FY27 CAR Family Care Plan (FCP) Pilot Program

This grant award will have an initial period of performance starting in FY27 (11/01/2026 (or upon execution of the agreement) through 06/30/2029). A budget should be submitted for FY27 only. ________________________________________________________________________________________________________________________________________________________________________________________ DESCRIPTION Services of Provider are focused on: 1. Preventing substitute care placement for children reported as neglected due to substance exposure by assisting parents prior to the birth of a child. Provider will perform timely Family Care Plan Services and associated care coordination to facilitate referrals to supports and services to reduce the need for substitute care. 2. Promoting family reunification by educating frontline health care providers and support staff to assist parents in developing a Family Care Plan that works for the child and family to promote parent engagement in treatment and therefore reduce the time to reunification after an infant’s birth; 3. Stabilizing foster care placements by ensuring a Family Care Plan is in place for an appropriate caregiver prior to an infant’s birth, reducing foster care disruption and transitions; and 4. Ensuring the safety, permanency, and wellbeing of children by providing supports to caregivers and reducing the need for substitute care. ________________________________________________________________________________________________________________________________________________________________________________________ PROOGRAM DETAILS 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 for 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’s direct service staff will assist the client in completing the Family Care Plan/Plan of Safe Care, including: o identifying strengths and goals o identifying needs and making recommended referrals o documenting family and emergency information o identifying and documenting medical and substance use information • Provider’s staff will assist in the completion of Family Care Plan/Plan of Safe Care. This includes: o Initial invitation and explanation of the Family Care Plan/Plan of Safe Care; o 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. o Completion of the Family Care Plan/Plan of Safe Care; o Complete any care coordination activities necessary to facilitate the client’s connection to the referrals requested/recommended and document all referrals to supports/services; o Document Family Care Plan contacts, services, and referrals. o Data tracking of each person served; o Health care or support provider consultation on difficult cases or when additional medical needs are identified; o Parent education and support; o 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 will be 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 will be generated for each client and will be distributed in compliance with applicable confidentiality laws to all relevant providers. Provider’s 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 Provider will be available for at least 1 hour/week 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 12 months after the infant is born. ________________________________________________________________________________________________________________________________________________________________________________________ DEFINITIONS Medication for Opioid Use Disorder (MOUD): Evidence-based, FDA-approved medication used to treat opioid use disorder. Alternately referred to as Medication-Assisted Recovery (MAR) or Medication-Assisted Treatment (MAT), these medications reduce cravings and withdrawal symptoms without producing euphoria. There are three (3) medications approved by the FDA for the treatment of OUD: buprenorphine, methadone, and naltrexone. It is standard of care to offer medications for opioid use disorder to patients with this disorder as it greatly impacts morbidity and mortality. Family Care Plan (aka Plan of Safe Care): A document designed 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. Recovery: A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. Recovery is not an end state, but rather a process. Complete symptom remission is neither a prerequisite of recovery nor a necessary outcome of the process. Recovery can have many pathways that may include professional clinical treatment; use of medications; support from families and in schools; faith-based approaches; peer support; and other approaches. Referral: The act or documentation of directing someone to a different place, person, or resource for information, help, or services. Referrals are a necessary component of Family Care Plans/Plans of Safe Care. Screening: A validated instrument used when a pregnant person presents, requesting prenatal care to identify those at risk of having a substance use disorder. A positive screen will prompt the clinician to evaluate the patient for a substance use disorder utilizing the DSM-5 criteria for diagnosis. An individual who uses substances may or may not have a use disorder and this can only be determined by an appropriate evaluation. Screening may be part of a formal screening, brief intervention, and referral to treatment (SBIRT) protocol such as that created by the Substance Abuse and Mental Health Services Administration (SAMHSA). Substance-Affected Newborn: A newborn child who has withdrawal symptoms resulting from prenatal substance exposure or demonstrates physical or behavioral signs that can be attributed to prenatal exposure to substances. Substance Exposed Newborn: A newborn child who tests positive for substance(s) at birth, or the mother tests positive for substance(s) at the time of delivery or the newborn is identified by a medical practitioner as having been prenatally exposed to substance(s). Substance Use Disorder: A treatable health condition that affects a person’s brain and behavior, leading to their inability to control their use of substances – including misuse of prescription or over the counter medications, legal substances such as alcohol and cannabis or illegal drugs. Symptoms can be moderate to severe, with addiction being the most severe form of SUD. Opioid Use Disorder (OUD) is one type of SUD. ________________________________________________________________________________________________________________________________________________________________________________________ REFERRAL AND ADMISSION PROCEDURES Provider’s direct service staff will identify eligible clients from their existing caseload. If an individual meets eligibility criteria, the Provider will offer Family Care Plan Services to develop a Family Care Plan/Plan of Safe Care with the Client. Otherwise, the Provider will document the reason the client was not offered Family Care Plan Services. If the client accepts Family Care Plan Services, a member of the Provider’s direct service staff will meet with the client for 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’s direct service staff will assist the client in completing the Family Care Plan/Plan of Safe Care, which will include: Strengths and goals • Needs and recommended referrals • Family and emergency information • Medical and substance use information The Provider will complete any care coordination activities necessary to facilitate the client’s connection to the referrals requested/recommended. Provider will offer at least 1 hour per month of follow-up 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. 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. ________________________________________________________________________________________________________________________________________________________________________________________ TREATMENT GOALS/SERVICE PLANS A Family Care Plan/Plan of Safe Care developed with a supportive, informed support person, can increase engagement in substance use treatment during pregnancy, reducing the incidence of prenatal exposure to substances and minimizing the risk of child welfare system involvement and future risk of child abuse and neglect. • Goal: Each eligible client will be offered Family Care Plan services to develop a Family Care Plan/Plan of Safe Care. • Goal: Each eligible client who chooses to participate in Family Care Plan Services will be offered support to complete the Family Care Plan/Plan of Safe Care. That support may occur in person during scheduled appointments, over phone or email, or in the home. • Goal: All needs identified in the Family Care Plan/Plan of Safe Care will be addressed through a referral and follow-up as needed. • Goal: Eligible clients will participate in substance use treatment and, if appropriate, MOUD as prescribed by a licensed provider for the duration of their pregnancy and post-partum period. • Goal: Eligible clients who are already engaged in substance use treatment/recovery process will remain in substance use treatment/recovery through the duration of their pregnancy and post-partum period. ________________________________________________________________________________________________________________________________________________________________________________________ STAFFING QUALIFICATIONS DIRECT SERVICE: Each direct service position must meet the qualifications of at least one of the positions below: Caseworker: o Minimum education requirement: Bachelor’s or Master’s degree in social services related field from an accredited institution; o Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW) preferred; Physician: o Licensed by state of Illinois; o 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: o Minimum education requirement: High School Diploma or equivalent. o Lived experience required. o Certified Recovery Support Specialist (CRSS)/Certified Peer Recovery Specialist (CPRS) preferred. o Experience working with families and children strongly preferred; Doula: o Minimum education requirement: High School Diploma or equivalent. o Current Doula certification required. Home Visitor: o Minimum education requirement: High School Diploma or equivalent. o Experience working with families and children. SUPERVISORY: 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. MINIMUM STAFFING EXPECTATIONS For the program to operate, at a minimum a social worker, medical case coordinator/nursing assistant, or physician must be available for delivery and coordination of the Family Care Plan service. STAFF DEVELOPMENT Provider staff must complete one of the following tutorials from the National Center on Substance Abuse and Child Welfare (NCSACW) prior to providing direct services to families: • Tutorial for Substance Use Disorder Treatment Providers; or • Tutorial for Child Welfare Professionals; or • Tutorial for Legal Professionals. ________________________________________________________________________________________________________________________________________________________________________________________ TARGET POPULATION DCFS Client Capacity Under DCFS Agreement: TBD DCFS Client Capacity at Any Given Time: TBD Agency Client Capacity Under Program: TBD Agency Client Capacity at Any Given Time: TBD Average Length of Services: 1 day to 12 months after the initial referral. Services beyond the program plan service parameters: The Provider must obtain prior authorization from DCFS to serve clients outside of the program plan parameters. CLIENT: 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 0-12 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. Inclusions: 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; or • Has an infant 0-12 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. Exclusions: Children who need primary medical care for conditions unrelated to prenatal exposure to substance use or withdrawal symptoms, and patients who need emergency medical care or hospitalization outside the geographical boundaries of the Provider. ________________________________________________________________________________________________________________________________________________________________________________________ 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) ________________________________________________________________________________________________________________________________________________________________________________________ Geographic Area(s): All areas, preference for Northern and Central Regions

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.

NOTE: This application is for Year 1 of a multi-year award. Successful applicants may be eligible to receive two subsequent one-year renewals (i.e., a multi-year grant of up to three fiscal years total). Renewals are at the discretion of the Department and are based on the meeting of performance expectations and compliance requirements. ________________________________________________________________________________________________________________________________________________________________________________________ 1) UNIFORM APPLICATION FOR STATE GRANT ASSISTANCE 2) PROGRAM NARRATIVE AND BUDGET • 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 1,000 words (between 1/2 page and 2 pages single-spaced) depending on the question. Applications will be evaluated on answers to questions related to: 1. Organizational Capacity and Experience (15%) 2. Program Design and Implementation Plan (25%) 3. Alignment with Funding Priorities (20%) 4. Outcomes and Performance Measurement (20%) 5. Budget and Cost Effectiveness (10%) 6. Risk and Compliance (10%) For grant award incumbents, satisfactory performance in meeting program plan objectives and requirements will be considered during scoring. As part of the section of the application related to Budget and Cost Effectiveness, an uploaded budget on the provided GATA Budget Template is required in addition to the narrative responses. For the attachment: • 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 direct 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). • Please be sure to fill out the FFATA Data Collection Form (page 5) of the Uniform Grant Budget template. If you answer “no” to Q1, you do not need to proceed to Q2 on the form. 3) 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. 4) 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

Questions from applicants within the application date range can only be directed to and answered by DCFS.GATA@Illinois.gov.

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 Unique Entity Identifier (UEI) 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 UEI 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 UEI, 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.

REVIEW AND SELECTION PROCESS All applications must be submitted by the posted deadline. IDCFS staff conducts an initial review of all applications received for eligibility and GATA compliance. Reviewers may consist of DCFS GATA staff, division leadership, and other internal DCFS staff. Each proposal will be reviewed by a minimum of three reviewers. The review and selection of grant award recipients is conducted in a fair and equitable manner that evaluates and selects grantees most likely to be successful in delivering results based on program objectives, and with limited disruption to the continuity of services. Proposals will be approved based on funding available. While recommendations from the review team will be a key factor in funding decisions, the Department maintains final authority over funding decisions and considers the scores of the review team to be non-binding recommendations. The Department reserves the right to evaluate applications in the larger context of the overall portfolio by considering geographic distribution of awards (e.g., ensuring coverage of certain counties or service areas), client needs, and overall programmatic/ financial risk assessments in its pre-award decisions. Any internal documentation used in scoring or awarding of grants shall not be considered public information. Final award decisions will be made by the Director (or their designee). The Department reserves the right to negotiate with successful applicants to adjust award amounts, locations, etc. Funds are disbursed based on the schedule agreed upon and included within the Uniform Grant Agreement. The release of this Notice of Funding Opportunity does not obligate the Department to make an award. ________________________________________________________________________________________________________________________________________________________________________________________ AWARD NOTIFICATIONS An award status notification (approval or denial) will be delivered via an automated email from Euna Grants. 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. ________________________________________________________________________________________________________________________________________________________________________________________ APPEALS Competitive grant (and in some cases non-competitive) appeals are limited to an appeal related to the evaluation process. Evaluation scores may not be protested. An appeal must be submitted in writing in accordance with the grant application document. An appeal must be received within 14 calendar days of Award denial. The written appeal shall include at a minimum the following: i. the name and address of the appealing party ii. identification of the grant for which you are appealing the evaluation/review process iii. a statement of reasons for the appeal Response to Appeal a. DCFS will acknowledge receipt of an appeal within fourteen (14) calendar days from the date the appeal was received. b. DCFS will respond to the appeal within 60 days or supply a written explanation to the appealing party as to why additional time is required. c. The appealing party must supply any additional information requested by DCFS within the time period set in the request.

Grantees will be expected to submit both (monthly or quarterly) periodic performance reports and monthly financial reports. 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