A. Basic Information
A.1. Executive Summary
This new Notice of Funding Opportunity (NOFO) sets forth the requirements for applications to establish Contingency Management Pilot Programs (COMPP) in Illinois.
The goal of COMPP is to increase treatment retention, to increase medication compliance, and to reduce opioid use among individuals with OUD or polysubstance use disorder, including opioids, who participate in MAR or other evidence-based treatment and recovery supports, particularly among disproportionately affected populations and/or areas of the state. To accomplish this goal, subrecipients of COMPP funding will:
- Design and staff a comprehensive Contingency Management (CM) program
- Train staff in evidence-based and evidence-informed CM practices
- Administer incentives (with and/or without monetary value) in compliance with state and federal laws and regulations
- Document individual participant outcomes, including incentives received and abstinence, adherence, and attendance outcomes, as applicable
Program evaluation will focus on the cost-effectiveness and sustainability of program activities, as well as the reduction in substance use and overdoses among program participants.
A minimum of two (2) and maximum of five (5) organizations will be awarded funds to fulfill the requirements of the subaward.
Applicants are to be prioritized based on overdose data in the applicant’s proposed service area, current availability of other services, and plans to specifically outreach disparately impacted populations (e.g., adult Black African American men.)
The priority population is people with Opioid Use Disorder or Polysubstance Use Disorder (especially stimulant use) including opioids. No person shall be denied service because of uninterrupted substance use or a recurrence of substance use Priority should be given to populations experiencing disparate overdose impact within the targeted service area.
Services provided under this NOFO should reflect the Illinois Department of Human Services’ (IDHS) commitment to advancing equity and racial and social justice by enabling all to thrive, regardless of race, zip code, and disability.
A.2. Funding Information
- All materials, links, and resources related to this NOFO are available at the Illinois Regional Care Coordination Agency (RCCA) website via the Funding Opportunities page. This is a new competitive subaward opportunity. The release of this NOFO does not obligate IDHS or the RCCA to make an award.
- The total amount of funds available is estimated to be $1,500,000 to be awarded over 3 years. Details are described in Section C.3. Scope of Services.
- The RCCA anticipates awarding two (2) – five (5) awards ranging between $100,000 up to $250,000 per award. The award amount will vary based upon the number of awards. For example, if three organizations are awarded, each could receive up to $166,000 or one organization could be awarded $250,000 and two organizations could receive $125,000. Programs may apply for less funding.
- Funding is estimated to span from July 1, 2025, to Jun 30, 2026. Identification of the period of performance in this NOFO or in the subaward does not commit the State awarding agency to fund the award beyond the currently approved budget period. See 2 CFR § 200:332; 44 Ill. Admin. Code Sec. 7000.370. The execution of a subaward agreement shall not create any expectation of a subaward renewal. Renewals at the completion of the period of performance specified in the subaward agreement of this project are at the discretion of the RCCA and IDHS, based on performance and sufficient appropriations. Continued funding is subject to funding appropriations and release of funds by IDHS.
- Funding periods are not equivalent to the period of performance. The period of performance means the total estimated time interval between the start of an initial award and the planned end date, which may include one or more funded portions, or budget periods. Identification of the period of performance in this subaward does not commit the IDHS or the RCCA to fund the award beyond the approved current fiscal year budget period. The period of performance shall end on June 30, 2026. If the subaward agreement is renewed, the period of performance shall continue from July 1, 2026, through June 30, 2027, unless the agreement is terminated, appropriations are no longer available or for any other termination reason allowed by the State.
- The source of funding for this program is the Illinois Opioid Remediation State Trust Fund: Illinois Opioid Settlements Initiative (ilopioidsettlements.com).
- Applicants with existing IDHS awards are eligible to compete with applications for new state awards. However, funds received under one award cannot be used for another, even if the public services are the same or similar. See 2 CFR § 200, et. al.
- If awarded, award amounts will be based on IDHS’ approval of the RCCA approved applicant budget. Budgets must be sufficiently detailed, contain only allowable costs pursuant to 2 CFR § 200, et.al., and be justified to be approved by the RCCA.
Summary
a | Funding Opportunity Title | Contingency Management Pilot Programs (COMPP)
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b | Funding Opportunity Number | O-13-COMPP-25
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c | Awarding Entity | RCCA as established by IDHS (CSFA 444-26-3078)
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d | Announcement Type | Notice of Funding Opportunity Announcement (Subaward)
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e | Posting Date | April 9, 2025
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f | Period Application Open | 58 calendar days
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g | Questions Submission Due Date | May 23, 2025, by 5 p.m. CST |
h | Application Closing Date and Time | June 6, 2025, at 5 p.m. CST
Applications will not be accepted after this time. |
i | Anticipated Notification Date | July 7, 2025
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j | Anticipated Period of Performance Begin Date | August 1, 2025 |
k | Contact | Randi Moberly, Ph.D.
312-386-7505 |
l | Average Prior Award | n/a |
m | Source of Funding | Illinois Opioid Remediation State Trust Fund: Illinois Opioid Settlements Initiative (ilopioidsettlements.com) |
n | Estimated Total Program Funding | An estimated $1,500,000 over 3 years (estimated $500,000 per year) |
o | Anticipated Number of Awards | Minimum two, maximum five |
p | Funding Periods | One funding period is associated with this award. Subrecipients may be eligible to receive up to two subsequent grant renewals for this program, depending upon the availability of funds. Renewals are at the discretion of the RCCA and IDHS, based on performance and sufficient appropriations. The anticipated initial funding period for this award is August 1, 2025–June 30, 2026.
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q | Funding per Period of Performance | The funding per period of performance will vary based upon the number of awards. The funding will range between $100,000 up to $250,000 per award.. The award amount will vary based upon number awards. For example, if three organizations are awarded, each could receive up to $166,000 or one organization could be awarded $250,000 and two organizations could receive $125,000.
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r | Cost-Sharing or Matching Requirement | No |
s | Indirect Costs Allowed | Yes, but not required |
t | Restrictions on Indirect Costs | Indirect costs are allowed. Indirect Cost Rate must be approved. See Section C.5 Funding Details. Also see restrictions to indirect costs in accordance with the appropriate sections of Ill Admin Code 44 Part Sec 7000, et. al., and 2 CFR § 200, et. al. All subrecipients, excluding local educational agencies (as defined in 34 CFR § 77.1) must make an indirect cost election during the application process: 1) Negotiated indirect cost rate agreement (NICRA) 2) De minimis 3) No rate |
Note: Release of this NOFO does not obligate the RCCA or IDHS to make an award.
B. Eligibility
B.1. Eligible Applicants
This competitive funding opportunity is limited to applicants that meet the following requirements:
- Applicants must be a nonprofit, for-profit, or tax-exempt entity located in Illinois.
- Applicants must be able to fulfill the scope of services detailed in this funding notice.
- Applicants must have the capacity to comply with the legal, fiscal, reporting, and programmatic requirements as described in this funding notice.
- Applicants proposing the use of program funds to provide services that require state or federal licensure must be actively licensed.
- All entities must be qualified to do business with the State of Illinois.
- Applicants must complete the prequalification process described in Section E.2. Application Instructions.
- Applicants must complete award requirements described in Section G.3. Award Conditions.
- Applicants must be licensed by IDHS/SUPR to provide substance use disorder (SUD) treatment services.
Only applicants that meet the above criteria will be considered for funding.
A non-profit, for-profit, or tax-exempt entity may only submit one application under this funding opportunity. For example, multiple individuals in one organization cannot submit multiple applications; a parent company cannot submit an application and a subsidiary cannot submit a second application for the same funding opportunity.
Cost sharing is not required.
C. Program Description
C.1. Background
In 2013, 1,072 people in Illinois died of an opioid overdose; by 2022, this number had jumped to 3,261.1 The opioid overdose epidemic has accelerated nationwide.2 To hold companies responsible for their roles in the opioid crisis, the Illinois Attorney General has engaged in multiple investigations, lawsuits, and settlements with opioid manufacturers, distributors, and chain pharmacies. The funds from the settlements will support recovery in communities hardest hit by the opioid crisis and throughout the state.
The Illinois Office of Opioid Settlement Administration (OOSA) is the entity responsible for planning, administering, and managing fifty-five percent (55%) of the funds received from opioid settlements according to the Illinois Opioid Allocation Agreement and Executive Order 2022-19. The established processes ensure transparency and consideration of regional needs such as overdose rates, disparities created for specific populations, and resources to address opioid-related harms. OOSA is housed within IDHS’ Substance Use, Prevention and Recovery (SUPR) division.
About IDHS/SUPR
The mission of IDHS/SUPR is to provide a recovery-oriented system of care along the continuum of prevention, intervention, treatment, and recovery support where individuals with substance use disorders, those in recovery, and those at risk are valued and treated with dignity and where stigma, accompanying attitudes, discrimination, and other barriers to recovery are eliminated. IDHS/SUPR is working to counteract systemic racism and inequity and to prioritize and maximize diversity throughout its service provision process. This work addresses existing institutionalized inequities, aims to create transformation, and operationalizes equity and racial and social justice. It also focuses on creating a culture of inclusivity for all, regardless of race, gender, religion, sexual orientation, or ability.
Funding Source
The Office of the Illinois Attorney General has certified—and the Governor’s Opioid Overdose Prevention and Recovery Steering Committee has approved—the use of up to an estimated $1.5 million over three (3) years from the Illinois Opioid Remediation State Trust Fund (Fund) for establishing Contingency Management Pilot Programs (COMPP) in accordance with the Illinois Opioid Allocation Agreement and the Fund allocation process.
In April 2023, IDHS/SUPR awarded Advocates for Human Potential, Inc. (AHP) a grant to serve as the RCCA. The RCCA administers subawards with organizations providing prevention, intervention, treatment, and harm reduction services for people with substance use disorders in accordance with state-approved strategies and the scope of services provided by IDHS.
C.2. Need
The funds from the settlements will support prevention efforts in communities hardest hit by the opioid crisis and throughout the state. Fund distributions must be used equitably in service areas disproportionately affected by the opioid crisis as outlined in the Illinois Opioid Allocation Agreement, such as, areas with the following characteristics:
- High opioid fatality rates, including;
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- Counties other than Cook County with a crude rate of 1.8 or greater per 100,000 people
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- Zip codes within Cook County with more than 100 overdoses (fatal and nonfatal) within the most recent year.
- Concentrated poverty, including;
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- Counties other than Cook County with a poverty rate greater than twelve (12) percent
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- Zip codes within Cook County with a poverty rate greater than twelve (12) percent, per the U.S. Census Bureau, https://www.census.gov/quickfacts/fact/map/IL/
- Concentrated firearm violence, including communities eligible for Reimagine Public Safety Act funding, https://www.dhs.state.il.us/page.aspx?item=144282
- Other conditions that hinder the communities from reaching their full potential for health and well-being, including counties other than Cook with a crude nonfatal overdose rate of 4.0 or greater per 100,000 people, as listed in the Illinois Opioid Data Dashboard, http://idph.illinois.gov/opioiddatadashboard/
Contingency management (CM) involves encouraging or discouraging a behavior to increase or decrease its frequency respectively. CM is a widely researched and shown to be effective in the treatment of opioid use disorder (OUD)—when deployed in conjunction with medication-assisted recovery (MAR)3, which is standard of care—and other SUDs.4 A January 2025 SAMHSA Advisory identifies three outcomes for which CM is effective: abstinence, treatment attendance, and medication adherence. Although the SAMHSA Advisory cautions that “CM services should not be used to promote abstinence from opioids,” the guidance notes that CM can be effective in promoting abstinence from stimulant use “among those with concurrent stimulant and opioid use disorder.” This funding is intended to support pilot CM programs across the state, which includes start-up costs for program set-up, acquiring staffing, training staff, and acquiring resources and incentives. Interventions will include non-cash monetary value incentives with a maximum value of $750 per program participant per year and no/minimal monetary value incentives, in accordance with legislative and regulatory requirements, focused on necessary behaviors for treatment success and longer-term recovery. Examples of no/minimal monetary value incentives may include take-home dosages of medications (in compliance with current Methadone Take-Home Flexibilities Extension Guidance), recognition certificates or ceremonies, or increased responsibilities or autonomy. Longer-term incentivized recovery behaviors may include attendance at mutual aid meetings, engaging in healthy social events, engaging in education or work, developing a supportive social network, etc.
C.3. Funding Purpose and Scope of Services
A minimum of two (2) and maximum of five (5) organizations will be awarded COMPP funding to increase treatment retention, increase medication compliance, and reduce opioid use.
To accomplish these goals, subrecipients of COMPP funding will:
- Design and staff a CM program for eligible participants based upon evidence-based or evidence informed approaches.
- Train clinical staff in delivering evidence-based CM practices
- Administer, through clinical staff, monetary value incentives and/or no/minimal monetary value incentives in compliance with state and federal laws and regulations
- Document participant outcomes, including incentives received and abstinence, attendance, and adherence, as applicable
All subrecipients are required to obtain and/or maintain licensing by SUPR and must accept people who receive Medicaid/Medicare and/or are uninsured. All subrecipients must offer access to MAR, but an individual does not need to participate in MAR to receive incentives related to abstinence or treatment adherence outcomes. They should, however, be engaged with other treatment or recovery services to be eligible for incentives.
The tasks required and associated performance measures, standards, and potential metrics to be collected are as follows:
Task 1. Fulfill Award Administration Requirements
COMPP subrecipients shall fulfill obligations detailed in Section H.10. Reporting and Grants Administration Requirements, including:
- Complete an organizational needs assessment (ONA) survey
- Develop and update an implementation and sustainability plan (ISP), which informs the performance metric used for program activities
- Develop and implement an equity and racial justice (ERJ) plan
- Complete monthly periodic performance reporting (PPR)
- Complete monthly program fiscal reporting (PFR)
- Participate in program status meetings and training/technical assistance (TTA) as prescribed
- Conduct data collection and complete monthly evaluation reporting
Anticipated performance measures for these activities are detailed in Section C.4. Deliverables and Performance Measures.
Task 2. Staff and Administer COMPP
The subrecipient shall establish and maintain program leadership and staffing, subject matter experts, operations, information technology, and other administrative infrastructure required to support program activities pursuant to administrative and legislative requirements.
The following deliverables shall be required:
Task 2.a. Identify Program Staff
The subrecipient shall allocate or hire sufficient staff to support the delivery of the tasks.
The subrecipient shall identify a program director who shall ensure that program requirements are met and shall act as a “champion” for CM implementation. Responsibilities, per SAMHSA Advisory, shall include the following:
- Securing the necessary training for clinicians and staff
- Monitoring for fidelity to evidence-based practice
- Connecting CM providers with coaching as needed
- Monitoring the safe storage of monetary value incentives, and tracking the release of incentives based on objective evidence of achieving the desired behavior
- Documenting the disbursement of CM incentives
Contingency management shall always be delivered, per the SAMHSA Advisory, by a “health care practitioner who is authorized to provide SUD treatment services in that state.” Examples of authorized health care practitioners include the following:
- IAODAPCA (ICB) certified alcohol & drug abuse counselor
- Licensed social worker or clinical social worker
- Licensed professional counselor or licensed clinical professional counselor
- Physician, providing direct patient care
- Licensed psychologists
Although subrecipients are encouraged to use peer specialists to provide other services to individuals participating in CM, the SAMHSA Advisory states that “Peer specialists are not permitted to deliver CM, as many components of the intervention fall outside of their traditional scope of activities and can place them in a role of authority that conflicts with the peer-to-peer relationship.” Therefore, expenses related to peer specialists shall not be included in program budgets.
Leadership and direct service staff shall be reflective of the community/population being served. Preference is given to subrecipients that commit to having direct service staff who both live and work in their communities.
Task 2.a.i. Performance Measures
The subrecipient shall submit a Program Organizational Chart detailing assigned staff (or designated to-be-hired), their roles, and matrixed supports within fifteen (15) days from the beginning of the period of performance. This organizational chart shall include a list of names and emails of all individuals assigned to work on the program in any capacity.
Task 2.b. Oversee Procurement and Monitoring of Subcontracts and Subawards of SMEs
The subrecipient shall recruit and/or sub-contract with subject matter experts to provide services in communities disproportionately impacted by opioid overdoses, and multigenerational harms associated with structural racism and health inequities.
The subrecipient shall administer procurement and monitoring procedures in accordance with the authorizing statutes and regulations in Section C.6.
Task 2.b.i. Performance Measure
The subrecipient shall submit a program administration manual that details procurement and monitoring procedures within ninety (90) days of the beginning of the period of performance.
Task 2.b.ii. Performance Measure
The subrecipient shall submit and maintain a list of subject matter experts, organized by topic, within ninety (90) days of the beginning of the period of performance.
Task 3. Design COMPP
A subrecipient shall provide the following deliverables:
Task 3.a. Develop Treatment Guidelines
The subrecipient shall develop and submit for approval a set of clinical guidelines for achieving the goals of the program. To avoid potential violations of the Federal Anti-Kickback Statute (42 USC § 1320a-7b), the subrecipient shall clearly demonstrate that the incentives are provided to improve treatment outcomes among individuals receiving treatment from the subrecipient, rather than as a marketing tool to attract clients to the subrecipient.
The clinical guidelines shall address the following elements:
- Length of the intervention (minimum 3 months, maximum 1 year), along with an explanation of why the length of intervention was chosen
- Population of focus (geographic, demographic, and risk factors)
- Behaviors to be incentivized (reduction in substance use, treatment adherence, and/or participation on longer-term recovery activities) (42 CFR § 1001.952(hh)(3)(iv))
- Methods for monitoring compliance with incentivized behaviors
- If abstinence (from substances used concurrently with opioids) is selected as an incentivized behavior, a description of rapid point-of-care (POC) testing procedures that comply with the SAMHSA Advisory, including the test having a Clinical Laboratory Improvement Amendments (CLIA) waiver
- Staffing by a licensed clinician
- Procedures for ensuring that peer specialists do not administer CM services
- Procedures for limiting participation in more than one CM program
- Fidelity monitoring protocols
- Staff training requirements
- Procedures for disenrolling and reenrolling participants, including but not limited to the disenrollment of participants who have participated for twelve (12) consecutive months, have enrolled in another CM program, or who enter residential treatment
- Procedures for ensuring incentives are not dependent on type of insurance coverage (42 CFR § 1001.952(hh)(8))
- Approach to integrating CM into comprehensive array of services, counseling, and treatment activities
Guidelines shall be supported by evidence-based or evidence-informed sources.
Task 3.a. Performance Measures
The subrecipient shall submit Clinical Treatment Guidelines within sixty (60) days of the beginning of the period of performance.
Task 3.b. Develop Incentive Protocols
The subrecipient shall develop written Incentive Protocols for ensuring that incentives comply with Safe Harbor provisions relating to contingency management programs established by the Office of Inspector General (OIG), U.S. Department of Health and Human Services (HHS) (42 CFR § 1001.952(hh)). At minimum, these protocols shall address the following incentives, which shall be non-cash:
- Whether incentives are prize-based or voucher-based
- Magnitude of incentives, along with evidence base
- Annual cap on monetary value of incentives
- Procedures for documenting distribution of incentives (42 CFR § 1001.952(hh)(7))
- Procedures for compliance with marketing prohibitions (42 CFR § 1001.952(hh)(6))
The Incentive Protocols shall identify the incentives. Per 42 CFR § 1001.952(hh) and the SAMHSA Guidance, the following incentives are prohibited:
- Monetary value incentives
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- Cash
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- Unrestricted cash equivalents (e.g., debit cards)
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- Weapons
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- Tobacco, nicotine products, alcohol, or cannabis
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- Dextromethorphan, pseudoephedrine, or other over-the-counter medications with abuse or misuse potential
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- Pornographic materials
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- Lottery tickets or other gambling products
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- Any gift card that allows for the purchase of a prohibited item
- No/minimal monetary value incentives
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- Parenting time
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- Enhanced or expedited access to SUD treatment or recovery supports
Protocols shall be supported by evidence-based or evidence-informed sources.
Task 3.b. Performance Measures
Submit Incentive Protocols within 60 days of the beginning of the period of performance.
Task 4. Train Staff in COMPP Practices
A subrecipient shall provide the following deliverables:
Task 4.a. Develop Training Plan
To ensure fidelity to evidence-based practice, those who will implement, administer, and supervise CM interventions shall participate in CM-specific training prior to services starting. Training shall be delivered by an advanced degree holder who is experienced in the implementation of evidence-based CM. Training shall be easily accessible and can be delivered live or through pre-recorded training sessions. When participants receive training through pre-recorded sessions, they shall have an opportunity to pose questions and to receive responses in a timely manner. Training shall contain the following elements:
- Behavior of focus
- Considerations for serving the population of focus
- Permissible and impermissible incentives
- Amount of incentives
- Frequency of CM sessions and incentives
- Timing of incentives (soon after behavior or test)
- Duration of the intervention
- Evidence base for CM
- How to describe CM to eligible and ineligible participants
- Safeguards to prevent fraud and abuse
- Recordkeeping requirements and their legal importance
- Testing protocols and due process for challenging results
- How CM fits in with MOUD, other SUD treatment, and recovery supports
- Roles and responsibilities
- (For supervisors) oversight and coaching strategies
Task 4.a. Performance Measures
The subrecipient shall submit Training Plan within ninety (90) days of the beginning of the period of performance.
Task 4.b. Complete Training
Task 4.b. Performance Measures
The subrecipient shall submit a Training Log within 180 days of the beginning of the period of performance indicating the staff name, staff role, the subject of each training participated in, the name and credentials of the training provider, how the training was delivered, and the date of completion.
Task 5. Manage, Monitor, and Report on COMPP Activities
The subrecipient shall participate in monitoring and evaluation of services. For each of the Subtasks below, the subrecipient shall report a Monthly Activities Report, within fifteen (15) days of the completion of any month in which the subrecipient delivers services, in a format prescribed by AHP and/or the external evaluator. Alongside data collection on the implementation and reach of services, the subrecipient shall work with an external evaluator to identify additional outcome indicators for subrecipient scopes of services as described in Section H.10. Task 1.g. Evaluation Reports.
The subrecipient shall provide the following deliverables:
Task 5.a. Evaluate Individual Participants for Clinical Need
Before any individual participates in CM services, the individual’s licensed health care professional shall document in the individual’s health record the types of CM that would be appropriate for the individual.
The subrecipient shall report any month in which the subrecipient provides CM services, indicating for each individual (de-identified using a unique code) the date on which CM was found to be clinically appropriate by a licensed health care professional.
Task 5.a. Performance Measures
The subrecipient shall submit required information in a Monthly Activities Report within fifteen (15) days of the completion of any month in which the subrecipient delivers CM services.
Task 5.b. Monitor Compliance with Incentivized Behavior
The subrecipient shall monitor compliance with the incentivized behavior, through the following measures:
- For abstinence from substances (e.g., stimulants) used concurrently with opioids, administering rapid POC tests two to three times per week.
- For medication adherence, recording when doses of methadone or long-acting injectables are administered to the individual.
- For treatment attendance, documentation thereof (e.g., treatment notes or signed attendance logs for group meetings)
- For recovery-behaviors, documentation thereof (e.g., log or notes documenting engagement in healthy social events, education or work, development of a supportive social network, etc.)
Each month, the subrecipient shall prepare a list of individuals (identified by a unique code rather than by name) in compliance with and out of compliance with incentivized behaviors.
Task 5.b. Performance Measures
The subrecipient shall submit required information in a Monthly Activities Report within fifteen (15) days of the completion of any month in which the subrecipient delivers CM services.
Task 5.c. Distribute Incentives
For each participant who meets treatment goals specified in the individual’s health record, the CM staff shall distribute the type and amount of incentive called for by the plan.
The subrecipient shall include in each participant’s health record the following information:
- The health care professional’s recommendation of CM
- The type of CM model used
- A description of CM incentives furnished and (when applicable) their monetary value
- Health outcomes and/or specific behaviors achieved
- A cumulative tally of the monetary value of incentives received by the patient
Each month, the subrecipient shall note in a Monthly Report the description, value, and cumulative total of the monetary value of incentives provided to each individual (identified by a unique code rather than by name).
Task 5.c. Performance Measures
The subrecipient shall submit required information in a Monthly Activities Report within fifteen (15) days of the completion of any month in which the subrecipient delivers CM services.
Task 5.d. Disenroll Participants
The subrecipient shall disenroll participants who no longer meet the guidelines for CM, according to the subrecipient’s Treatment Guidelines. At a minimum, participants shall be disenrolled if they (a) have been enrolled continuously in CM for 12 months, or a shorter time if specified by the Treatment Guidelines; (b) have enrolled in another CM program; (c) have entered residential SUD treatment. Participants may be disenrolled for other valid reasons specified in the Treatment Guidelines, including moving out of state, voluntarily withdrawing from the program, or failing to report for a length of time.
A participant shall not be disenrolled based on insurance status or refusal to participate in specific services (e.g., medications for opioid use disorder) or because of discrimination related to race, gender, religion, sexual orientation, or ability.
The subrecipient shall document the reason(s) for disenrollment in the participant’s health record. Additionally, each month, the subrecipient shall note in a Monthly Report the number of clients disenrolled, along with the reason for each disenrollment.
Task 5.d. Performance Measures
The subrecipient shall submit required information in a Monthly Activities Report within fifteen (15) days of the completion of any month in which the subrecipient delivers CM services.
C.4. Deliverables and Performance Measures
The following table details (a) the deliverables required according to the scope of services and (b) associated performance measures, standards, and potential metrics (subject to change) to be collected by task. Time periods refer to the days from the beginning of the period of performance, unless otherwise specified. Standards for activities refer to percentages of those described in the ISP.
Deliverables | Performance Measures | Standards | Metrics | |
T1 | Fulfill Award Administration Requirements | (a) Complete ONA survey | 100% | ONA survey completed (30 days after distribution) |
(b) Develop ISP | 100% | ISP submitted (45 days) | ||
(c) Develop ERJ Plan | 100% | ERJ organizational assessment completed (90 days)
ERJ Plan drafted (120 days) ERJ Plan finalized (180 days) |
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(d) Complete PPR | 100% | Activities and services metrics reported (15th of each month, 15th following each quarter unless otherwise prescribed) | ||
(e) Complete PFR | 100% | Fiscal performance reported (15th of each month; monthly and quarterly reports) | ||
(f) Participate in TTA | 75% | # Bimonthly cohort meetings (initiated within 30 days)
# Bimonthly individual meetings (initiated within 30 days) # TTA sessions attended (quarterly or as prescribed) |
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(g) Complete data collection and evaluation reporting | 100% | Data collected as prescribed
Data reported monthly (15th of each month) Data reported quarterly (30th of each quarter) |
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T2 | Staff and Administer COMPP | (a) Identify program staff | 100% | Organizational chart and staff list submitted (15 days) |
(b) Manage procurement with SMEs | 100% | Administration manual submitted (90 days)
SME list submitted (90 days) |
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T3 | Design COMPP | (a) Develop treatment guidelines | 100% | Treatment Guidelines submitted (60 days) |
(b) Develop incentive protocols | 100% | Incentive Protocols submitted (60 days) | ||
T4 | Train Staff in COMPP | (a) Develop training plan | 100% | Training Plan submitted (90 days) |
(b) Complete training | 100% | Training Log submitted (180 days) | ||
T5 | Manage, Monitor, and Report on COMPP Activities | (a) Evaluate individual participants | 100% | Monthly Activities Report submitted (15 days end of month) to include:
Date on which health care professional made service determination for each de-identified client |
(b) Monitor compliance with incentivized behavior | 100% | Monthly Activities Report submitted (15 days end of month) to include:
List of de-identified clients in compliance with treatment goals List of de-identified clients not in compliance with treatment goals |
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(c) Distribute incentives | 100% | Monthly Activities Report submitted (15 days end of month) to include:
Description of incentives supplied to each de-identified client Value of incentives supplied to each de-identified client Cumulative total of incentives supplied to each de-identified client |
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(d) Disenroll participants | 100% | Monthly Activities Report submitted (15 days end of month) to include:
Number of clients disenrolled Reason for each disenrollment |
C.5. Funding Details
The following sections discuss allowable and unallowable costs for this funding opportunity. Please refer to 2 CFR § 200 – “Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards,”, Part 200 Subpart E – Cost Principles to determine the appropriateness of costs.
Allowable Costs
Allowable costs are those that are necessary and reasonable based on the activity contained in the statement of work (SOW), are justified in the Budget Narrative, and are allowable under 2 CFR §§ 200.400-476. It is expected that administrative costs, both direct and indirect, will represent a small portion of the overall program budget. Any budget deemed to include inappropriate or excessive administrative costs will not be approved. Program budgets and narratives must detail how all proposed expenditures are necessary for program implementation.
Unallowable Costs
Refer to 2 CFR § 200, et. al. and “Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards”, Part 200 Subpart E – Cost Principles to determine the appropriateness of costs. In addition, and specific to this grant, the following costs will be unallowable without specific prior written approval:
- Entertainment costs, except where specific costs that might otherwise be considered entertainment have a programmatic purpose and are authorized in the approved budget (2 CFR § 200.438)
- Capital expenditures for general purpose equipment, including any vehicle regardless of cost, buildings, and land (2 CFR § 200.439)
- Capital expenditures for improvements to land, buildings, or equipment that materially increase their value or useful life (2 CFR § 200.439)
- Food and other goods or services for personal use of the grantee’s employees, contractors, or consultants unless authorized as per diem under the Illinois Governor’s Travel Control Board (2 CFR § 200.445)
- Deposits for items, services, or space
- Dues to societies, organizations, or federations
- Meetings or conventions, unless directly related to the program and approved in advance by the RCCA
- Alcoholic beverages
- Cash payments to intended recipients of services
- Purchase or repair of vehicles
- Lobbying, political contributions, or compensation of a government body
- Fundraising
- Bad debt, fines, or penalties
- Personal-use items, including expenses related to personal use of vehicles
- Unallowable relocation expenses
- Related-party transactions
- Any other costs not approved in the plan and budget
Indirect Cost Rate
To charge indirect costs to this grant, the applicant organization must: (1) have a federal annually negotiated indirect cost rate agreement (NICRA), or (2) elect to use the de minimis rate and specify what percentage (up to fifteen percent (15%) of modified total direct costs) the applicant chooses. See 2 CFR § 200.414.
Indirect Cost Rate Election
- Federally Negotiated Rate: Organizations that receive direct federal funding may have an indirect cost rate that was negotiated with a federal cognizant agency. The organization must provide a copy of the federal NICRA. Organizations must notify the RCCA of any changes to their previously established NICRA no later than six (6) months after the close of the organization’s fiscal year.
- de minimis Rate: An organization may elect a de minimis rate of up to fifteen percent (15%) of modified total direct cost (MTDC).** Once established, the de minimis rate may be used indefinitely. If programs elect to use the de minimis rate, it is critical that program budgets accurately calculate the MTDC base.
Please see regulation 2 CFR § 200.1 below and note the exclusions to MTDC.
**2 CFR § 200.1, Modified Total Direct Costs, means “all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to the first $50,000 of each subaward (regardless of the period of performance of the subawards under the award). MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs, and the portion of each subaward in excess of $50,000. Other items may only be excluded when necessary to avoid a serious inequity in the distribution of indirect costs and with the approval of the cognizant agency for indirect costs.”
“No Rate”
Subrecipients have discretion not to request payment for indirect costs. Subrecipients that elect not to claim indirect costs cannot be reimbursed for indirect costs. The organization must record an election of “No Indirect Costs” in the Budget Workbook link in Section J.1., Mandatory Forms.
C.6. Authorizing Statutes and Regulations
Subrecipients shall adhere to the requirements outlined in the following:
- Grant Accountability and Transparency Act (GATA), 30 ILCS 708
- Illinois Administrative Code, Government Contracts, Title 44, Part 7000
- Grantmaking, Procurement, and Property Management, and federal regulations under Grants and Agreements, 2 CFR § 200, et. al.
- Part 8 – Medications for the Treatment of Opioid Use Disorder, 42 CFR Part 8 Subpart C
- The requirements and policies outlined in the Illinois Department of Human Services Division of Substance Use Prevention and Recovery Contractual Policy Manual
- Any other federal or state statutes, regulations or policies specified in the subaward agreement or its attachments.
D. Application Contents and Format
D.1. Contents and Point Distribution
The NOFO application is contained in an online fillable form, hosted by SurveyMonkey Apply. Applicants must have access to the internet. Use the application link to access the online application as early as possible to make sure you can log in. The link to the application is available at the IL RCCA website.
Instructions to complete the fillable form are included in the online application. You will be able to work on your online application, save your work, and return to it at your convenience. You may also add collaborators to assist with application development.
The individual submitting the application must attest within the application that they are authorized to submit the application on the organization’s behalf. All application submittals are final. Once the application is submitted, no further changes can be made.
You are responsible for ensuring that your application and all attachments have been successfully submitted in SurveyMonkey Apply, received by AHP, and submitted NO LATER THAN the specified deadline in Section E3 below and the Summary Table, row e.
The online application includes 9 sections. Sections 1–4 contain information about your organization, including fiscal, administrative, and internal controls questions. Sections 1–4 are not scored as part of the merit-based review process but are used to fulfill prequalification and risk assessment criteria. Sections 5–9 are scored for a total of 100 possible points. Individual questions can be referenced on the NOFO Prepare to Apply page.
Please answer questions truthfully and completely and be sure to cite the source of any data included.
Section Title | Description | Points |
Section 1. Organization Information | Basic administrative and fiscal information about your organization | 0 |
Section 2. Prequalification | Organizational information and attestations that verify eligibility to receive an award | 0 |
Section 3. Internal Controls | Administrative and management controls that inform the risk assessment that must be completed prior to Notice of Intent to Award (NOIA) | 0 |
Section 4. Organization Attestations | Attestations verifying capacity and truthfulness of information in the application | 0 |
Section 5. Executive Summary | An overview of your organization and the services you plan to deliver if awarded funding | 5 |
Section 6. Need and Opportunity | How the proposed work will contribute to the purpose of the project | 25 |
Section 7. Experience and Capacity | How your organization’s work, approach, and experience are aligned with the intent of the project requirements | 35 |
Section 8. Quality | The implementation approach and anticipated outcomes of the proposed activities to be funded by this notice | 30 |
Section 9. Project Budget | Project budget and advance payment request | 5 |
100 |
D.2. Attachments
(* = Required)
# | Item | Description |
A | Approved NICRA (if applicable) | Defines an organization’s federally negotiated indirect cost rate |
B | Organizational Chart* | Describes the reporting structure and roles at the organization |
C | Organizational Budget* | Describes organizational revenues and expenditures for current fiscal year |
D | Form W-9, Request for Taxpayer Identification Number and Certification* | Verifies Taxpayer Identification Number |
E | Single Federal Audit or Financial Statement Audit (if available) | Provides assurance of internal controls to maintain grant compliance |
F | Conflict of Interest Disclosure* | Discloses actual or potential conflicts of interest |
G | Resumes / CVs of program leadership* | Demonstrates experience of planned leadership |
H | Project Plan* | Describes the applicant’s plan to execute the award over the period of performance. This should include a timeline of project activities |
I | References* | Provide three references that describe history and quality of work related to the goals of the funding opportunity (preferably two from previous grant funders) |
J | Budget Workbook* | Demonstrates spending plan for subaward |
E. Submission Requirements and Deadline
E.1. Application Availability
The RCCA is now accepting applications to fund COMPP programs. Applications will only be accepted through the online application available at the Illinois RCCA website via the Funding Opportunities page.
All application materials are available at the Illinois RCCA website on the Funding Opportunities page. Copies of all materials may be obtained by any of the following means:
- Submit a request at the IL RCCA Help Desk
- Emailing a request to ilrcca@ahpnet.com
- Calling Randi Moberly at 312.386.7507
- Mailing a request for all application materials to:
- Advocates for Human Potential Regional Care Coordination Agency, 1021 West Adams Street, Suite 303, Chicago, IL 60607. Please note that you cannot submit your grant applications to this address. Applications will only be accepted online as described above (see the introduction to Section E).
E.2. Application Instructions
Per Federal Uniform Guidance (2 CFR § 200, et. al.) and GATA (44 Ill Admin Code Sec. 7000.70(f)), all applicants must be qualified to receive an award. An eligible organization shall demonstrate the following:
- Have an active System for Award Management (SAM.gov) public account
- Have an active Unique Entity Identifier (UEI) number
- Not be on the SAM.gov Exclusion List
- Be in good standing with the Illinois Secretary of State (if the Illinois Secretary of State requires the entity’s organization type to be registered)
- Not be on the Illinois Medicaid Sanctions List
- Not be on the Illinois Stop Payment List
If your organization does not meet these qualification requirements, your organization cannot receive funding for this award. Please take this into consideration before you take the time and effort to apply for this funding opportunity.
To obtain the information required to achieve qualified status, complete the steps detailed in the following table.
Step | Requirement | Link |
1. Register with the State of Illinois | Be actively registered with the Illinois Secretary of State. | Illinois Secretary of State website |
2. Obtain a FEIN/EIN number | Obtain a Federal Employer Identification Number (FEIN/EIN) from the Internal Revenue Service (IRS). | IRS FEIN/EIN application website |
3. Register for a SAM.gov account and obtain a UEI. | Register for and maintain an active SAM.gov account and obtain a 12-digit UEI. | https://sam.gov/content/home |
Applicants must complete the online application narrative questions and upload attachments as described herein. Detailed application questions and associated evaluation criteria are available at the IL RCCA website.
Project attachments should be PDF documents, except for the project budget, which is provided as an Excel workbook.
Mandatory forms, including the Budget Workbook and Conflict of Interest Disclosure, are linked in Section J. Mandatory Forms.
The applicant must develop a budget consistent with program requirements as described in Section C. Program Description and in accordance with Section F.2. Grant Funds Use Requirements.
E.3. Submission Dates and Times
The online application must be completed in full and submitted electronically at http://www.ilrcca.com/ by June 6, 2025, at 5 PM CST. The deadline will be strictly enforced. Applications received after the due date and time will not be considered for review or funding.
It is the applicant’s sole responsibility to ensure that their entire application and any attachments have been successfully submitted and received. Upon submission, you will receive an email confirming receipt of your application. Please check your email and spam folder. In the event of technical difficulty during submission or if you do not receive a confirmatory email within 48 hours of your submittal, please contact Randi Moberly at the IL RCCA Help Desk.
E.4. Other Submission Requirements
None.
E.5. Submission Tips
The following steps are recommended to successfully submit this application.
Step | Name | Description |
1 | Carefully review this document with your stakeholders. | Consider these questions:
|
2 | Prepare to apply. |
|
3 | Access technical assistance resources. |
|
4 | Complete attachments and forms. |
|
5 | Complete the online application and supplemental materials. |
|
F. Application Review Information
F.1. Responsiveness Review
The Responsive Review, also called a “threshold” review, is a preliminary review that determines whether an application meets specified completion and eligibility levels. During this phase, each application will be reviewed for completion and eligibility, as defined in Section B. Eligibility. Budgets will be reviewed to ensure costs are allowable, reasonable, and linked to the described objectives in Section C. Program Description.
All applicants who have submitted applications that are determined to be noncompliant, or ineligible will be notified by email, upon determination. This email will be sent to the email addresses the applicant provides in the application and will identify the reason for disqualification.
F.2. Grant Funds Use Requirements
All awarded applicants shall use grant funds according to the guidelines, conditions, and parameters set forth in this funding notice and in compliance with federal and state statutes, regulations, policies, and the terms and conditions of the subaward agreement.
State and Federal Laws or Regulations
In addition to the statutes and regulations listed in Section C.6. Authorizing Statutes and Regulations, every entity that is awarded funds through this NOFO must agree to 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 following:
Additionally, the entity must comply with the following:
Compliance with Funding Sources
The agency awarded funds shall act in accordance with all conditions related to relevant funding sources outlined in the following:
- Applicable regulatory requirements, such as the Illinois Substance Use Disorder Act
- Any other relevant state statutes
Third-Party Contractual Requirements
Any third-party contracts paid for using grant funds are subject to GATA requirements and the terms and conditions of the subaward. The subrecipient is required to include certain subaward agreement language in second tier subrecipient or subcontractor agreements and provide those agreements to the RCCA. Subrecipient and subcontractor agreement(s) and budgets must be pre-approved by the RCCA. The subrecipient shall retain sole responsibility for the performance and monitoring of the subrecipient(s) and subcontractor(s).
Religious/Sectarian Prohibitions
Funds shall not be used for inherently religious activities, such as worship, religious or sectarian instruction, or proselytizing. If the applicant is a faith-based or a religious organization that offers such activities, these activities shall be voluntary for the individuals receiving services and offered separately from the program. Religious organizations as defined under 42 CFR 54.2(b), shall comply with the Charitable Choice Regulations as set forth in 42 CFR 54.1 et seq. regarding funds provided directly to pay for substance use disorder prevention and treatment services under 42 U.S.C. 300x-21 et seq.; 42 U.S.C. 290aa, et seq.; and 42 U.S.C. 290cc-21 to 290cc-35. No organization shall, on the grounds of gender (including in the case of any woman due to pregnancy) or of religion, exclude any patient from participation in, or deny the benefits of any services or activities funded with these subaward funds.
F.3. Review Criteria
The scoring will be based on need, as described in Sections C2 and C3 above, capacity, quality of the organization’s work, and other grant-specific criteria. Points available are detailed in Section D.1. Contents and Point Distribution, and associated questions are available on the COMPP Prepare to Apply page.
F.4. Review and Selection Process
Merit-Based Review
All competitive grant applications are subject to merit-based review, as described in Appendix A Sections 5-9, in accordance with 44 Ill. Admin Code Sec 7000.350. A clear description of each criterion and sub-criterion is found in Appendix A Sections 5-9.
An applicant will only be accepted for a merit-based review upon meeting the Eligibility Criteria stated in Section B Eligibility.
Evaluation Committee
Evaluation of the application will be conducted by a review committee comprising a minimum of three (3) individuals with relevant subject matter expertise, including persons with lived experience. The committee is involved in the deliberative process and independently and confidentially reviews applications and assigns a numerical rating to the questions in Sections 5–9. The scoring tool scores the evaluation criteria based on funding priorities and the point allocations for each section of the application as indicated in Appendix A.
Please note: Evaluation committee members will not have any actual or apparent conflicts of interest.
RCCA leadership will compile the review committee scores, facilitate communication with the review committee on any variances, document any revisions, weigh funding priority criteria, and verify that applicants have completed all prequalification and pre-award requirements. The RCCA will then present recommendations of award finalists to IDHS/SUPR staff.
Finalist Recommendations
While the recommendation of the merit-based review panel will be a key factor in the funding decision, the RCCA maintains final authority over funding decisions and considers the findings of the reviewers to be advisory, nonbinding recommendations. The numerical score may not be the sole award criterion. The RCCA reserves the right to consider other factors, such as geographic distribution, demonstrated need, and agency past performance as a state grantee as described in Sections C2 and C3. Any internal documentation used in scoring or awarding of grants shall not be considered public information.
In the event of a tie, and funding is insufficient to select all tied applications, the RCCA may choose one of the following options:
- Apply one or more of the additional factors for consideration described above to prioritize the applications
- Partially fund each of the tied applications
- Not fund any of the tied applications
Appeal
Competitive grant appeals are limited to the evaluation process. Evaluation scores may not be protested. Only the evaluation process is subject to appeal. If appealed, the evaluation process shall be reviewed by the RCCA’s Appeal Review Officer (ARO).
Appeal decisions are final.
Submission
Appeals submission contact information:
- Name of agency contact for appeals: Regional Care Coordination Agency
- Email address of agency contact for appeals: ilrccaARO@ahpnet.com
-
- Email subject line: NOFO Review Appeal
An appeal must be submitted in writing to the appeals submission contact listed above.
An appeal must be received within fourteen (14) calendar days after the date that the grant award notice has been published.
The written appeal shall include, at a minimum, the following:
- Name and address of the appealing party
- Identification of the grant
- Statement of reasons for the appeal
- Supporting documentation, if applicable
Response
The RCCA will acknowledge receipt of an appeal within fourteen (14) calendar days from the date the appeal was received.
- The RCCA will respond to the appeal within sixty (60) days or supply a written explanation to the appealing party of why additional time is needed.
- The appealing party must supply any additional information requested by the ARO within the time the ARO sets in their request.
Resolution
The ARO shall make a recommendation to the RCCA Project Director or designee as expeditiously as possible after reviewing all relevant information.
- In determining the appropriate recommendation, the ARO shall consider the integrity of the competitive grant process and the impact of the recommendation on the RCCA.
- The RCCA will resolve the appeal by means of written determination.
- The determination shall include:
-
- Review of the appeal
-
- Appeal determination
-
- Rationale for the determination
F.5. Risk Review
Under 2 CFR § 200.332(b), the RCCA must evaluate each subrecipient’s risk of noncompliance with federal or state statutes, regulations, and the terms and conditions of the subaward for purposes of determining the appropriate subrecipient monitoring. These possible conditions are included in the NOIA and are described in Section G.3. Award Conditions. The pre-award process includes establishing a risk profile through risk assessment of the organization’s:
- Financial stability
- Management systems and standards
- History of performance
- Audit reports and findings
- Ability to implement requirements of the award
This risk assessment is carried out with the aid of the following information:
- Administrative, fiscal, and internal controls information entered in Sections 1–4 of the Online Application
- Organizational and programmatic information detailed in Attachments B, C, and E
The RCCA may also request additional information during the pre-award process.
Please note: Risk assessments do not preclude entities from becoming grantees. Risk assessments are used to identify subrecipient TTA needs and if Specific Conditions are needed.
Additional risk review involves the following:
- Because this grant is not a simplified acquisition procurement, prior to making a subaward, the RCCA is required to review and consider any information about the applicant that is in the responsibility/performance records available in SAM.gov (see 41 U.S.C. § 2313(e)(2)(A)).
- An applicant, at its option, may review and comment on its information in the responsibility/performance section of SAM.gov.
- The RCCA will consider any comments by the applicant and other information in the responsibility/performance section of SAM.gov before making decisions in the risk review.
G. Award Notices
G.1. Anticipated Announcement of Award
The announcement of this award is anticipated by July 7, 2025.
G.2. Notice of Intent to Award
Please note: The NOIA does not constitute a contract or an agreement to receive grant funds and is not an authorization to begin performance on the project. Execution of the subaward agreement by both parties is the authorizing document and that agreement indicates when the subrecipient’s performance can begin.
Applicants recommended for funding following the review process and budget approval will receive a Notice of Intent to Award via email to the contacts identified in the application. The NOIA shall include:
- The grant award amount
- The terms and conditions of the award
- Specific conditions, if any, assigned to the applicant based on risk assessments and merit-based review
Note: The initial budget submitted at the time of application might not be approved due to unallowable costs, errors in budget, or a difference between requested award amount and approved final award amount. The RCCA will inform the organization’s point of contact if the proposed budget is rejected.
Upon receipt of the NOIA, selected applicants should review and make an informed decision about its capacity to perform under the requirements of the subaward and whether to accept the funds. The NOIA must be signed by the applicant’s grants officer (or equivalent). This signature indicates agreement with the award amount, and the conditions set forth within the notice. This signed NOIA is a document that informs the RCCA to proceed with issuing the subaward agreement. Please be advised that your selection is conditional until the subaward agreement is signed by both authorizing parties. The signed NOIA must be remitted to the RCCA, as instructed in the NOIA.
The NOIA is not an authorization to begin performance. The period of performance begins upon execution of the subaward agreement.
Applicants not receiving this award will be notified with a Notice of Non-Award letter via email, which will be sent to the contacts identified in the application at the same time the NOIA letters are sent.
G.3. Pre-Award Costs
Pre-award costs are not allowed. Beginning performance prior to the execution of the subaward agreement is at the applicant’s risk and expense.
G.4. Subaward Agreement
Upon receipt of acceptance of award, the RCCA will initiate the development of the subaward agreement and the SOW. The Subaward Agreement and the SOW attachment will include the following information:
- Activities to be performed
- Time schedule
- Applicable policies and requirements
- The terms and conditions of the Subaward Agreement
- The dollar limitation of the agreement
The primary point of contact for the selected organization will receive an email notification that the agreement is ready for review and signature. The signed subaward agreement should be returned to the RCCA as prescribed.
G.5. Payment Terms
Payments will be in accordance with Administrative Directive 01.07.01.070 Grant Payments, 2 CFR § 200.302, 2 CFR § 200.305, 31 CFR § 205 (procedures implementing Cash Management Improvement Act and the Treasury-State Agreement), and 44 Ill. Admin. Code Sec. 7000.120 (Governor’s Office of Management and Budget Adoption of Supplemental Rules for Grant Payment Methods). Three different award payment methods exist: Advance Payment, Reimbursement, and Working Capital Advance.
Advance Payment Method (Advance and Reconcile)
If the Advance Payment Method is approved, an initial payment will be processed in an amount equal to the first two (2) months’ cash requirements as reflected in the submitted Advance Payment Requirements Forecast (Cash Budget) Form. To receive the advance payment, the subrecipient must maintain or demonstrate the willingness to maintain both written procedures that minimize the time elapsing between the transfer of funds and disbursement by the subrecipient, and financial management systems that meet the standards for fund control and accountability as established in 2 CFR § 200.300. Advance payments to a subrecipient must be limited to the minimum amounts needed and be timed with actual, immediate cash requirements of the subrecipient in carrying out the purpose of the approved program or project. The timing and amount of advance payments must be as close as is administratively feasible to the actual disbursements by the subrecipient for direct program or project costs and the proportionate share of any allowable indirect costs. The subrecipient must make timely payments to contractors or second tier subrecipients in accordance with the subaward agreement provisions. 2 CFR § 200.305.
Subrecipients must submit monthly invoices in the format and method prescribed in the grantee’s executed Subaward Agreement. The first invoice is due after the first month of grant operations. Invoices must include only allowable incurred costs that have been paid by the grantee.
Subsequent monthly payments will be based on each monthly invoice submitted to the grant program and will be adjusted up or down based on a comparison of actual cumulative expenditures to cumulative advance payments to date.
Subrecipients that do not spend all advance payment amounts by the end of the grant term or that cannot demonstrate that all incurred costs were necessary, reasonable, allowable, or allocable as approved in their respective grant budget must return the funds within forty-five (45) days or be subject to grant funds recovery.
Subrecipients may be required to submit supporting documentation for their requests at the request of and in a manner prescribed by the RCCA.
Failure to abide by advance payment governance requirements may result in the subrecipient losing their right to advance payments.
Reimbursement Method
The reimbursement method will be used when subrecipients do not meet the requirements of 44 Ill. Admin. Code Sec. 7000.120(b)(2), upon a subrecipient’s request to use the reimbursement method of payment, or as stipulated in a specific condition pursuant to 2 CFR § 200.208. Subrecipients that have specific conditions noted in their NOIA or Subaward Agreement for any of the following items must be paid using the reimbursement method:
- Fiscal and administrative high risk (weak internal controls)
- A history of failure to comply with general or specific terms and conditions of grant awards
- Failure to meet expected performance goals as described in 2 CFR § 200.211 or to attain their program deliverables as stated in their applicable Subaward Agreement
- Otherwise not responsible
The RCCA will disburse payments to the subrecipient based on actual allowable costs incurred as reported in the monthly financial invoice submitted for the respective month, as described below.
Subrecipients must submit monthly invoices in a format prescribed by the RCCA and as required in the Subaward Agreement. Invoices must include all allowable incurred costs for the first and each subsequent month of operations until the end of the grant term. Invoices shall be submitted to the RCCA on or before the fifteenth (15th) day following the end of any respective monthly invoice period. The RCCA will process all payments to ensure that payments can be made (subject to appropriation, cash availability, and processing by the Office of the Comptroller) within thirty (30) calendar days after receipt of the invoice, unless the RCCA reasonably believes the request to be improper.
Working Capital Advance Method
For subrecipients that cannot meet the requirements set forth in 2 CFR § 200.302 (Financial Management), 44 Ill. Admin. Code Sec.7000.120(b)(1)(A)(i and ii) (Advance Payments) and other requirements as described in this Directive, if the RCCA determines that reimbursement is not feasible because the subrecipient lacks sufficient working capital, the RCCA may, in its sole discretion, provide a working capital advance to the subrecipient.
Subrecipients may request separate working capital advance payments for each grant program awarded by the RCCA. Requests must be submitted to the RCCA on the Advance Payment Request Cash Budget tab within the Budget Workbook (Cash Budget). The Cash Budget must include monthly cash requirements for every month of the grant term. A separate request must be submitted for each grant program application. The Chief Executive Officer (or equivalent) or the Chief Financial Officer (or equivalent) for the subrecipient entity must attest upon award that the cash requirements are actual expected costs.
If approved, the RCCA will advance working capital payments to the subrecipient to cover their estimated disbursement needs for an initial period not to exceed two (2) months of grant expenses. Startup costs may be approved if determined by the RCCA to be allowable
- Subrecipients must submit monthly invoices for each of the one (1) or two (2) months covered by the Working Capital Advance in the format and method prescribed in the subrecipient’s executed Subaward Agreement Exhibits. The first invoice is due after the first month of grant operations. Invoices must include only allowable incurred costs that have been paid by the subrecipient.
- Subrecipients may be required to submit supporting documentation for their requests at the request of and in a manner prescribed by the RCCA.
- Working Capital Advance Payments are limited to a single occurrence per grant term.
- Following the initial period, the RCCA will reimburse the grantee for its actual cash disbursements as described in the Reimbursement Section above.
H. Post-award Requirements and Administration
H.1. Award-Specific Conditions
Successful applicants agree to provide program services as described throughout this funding notice.
Reporting of Matters Related to Recipient Integrity and Performance
Applicants receiving at least $500,000 in grant funding shall:
“(b) Submit the required information about each civil, criminal and administrative proceeding that—
“(i) Is in connection with the award or performance of a grant, cooperative agreement, or procurement contract from the Federal Government;
“(ii) reached its final disposition during the most recent five-year period, and
“(iii) Is one of the following—
“(A) A criminal proceeding that resulted in a conviction
“(B) A civil proceeding that resulted in a finding of fault and liability and payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more;
“(C) An administrative proceeding that resulted in a finding of fault and liability and your payment of either a monetary fine or penalty of $5,000 or more or reimbursement, restitution, or damages in excess of $100,000; or
“(D) Any other criminal, civil, or administrative proceeding if—
“(1) It could have led to an outcome described in paragraph (b)(1)(iii)(A) through (C);
“(2) It had a different disposition arrived at by consent or compromise with an acknowledgment of fault on your part; and
“(3) The requirement in this award term to disclose information about the proceeding does not conflict with applicable laws and regulations.
“(c) Reporting Procedures. Enter the required information in SAM.gov for each proceeding described in paragraph (b) of this award term. You do not need to submit the information a second time under grants and cooperative agreements that you received if you already provided the information in SAM.gov because you were required to do so under Federal procurement contracts that you were awarded.” (See 2 CFR § 200, Appendix XII.)
Per 2 CFR § 200.332(b), the RCCA must evaluate each applicant’s risk of noncompliance and must impose additional specific award conditions as needed, based on an analysis of the following factors:
- Based on the criteria set forth in 2 CFR § 200.206, Federal awarding agency review of risk posed by applicants
- When an applicant or recipient has a history of failure to comply with the general or specific terms and conditions of a federal award
- When an applicant or recipient fails to meet expected performance goals as described in 2 CFR § 200.211, Information contained in a Federal award
- When an applicant or recipient is not otherwise responsible
Under 2 CFR § 200.208, these conditions may include items such as the following:
- Requiring payments as reimbursements rather than advance payments
- Withholding authority to proceed to the next phase until receipt of evidence of acceptable performance
- Requiring additional or more detailed financial reports
- Requiring additional project monitoring
- Requiring the recipient or subrecipient to obtain technical or management assistance
- Establishing additional prior approvals
More restrictive conditions may be imposed based upon the criteria set forth in 44 Il Admin Code Sec.7000. 340.
In response to a subrecipient’s request, the RCCA will promptly remove the specific conditions once it has determined that issues have been corrected.
H.2. Start Date
Applicants must be prepared to begin grant activities starting August 1, 2025.
H.3. Site Visits
The applicant agrees to participate in site visits/quality reviews as requested by the RCCA.
H.4. Technology
Agencies awarded funds through this funding notice should have a computer that meets the following minimum specifications for the purpose of using any required web-based reporting system and the receipt/submission of the electronic program and fiscal information:
- Internet access, preferably high-speed
- Email capability
- Microsoft Excel
- Microsoft Word
- Microsoft PowerPoint
- WebEx
- Adobe Acrobat Reader
The purchase of this technology would be an allowable expenditure under the grant and may be included in the budget as part of this application.
H.5. Hiring and Employment Policy
The RCCA encourages cultural diversity in the work environment and to promote employment opportunities through its programs. The program workforce should appropriately reflect the populations to be served, with special attention given to hiring individuals indigenous to those communities. Whenever a position becomes available, funded programs are encouraged to consider employing individuals who receive Temporary Assistance for Needy Families, contingent upon their qualifications (i.e., education and work experience).
H.6. COVID-19 Policies and Procedures
Applicant shall have written COVID-19 policies and procedures that align with current guidelines from their local health department, Illinois Department of Public Health (IDPH), and/or the Centers for Disease Control and Prevention.
H.7. Publication of Studies, Reports, and Other Program Products
The applicant agrees that products produced for the RCCA under this award, including but not limited to research reports, data, analyses, and policy recommendations, are the property of the RCCA and will not be published or distributed except as prescribed by the RCCA.
H.8. Administrative and National/State Policy Requirements
The agency awarded funds shall provide services as set forth in the Subaward Agreement and shall act in accordance with all state and federal statutes and administrative rules applicable to the provision of the services. The subaward agreement will be modeled on the IDHS FY25 Grant Agreement and the Community Service Agreements Attachment C. Additional terms and conditions not specified herein may apply.
H.9. Uniform Guidance (2 CFR § 200, et.al.) Requirement Revision, Effective October 1, 2024
- 200.113 Mandatory disclosures
“An applicant, recipient, or subrecipient of a Federal [or State] award must promptly disclose whenever, in connection with the Federal [or State] award (including any activities or subawards thereunder), it has credible evidence of the commission of a violation of Federal criminal law involving fraud, conflict of interest, bribery, or gratuity violations found in Title 18 of the United States Code or a violation of the civil False Claims Act (31 U.S.C. 3729-3733). The disclosure must be made in writing to IDHS, the agency’s Office of Inspector General, and pass-through entity [RCCA] (if applicable). Recipients and subrecipients are also required to report matters related to recipient integrity and performance in accordance with Appendix XII of this part. Failure to make required disclosures can result in any of the remedies described in § 200.339.” (See also 2 CFR part 180, 31 U.S.C. 3321, and 41 U.S.C. 2313.)” 2 CFR § 200.113
H.10. Reporting and Grants Administration Requirements
Subrecipients shall comply with any and all federal and state reporting requirements. Subrecipients shall share certain COMPP project data with the Opioid Abatement Strategies Effectiveness Evaluator. Reports should be submitted electronically as prescribed by the RCCA.
Upon execution of the Subaward Agreement, subrecipients shall fulfill the requirements outlined below. Additional periodic and annual performance and evaluation data may be collected as directed by the RCCA and in a format prescribed by the RCCA.
Task 1.a. Organizational Needs Assessment Survey
Upon grant award, subrecipients shall complete an ONA survey related to funding requirements to help identify gaps and areas for growth. The RCCA will distribute the survey within four (4) weeks of the beginning of the period of performance.
Task 1.b. Implementation and Sustainability Plan
Subrecipients shall develop an ISP as prescribed by the RCCA to identify specific objectives, action steps, timelines, assigned personnel, planned outcomes, internal performance measures, and sustainability efforts. The RCCA will initiate TTA to grantees for the development of their ISP within four (4) weeks of the beginning of the period of performance. The ISP shall be maintained throughout the period of performance.
Task 1.c. Equity and Racial Justice Plan
Subrecipients shall develop and implement or maintain an ERJ plan that includes the following:
- Reflects IDHS’s commitment to advance equity and racial justice
- Outlines how the organization ensures equity in access to its supports/services as well as outcomes
- Includes a plan to identify and address institutional oppression and racial bias in all areas of the organization, including programming
- Includes an equity and racial justice training plan
Task 1.d. Periodic Performance Reports
Subrecipients shall submit regular PPRs, as follows:
- Monthly Performance Reports: Subrecipient shall submit monthly performance reports no later than fifteen (15) days after the month ends.
- Quarterly Performance Reports: Subrecipient shall submit quarterly performance reports no later than 15 days after the quarter ends. Quarters end September 30, December 31, March 31, and June 30.
- Closeout Performance Reports: Subrecipient shall submit a close-out performance report no later than fifteen (15) days after the end of the period of performance or termination.
Task 1.e. Program Fiscal Reports
Subrecipients shall submit regular PFRs, as follows:
- Monthly Fiscal Reports: Subrecipient shall submit monthly performance reports no later than 15 days after the month ends.
- Quarterly Fiscal Reports: Subrecipient shall submit quarterly performance reports no later than 15 days after the quarter ends. Quarters end September 30, December 31, March 31, and June 30.
- Closeout Fiscal Reports: Subrecipient shall submit a close-out financial report no later than 15 days after the end of the period of performance or termination.
Task 1.f. TTA Participation
Subrecipients shall participate in TTA and support as identified by the RCCA, with a goal of supporting successful program implementation and promoting sustainability after the conclusion of the funding period. The TTA opportunities will be specified by the RCCA throughout the grant period and, at a minimum, will include the following:
Webinars and Coaching Calls
Subrecipients shall participate in individual and/or regional coaching calls and webinars in accordance with the program deliverables described in Section C. Program Description and as specified in the Subaward Agreement.
TTA topics will include (at a minimum) the following:
- Subcontracting
- Invoicing
- Reporting, data collection, and performance measures
- Implementation plans
- Equity and racial justice plans
- Topical areas of relevance to subrecipients
- Special TTA as requested by individual subrecipients and/or as authorized by the RCCA
Other TTA Activities
Other TTA opportunities, such as learning collaboratives, may be required as specified in the Subaward Agreement.
Task 1.g. Evaluation Reports
Subrecipient shall participate in collection, submission, and use of data on performance measures as determined by AHP and the Opioid Abatement Strategies Effectiveness Evaluator (“OASEE”) subrecipient, and up to four (4) TA sessions associated with the data collection processes. At minimum, aggregate data on individuals served and specific services provided shall be collected for all service provision included in the scopes of services. In addition, data shall be collected on the reach of subrecipient services, in order to ensure services reach priority communities and populations with the highest needs. Subrecipients shall collect data and complete evaluation reporting provided by the OASEE as follows:
- Monthly Evaluation Reports: Subrecipient shall submit monthly evaluation reports no later than fifteen (15) days after the month ends.
- Quarterly Evaluation Reports: Subrecipient shall complete quarterly performance reports no later than 15 days after the quarter ends or as otherwise prescribed. Quarters end September 30, December 31, March 31, and June 30.
H.11. Monitoring
Subrecipients funded through this NOFO are subject to fiscal and programmatic monitoring in accordance with 2 CFR § 200.332. Subrecipients shall provide the RCCA access to subaward records pursuant to 2 CFR § 200.337. For projects that are having delays or difficulties, monitoring will be more frequent or detailed to ensure technical assistance is provided and any issues are resolved. The RCCA may modify subawards based on performance.
H.12. Awarding Agency Contacts
For information about this NOFO, contact the RCCA Support Team at ilrcca@ahpnet.com.
I. Other Information
I.1. Obligation of Award
The release of this NOFO does not obligate the RCCA to make an award.
The RCCA reserves the right to negotiate with successful applicants to adjust award amounts, targets, deliverables, etc. These negotiations do not obligate the provision of funding, nor should an applicant draw any conclusions from these negotiations about the RCCA’s intentions to fund or not fund the proposed grant award.
I.2. Definitions
Contingency Management (CM): An evidence-based intervention that provides motivational incentives to treat individuals living with substance use disorders that supports their path to recovery. CM recognizes and reinforces individual positive behavioral change. (Negative consequences are part of CM but do not show evidence for impact on substance use disorders).) CM is based on operant conditioning principles.
Harm Reduction: “Practical and legal evidence-based strategies, including overdose education; testing and intervention for infectious diseases, including counseling and risk mitigation activities forming part of a comprehensive, integrated approach to address human immunodeficiency virus (HIV), viral hepatitis, sexually transmitted infections, and bacterial and fungal infections; distribution of opioid overdose reversal medications; linkage to other public health services; and connecting those who have expressed interest in additional support to peer services.” (42 C.F.R., Ch. I, Subch. A, Part 8, Subpart A, § 8.2)
Harm reduction “involves a set of practical techniques that are openly negotiated with clients around what is most likely to be achieved. The focus is reducing the negative consequences and risky behaviors of substance use; it neither condones nor condemns any behavior. By incorporating strategies on a continuum from safer drug use to managed substance use up to abstinence, harm reduction practice helps clients affect positive changes in their lives.” (National Health Care for the Homeless Council)
Harm reduction is “a practical and transformative approach that incorporates community-driven public health strategies — including prevention, risk reduction, and health promotion — to empower people who use drugs (PWUD) and their families with the choice to live healthy, self-directed, and purpose-filled lives. Harm reduction centers the lived-living experience of PWUD, especially those in underserved communities, in these strategies and the practices that flow from them.” (SAMHSA )
Medical Director: A physician, licensed to practice medicine in Illinois, who assumes responsibility for all medical and behavioral health services provided by the OTP program, including their administration. A medical director may delegate specific responsibilities to authorized program physicians, appropriately licensed non-physician practitioners with prescriptive authority functioning under the medical director’s supervision, or appropriately licensed and/or credentialed non-physician healthcare professionals providing services in the OTP, in compliance with applicable Federal and State laws. Such delegations will not eliminate the medical director’s responsibility for all medical and behavioral health services provided by the OTP. (42 CFR 8.2 “Medical director”)
Medication Assisted Recovery (MAR): The use of FDA-approved medications to treat substance use disorder. Currently, medications approved to treat opioid use disorder include methadone, buprenorphine, buprenorphine / naloxone, and IM naltrexone.
Monetary value incentive: Any allowable good (e.g., clothing, electronic item) or service (e.g., trip to an amusement park) with more than minimal value, or any voucher, gift card, gift certificate, etc., that can be exchanged only for allowable goods (e.g., a gift card to a bookstore or restaurant that does not serve alcohol) or services/experiences (e.g., a gift card for a nail salon) with monetary value. The following incentives are not allowable: cash, unrestricted debit cards, weapons, tobacco, nicotine products, alcohol, cannabis, over-the-counter medications with abuse or misuse potential, pornographic materials, lottery tickets or other gambling products, and any gift card that allows for the purchase of a prohibited item.
No/minimal monetary value incentive: Any allowable good with nominal value (e.g., recognition certificate, pen with the program’s logo) or allowable service/experience (e.g., increase in take-home dosage of methadone, recognition ceremony). The following incentives are not allowable: parenting time, enhanced or expedited access to SUD treatment, and enhanced or expedited access to recovery supports. Overdose Education and Naloxone Distribution (OEND): An evidence-based overdose prevention intervention that involves teaching people about how to recognize the signs of an overdose and supplying them with naloxone to be administered in response to a suspected opioid overdose. Additionally, OEND programs may provide education about risk factors for overdose and other safer use strategies that can reduce overdose risk.
Opioid Treatment Program (OTP): Provider of medications for opioid use disorder. OTPs must be certified by SAMHSA and accredited by an independent, SAMHSA-approved accrediting body.
Opioid Use Disorder (OUD): “A problematic pattern of opioid use that causes significant impairment or distress. OUD is a treatable, chronic disease that can affect anyone—regardless of race, gender, income level, or social class. A diagnosis of OUD is based on specific criteria, such as unsuccessful efforts to cut down or control use or failure to fulfill obligations at work, school, or home, among other criteria. It can even lead to overdose and death.” (Centers for Disease Control and Prevention)
Outreach: The encouragement, engagement, or re-engagement of individual(s) who are at risk into treatment through community institutions, such as churches, schools, and medical facilities (as defined by the community) or through Illinois Department of Human Services consultation. (Illinois Department of Human Services)
Peer: A person who has lived experience/expertise in their own recovery from substance use and/or mental health challenges
Recovery support services: Services that include, but are not limited to, community-based recovery housing, peer recovery support services, social support, linkage to and coordination among allied service providers and a full range of human services that facilitate recovery and wellness contributing to an improved quality of life. The services extend the continuum of care by strengthening and complementing substance use disorder (SUD) treatment interventions in different settings and stages. (42 CFR 8.2 “Recovery support services”)
I.3. Applicant Technical Assistance
Prequalification and Pre-Award Resources
The IDHS Pre-Qualification Instructions and Resources page provide helpful information about the completion of pre-qualification and pre-award activities.
TA Session
Attend or listen to the technical assistance session (recommended but not required) at the Illinois RCCA website.
Submit Questions and Review Answers
Submit questions at our Help Desk no later than May 23, 2025, at 5:00 PM CST.
I.4. Relevant Websites
AHP | Advocates for Human Potential |
ARO | Appeal Review Officer |
CM | Contingency Management |
COMPP | Contingency Management Pilot Programs |
DEA | Drug Enforcement Agency |
EHR | Electronic Health Record |
ERJ | Equity and Racial Justice |
FDA | Food and Drug Administration |
FEIN | Federal Employer Identification Number |
FQHC | Federally Qualified Health Center |
GATA | Grant Accountability and Transparency Act |
HIV | Human Immunodeficiency Virus |
ICQ | Internal Controls Questionnaire |
IDHS | Illinois Department of Human Services |
IDPH | Illinois Department of Public Health |
ISP | Implementation and Sustainability Plan |
MAR | Medication Assisted Recovery |
MOU | Memorandum of Understanding |
MOUD | Medications for Opioid Use Disorder |
MTDC | Modified Total Direct Costs |
NICRA | Negotiated Indirect Cost Rate Agreement |
NOFO | NOFO Notice of Funding Opportunity |
NOIA | Notice of Intent to Award |
ONA | Organizational Needs Assessment |
ONC | Office of the National Coordinator for Health Information Technology |
OOSA | Office of Opioid Settlement Administration |
OTP | Opioid Treatment Program |
OUD | Opioid Use Disorder |
PFR | Program Fiscal Reporting |
PPR | Periodic Performance Reporting |
RCCA | Regional Care Coordination Agency |
SAMHSA | Substance Abuse and Mental Health Services Administration |
SOW | Statement of Work |
SUPR | Substance Use, Prevention and Recovery |
TTA | Training and Technical Assistance |
UEI | Unique Entity Identifier |
J. Mandatory Forms
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K. References
[1] Illinois Department of Public Health. (October 2023). Statewide Semiannual Overdose Report. semiannual-overdose-report_102023.pdf
[2] State of Illinois Overdose Action Plan. (March 2022). https://www.dhs.state.il.us/OneNetLibrary/27896/documents/By_Division/SUPR/State-of-Illinois-Overdose-Action-Plan-March-2022.pdf
[3] Marino, E. N., Karns-Wright, T., Perez, M. C., & Potter, J. S. (2024). Smartphone app-based contingency management and opioid use disorder treatment outcomes. JAMA Network Open, 7(12), e2448405. https://doi.org/10.1001/jamanetworkopen.2024.48405
[4] Wells, M., Kelly, P. J., Robson, D., Haynes, C., Hatton, E., & Larance, B. (2024). Systematic review of treatment completion rates and correlates among young people accessing alcohol and other drug treatment. Drug and Alcohol Dependence, 262, 111376. https://doi.org/10.1016/j.drugalcdep.2024.111376