Section III of the Part C Grant Application FFY14

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Section III

A. Description of Use of Part C Funds for the Lead Agency

(Completion of this Section, III.A is optional for State EAs.)

When completing this section include:

• Totals for the number of lead agency administrative positions, salaries and fringe benefits funded either 100 percent and/or less than 100 percent with Part C funds;
• A general description of the duties which the positions entail; and
• A subtotal of the amount.

Identify any administrative positions for which less than 100% of the time is spent on Part C and, for each such position, indicate the percentage of time spent on Part C and the total amount of salary and fringe benefits included in the Part C application budget.

Positions Funded	Number of Positions	% of Time Spent on Part C	Salaries & Fringe Benefits	Description of Duties
100% funded with Part C Funds	0	0	$0	NA
< 100% funded with Part C Funds	0	0	$0	NA
Subtotal of amount under A:	0	0	$0	NA

B. Maintenance and Implementation Activities for the Lead Agency

When completing this section include:

• A description of the nature and scope of each major activity to be carried out under Part C in maintaining and implementing the statewide system of early intervention services. Activities could include enhancing the Comprehensive System of Personnel Development, implementing child find strategies, or ensuring a timely, comprehensive, multidisciplinary evaluation for each child;
• The approximate amount of funds to be spent for each activity; and
• A subtotal of the amount.

Major Activity	Part C Funds to be Spent	Description of Activities
Comprehensive Structure	$0	Funding of 25 CFCs to continue a consistent, comprehensive statewide system including a provider network, intake, eligibility determination, service coordination and development of IFSPs as well as the following: Local Interagency Councils to coordinate child find activity & provider communications, Parent Liaison support to families, Developmental Pediatric Consultation for professional assistance on child development concerns, and social-emotional consultation activities.
Comprehensive System of Personnel Development	$0	Responsible for comprehensive training to providers and CFC staff. (Part of maintenance of effort)
Credentialing/Enrollment	$0	Responsible for ensuring that providers meet credentialing/enrollment requirements.
Data & Payment System	$0	Centralized data management system for case management for all children and families served and system for claims processing.
CFC & Provider Monitoring	$0	Contractual Monitoring unit, monitors CFCs and direct service providers
Staff & Other Misc. Administrative Costs	$0	Includes contractual costs, facility costs, travel, commodities, etc., excludes ICC and direct staff costs
Subtotal of amount under B:	$0

C. Description of Use of Part C Funds for the Interagency Coordinating Council (ICC)**

• When completing this section include: Totals for the number of ICC administrative positions, salaries and fringe benefits funded either 100 percent and/or less than 100 percent with Part C funds;
• A general description of the duties which the positions entail; and
• A subtotal of the amount.

Identify any administrative positions for which less than 100% of the time is spent on Part C and, for each such position, indicate the percentage of time spent on Part C and the total amount of salary and fringe benefits included in the Part C application budget.

Positions Funded	Number of Positions	% of Time Spent on Part C	Amount of Salaries & Fringe Benefits	Description of Duties
100% funded with Part C Funds	0	0	$0	None of the costs of the staff of the Early Intervention Bureau or for any other support provided by the Department of Human Services in support of the ICC are charged to Part C.
100% funded with Part C Funds	0	0	$0	None of the costs of the staff of the Early Intervention Bureau or for any other support provided by the Department of Human Services in support of the ICC are charged to Part C.
Subtotal of amount under C:	0	0	$0

 **Federal Part C funds used to support the SICC must meet the requirements of 34 CFR §303.603.

D. Maintenance and Implementation Activities for the Interagency Coordinating Council (ICC)

When completing this section include:

• A description of the nature and scope of each major activity to be carried out under Part C in maintaining and implementing the statewide system of early intervention services. Activities could include coordinating child find identification efforts, ensuring the timely provision and payment of early intervention services to eligible children and their families, advising on early childhood transition, support for the ICC (travel), or other implementation and development activities of the SICC;
• The approximate amount of funds to be spent for each activity; and
• A subtotal of the amount.

Major Activity	Part C Funds to be Spent	Description of Activities
Meeting Room	$0	Cost of Illinois Interagency Council meetings held in Springfield and Tinley Park Illinois occurring four times a year.
Facilitator Expenses	$0	Presenter fees, expenses and materials for council retreats.
Travel Expenses	$0	Travel reimbursements to non-State agency council members. Reimbursements include mileage, hotel accommodations and per diem (meals).
Materials	$0	This includes cost of postage on Council packets and miscellaneous mailings between meetings.
Parent Reimbursements	$0	Travel reimbursements to parent council members. Reimbursements include mileage, hotel accommodations and per diem (meals) and parent stipends.
Subtotal of amount under D:	$0

E. Direct Services (Funded by Part C Federal Dollars)

* When completing this section include a description of any direct early intervention service that the State lead agency expects to provide to eligible children and their families with funds under Part C, and the approximate amount for each service.

Description of Direct Early Intervention Service	Approximate Amount of Part C Funds to be Spent on Service
Audiological - Provider Agreements with public and private organizations and individuals	$178,714
Assistive Technology - Provider Agreements with public and private organizations and individuals	$450,034
Developmental Therapy- Provider Agreements with public and private organizations and individuals	$341,181
Medical (Diagnostic Eval) - Provider Agreements with public and private organizations and individuals	$3,249
Nursing/Health- Provider Agreements with public and private organizations and individuals	$1,625
Nutrition- Provider Agreements with public and private organizations and individuals	$248,575
Occupational Therapy- Provider Agreements with public and private organizations and individuals	$183,588
Psychological- Provider Agreements with public and private organizations and individuals	$64,987
Physical Therapy- Provider Agreements with public and private organizations and individuals	$1,982,098
Service Coordination - Provider Agreements with public & private organizations (Child & Family Connections agencies), Service Coordination paid via a modified fee-for-service system, Current period payments based on the # of children served in a recent past period, Funds added for good performance & may be subtracted for failure to meet performance standards	$8,870,701
Social Work- Provider Agreements with public and private organizations and individuals	$16,247
Speech Therapy- Provider Agreements with public and private organizations and individuals	$3,561,278
Transportation- Provider Agreements with public and private organizations and individuals	$1,625
Vision- Provider Agreements with public and private organizations and individuals	$48,740
Family Training/Support- Provider Agreements with public and private organizations and individuals	$294,065
Subtotal of amount under E:	$16,246,705

F. Description of Optional Use of Part C Funds

If the State uses Part C funds for initiating, expanding, or improving collaborative efforts related to at-risk infants and toddlers, the application must include:

• The name of the major activity ;
• The approximate amount of funds to be spent; and
• A description of the activities.

Provide subtotal of amount.

Major Activity	Part C Funds to be Spent	Description of Activities
NA	$0	NA
Subtotal of amount under F:	$0

G. Activities by Other Agencies

If other State or local public agencies are to receive a portion of the Federal funds under Part C, the Application must include:

• The name of each public agency expected to receive funds;
• The approximate amount of funds each public agency will receive; and
• A summary of the purposes for which the funds will be used.

Provide subtotal of amount.

Agency Receiving Funds	Amount of Funds	Purpose
NA	$0	NA
Subtotal of amount under G:	$0

H. Totals

Enter the subtotal amounts for Sub Sections A-G found in Section III and any indirect costs charged as specified in Section IV.B. The sub total amounts (Rows 1-8) should total the estimated grant application amount. (A State may apply for less than the full estimated allotted amount.)

States are asked to enter the subtotal amounts for Sub Sections A-G found in Section III of this application.

Row No.	Section	Amount
1.	III.A.	$0
2.	III.B.	$0
3.	III.C.	$0
4.	III.D.	$0
5.	III.E.	$16,246,705
6.	III.F.	$0
7.	III G.	$0
States are asked to enter any Indirect Costs Charged (See Section IV.B of this application.)
8.	IV.B	$0
Totals		$16,246,705