Rob Putnam
DHS.DMHGrantApp@illinois.gov
This effort aims to establish a continuum of crisis services available for anyone, anywhere, and at any time. DMH is committed to preserving existing community-based programs developed through the historic DMH programs of 410 (Capitated Community Care), 420 (Eligibility Disposition and Assessment), and 580 (Crisis Staffing) while expanding our capacity to provide crisis services across the state. DMH expects that all providers in this program will receive and respond to requests for emotional support received by the Call4Calm system that was established in 2020. Additionally, DMH views Program 590 as an opportunity to address service gaps due to racial and geographic inequities.
Crisis services provided by Program 590 include, but are not limited to: access to the traditional community-based mental health and substance use crisis stabilization and treatment services consistent with Medicaid "Rule 140" service definitions, including Crisis Intervention and Mobile Crisis Team Services. This includes addressing the needs of justice-involved individuals experiencing mental health issues. Providers should be able to respond to environments such as courts where opportunities exist to divert individuals from the criminal justice system to crisis services. Program 590 grantees should be available to anyone within the community in need of mental health crisis treatment, regardless of payor status. It is further expected that Grantees operating Program 590 will submit claims for services as appropriate for individuals with a funding stream to support such claiming.
Grantees must have capacity to respond to mental health crisis and treatment needs within the community(ies) served. This includes access to mental health crisis care services; evaluation of unfunded individuals to determine and facilitate placement into the needed level of mental health care; the ability for an entity to respond to both walk-in and telephone-based crisis contacts; the ability to respond with mobile crisis level services to sites within the covered community consistent with SAMHSA's guidance that service be available to respond to the person in crisis where they are located, rather than limited to pre-determined areas or locations. Grantee must attest that it has read and comprehend SAMHSA's Behavioral Health Crisis Care Toolkit and will incorporate these expectations into Program 590 service design.
The Grantee is expected to provide services and supports to individuals experiencing mental health crises consistent with the 590 Program Manual. Services consist primarily of the services eligible for Medicaid reimbursement consistent with the Department of Healthcare and Family Services Rule 140 and operated through Certified Community Mental Health Centers certified by Department of Human Services Rule 132, but can also include any other services or supports the community mental health Grantees determine necessary to achieve the recovery goals of the individual and avoid more restrictive and expensive services.
Grantees must ensure sufficient staffing for moblie crisis response team services consistent with the 590 Program Manual. Grantee must ensure that QMHP and MHP existing staffing levels are maintained and must plan for the employment of additional staff necessary to expand crisis response capacity in the community(ies) served to ensure availability of a team-based, mobile approach to crisis response. Each team must at a minimum contain an MHP and an Engagement Specialist with immediate access to a QMHP. Grantees must employ individuals with lived experience as Engagement Specialists (ES) who are capable of obtaining the Certified Recovery Support Specialist (CRSS) credential within one year of date of hire and/or must employ individuals with unique personal experience in their own recovery who are capable of obtaining the Certified Peer Recovery Specialists (CPRS) credential within one year of date of hire. The Engagement Specialists will be hired from within the community(ies) the Grantee is proposing to serve and will serve as an integral part of service delivery. In addition to the role on the Mobile Crisis Response Team defined above, the individuals hired for these positions will provide outreach and engagement services to ensure that individuals in the designated geographic area are aware of the availability of mental health services and can gain access to those services.
* Applicable to 4 and 5 - Includes all of the crisis continuum of care, not only MCRT.
**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 subrecipient s up to the first $25,000 of each subaward or subcontractor (regardless of the period of performance of the subawards and subrecipients 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 subcontractor 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.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce M. Quintero, Secretary
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