Rob Putnam
DHS.DMHGrantApp@Illinois.gov
Front Door Diversion Program (FDDP) services are to be provided to an eligible person, 18 years of age or older who, without such services, might be referred and/or admitted to a Specialized Mental Health Rehabilitation Facility (SMHRF), and who have been assessed as appropriate for community-based services. Services are provided to maintain individuals in the most integrated community-based setting. Persons eligible for FDDP services are defined as:
*PASRR is interpreted to mean a screening assessment completed by the HFS contractor in support of the Specialized Mental Health Rehabilitation Facilities (SMHRF) pre-admission assessment process.
**Receipt of referrals is interpreted as the date/time at which the HFS contracted vendor places a case deemed 'SMHRF Eligible - Recommended for Front Door Diversion Referral' into the contractor's (vendor contracted with HFS) website's queue.
An offer is defined as a formal, written statement presented to the potential consumer that must include:
DMH may require documentation from the grantee through form(s), reports, and/or others means to affirm the participant's decision.
This offer is considered a preliminary plan of care only to serve until a formal treatment plan is completed and agreed to by the participant as required as part of Rule 140. It is assumed that service needs can change and will be formally updated as necessary.
*** The Grantee is responsible for ensuring the safety and stability of the consumer post diversion in the identified temporary housing/residential setting. Housing may be agency provided or consumer provided. Excludes Shelters.
AND / OR
**** The state reserves the right to modify the face-to-face requirement to confirm with Illinois' Department of Public Health standards, directives, or requirements.
*****The "diversion start date" is the date which that consumer accepts an offer for Front Door new service delivery ONLY for referrals from designated hospital assignments and referrals received as instructed by DMH.
Grantee can invoice and will be reimbursed $3,000 for each person diverted (A2i) and who have received one (1) billable encounter within twenty-four (24) hours of discharge from the hospital or the diversion start date. This payment only applies to referrals from designated hospital assignments and referrals received as instructed by DMH. This payment excludes those cases self-referred by the agency for current consumers. Reimbursed once in the attainment month.
Grantee can invoice and will be reimbursed $3,000 for each person diverted (A2i) who remains in community placement and who is also engaged in treatment services at day ninety (90) from the hospital discharge date or diversion start date and with no admission to any type of long-term care facility. This payment only applies to referrals from designated hospital assignments and referrals received as instructed by DMH. This payment excludes those cases self-referred by the agency for current consumers. Reimbursed once in the attainment month.
Grantee can invoice and will be reimbursed $1500 for each person diverted (A2i) and who physically occupies the Permanent Supportive Housing (PSH) unit, defined as a leased unit in the person's name. Reimbursed once in the attainment month.
Grantee can invoice and will be reimbursed $1,000 for each person(s) diverted and who have received a M1 payment in excess of their negotiated diversion target number (A2n above). Determined and reimbursed annually on attainment.
NOTE: The date of hospital or diversion start date is equal to day one (1).
******These claiming actions rely on the good faith knowledge and actions of the grantees when they assert to these and when they bill under these Milestones. DMH may use HFS claiming history or request consumer billable service history as part of verification of achieved milestones.
If at any time during the grant agreement period the Department determines that the Grantee has/is failing to provide the deliverables or budgeted items identified in the grant agreement, the Department reserves the right in its sole discretion to institute the following actions:
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce M. Quintero, Secretary
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