescribed Monthly Grant Invoice template (IL444-5257). Additional supporting documentation using program approved template is required to be submitted with monthly invoice. DHS program contact will provide program approved template for supporting documentation. All invoices shall be HIIPA compliant and encrypted utilizing DHS approved encryption software.
Rate:
July 1, 2023 - June 30, 2024
Neuropsychological Assessment: $276.42 per hour
MD Confirmation of exclusionary diagnosis: $255.00 per hour
If a member fails to show up for a confirmed appointment, a No-Show fee of $100.00 will be charged. Appointment will not be rescheduled until payment in full is made
Payment Forms
- Monthly Invoice IL444-5257
- Advance Payment Request Cash Budget Form (IL444-4985) Only if requesting an advance payment
Performance Measures
- Number of Class Members referred by DMH Comprehensive Class Member Transition Program for a neuropsychological assessment, during the quarter.
- Number of Class Members referred by DMH Comprehensive Class Member Transition Program who received a neuropsychological assessment, during the quarter.
- Number of referrals scheduled for a neuropsychological assessment.
- Number of Class Members for whom neuropsychological assessments were initiated.
- Number of Class Members for whom neuropsychological assessments were completed.
- Number of Class Members who self-aborted the assessment.
- Number of Class Members whose assessment was aborted by the clinician due to distress
- or other symptoms.
- Number of Class Members assessed and recommended for transition, based on clinical appropriateness.
- Number of Class Members assessed and not recommended for transition.
- Number of Class Members assessed and not recommended for transition that included proper documentation of an exclusionary diagnosis as confirmed by a medical doctor
Exclusionary Criteria
- Number of Class Members referred by DMH Comprehensive Class Member Transition Program who received an exclusionary criteria desk review during the quarter.
- Number of Class Members for whom an exclusionary criteria desk review was completed.
- Number of Class Members whose records were reviewed, and they were not recommended for transition that included proper documentation of an exclusionary diagnosis as confirmed by a medical doctor.
Performance Standards
- 100% of Class Members referred by DMH Comprehensive Class Member Transition Program received a neuropsychological assessment, during the quarter.
- 100% of referrals scheduled for an assessment.
- 100% of Class Members neuropsychological assessments were initiated.
- 80% of Class member's neuropsychological assessments were completed.
- Less than 10% of Class Members self-abort the assessment.
- Less than 10% of Class Members assessment session is aborted by the clinician due to
- distress or other symptoms.
- 40% of Class Members assessed were recommended for transition, based on clinical appropriateness.
- 60% of Class Members assessed were not recommended for transition and included the proper documentation for an exclusionary diagnosis confirmed by a medical doctor.
Exclusionary Criteria
- 100% of Class Members referred by DMH Comprehensive Class Member Transition Program who receive an exclusionary criteria desk review during the quarter.
- 100% of Class Members for whom an exclusionary criteria desk review was completed.
- 95% of Class Members whose records were reviewed and were not recommended for transition due to documentation of an exclusionary diagnosis as confirmed by a medical doctor.
Grant Manager Contact
Name: Barb Roberson
Email Address: DHS.DMHGrantApp@illinois.gov
Applicant Eligibility
This non-competitive funding opportunity is limited to applicants that meet the following requirements. If these requirements are not met by deadlines listed in this opportunity an award will not be made:
- The applicant has met the Prequalification and Mandatory Requirements listed in this funding opportunity.
- This funding opportunity is limited to those who currently have an award for this program.
- Applicant must comply with all applicable local (city, county) and state licensing, accreditation, and certification requirements, as of the due date of the application
- More than one application per entity is permitted.
- Applicants must be one of the following:
- Government Organizations
- Education Organizations
- Nonprofit Organizations
- For-Profit Organizations
- Public or private entities can apply
Pre-Qualification
Applicant entities will not be eligible to apply for a grant award until they have prequalified through the Grant Accountability and Transparency Act (GATA) Grantee Portal. Registration and prequalification are required annually. During prequalification, verifications are performed including a check of federal Debarred and Suspended status on the Illinois Stop Payment List and good standing with the Secretary of State. An automated email notification is sent to the entity alerting them of "qualified" status or providing information about how to remediate a negative verification (e.g., inactive UEI, not in good standing with the Secretary of State). A federal Debarred and Suspended status cannot be remediated.
For assistance navigating government application prequalification procedures, refer to IDHS GATA Prequalification Assistance.
Applicants must be prequalified; therefore, applications from entities that have not prequalified prior to the due date of this application will NOT be reviewed and will NOT be considered for funding.
The following information is required to complete registration:
- Organization's Unique Entity Identifier (UEI); For additional information on UEI, refer to Section Unique Entity Identifier and System for Award Management (SAM) below;
- Organization's Federal Employer Identification Number (FEIN);
- Organization type;
- Illinois Secretary of State File ID (required for non-profits, for-profits and limited liability corporations);
- Organization's name;
- Organization's mailing address;
- Organization's primary email address;
- Organization's primary phone number;
- Organization's fiscal year-end date
Unique Entity Identifier (UEI) and System for Award Management (SAM)
Each applicant is required to:
- Be registered in SAM.gov before submitting its application. Provide a valid unique entity identifier in its application; if your organization does not yet have a UEI you must request one.
- Continue to maintain an active SAM registration with current information at all times during which it has an active award, an application, or plan under consideration by the Department
The Department may not make an award to an applicant until the applicant has complied with all applicable unique entity identifier and SAM requirements. If an applicant has not fully complied with the requirements by the time the Department is ready to make an award, the Department may determine that the applicant is not qualified to receive an award and use that determination as a basis for making an award to another applicant.
Pre-Award Requirements
The pre-award process includes a financial and administrative risk assessment utilizing an Internal Controls Questionnaire (ICQ). The ICQ is completed for the organization. The Department may NOT issue a Notice of Award or a Grant Agreement to any applicant that does not have a submitted and approved FY 24 ICQ.
Applicants that have not completed an ICQ for the grant award year at the time of application will be contacted by the Department to complete this pre-award requirement.
This grantee pre-award requirement is mandated by Federal Uniform Guidance (2 CFR 200) and the Grant Accountability and Transparency Act (GATA). Grantees must complete these requirements prior to receiving a grant award from the State of Illinois.
The deadline to submit the ICQ is April 6, 2023, 12:00 PM Central Time.
Registration in CSA
The CSA Tracking System is the system the IDHS utilizes for approving budgets and issuing grant awards. It is strongly recommended that if an applicant entity is not already registered in the CSA Tracking System, they should begin the registration as soon as possible so they may submit a signed budget in CSA. While registration in CSA is not part of the prequalification process, successful applicants will NOT be issued an award without a fully approved budget in the CSA System.
State and Federal Laws and Regulations
The agency awarded funds through this funding opportunity must agree to comply with all applicable provisions of state and federal laws and regulations pertaining to nondiscrimination, sexual harassment and equal employment opportunity including, but not limited to: The Illinois Human Rights Act (775 ILCS 5/1-101 et seq.), The Public Works Employment Discrimination Act (775 ILCS 10/1 et seq.), The United States Civil Rights Act of 1964 (as amended) (42 USC 2000a-and 2000H-6), Section 504 of the Rehabilitation Act of 1973 (29 USC 794), The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.), and The Age Discrimination Act (42 USC 6101 et seq.).
Indirect Cost Rate
Indirect Cost Requirements and Restrictions
In order to charge indirect costs to this grant, the applicant organization must have a Federal or State annually negotiated indirect cost rate agreement (NICRA) or must elect to use the De Minimis Rate.
Every organization that receives a state award must make an indirect cost rate proposal or election in the State of Illinois Grantee Portal, Centralized Indirect Cost Rate Election System, including organizations that are choosing not to claim payment for indirect costs.
Indirect Cost Rate Election:
- Federally Negotiated Rate. Organizations that receive direct federal funding may have an indirect cost rate that was negotiated with the Federal Cognizant Agency. Illinois will accept the federally negotiated rate. The organization must provide a copy of the federal NICRA and submit an Indirect Cost Rate Proposal in the Crowe Activity Review System (CARS).
- State Negotiated Rate. The organization must negotiate an indirect cost rate with the State of Illinois by completing an indirect cost rate proposal in the CARS system if they do not have a Federally Negotiated Rate and would like to negotiate a rate with the State of Illinois.
- De Minimis Rate. An organization may elect a De Minimis rate of 10% of modified total direct cost (MTDC)**. Once established, the De Minimis rate may be used indefinitely. If programs elect to use the De Minimis rate, it is critical that program budgets accurately calculate the MTDC base. Please see the regulation below and note the exclusions to MTDC.
**2 CFR § 200.68 Modified Total Direct Cost (MTDC). MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and subawards and subcontracts up to the first $25,000 of each subaward or subcontract (regardless of the period of performance of the subawards and subcontracts under the award). MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward and subcontract in excess of $25,000. Other items may only be excluded when necessary to avoid a serious inequity in the distribution of indirect costs, and with the approval of the cognizant agency for indirect costs.
- No Rate: Grantees have discretion not to claim payment for indirect costs. Grantees that elect not to claim indirect costs cannot be reimbursed for indirect costs. The organization must record an election of "No Indirect Costs" into the Indirect Cost Rate Election System.
- State Funded Universities/Institutions: Maximum reimbursement for indirect costs is restricted to 10% Off Campus and 20% On Campus with MTDC base.
Crowe Activity Review System (CARS). CARS will allow your organization to document your already established federally approved indirect cost rate or complete an indirect cost rate proposal (see State Negotiated Rate above). Submission requirements are located on page 2 of the Uniform Budget Template as well as 2 CFR 200 Appendices IV, V & VII.
Organizations which have not previously made an indirect cost rate election must submit an election (and indirect cost rate proposal, if necessary) immediately and no later than 3 months after receiving an award notification. If the organization elects to submit a Federally Negotiated Rate or a State Negotiated Rate, they will receive an invitation to submit their proposal in the CARS system.
Organizations that have previously established an indirect cost rate election and would like to continue with a Federal or State Negotiated Rate must submit a new indirect cost rate election immediately and no later than 6 months after the close of their organization's fiscal year.
Organizations that do not make a submission inside the CARS system within the required timeframes will not be allowed to claim indirect cost reimbursement.
For more information see:
Centralized Indirect Cost Rate User Manual
GATA
Grant Fund Use Requirements
All applicants will use grant funds according to the guidelines, conditions, and parameters set forth in this funding notice and in compliance with federal statutes, regulations and the terms and conditions of any applicable federal awards.
Please refer to 2 CFR 200 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, PART 200 Subpart E - Cost Principles to determine the appropriateness of costs.
- Allowable costs are those that are necessary and reasonable based on the activity(ies) contained in the Scope of Work, are justified in the Budget Narrative, and are allowable under Subpart E of 2 CFR 200. It is expected that administrative costs, both direct and indirect, will represent a small portion of the overall program budget. Any budget deemed to include inappropriate or excessive administrative costs will not be approved. Program budgets and narratives must detail how all proposed expenditures are necessary for program implementation.
- Unallowable costs: Please refer to 2 CFR 200 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, PART 200 Subpart E - Cost Principles to determine the appropriateness of costs. In addition, and specific to this grant, the following costs will be unallowable without specific prior written approval from IDHS:
- Entertainment costs, except where specific costs that might otherwise be considered entertainment have a programmatic purpose and are authorized in the approved budget (2 CFR 200.438)
- Capital expenditures for general purpose equipment, including any vehicle regardless of cost, buildings, and land (2 CFR 200.439)
- Capital expenditures for improvements to land, buildings, or equipment which materially increase their value or useful life (2 CFR 200.439)
- Food, and other goods or services for personal use of the grantee's employees, contractors, or consultants of the grantee unless authorized as per diem under the State of Illinois Governor's Travel Control Board (2 CFR 200.445).
- Deposits for items, services, or space
- Simplified Acquisition Threshold: Potential grantees under this funding announcement may receive an award in excess of the Simplified Acquisition Threshold, currently $250,000 (Refer to 2 CFR 200 Section 200.88). Therefore, the grantee must be aware of the following regarding the Simplified Acquisition Threshold as it will be applicable to any qualifying subaward:
- That the grantee agency, prior to making a subaward with a total amount of funds greater than the simplified acquisition threshold, is required to review and consider any information about the applicant that is in the designated integrity and performance system accessible through SAM (currently FAPIIS) (see 41 U.S.C. 2313);
- That an applicant, at its option, may review information in the designated integrity and performance systems accessible through SAM and comment on any information about itself that the awarding agency previously entered and is currently in the designated integrity and performance system accessible through SAM;
- That the awarding agency will consider any comments by the applicant, in addition to the other information in the designated integrity and performance system, in making a judgment about the applicant's integrity, business ethics, and record of performance under awards when completing the review of risk posed by applicants as described in §200.205 awarding agency review of risk posed by applicants.
Application Procedures
Address to Request Application Package
Application materials are provided throughout this announcement. Applications will be made available in user/printer friendly format and may be found on the FY24 Division of Mental Health web site. Additional copies may be obtained by contacting the Department at the email address below.
Each applicant must have access to the internet. The Division's web page will contain information regarding the materials necessary for submission.
Program Email Address: DHS.DMHGrantApp@illinois.gov
Content and Form of Application Submission
Uniform Application for State Grant Assistance
The Uniform Application for State Grant Assistance is a three-page document used to formalize organization's request to apply for funding. Applicants must apply for each consent decree they are serving. A Suffix will need to be used when submitting your budget (under "NOFO Suffix" in CSA). A separate application must be submitted for each consent decree. The suffixes are as follows:
- Colbert Consent Decree: Suffix CCD
- Williams Consent Decree: Suffix WCD
For example, if an applicant's funding is for both Colbert and Williams Consent Decrees, two applications must be submitted, one associated with each Consent Decree for the program.
Page 1 of the application is pre-populated with the appropriate suffix code. Applicants do not need to complete anything on Page 1. The correct application must be used.
On Page 3, applicants will need to include only the amount for the specific Consent Decree on each individual application.
Application Submission Dates and Times
Intergovernmental Review
This funding opportunity is not subject to Executive Order 12372, Intergovernmental Review of Federal Programs
Funding Restrictions
The applicant must develop a budget consistent with program requirements. Proposed budgets must be sufficiently detailed and justified to be approved by IDHS.
Application Submission
- To be considered for award, application materials will only be accepted electronically. Applications must be in the possession of the DMH email address DHS.DMHGrantApp@illinois.gov.
- IDHS cannot guarantee a start date of July 1, 2023, if application submissions are received after the due date referenced in the Program Summary above.
- Emails into this box are electronically date and time stamped upon arrival. For your records, please keep a copy of your email submission with the date and time it was submitted, along with the email address to which it was sent. The email of the original sender of the application will be used for official communication between the Department and the applicant organization for matters regarding this application.
- If an applicant experiences technical difficulties, an email must be sent to DHS.DMHGrantApp@illinois.gov prior to the submission deadline. If State systems are deemed to be working properly, it is the applicant's responsibility to ensure their application materials arrive at the appropriate email address before the submission deadline date and time.
- IDHS/DMH is under no obligation to review applications that do not comply with the above requirements.
- Applicants will receive an email to notify them that the application was received. The email reply will be sent to the original sender of the application materials.
- The subject line of the email MUST state:
- Entity Name;
- Program 796 Neuropsych Assessments
- CCD or WCD (Choose One)
Budget Requirements
The applicant must develop a budget consistent with program requirements. Proposed budgets must be sufficiently detailed and justified to be approved by IDHS.
Deadline for submission of the budget, in the CSA Tracking System, is the same as the application deadline.
- The CSA Tracking System is where the IDHS requires all applicants to enter their GATA Budget information. It is also where IDHS staff will review and take action on the proposed budget. The CSA Tracking system requires that you have different credentials than what you have for the Illinois GATA Grantee Portal. Please follow the directions below to sign the proposed budget.
- A separate budget and budget narrative need to be completed, electronically signed, and submitted in the CSA tracking system with the status as "GATA Budget signed and submitted to program review" for each consent decree you are serving. Under "NOFO Suffix" Column in CSA you must include the suffix listed above.
- There is space when preparing the budget on each line item for the budget narrative. For each line in the budget the applicant will describe why each expenditure is necessary for program implementation and how the amount was determined. Please include cost allocations as necessary. The Budget narrative (including MTDC base exclusions as appropriate) must clearly identify indirect costs, direct program costs, direct administrative costs, and describe how the specified resources and personnel have been allocated for the tasks and activities within each line item. See instructions for the CSA Tracking System and Budget Information. The budget should be prepared to reflect 12 months.
- A Budget Template and Instructions can be used as a tool to assist in determining expenses; however, the final budget must be completed in the CSA Tracking System. The pdf budget or paper copy will not be accepted. Applicants will NOT be issued an award without the applicant's fully approved budget in the CSA System.
Subrecipient budget(s)
- If applicant is planning to use a subrecipient, a pdf copy of the subrecipient budget must be submitted as a separate pdf document with the application packet. Subrecipient budgets must be submitted for each application submitted as outlined above as a separate document.
- Subrecipient budgets shall be submitted on the IDHS/DMH Budget template (GOMBGATU-3002-(R-02-17).
Grantee Conflict of Interest Disclosures
Every grantee and subrecipient must disclose in writing any actual or potential Conflict of Interest as part of the grant application packet using the Grantee Conflict of Interest Disclosure Form IL444-5205.
Grantee Conflicts of Interest include, but are not limited to:
- Grantee has an employee, board member, trustee, or immediate family member who:
- Holds an elected or appointed office in Illinois.
- Holds a seat in the Illinois General Assembly.
- Is an officer or employee of any State board, commission, authority, or holds an elected or appointed position or is employed in any of the offices or agencies of State government.
- Grantee has a financial interest, including ownership of stocks or bonds, in a firm which is a vendor or contractor.
- Grantee has outstanding financial commitments to any vendor or contractor.
- Grantee has a close personal relationship. such as a spouse, dependent child, or member of the technical advisor's household, that may compromise or impair the fairness and impartiality of the technical advisor and grants officer during the solicitation development, proposal evaluation, award selection process, and management of an award.
- Grantee has any negotiation of employment with current or potential sub-recipient or vendor.
Additional examples of Grantee Conflicts of Interest can be found in the Grant Accountability and Transparency Act (GATA) Website Resource Library.
Simplified Acquisition Threshold - Federal Awards
Potential grantees under this funding announcement may receive an award in excess of the Simplified Acquisition Threshold, currently $250,000 (Refer to 2 CFR 200 Section 200.88). Therefore, the grantee is subject to Simplified Acquisition Threshold. Refer to Section "Preapplication Coordination", "Grant Fund Use Requirements".
Project Narrative
A Project Narrative is required to support the Uniform Application for State Grant Assistance (GA) for non-competitive grants. The A separate Project Narrative needs to be submitted for each Consent Decree you currently serve. The purpose of the Project Narrative is to describe the organization's program activities and design for implementing and administering the program for the upcoming State Fiscal Year (SFY). This Project Narrative will include information that is specific to your organization's proposed program services and be considered part of your grant agreement. Submission of this Project Narrative is required to fulfill contractual obligations.
Mandatory Submissions
Award Procedures
Applicants agree to provide program services as described throughout this Funding Opportunity.
Start Date: Applicants must be in a position to begin offering services on July 1, 2023.
- Technology: Agencies awarded funds through this funding notice should have a computer that meets the following minimum specifications for the purpose of utilizing any required IDHS web-based reporting system and the receipt/submission of electronic program and fiscal information:
- Internet access, preferably high-speed
- Email capability
- Microsoft Excel
- Microsoft Word
- Adobe Reader
The purchase of this technology would be an allowable expenditure under the grant and may be budgeted for as part of this application.
- Site Visits: The applicant agrees to participate in site visits/quality reviews as requested by the Department.
- Sectarian Issue: Provider organizations may not expend federal or state funds for sectarian instruction, worship, prayer, or to proselytize. If the Provider organization is a faith-based or a religious organization that offers such activities, these activities shall be voluntary for the individuals receiving services and offered separately from the program.
- 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 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 TANF clients for employment, contingent upon their qualifications in the areas of education and work experience.
- Publication of Studies, Reports or other Program Products: The applicant agrees that products produced for the Department under this award, including, but not limited to research reports, data, analyses, and policy recommendations are the property of the Department and will not be published or distributed except as prescribed by the Department.
Agreement Terms
IDHS anticipates that the term of the agreement resulting from this Program Grant Opportunity will be July 1, 2023, continuing through June 30, 2024, and will require the mutual consent of both parties, be dependent upon the Grantee's performance and adherence to program requirements and the availability of funds. IDHS may withdraw this opportunity at any time prior to the actual time a fully executed agreement is filed with the State of Illinois Comptroller's Office.
Post Award Requirements of Applicant
If the State share of any State award may include more than the requirements applicable reflected in 2 CFR 200, Appendix XII - Award Term and Condition for Recipient Integrity and Performance Matters then the recipient of the grant, during that period of time must maintain the currency of information reported to the System for Award Management (SAM) that is made available in the designated integrity and performance system (currently the Federal Awardee Performance and Integrity Information System (FAPIIS)) about civil, criminal, or administrative proceedings described in paragraph 2 of this award term and condition. This is a statutory requirement under section 872 of Public Law 110-417, as amended (41 U.S.C. 2313). As required by section 3010 of Public Law 111-212, all information posted in the designated integrity and performance system on or after April 15, 2011, except past performance reviews required for Federal procurement contracts, will be publicly available.
State Award Notices
Applicants will receive a Notice of State Award (NOSA) via the Illinois GATA Grantee Portal. It is important to keep contact information in the Illinois GATA Grantee Portal updated since the main contact is the person notifications are sent to. The NOSA shall include:
- Grant award amount
- The terms and conditions of the award
- Specific conditions, if any, assigned to the applicant based on the Fiscal and Administrative Risk Assessment (ICQ).
Note: The Department cannot issue a NOSA until the successful applicant has an approved budget entered into CSA.
The NOSA must be accepted by the grants officer (or equivalent). This effectively accepts the state award amount and all conditions set forth within the notice. This accepted NOSA is the document authorizing the Department to proceed with issuing a grant.
The NOSA is not an authorization to begin performance (to the extent that it allows charging to State awards of pre-award costs at the non- State entity's own risk).
Other Information
IDHS reserves the right to request additional information. Applicants are expected to provide the additional information within a reasonable time. Failure to provide the information could result in the rejection of the application. Providing the requested information does not obligate IDHS to provide funding nor should an agency draw any conclusions about the department's intentions to fund or not fund the application.
Administrative and National Policy Requirements
The agency awarded funds shall provide services as set forth in the IDHS grant agreement and shall act in accordance with all state and federal statutes and administrative rules applicable to the provision of the services.
The agency awarded funds through this Funding Opportunity must further agree to comply with all applicable provisions of state and federal laws and regulations pertaining to nondiscrimination, sexual harassment and equal employment opportunity including, but not limited to: The Illinois Human Rights Act (775 ILCS 5/1-101 et seq.), The Public Works Employment Discrimination Act (775 ILCS 10/1 et seq.), The United States Civil Rights Act of 1964 (as amended) (42 USC 2000a-and 2000H-6), Section 504 of the Rehabilitation Act of 1973 (29 USC 794), The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.), and The Age Discrimination Act (42 USC 6101 et seq.). Additional terms and conditions may apply.
Renewals
This program will be awarded as a 12-month term agreement. Continued Funding of this Program is at the sole discretion of IDHS and is contingent on meeting the follow criteria:
- Applicant has performed satisfactorily during the most recent past funding period.
- All required reports have been submitted on time, unless a written exception has been provided by the Division.
- No outstanding issues are present (i.e. in good standing with all pre-qualification requirements); and
- Funding for the budget year has been appropriated in the state's approved fiscal year budget.
Formula and Matching Requirements
Cost Sharing or Matching:
Grantees are not required to participate in cost sharing or provide match.
Uses and Restrictions
- This funding opportunity is considered a new application.
- The release of this funding opportunity does not obligate the Illinois Department of Human Services to make an award.
- This opportunity is considered a grant agreement and is a non-competitive application for funding. It is not a guarantee of funding.
- This award utilizes State appropriated funds.
- Serves as Maintenance of Effort to the Federal Substance Abuse and Mental Health Services Administration Community Mental Health Block Grant.
Funding Restrictions
The applicant must develop a budget consistent with program requirements. IDHS/DMH is not obligated to reimburse applicants for expenses or services incurred prior to the complete and final execution of the grant agreement and filing with the Illinois Office of the Comptroller.
Allowable Costs
All applicants will use grant funds according to the guidelines, conditions, and parameters set forth in this funding notice and in compliance with federal statutes, regulations and the terms and conditions of any applicable federal awards.
Reports
Upon execution of the grant agreement, reporting shall be in accordance with the requirements set forth in the Uniform Grant Agreement and related Exhibits which includes, but is not limited to the following:
- Time Period for Required Periodic Financial Reports. Unless a different reporting requirement is specified in Exhibit E, Grantee shall submit financial reports to Grantor pursuant to Paragraph 10.1 and reports must be submitted no later than 30 days after the quarter ends.
- Time Period for Close-out Reports. Grantee shall submit a Close-out Report pursuant to Paragraph 10.2 and no later than 30 days after this Agreement's end of the period of performance or termination.
- Time Period for Required Periodic Performance Reports. Unless a different reporting requirement is specified in Exhibit E, Grantee shall submit Performance Reports to Grantor pursuant to Paragraph 11.1 and such reports must be submitted no later than 30 days after the quarter ends.
- Time Period for Close-out Performance Reports. Grantee agrees to submit a Close-out Performance Report, pursuant to Paragraph 11.2 and no later than 30 days after this Agreement's end of the period of performance or termination.
Grantee shall submit a quarterly Periodic Financial Report (GOMBGATU-4002 (N-08-17)) to the appropriate email address. Reported expenses should be consistent with the approved annual grant budget. Any expenditure variances require prior Grantor approval in accordance with Article VI of the Uniform Grant Agreement to be reimbursable.
PFR Email Address for General Grants: DHS.DMHQuarterlyReports@illinois.gov
PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov
PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@illinois.gov
The Grantee shall submit quarterly Periodic Performance Report (GOMBGATU-4001 (N-08-17)) and the Periodic Performance Report Template by Program (PRTP) to the appropriate email address below. Reporting templates and instructions for submitting reports can be found in the Provider section of the IDHS website.
PPR and PRTP Email Address for All Grants: DHS.DMHQuarterlyReports@illinois.gov