444-26-0724 SABG - SUD Tx/RS Services General
Does your agency have a current SUPR Treatment license for all Treatment services and sites for which you have requested funding? Yes___ NO___ NA____
Are you able to provide services in accordance to the service protocols and requirements as outlined in the IDHS SUPR Contractual Policy Manual and the funding application? Yes___ NO___ NA____
Are you able to report services and/or expenditures as required on a monthly basis? Yes___ NO___ NA____
Entity Information
1. Quality of Management Systems and Ability to Meet the Management Standards
2. History of Performance
(The applicant's record in managing grant awards, if it is a prior recipient of awards, including timeliness of compliance with applicable reporting requirements, conformance to the terms and conditions of previous awards, and if applicable, the extent to which any previously awarded amounts will be expended prior to future awards)
If "NO" to question 2.6, go to question 2.10
3. Reports and Findings from Audits
Audits performed under Subpart F of this part or the reports and findings of any other available audit.
4. Applicant's Ability to Effectively Implement Statutory, Regulatory, or Other Requirements
5. Grant Specific Questions
5.1
5.2
5.3.
Programmatic Risk Assessment Certification
On behalf of the applicant entity, I attest that the statements included herein are true, complete and accurate to the best of my knowledge. All occurrences of non-compliance with programmatic requirements have been disclosed.