Q1: In reading this grant posting I see multiple references that "This award will not be eligible for Medicaid nor CCBHC Reimbursement." Are you saying that you don't want us to bill Medicaid for services we provide to clients through this grant?
A1: No. For both 590 and 591, the provider should be billing Medicaid whenever possible as DHS is the payer of last resort. For 591 specifically, your budget should include what you believe will not be covered by Medicaid, and is required to meet the standards outlined in the grant posting. For all other Medicaid questions, please contact HFS.
Q2: Our organization is planning to submit one application for Program 591, however, since we have 2 CCBHC locations, does this increase the award range since it covers 2 sites?
A2: No. The award range listed in the grant posting is final. DHS will not be increasing award amounts.
Q3: Are providers allowed to carryover their 580 programming to their CCBHC program since it doesn't fit the 590 grant posting?
A3: Anything that is covered by HFS will not be billing to the grant. Please contact HFS for additional information regarding this question.
Q4: What is allowable in the Program 591 budget? Is this to cover the difference in the PPS rate and Medicaid rate, or the capacity for 100% coverage so staff salaries, down time in between calls to build capacity? The grant posting doesn't give much insight into this. Our PPS rate is much lower than what we got with Medicaid billing per MCRT event.
A4: Your budget should include what you believe will not be covered by Medicaid and is required to meet NOFO standard. All rate related questions and concerns should be directed to HFS.
Q5: Agency involvement within the 988/CESSA dispatch and Mobile Crisis Response came from the direction of the 590/591 grants. My question is regarding our ability to utilize 591 grant funding to support our Mobile Crisis Response Teams to be able to continue to participate in the CESSA rollout and dispatch processes within our CCBHC counties. We want to be able to use our MCRT staff at our CCBHC communities to continue to respond to 988 and CESSA-related crisis events.
A5: You are allowed to use the same mobile teams for both 590 and 591. Please maintain clear and accurate time and effort records.
Q6: For providers who have only one location, can they be both CCBHC and MCRT operating out of their one location? If they cannot, how should we be directing them?
A6: It is preferred that your CCBHC and MCRT operate out of different locations if you are applying for 590 funding. The idea is that your MCRT and CCBHC will have different/separate coverage areas. If your MCRT is part of your CCBHC, you should apply for 591 funding and they should operate out of the same location. In this case, the coverage areas could overlap, but not entirely.
Q7: The de minimis rate is listed as 15% in CSA as we complete the grant information for Crisis 590. Is this the correct amount we are able to use for our indirect cost rate?
A7: Program 590 and 591 utilize Federal dollars from various Federal grants that allow maximum 10% de minimis rate. Therefore, we have to restrict the de minimis rate to 10% for both grants.
