515-BHLR Behavioral Health Loan Repayment (26-444-22-2923-01)

I. Basic Information

Awarding Agency Name Illinois Department of Human Services
Awarding Division Name Division of Mental Health
Agency Contact Holly Robinson DHS.DMHGrantApp@Illinois.gov
Announcement Type Non-Competitive/Exception
Funding Opportunity Title 515-BHLR Behavioral Health Loan Repayment
Funding Opportunity Number 26-444-22-2923-01
Application Posting Date March 11, 2025
Application Closing Date April 9, 2025, 12:00 PM (Noon) Central Time
Catalog of State Financial Assistance (CSFA) Number 444-22-2923
Catalog of State Financial Assistance (CSFA) Popular Name 515-BHLR Behavioral Health Loan Repayment
Assistance Listing (CFDA Number) Not Applicable
Estimated Total Program Funding $10,000,000
Anticipated Number of Awards 1
Award Range $10,000,000
Cost Sharing or Matching Requirement No
Indirect Costs Allowed Yes
Restrictions on Indirect Costs No

A. Funding Details

  1. Total Amount of Funding

    1. The Department expects to award approximately $10,000,000.
    2. The source of funding for this program is State funds.

  2. Number of Grant Awards

    1. The Department anticipates funding approximately 1 grant award to provide this program.

  3. Expected Dollar Amount of Individual Grant Awards

    1. The Department anticipates that the dollar amount of individual award will be $10,000,000.

  4. Amount of Funding per Grant Award on average in previous years

    1. Previous funding amounts per grant award was $7,500,000.

  5. Renewal or Supplementation of Existing Projects Eligibility

    1. This program will be awarded as a 12-month term agreement.
    2. Continued Funding of this Program is at the discretion of the Department and is based on sufficient appropriation and performance criteria including, but not limited to:
      1. Grantee has performed satisfactorily during the previous reporting period.
      2. All required reports have been submitted on time, unless a written exception has been provided by the Division/Department.
      3. No outstanding issues are present (e.g., in good standing with all pre-qualification requirements and no outstanding corrective action, etc.).

  6. Procurement Contract Allowability

    1. Subcontractor Agreement(s) and budgets must be pre-approved by the Department and on file with the Department. Subcontractors are subject to all provisions of this Agreement. The successful applicant Agency shall retain sole responsibility for the performance and monitoring of the subcontractor.

  7. Funding Restrictions

    1. Pre-Award Costs
      1. Pre-Award costs are not allowable for this award.
      2. IDHS grants are governed by 2 CFR. Part 200, Subpart E-Cost Principles and 30 ILCS 708 which include information on allowable costs, audit requirements, and financial records.
    2. Indirect Costs
      1. Indirect Costs may be applied to this grant award. Indirect Cost rates must be approved through the Illinois Indirect Cost Rate Election System (ICRES).

B. Key Dates

  1. Application Posting Date

    1. 03/11/2025

  2. The Department must receive the Full Application Packet:

    1. Due on 04/09/2025 at 12:00 p.m. (Noon) Central Time

  3. Anticipated Award Date

    1. 07/01/2025

  4. Anticipated Start Date and Periods of Performance for grant awards

    1. Subject to appropriation, the grant period will begin no sooner than 07/01/2025 and will continue through 06/30/2026.

C. Executive Summary

  1. The CBHCP Loan Repayment Program is intended to provide loan repayment assistance to qualified mental health and substance abuse professionals to recruit and retain them to practice in underserved or rural areas. This program also addresses the State's community-based behavioral health care workforce shortage that causes disparities in access to critical mental health and substance use services. Grantee will make payments on outstanding eligible educational loans on behalf of qualifying licensed behavioral health and substance use professionals.

D. Agency Contact Information

  1. If you have questions about this funding opportunity, please contact:

    1. Holly Robinson
    2. Email: DHS.DMHGrantApp@Illinois.gov

II. Eligibility

A. Eligible Applicants

  1. The specific types of applicants that may apply for the grant award are:
    1. Government Organizations
  2. The applicant must meet the Registration, Pre-qualification, and any other Mandatory Requirements listed in this funding opportunity.
    1. Applicants must provide the following information via the Grantee Portal annually to be registered with the State of Illinois as an awardee:
      1. Organization Name and Contact Information
      2. Federal Employee Identification Number (FEIN)
      3. Unique Identity Number (UEI)
      4. Organization Type
    2. Applicants must be prequalified; therefore, applications from entities that have not prequalified prior to the due date of this application will NOT be reviewed until applicant is prequalified. Items i) through v) below are the prequalification requirements.
      1. Unique Entity Identifiers and SAM Registration. Each applicant (unless the applicant is an individual or State awarding agency that is exempt from those requirements under 2 CFR § 25.110(b) or (c), or has an exception approved by the Federal or State awarding agency under 2 CFR § 25.110(d)) is required to:
        1. Be registered in SAM.gov before the application due date.
        2. Provide a valid unique entity identifier (UEI) in its application.
        3. Continue to maintain an active SAM registration with current information at all times during which it has an active award or an application or plan under consideration by the awarding agency.
        4. The State Agency may not make an award until applicant has fully complied to all UEI and SAM requirements.
        5. The State Agency may determine that an applicant is not qualified if they have not complied to requirements and use that determination as a basis to award another applicant or applicants.
      2. Must be in "good standing" with the Illinois Secretary of State if the Illinois Secretary of State requires the entity's organization type to be registered.
      3. Must not be on the Illinois Stop Payment List.
      4. Must not be on the SAM.gov Exclusion List.
      5. Must not be on the Medicaid Sanctions List.
  3. Successful Applicants will not receive an award if pre-award requirements are not met. Qualified status is re-verified nightly. If the entity's status changes, an email notice is sent to the designated entity representative with a link to the Grantee Portal.
  4. See Section number I(A)(7) for funding restrictions.
  5. Other factors that would disqualify an applicant or application include:
    1. Not Applicable.
  6. Limit on Number of Applications: More than one application per entity is not permitted.

B. Cost Sharing

  1. Providers are not required to participate in cost sharing or provide match.
  2. Serves as Maintenance of Effort to the Federal Substance Abuse and Mental Health Services Administration Community Mental Health Block Grant.

III. Program Description

Grantee will develop, implement, and maintain a statewide Community Behavioral Health Care Professional Loan Repayment Program (CBHCP) [110 ILCS 996].

The CBHCP Loan Repayment Program is intended to provide loan repayment assistance to qualified mental health and substance abuse professionals to recruit and retain them to practice in underserved or rural areas. This program also addresses the State's community-based behavioral health care workforce shortage that causes disparities in access to critical mental health and substance use services. Grantee will make payments on outstanding eligible educational loans on behalf of qualifying licensed behavioral health and substance use professionals.

Eligibility requirements and other program parameters are described in the Community Behavioral Health Care Professional Loan Repayment Program Act [110 ILCS 996] and the ISAC Administrative Rules PART 2753 Community Behavioral Health Care Professional Loan Repayment Program.

A.  Funding Priorities or Focus Areas

  1. IDHS is working to counteract systemic racism and inequity, and to prioritize and maximize diversity throughout its service provision process. This work involves addressing existing institutionalized inequities, aiming to create transformation, and operationalizing equity and racial justice. It also focuses on the creation of a culture of inclusivity for all regardless of race, gender, religion, sexual orientation, or ability.

B.  Performance Requirements

  1. Develop, implement, and maintain the following program requirements and processes for the CBHCP Loan Repayment Program:
    1. Loan reimbursement eligibility criteria;
    2. Application and application process;
    3. Process for determination of eligibility;
    4. Process for 3rd party certification of licensure, employment and HPSA agency ranking;
    5. Process for awarding of funds;
    6. Process for disbursing funds
    7. Process for annual renewal.
  2. Create and update as needed a CBHCP Loan Repayment Program page on our webpage. The web page will provide information on the loan repayment program and a link to the application on the ISAC Student Portal.
  3. Establish and post the CBHCP Loan Repayment Program application on the ISAC Student Portal and communicate its availability to potential applicants and partners assisting with outreach.
  4. Provide confirmation of receipt of CBHCP Loan Repayment Program application to all applicants within 3 business days.
  5. Base its applicant eligibility process on existing rules (PART 2753) and will communicate disposition to the applicant through ISAC's Applicant Services process:
    1. reviews all applications and follows up with applicants with missing information or who appear to be ineligible for the CBHCP Loan Repayment Program within 20 business days.
    2. informs CBHCP Loan Repayment Program applicants of their eligibility and beneficiary award status following the certification of applicant eligibility.
    3. inform the loan holder when the beneficiary designates ISAC as his or her disbursing agent for this purpose.
  6. Award CBHCP Loan Repayment Program grants to eligible applicants contingent on available funding and within the parameters listed in statute and Rules pertaining to allowable amounts by profession. If funding is insufficient to pay all eligible applicants, awarding will be determined by a process of criteria ranking (See Part 2753 for details).
  7. Develop and disseminate CBHCP Loan Repayment Program grants training materials and conduct trainings.
  8. Communicate information and share resources on the CBHCP Loan Repayment Program to its partners - financial aid administrators, institutional partners, students and parents, organizations, etc. in furtherance of program administration.

C. Performance Measures

  1. Number of individuals who applied to the program.
  2. Number of individuals approved for the program.
  3. Total amount of disbursed funds.
  4. Number of training materials developed and disseminated.
  5. Number of trainings provided.

D. Performance Standards

  1. 100 or more individuals applied to the program.
  2. 50% or more individuals approved for the program.
  3. Minimum of 5 or more trainings provided.

E. Cooperative Agreements

  1. Not Applicable.

F. Unallowable Costs

  1. 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.
  2. 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.
  3. 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.
  4. 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.

G. Program beneficiaries or program participants must meet the following requirements:

  1. Not Applicable.

H. Authorizing Statutes or Regulations

  1. 59 Ill. Admin, Code 132 (Rule 132), Section 132.150g
  2. Mental Health Community Services Act (405 ILCS 30/ Section (f))
  3. Illinois Administrative Code Part 7000 Grant Accountability and Transparency Act

IV. Application Contents and Format

A.  Content and Form of Application Submission

  1. Required Content of Application

    1. Applications must include the required documents and demonstrate that the program eligibility requirements have been met. Refer to Section V. Submission Requirement and Deadlines for details.

  2. Project Narrative Content and Attachments

    1. The Project Narrative is required to support the Uniform Application for State Grant Assistance (GA) for non-competitive grants. 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.

  3. Budget and Budget Narrative

    1. Applicants must enter a FY26 budget electronically in the CSA system.
    2. Budget must be electronically signed and submitted in the CSA system. Budget must be signed by the Provider's Chief Executive Officer and/or Chief Financial Officer.
    3. IMPORTANT: Please be sure the budget status in CSA says "GATA Budget signed and submitted to program review." This status will appear after the budget is electronically signed by the agency CEO or CFO and submitted to IDHS. See IDHS CSA Tracking System webpage for additional information on CSA at IDHS: CSA Tracking System (state.il.us). A copy is not to be submitted along with the application packet. The budget and narrative must tie fiscal activity to program objectives and deliverables and demonstrate that all proposed costs are:
      1. Reasonable and necessary
      2. Allocable, and
      3. Allowable as defined by program regulatory requirements and the Uniform Guidance (2CFR 200), as applicable.
    4. Deadline for submission of the budget, in the CSA Tracking System, is the same as the application deadline.
    5. A Budget Template 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.
    6. NOTE: The Illinois Department of Innovation & Technology (DoIT) is now disabling external Illinois.gov IDs if they have not been used for 114 days. If you receive the error "HPDIA0309W This account is disabled," your ID has been disabled and cannot be re-activated by changing your password. You need to contact the DoIT HelpDesk at [217-524-DoIT (3648) or 312-814-DoIT (3648)] or their website at Report A Problem. Request that they create an incident to re-enable your external ID. You will need to provide your external ID (firstname.lastname@external.Illinois.gov) and the error message (this account is disabled). Please be sure to Reset Your Password every 3 months so your account is not disabled.
    7. 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. The budget should be prepared to reflect 12 months.
    8. Instructions for the Budget Template
    9. Subcontractor budget(s), If applicable
      1. If applicant is planning to use a subcontractor, a pdf copy of the subcontractor budget must be submitted as a separate pdf document with the other application materials.
      2. Subcontractor budgets shall be submitted on the GATA Uniform Grant Budget Template (GOMBGATU-3002).
      3. For more information see Section I(A)(6).

  4. Required Forms

    1. 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.
      1. The document requires the electronic or wet(ink) signature and email address of the organization's authorized representative. This email address will be used for official communication between the Department and the applicant organization for matters regarding this application.
      2. Page one of the application is pre-populated with the appropriate information. Applicants must not complete anything on Page one.
      3. On Page three, applicants will need to include the amount for which they are applying and sign.
      4. The correct application must be used.
    2. Grantee Conflict of Interest Disclosure - The grantee Conflict of Interest Disclosure is required for all grant award programs regardless if the grantee has identified a potential conflict or not. The document requires agencies to identify actual or potential conflicts of interest. The form must have a printed name and be signed by a representative of the organization.

V. Submission Requirements and Deadlines

A. Address to Request Application Package

  1. The complete application package is available through the Illinois Catalog of State Financial Assistance and the Mental Health Grants - FY26 website.
  2. Each Applicant must have access to the internet. The Department's website will contain information regarding this funding opportunity and materials necessary for submission. It is the responsibility of each applicant to monitor the website and comply with any instructions or requirements related to this funding opportunity.
  3. A PDF copy may be obtained by emailing the Division of Mental Health at DHS.DMHGrantApp@Illinois.gov.

B. Unique Entity Identifier (UEI) and System for Award Management (SAM.gov)

  1. Each Applicant Must:
    1. Be registered in SAM.gov before submitting its application;
    2. Provide a valid Unique Entity Identifier (UEI) in its application; an
    3. Continue to maintain an active registration in SAM.gov with current information at all times during which it has an active award or an application or plan under consideration.
  2. The Department may not make an award until applicant has fully complied with all UEI and SAM Requirements.
  3. If individuals are eligible to apply, they are exempt from this requirement under 2 CFR 25.110(b).
  4. If the agency exempts any applicants from this requirement under 2 CFR 25.110(c) or (d), a statement to that effect.

C. Submission Instructions

  1. Actions needed prior to applying:
    1. Applicants must be registered with the State of Illinois and Pre-qualified in the GATA portal prior to applying for Illinois awards. Instructions for creating an account and registering are located at the following link: Illinois GATA Grantee Portal. Additionally, detailed instructions for registration and prequalification requirements, including the expected amount of time for completion are located here: Grant Applicant Pre-Qualification and Pre-Award Requirements (pdf)
    2. Registration in CSA is required. The IDHS: CSA Tracking System (state.il.us) 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. Applicants will NOT be issued an award without a fully approved budget in the CSA System.
  2. The Methods for submitting the application:
    1. Applicants must electronically submit the complete application packet which includes the following attachments as separate pdf documents:
      1. Project Narrative
      2. Uniform Application for State Grant Assistance
      3. Grantee Conflict of Interest Disclosure
      4. Budget (entered into the CSA system as described in section (IV)(A)(3)
      5. Subcontractor Budgets, if applicable
      6. Advance Payment Request Cash Budget Form, if applicable
    2. Applications must be sent electronically to DHS.DMHGrantApp@Illinois.gov. The application will be electronically time-stamped upon receipt. Application submissions or delivery to any other email address or contact, including other IDHS offices or employees, will not be considered for review or funding. Applications will not be accepted if received by fax machine, hard copy, disk, or thumb drive.
    3. Include the following in the subject line:
      1. Your Agency Name
      2. 515-BHLR Behavioral Health Loan Repayment
    4. Documents must NOT include a password.
    5. Software or Electronic Capabilities
      1. Each applicant must have access to the internet. The Department's website will contain information regarding this funding opportunity and materials necessary for submission.
  3. Pre-application materials must be submitted as follows:
    1. Not Applicable.
  4. If you are experiencing system problems or technical difficulties submitting your application, you may contact:
    1. Name: Holly Robinson
    2. Email: DHS.DMHGrantApp@Illinois.gov

D. Submission Dates and Times

  1. Full applications are due on 04/09/2025 at 12:00 p.m. (Noon) Central Time.
  2. Missed Deadlines
    1. IDHS cannot guarantee a start date of July 1, 2025, if application submissions are received after the due date referenced in the Program Summary above.
    2. For your records, please keep a copy of your submission with the date and time the application was submitted along with the email address to which it was sent.

E. Intergovernmental Review

  1. This funding opportunity is NOT subject to Executive Order 12372, "Intergovernmental Review of Federal Programs."

VI. Application Review Information

A.  Responsiveness Review

  1. The following are the criteria that must be met for eligibility:
    1. Applicant has a current registration with the State of Illinois in the Grantee Portal.
    2. Applicant has an active SAM.gov public account.
    3. Applicant has an active Unique Entity Identifier (UEI) with SAM.gov
    4. Applicant is in "good standing" with the Secretary of State.
    5. Applicant is not on the DHS Stop Payment List Service or the Illinois Stop Payment List.
    6. Applicant is not on the SAM.gov Exclusion List.
    7. Applicant is not on the Illinois Medicaid Sanctions List.
    8. Program specific eligibility restrictions
      1. Not Applicable.
  2. Restrictions on eligibility for State awards are referenced in 44 Ill Admin Code 7000.70. Program specific eligibility restrictions are referenced in this funding opportunity.

B. Risk Review

  1. IDHS conducts risk assessments for all awardees, prior to the award being issued.
    1. An agency wide Internal Control Questionnaire (ICQ) to be completed by the awardee within the Grantee Portal. Please check the Illinois GATA Grantee Portal to complete this prior to the deadline listed below. The ICQ evaluates fiscal, administrative, and programmatic risk in the following categories:
      1. Quality of Management Systems
      2. Financial and Programmatic Reporting
      3. Ability to Effectively Implement Award Requirements
      4. Awardee Audits
    2. The deadline to submit the FY26 ICQ is April 16, 2025, 12:00 PM (Noon) Central Time
    3. A program specific Programmatic Risk Assessment conducted by the awarding agency to evaluate the following categories:
      1. Programmatic financial stability
      2. Management systems and standards that would affect the program.
      3. Programmatic audit and monitoring findings
      4. Ability to effectively implement program requirements.
      5. External partnerships
      6. Programmatic reporting
    4. Risk assessments are not intended to be punitive in nature, rather they are conducted in order to evaluate the support, technical assistance, and training that may be needed for the awardee and the level of monitoring that is needed for the award.
      1. Risk assessments may result in Specific Conditions being placed on the award to include more frequent monitoring or the implementation of a corrective action plan.
  2. Simplified Acquisition Threshold - Federal and State awards
    1. It is anticipated that grants under this award may receive an award over the Simplified Acquisition Threshold (as defined in 48 CFR part 2, subpart 2.1; the dollar amount set by the Federal Acquisition Regulation (FAR), currently at $250,000 (with some exceptions)). Potential grantees under this notice of funding opportunity may receive an award in excess of the simplified acquisition threshold of $250,000. Therefore, the grantee is subject to the simplified acquisition threshold and related requirements.
      1. Prior to making an award with a total amount greater than the simplified acquisition threshold, IDHS 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).
      2. 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 a State or Federal awarding agency previously entered and is currently in the designated integrity and performance system accessible through SAM.
      3. IDHS 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 applicants' integrity, business ethics, and record of performance under State and Federal awards when completing the review of risk posed by applicants as described in 2 CFR 200.206.

VII. Award Notices

A.  State Award Notices

  1. Applicants recommended for funding under this Non-Competitive funding opportunity will receive a Notice of State Award (NOSA). The NOSA shall include:
    1. Grant award amount
    2. The terms and conditions of the award
    3. Specific conditions, if any, assigned to the applicant based on the fiscal and administrative risk assessment (ICQ), programmatic risk assessments (PRA), and the Merit Review.
  2. Note: The Department cannot issue a NOSA until the successful applicant has an approved FY26 budget entered into the CSA system. The applicant shall receive the NOSA through the Grantee Portal. The NOSA must be signed by the grants officer (or equivalent). This signature effectively accepts the state award amount and all conditions set forth within the notice. The signed NOSA is the document authorizing the department to proceed with issuing an agreement. The Agency signed NOSA must be remitted to the Department as instructed in the notice.
  3. The NOSA is NOT an authorization to begin performance (to the extent that it allows charging to State awards of pre-award costs; pre-award costs are incurred at the non-State entities own risk unless they have received written prior approval to begin performance).
  4. The authorizing document to begin performance is the fully executed Uniform Grant Agreement (UGA) signed by the grants officer, or equivalent. This is the official document that obligates funds. The UGA is sent to the non-State entity via the CSA system. The non-State entity will print and sign the signature page of the UGA and return signature page to DHS.OCA.SignaturePages@Illinois.gov. A final signed copy of the UGA will be provided to the non-State entity via an upload into the CSA Tracking system.
  5. Applicants who are not eligible due to registration or pre-qualification issues, or late applications will be notified that they are ineligible for consideration when their application is processed.

VIII. Post-Award Requirements and Administration

A.  Administrative and National Policy Requirements

  1. 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.
  2. You can find a sample of the grant agreement at IDHS Uniform Grant Agreement.
  3. Payment Terms
    1. It is the policy of the Illinois Department of Human Services (IDHS) that this policy complies with 2 CFR 200.302, 2 CFR 200.305, 31 CFR 205 (Procedures implementing the Cash Management Improvement Act and Treasury State Agreement (TSA)) and 44 Ill. Admin. Code 7000.120 (GOMB Adoption of Supplemental Rules for Grant Payment Methods). Three different award payment methods exist, namely Advance Payment, Reimbursement, and Working Capital Advance.
    2. Grantees selecting the Advance Payment Method, or the Working Capital Advance Payment Method must complete the Advance Payment Request Cash Budget Template as described in the procedures above. In addition, please note: If you will be submitting the Advance Payment Request Cash Budget, it must be submitted with the application materials as a separate document.
    3. The Monthly Invoice IL444-5257 Template must be used for all DMH programs and submitted no later than 15 days after the end of the month. All invoices shall be HIIPA compliant and encrypted utilizing DHS approved encryption software and emailed to DMH at the email address listed above.
    4. Invoice and PFR Email Address for General Grants: DHS.DMHQuarterlyReports@Illinois.gov
    5. Invoice and PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov
    6. Invoice and PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@Illinois.gov
  4. Payment Forms
    1. Monthly Invoice (IL444-5257)
    2. Advance Payment Request Cash Budget Form (IL444-4985) Only if requesting an advance payment

B. Reporting

  1. Reporting, upon execution of the grant agreement, shall be in accordance with the requirements set forth in the UGA and related exhibits which include but is not limited to the following:
    1. Periodic Financial Reports submitted electronically in accordance with instructions in the UGA no more frequent than quarterly and no less frequent than annually, unless unusual circumstances exist.
    2. Periodic Programmatic Reports submitted electronically in accordance with instructions in the UGA no more frequent than quarterly and no less frequent than annually, unless unusual circumstances exist.
    3. Close-out Performance Reports and Financial Reports as instructed in the UGA.
    4. Other Unique Programmatic Reporting Requirements: additional annual performance data may be collected as directed by the Department and in the format prescribed by the Department.
    5. If the State share of any State award may include more than $500,000 over the period of performance applicants are also subject to the reporting requirements reflected in Appendix XII to 2 CFR 200.
    6. Non-compliance with any of the identified reports may lead to being placed on the Illinois Stop-Payment List.
    7. Grantee shall submit these reports) to the appropriate email address listed below. 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 UGA to be reimbursable.
      1. PFR Email Address for General Grants: DHS.DMHQuarterlyReports@Illinois.gov
      2. PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov
      3. PFR Email Address for Colbert Consent Decree: DHS.Colbert.Invoices@Illinois.gov
      4. PPR and PRTP Email Address for All Grants: DHS.DMHQuarterlyReports@Illinois.gov
    8. DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website.

IX. Other Information

A.  Program Websites

  1. Mental Health Grants - FY26
  2. IDHS Grants
  3. IDHS website

B.  Mandatory Forms and Submissions

  1. Uniform Application for State Grant Assistance
  2. Project Narrative
  3. Uniform Grant Budget Template (Submit in CSA)|Instructions
  4. Subcontractor Budget, if applicable submit as a separate attachment
  5. Grantee Conflict of Interest Disclosure submit as a separate attachment
  6. Advance Payment Request Cash Budget Form (IL444-4985) submit as a separate attachment (no submission will result in default to Reimbursement Method)