Name: Barb Roberson
The Grantee under this Rural Behavioral Health Access (RBHA) contract will provide access to all Rule 140 services to individuals residing in Stark and Marshall counties. These services will be provided by 2 FTEs, one a QMHP and one MHP. Mental Health promotion, education and advocacy will be provided through county-specific trainings including Mental Health First Aid and Suicide Intervention.
The Grantee will provide the following:
Reference the Uniform Grant Agreement, Article IV Payment, Section 4.2 Return of Grant Funds and 4.3 Cash Management Improvement Act of 1990. Payment will be issued monthly and reconciled with reported allowable expenses. Grantee shall submit a quarterly Periodic Financial Report (GOMBGATU-4002 (N-08-17)) to the appropriate email address below no later than November 1, February 1, May 1, and August 1. 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.
DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website at http://www.dhs.state.il.us/page.aspx?item=95429. FY21 reports will be uploaded prior to the due date of the first report.
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 no later than November 1, February 1, May 1, and August 1. DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website at http://www.dhs.state.il.us/page.aspx?item=95429. FY21 reports will be uploaded prior to the due date of the first report.
The following will be included in the reporting template for this grant:
This NOFO is considered a competitive application for funding. It is not a guarantee of funding.
This award utilizes state appropriated funds.
Applicants must submit a program plan which supports the level of funding and detailed service delivery and deliverables.
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 are those that are necessary, reasonable and permissible under the law and can be found in 2 CFR 200 - Subpart E - Cost Principles.
Please refer to 2 CFR 200 - Subpart E - Cost Principles to see a collection of unallowable costs.
Please refer to 2 CFR 200.414 regarding Indirect (F&A) Costs. To charge indirect costs to a grant, agencies must have an annually negotiated indirect cost rate agreement (NICRA). If the agency has multiple NICRAs, IDHS will accept only the lesser rate. There are three types of NICRAs:
This program will be awarded as a 12-month term agreement with two, one-year renewal options. Renewals are at the sole discretion of the IDHS and are contingent on meeting the following criteria:
This funding opportunity is not limited to those who currently have an award from the IDHS; however, applicants must:
Applicants that do not comply with these requirements are not eligible to receive an award.
Each applicant must have access to the internet. Applicants may obtain this application form at http://www.dhs.state.il.us/page.aspx?item=121803. Questions from applicants and their respective responses (Q&A) will be posted at http://www.dhs.state.il.us/page.aspx?item=121993. Questions and DMH Responses will also be posted on this website. It is the responsibility of each applicant to monitor that website and comply with any instructions or requirements relating to the NOFO.
All applicants must demonstrate that the NOFO requirements are met as identified in Section C, #1, a - i.
The maximum possible score is 50 points. All submissions will be reviewed, evaluated and based on the following criteria:
The purpose of this section is for the applicant to present the agency description, history, achievements,
service description, financial overview and future.
Capacity - Agency Qualifications/
The purpose of this section is for the applicant to present an accurate picture of the agency's ability
to meet the program requirements.
The purpose of this section is for the applicant to provide a clear and accurate picture of the need for these
services within the community and how the proposed project will address these needs.
Description of Program Services
The purpose of this section is for the applicant to provide a detailed, clear and accurate picture of its intended
To ensure accountability at all levels of service provision, IDHS is implementing the practice of performance-based
contracting with its Grantee agencies. The articulation and achievement of measurable outcomes help to ensure that
we are carrying out the most effective programming possible. At a minimum, Grantees will be expected to collect and
report data indicators and measures as described in this NOFO.
Describe what resources and other knowledge, skill and abilities in addition to those specific to the duration of the
funding cycle the applicant possesses or will budget for in order to support the objective of this program. These may
include, but not limited to the availability of space like meeting rooms, space to carry out this program, etc.
It is anticipated that Notices of State Award (NOSA) will be made in May 2020.
Applicants recommended for funding under this NOFO following the above review and selection process will receive a Notice of State Award (NOSA). The NOSA shall include:
Reporting requirements for the grant agreement shall be in accordance with the requirements set forth in Section A, Payment Terms and Performance Measures.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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