FY25 CAR Family Care Plan Pilot

This grant will be awarded from 2/1/2025 – 9/30/2025. Award amounts are for the period of 2/1/2025 – 6/30/2025. Please ensure budgets are submitted for the 2/1/2025 – 6/30/2025 period of performance only. ________________________________________________________________________________________________________________________________________________________________________________________ PROGRAM DESCRIPTION The Family Care Plan (FCP) Pilot Program aims to ensure the safety and well-being of an infant with prenatal substance exposure and the pregnant person by addressing the health and substance use disorder treatment needs of both the infant and the affected family or caregiver. Provider staff must be available to eligible clients during normal business hours of operation, Monday through Friday. • Provider will identify pregnant and post-partum persons with a history of substance use or substance use disorder as eligible clients through the administration of a verbal 5Ps screening (https://ilpqc.org/wp-content/docs/toolkits/MNO-OB/5Ps-Screening-Tool-and-Follow-Up-Questions.pdf). • Provider will offer Family Care Plan services to all eligible clients. • If the client accepts the Family Care Plan service, a member of the Provider’s direct service staff will meet with the client at least 1 hour, at least once per week for the first month. The initial meeting will occur in person at the Provider’s office, the client’s home, or another safe location of the client’s choosing. Future meetings may be over the phone or virtual if the client prefers. • The Provider direct service staff will assist the client in completing the Family Care Plan/Plan of Safe Care, including: - identifying strengths and goals - identifying needs and making recommended referrals - documenting family and emergency information - identifying and documenting medical and substance use information • Provider staff will assist in the completion of Family Care Plan/Plan of Safe Care. This includes: - Initial invitation and explanation of the Family Care Plan/Plan of Safe Care; - At least 1 hour per week in the first month, and at least 1 hour/month in subsequent months, of appropriate and timely follow-up to support to ensure the Family Care Plan/Plan of Safe Care remains updated per the client’s wishes, with updated medical and referral information. This follow-up may happen direct/face-to-face or by phone/virtual contact. - Completion of the Family Care Plan/Plan of Safe Care; - Complete any care coordination activities necessary to facilitate the client’s connection to the referrals requested/recommended and document all referrals to supports/services; - Data tracking of each person served; - Health care or support provider consultation on difficult cases or when additional medical needs are identified; - Parent education and support; - Multidisciplinary staffing to coordinate care and referrals to support the patient’s Plan. • Provider will communicate with any other providers, including Home Visiting, Child Welfare, medical, and substance use treatment/recovery, to maximize the client’s opportunities for engaging in the recovery process. • Provider will provide feedback to the DCFS Family Care Plans Leadership Team Chair or Co-Chair on the utilization and utility of the form through quarterly reports, surveys, and focus group discussions (1 per quarter for 3 quarters) • Provider will offer the DCFS-developed survey to every eligible client and reports on survey distribution to eligible clients on a quarterly basis • Provider supervisor will educate colleagues and staff on best practice standard of care for pregnant and post-partum persons with substance use or substance use disorder. This includes the importance of engaging the parent in treatment and the use of Medication Assisted Recovery (MAR). Each referral for Family Care Plan Services is scheduled for the next available appointment with a support person, and will occur within two weeks. The length of service can vary depending on each case but may continue until up to 12 months after the infant’s birth. Some of the clients will be discharged with no follow-up needed and others will continue to need follow up care/support. A Family Care Plan/Plan of Safe Care is generated for each client and is distributed in compliance with applicable confidentiality laws to all relevant providers. Provider staff will be available to consult with the support provider and with the client to support the completion and utilization of the Family Care Plan/Plan of Safe Care. The support provider will be available for at least 4 hours in the first month (and at least 1 hour/month in subsequent months) to meet with the client to complete the Family Care Plan/Plan of Safe Care, issue provider referrals (including warm hand-offs) to services and supports (including treatment such as MAR), until up to 9 months after the infant is born. Services are to promote permanency by maintaining, strengthening and safeguarding the functioning of families to (1) prevent substitute care placement (2) promote family reunification, (3) stabilize foster care placements, (4) facilitate youth development, and (5) ensure the safety, permanency and wellbeing of children. Staff Qualifications: Each direct service position must meet the qualifications of at least one of the positions below: • Caseworker: Minimum education requirement: Bachelor’s or Master’s degree in social services related field from an accredited institution; Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW) preferred; • Physician: Licensed by state of Illinois; Board certification in Family Medicine, OB-GYN, Pediatrics, or Addiction Medicine preferred; • Licensed Practical Nurse (LPN) or Registered Nurse (RN); • Peer Support Worker/Community Health Worker: Minimum education requirement: High School Diploma or equivalent. Lived experience required. Certified Recovery Support Specialist (CRSS)/Certified Peer Recovery Specialist (CPRS) preferred. Experience working with families and children strongly preferred; • Doula: Minimum education requirement: High School Diploma or equivalent. Current Doula certification required. • Home Visitor: Minimum education requirement: High School Diploma or equivalent. Experience working with families and children. The program supervisor must meet at least one of the qualifications below: • Master’s degree in healthcare or social services related field from an accredited institution and at least 5 years of professional experience in the health care or social services related field; or • Master’s degree in Social Work, Human Services, Early Childhood, or a related social services field from an accredited institution; a state approved, clinical license; and at least 5 years of professional experience in the social services field. ________________________________________________________________________________________________________________________________________________________________________________________ CLIENTS Any person who is pregnant or was pregnant within the past 12 months, who also: • Reports using substances during their pregnancy; or • Reports a history of substance use disorder. A client can also be any infant 0-9 months who is born and identified as being affected by substance abuse or withdrawal symptoms resulting from prenatal drug exposure or a fetal alcohol spectrum disorder. Average Length of Services: 1 day to 9 months after initial referral Services beyond the program plan service parameters: The provider agrees to obtain prior authorization from DCFS to serve clients outside of the program plan parameters. ________________________________________________________________________________________________________________________________________________________________________________________ TARGET POPULATION Provider will serve pregnant and post-partum individuals (up to 12 months) with substance use or a recent history of a substance use disorder. AND Provider will serve children ages 0 through 9 months who are born and identified as being affected by substance abuse or withdrawal symptoms resulting from prenatal drug exposure or a fetal alcohol spectrum disorder. ________________________________________________________________________________________________________________________________________________________________________________________ PROGRAM OUTCOMES AND METRICS • 80% of eligible patients will develop a Family Care Plan/Plan of Safe Care prior to an infant’s birth • 50% of infants born and identified as being affected by substance abuse or withdrawal symptoms resulting from prenatal drug exposure or a fetal alcohol spectrum disorder will receive at least one service as a result of the Family Care Plan/Plan of Safe Care • Number of infants for whom a Family Care Plan/Plan of Safe Care was developed after birth; and • Number of adults and infants for whom a referral was made for appropriate services/supports, based on needs identified in the Family Care Plan/Plan of Safe Care • 90% of eligible parents who receive a referral based on the Family Care Plan/Plan of Safe Care will participate in at least one service • 75% of eligible parents who were referred to and participated in substance use treatment remained engaged for at least 9 months • 5% fewer reports of Allegation 65C to the child abuse hotline in the counties where the pilot occurs • 5% fewer infants reported to Adverse Pregnancy Outcomes Reporting System (APORS) ________________________________________________________________________________________________________________________________________________________________________________________

Indirect Costs are allowed. To charge indirect costs to a grant, the applicant organization must have an annually negotiated indirect cost rate agreement (NICRA). There are three types of NICRAs: 1. Federally Negotiated Rate. Organizations that receive direct federal funding, may have an indirect cost rate that was negotiated with the Federal Cognizant Agency. Illinois will accept the federally negotiated rate. The organization must provide a copy of the federal NICRA. 2. State Negotiated Rate. The organization may negotiate an indirect cost rate with the State of Illinois if they do not have a Federally Negotiated Rate. If an organization has not previously established an indirect cost rate, an indirect cost rate proposal may be submitted to the State of Illinois through the indirect cost rate system no later than three months after the effective date of the award. If an organization previously established an indirect cost rate, the organization must continue to use that rate until its expiration. Upon expiration, the organization may re-submit a new indirect cost proposal through the system annually, within six months after the close of the grantee’s fiscal year, OR an organization may elect to use the de minimis rate instead of their State Negotiated Rate. 3. De Minimis Rate. An organization may elect a de minimis rate of 15% of modified total direct cost (MTDC). Once established, the de minimis rate may be used indefinitely. The State of Illinois must verify the calculation of the MTDC annually in order to accept the de Minimis rate. ________________________________________________________________________________________________________________________________________________________________________________________ NOTE • All grantees must complete an indirect cost rate negotiation or elect the De Minimis Rate in the indirect cost rate system to claim indirect costs. Indirect costs claimed without an established negotiated rate or a De Minimis Rate election in the system may be subject to disallowance. • Grantees have discretion not to claim payment for indirect costs. Grantees that elect not to claim indirect costs cannot be reimbursed for indirect costs. ________________________________________________________________________________________________________________________________________________________________________________________

The Department of Children and Family Services must receive a full application by the date and time listed. Applications received past the due date and time will not be reviewed or considered.

1) UNIFORM APPLICATION FOR STATE GRANT ASSISTANCE 2) UNIFORM BUDGET TEMPLATE • The budget is REQUIRED to include clear narrative descriptions. The narrative should explain how costs were estimated AND justify the need for the cost. The budget should be as concrete and specific as possible in its estimates. Make every effort to be realistic and to estimate costs accurately. Each section of the budget should be in outline form, listing line items under major headings and subheadings. If needed, each of the major components should be subtotaled with a grand total at the end. A well-prepared budget should be reasonable and demonstrate that the funds being asked for will be used wisely. • The grant award will be subject to state statutory requirements that limit the administrative costs to 20%. Fringe Benefits cannot exceed 25% of total salaries. • If applying for a multi-year award, listed award amounts are for the single fiscal year. For application submission, only one budget is reviewed for expenses incurred for that single fiscal year (i.e. year 1 of the multi-year award). 3) PROGRAM NARRATIVE QUESTIONS • Please answer all narrative questions in full—being as descriptive and specific as possible. While there is not a set min/max number of characters/words, adequate responses are typically between 250 and 1000 words (between 1/2 page and 2 pages single-spaced) depending on the question. Through answering all questions, the applicant’s responses should highlight: • Experience: an accurate picture of their prior experience in providing the specific program services or related program experience. Areas to address should include (but is not limited to): description of experience providing same or similar services; evidence agency is capable of carrying out the program; brief description of key management staff responsible for the program; description of agency’s readiness to begin services; financial resources to adequately run the program; and description of existing service provider partnerships your agency has in the community. • Program Description: a detailed, clear and accurate picture of the intended program design. Areas to address should include (but are not limited to): description of agency philosophy or intervention strategy in providing human services; brief description of the program model specifically for this program; explanation of how the program will meet the goals and objectives of the program; estimated cost per family/child (total grant divided by total clients served as described in the program plan); agency quality assurance/improvement efforts; and a detailed description of past performance in meeting goals and objectives with the same or similar services. 4) SUPPLEMENTAL QUESTIONS • If assistance is needed to complete the supplemental questions (i.e., to clarify or confirm applicability of a specific question), please direct those questions to DCFS.GATA@Illinois.gov. 5) BOARD OF DIRECTORS LIST • Please either type the information requested for your Board of Directors or upload a file. Files should include contact information including address, email, and phone numbers (including fax). If not applicable, put N/A. Please note the address provided for each board member cannot be the same as the organization/applicant.

REQUIREMENTS Each applicant (unless the applicant is an individual or Federal 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: • Be registered in SAM before submitting its application. To establish a SAM registration, go to www.SAM.gov and/or utilize the instructional link from the https://www2.illinois.gov/sites/GATA/Pages/default.aspx Resource Links tab; • Provide a valid DUNS number in its application; and • Always maintain an active SAM registration with current information during which it has an active Federal, Federal pass-through or State award or an application or plan under consideration by a Federal or State awarding agency. The State awarding agency may not make a Federal pass through or State award to an applicant until the applicant has complied with all applicable DUNS and SAM requirements and, if an applicant has not fully complied with the requirements by the time the State awarding agency is ready to make a Federal pass-through or State award, the State awarding agency may determine that the applicant is not qualified to receive a Federal pass-through or State award and use that determination as a basis for making a Federal pass-through or State award to another applicant. _______________________________________________________________________________________________________________________________________________________________________________________ GATA PRE-QUALIFICATION An entity may not apply for a grant until the entity has registered and pre-qualified through the Grant Accountability and Transparency Act (GATA) Grantee Portal, https://grants.illinois.gov/portal/. Registration and pre-qualification are required annually. During prequalification, verifications are performed including a check of Federal Debarred and Suspended and status on the Illinois Stop Payment List. An automated email notification to the entity alerts them of “qualified” status or informs how to remediate a negative verification (e.g., inactive DUNS, not in good standing with the Secretary of State). A Federal Debarred and Suspended status cannot be remediated. ________________________________________________________________________________________________________________________________________________________________________________________ ELIGIBILITY All potential applicants are eligible that meet the qualifications above. The funding opportunity is not limited to nonprofit organizations subject to 26 U.S.C. 501(c)(3) of the tax code (26 U.S.C. 501(c)(3)) but is preferred and will be first consideration of choice. You may be requested to submit proof of 501(c)(3) status as determined by the Internal Revenue Service. The applicant must comply with all applicable provisions of state and federal laws and regulations pertaining to nondiscrimination, sexual harassment and equal employment opportunity including, but not limited to: • The Illinois Human Rights Act (775 ILCS 5/1-101 et seq.), • The Public Works Employment Discrimination Act (775 ILCS 10/1 et seq.), • The United States Civil Rights Act of 1964 (as amended) (42 USC 2000a and 2000H-6), • Section 504 of the Rehabilitation Act of 1973 (29 USC 794), • The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.), and • The Age Discrimination Act (42 USC 6101 et seq.). ________________________________________________________________________________________________________________________________________________________________________________________ NOTE: Failure to meet an eligibility criterion by the application deadline will result in the Department of Children and Family Services returning the application without review or, even though an application may be reviewed, will preclude the Department of Children and Family Services from making a State award. ________________________________________________________________________________________________________________________________________________________________________________________

An award status notification (approval or denial) will be delivered via an automated email from AmpliFund. This email will serve as notification that an award has been made. However, this email is not an authorization to begin performance or incur costs.

Grantees will be expected to submit both periodic performance and financial reports either monthly or quarterly. The exact reporting requirements of this award will be defined in the program plan of the Uniform Grant Agreement.

Questions regarding this Notice of Funding Opportunity should be addressed to: ILDCFS Accountability Unit Email: DCFS.GATA@Illinois.gov