About the NOFO
The NOFO has a total of 11 sections.
A. Basic Information
A.1. Executive Summary
This new Notice of Funding Opportunity (NOFO) sets forth the requirements for applications to establish Medication Assisted Recovery Mobile Health Units 3.0 (MMHU-3) programs in Illinois. This funding opportunity will prioritize services to be delivered to and within the following IDPH regions: West Chicago, Peoria, and Metro East. Services to other regions and communities will be considered.
The goal of MMHU-3 is to improve the health and safety of individuals with opioid use disorder (OUD) and other substance use disorders (SUDs) who are considered at high risk for overdose and medical complications due to barriers to health care access. This goal of MMHU-3 is to be achieved through the following objectives:
- Increase access to medication assisted recovery (MAR) for individuals with OUD or other SUDs. MAR is the use of Food and Drug Administration (FDA) approved medications to treat substance use disorder. Currently, medications approved to treat opioid use disorder include methadone, buprenorphine, and naltrexone. MAR is the equivalent of Medications for Opioid Use Disorder, or MOUD.
- Decrease health inequities by making immediate care of acute and chronic conditions, including OUD/SUD, available to individuals within the priority population wherever care is sought in the service area.
To accomplish these objectives, subrecipients of MMHU-3 funding will:
- Provide care for acute and chronic conditions, including U.S. Food and Drug Administration (FDA)-approved OUD medications, via mobile health units in the communities where the intended recipients live.
- Manage and support transitions to additional recovery services among individuals within the priority population.
- Promote the availability of mobile health units within the service area.
Up to three (3) organizations will be awarded funds to fulfill the requirements of the subaward.
Services provided under this NOFO shall 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 source of funding for this program is the Illinois Opioid Remediation State Trust Fund: Illinois Opioid Settlements Initiative.
- Applicants with existing IDHS awards are eligible to compete with applications for new state awards. However, funds received under one award generally cannot be used for another, even if the public services are the same or similar. See 2 CFR § 200.405(c).
Available Funding
- The total amount of funds available is estimated to be $15,000,000 to be awarded over 3 years. Details are described in Section C.3. Scope of Services.
- The RCCA anticipates awarding up to three (3) subawards of up to $700,000 per subawardee per period of performance.
Periods of Performance
- The period of performance means the total estimated time interval between the start of an initial award and the planned end date of the subaward agreement, which may include one or more funded portions, or budget periods. A period of performance does not include any subsequent renewals or options, which would create a new period of performance. Budget periods are aligned with the IDHS fiscal year. A period of performance may include one or more budget periods.
- Funding for the initial period of performance is estimated to span from October 1, 2026, to June 30, 2027. 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 § 200.1; 1 and 44 Ill. Admin. Code 7000.30.
Budget Periods
- Budget periods are not equivalent to the period of performance. Identification of the period of performance in this subaward does not commit IDHS or RCCA to fund the award.
- 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 Part 200, and be justified to be approved by the RCCA.
Renewals
- Subrecipients may be eligible to receive up to two (2) subsequent grant renewals for this program within the 3-year award cycle.
- The initial period of performance is anticipated to end on June 30, 2027. If the subaward agreement is renewed, the period of performance shall is anticipated to continue from July 1, 2027 through June 30, 2028, unless the agreement is terminated, appropriations are no longer available, or for any other termination reason allowed by the State.
- 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 program 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.
Continuation of Funding
- Continuation of funding following completion of the 3-year award cycle is not automatic or guaranteed. Subrecipients who have completed a three-year award cycle must submit a new application for any new NOFOs to be considered for future funding.
- Grant funds that are not expended or legally obligated must be returned within the time period stated in the award.
- Applicants should be aware that a new award will require compliance with all terms and conditions of the new subaward agreement, which may differ from prior agreements. The ability to perform work under the previous award does not guarantee eligibility or selection for the new award. All applications will undergo an eligibility review.
A.3. Summary Table
| a | Funding Opportunity Title | Medication Assisted Recovery Mobile Health Units 3.0
(MMHU-3) |
| b | Funding Opportunity Number | O-19-MMHU3-26 |
| c | Awarding Entity | RCCA as established by IDHS (Catalog of State Financial Assistance 444-26-3079) |
| d | Announcement Type | NOFO Announcement (Subaward) |
| e | Posting Date | April 22, 2026 |
| f | Period Application Open | 61 days |
| g | Questions Submission Due Date | June 12, 2026, by 5:00 p.m. CT |
| h | Application Closing Date and Time | June 22, 2026, at 5:00 p.m. CT
Applications will not be accepted after this time. |
| i | Anticipated Notification Date | August 10, 2026 |
| j | Anticipated period of performance Begin Date | October 1, 2026 |
| 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 |
| n | Estimated Total Program Funding | An estimated $9,000,000 over 3 years (estimated $3,000,000 per year) across all awards; prorated in the initial funding period |
| o | Anticipated Number of Awards | 3 |
| p | Funding Periods | Four (4) budget periods (BP) are associated with this award. Subrecipients may be eligible to receive up to two (2) 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 funding periods for this award are as follows:
Period of Performance 1 BP1: October 1, 2026 – June 30, 2027
Period of Performance 2 BP2: July 1, 2027 – June 30, 2028
Period of Performance 3 BP3: July 1, 2028 – June 30, 2029 BP4: July 1, 2029 – September 30, 2029 |
| q | Funding per Period of Performance | Subject to the conditions of Section P above, the allocated funding per fiscal year is up to $700,000 per award. The funding per period of performance will vary based upon the number of awards and the length of the award period. See Section A.2. for additional details. |
| 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 44 Ill. Admin. Code Part 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 (This selection means that all budgeted costs are direct costs.) |
| Note: Release of this NOFO does not obligate the RCCA or IDHS to make an award. | ||
B. Eligibility
B.1. Eligible Applicants
Opioid treatment programs (OTPs) who serve the prioritized Illinois Department of Public Health (IDPH) regions and who are directly licensed by the IDHS/Division of Behavioral Health and Recovery (DBHR) may apply independently or in partnership with primary healthcare organizations or in collaboration with community programs, including harm reduction organizations, medical providers, and community treatment providers.
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 throughout the period of performance and ensure all staff have appropriate credentials.
- All entities must be qualified to do business with the State of Illinois.
Only applicants that meet the above criteria will be considered for funding.
Organizations who have previously applied for and received MMHU-1 or MMHU-2 funding should not submit an application for this current funding opportunity. The focus of this NOFO is to provide MMHU services in new regions. Prioritization will be accorded to regions not previously awarded MMHU funding, which include Metro East, Peoria, and West Chicago.
A nonprofit, 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 2023, this number had more than doubled to 2,855. 1 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 DBHR.
About IDHS/DBHR
The mission of IDHS/DBHR is to advance health and wellness for all people of Illinois through a comprehensive system of prevention, treatment, harm reduction, and recovery services. DBHR is responsible for ensuring that children, adolescents, and adults throughout Illinois have access to comprehensive substance use and mental health services. DBHR operates a statewide system that supports prevention, intervention, treatment, harm reduction, and recovery services for individuals, families, and communities through a combination of State and Federal funding. The system includes community-based mental health and substance use services delivered through partners and inpatient mental health services through twenty-seven (27) community hospitals with psychiatric units and seven (7) state-operated hospitals. DBHR is also responsible for regulating all substance use intervention and treatment providers in the State of Illinois to ensure safety and quality of care.
DBHR focuses on improving outcomes, expanding access to care, reducing stigma, and providing coordinated care for people with behavioral health needs. It aims to create a more connected, responsive, and effective system of care through partnership with communities and providers.
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 $15,000,000 over 3 years from the Illinois Opioid Remediation State Trust Fund (Fund) to establish Medication Assisted Recovery Mobile Health Units 3.0 (MMHU-3) programs in accordance with the Illinois Opioid Allocation Agreement and the Fund allocation process. An initial round (MMHU) was awarded in 2024 to three subrecipients, and an additional round (MMHU-2) was awarded in 2025 to one subrecipient. This round (MMHU-3) seeks to award the remaining funds.
In April 2023, IDHS/DBHR 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 SUDs 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 hit hardest 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 the following:
- Counties other than Cook County with a crude rate of one and eight tenths (1.8) or greater per one hundred thousand (100,000) capita people
- Community areas within Cook County with more than one hundred (100) overdoses (fatal and nonfatal) within the most recent year included in Chicago Health Atlas’ drug overdose mortality rate dashboard
- Concentrated poverty, including the following:
- Counties other than Cook County with a poverty rate greater than twelve percent (12%)
- Community areas within Cook County with a poverty rate greater than twelve percent (12%), per the Chicago Health Atlas’ poverty rate dashboard
- Concentrated firearm violence, including communities eligible for Reimagine Public Safety Act funding
- 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 four (4.0) or greater per one hundred thousand (100,000) people, as listed in the Illinois Overdose Data Dashboard
Access to health care, including medication assisted recovery (MAR), is challenging for many populations, and these priority populations are often those who are most in need, as described below:
- Approximately one in thirteen (1 in 13) people experiencing homelessness in Illinois has a chronic substance use disorder (SUD).[2] Individuals experiencing homelessness are at greater risk for disease and untreated wounds, yet high costs, lack of health insurance, and transportation issues prevent proper medical care.[3,4]
- Two-thirds (2/3) of individuals sentenced to jail have an SUD, and very few participate in any form of drug treatment during incarceration.[5] The first two (2) weeks following release hold significant risk of overdose death.[6] More likely than the general population to have a chronic condition, such as high blood pressure,[7] individuals who were formerly incarcerated face competing demands of securing housing, employment, and health care, often with little to no fiscal or social support.
- Individuals in geographically hard-to-reach communities encounter barriers unique to their location. In Illinois’ rural counties, the distance to emergency services or health care facilities may be too far to render timely treatment for overdose. Moreover, rural hospitals may not be as well prepared as their urban counterparts to handle the opioid crisis.[8]
- Social determinants of health pose barriers to wellness and recovery, predominantly for Black individuals, who have the highest rate of poverty and unemployment.[9] The non-Hispanic Black population has the highest overdose fatality rate of all races/ethnicities.[10]
Mobile health units are an increasingly effective way to overcome barriers to accessing MAR by bringing services to individuals in their community. Models include van-based care stationed outside of correctional facilities in Baltimore and integration of buprenorphine maintenance therapy into preexisting harm reduction programs in Philadelphia and Seattle. In Seattle, many program participants who enrolled in the buprenorphine program were retained in treatment and reduced their opioid use, despite housing instability and polysubstance use.
Successful pilots of MMHUs have been conducted in Chicago. These pilots provide all forms of MAR to individuals with opioid use disorder (OUD), as well as recovery support and harm reduction services.
C.3. Funding Purpose and Scope of Services
Advocates for Human Potential, Inc. (AHP) anticipates that a minimum of three (3) organizations will be awarded funding to establish MMHU-3 programs to improve the health and safety of individuals with OUD and other SUDs who are considered at high risk for overdose and medical complications due to barriers to healthcare access. This goal shall be accomplished through the following objectives:
- Increase access to MAR for individuals with OUD or other SUDs by prescribing and dispensing U.S. Food and Drug Administration (FDA)–approved medications for OUD (MOUD).
- Decrease health inequities by making immediate care of acute and chronic conditions, including OUD/SUD, available to individuals within the priority population wherever care is sought in the service area.
To carry out these objectives, MMHU-3 subrecipients shall establish programs specifically tailored for the priority population, as defined in Section C.2., that include the following activities:
- Prescribe and dispense at least two (2) of three (3) forms of MOUD via mobile health units in the communities where priority populations live. Subrecipients shall, even after implementing services, continue to pursue appropriate credentials to dispense all three (3) MOUD.
- Provide care, including FDA-approved MOUD, for acute and chronic conditions via mobile health units in the communities where the intended recipients live.
- Manage and support transitions to additional recovery services among individuals within the priority population.
- Promote the availability of mobile health units within the service area.
This funding opportunity will prioritize services to be delivered to and within the following Illinois Department of Public Health (IDPH) regions: West Chicago, Peoria, and Metro East. Services to other regions and communities will be considered.
The tasks required and associated performance measures, standards, and potential metrics to be collected are as follows:
Task 1. Administer Program
Subrecipients shall fulfill obligations detailed in Section H.10. Reporting and Grants Administration Requirements, including the following:
- Organizational Needs Assessment (ONA): Complete an ONA survey.
- Implementation and Sustainability Plan (ISP) Development: Develop and update an ISP, which informs the performance metrics used for program activities.
- Equity and Racial Justice (ERJ) Plan Development: Assess for, develop, and implement an ERJ plan.
- Performance Reporting: Complete quarterly periodic performance reports (PPRs).
- Fiscal Reporting: Complete monthly fiscal reporting and quarterly periodic financial reports (PFRs).
- Training and Technical Assistance (TTA) Participation: Participate in TTA as prescribed.
- Project Status Meetings (PSMs) Participation: Participate in PSMs.
- Evaluation Data Collection and Reporting: Identify performance metrics, collect relevant data to evaluate program effectiveness, and complete monthly reports.
- Project Staffing: Hire qualified and sufficient staff to support the delivery of the tasks.
Anticipated performance measures for these activities are detailed in Section C.4. Deliverables and Performance Measures.
Task 2. Conduct Assessment Activities
Subrecipients seeking to establish MMHU-3 services shall assess need for services and report on assessment findings.
Task 2.a. Conduct Services Needs Assessment and Report on Findings
Subrecipients shall conduct activities to assess the needs of individuals seeking MMHU services from within and around the targeted community or location of the subpopulation (e.g., homeless community). These activities include an environmental scan and a strengths, weaknesses, opportunities, and threats (SWOT) analysis.
Subrecipients shall conduct both an environmental scan and SWOT analysis that
- Evaluates health disparities and the related social and economic inequities that impact access to and need for services;
- Evaluates the availability of SUD treatment provider organizations, recovery-oriented systems of care, and recovery homes; and
- Evaluates the SWOT in the relevant areas.
Subrecipients shall detail the completed environmental scan and SWOT analysis activities (see Task 2.a.) and their results in a comprehensive MMHU-3 Services Needs Assessment (SNA) report.
Task 2.a. Performance Measure
Subrecipients shall submit, within sixty (60) days from the commencement of the period of performance, an MMHU-3 SNA report that describes the completed assessment activities and their results.
Task 3. Plan the MMHU
Subrecipients shall develop and carry out a services implementation plan (SIP) and develop and submit relevant policies and procedures.
Task 3.a. Develop an SIP
Subrecipients shall develop and submit an SIP detailing the timeline and process to accomplish the following requirements within the first twelve (12) months of the award:
- Engage with oversight entities, including but not limited to the U.S. Drug Enforcement Agency (DEA) and the Division of Behavioral Health and Recovery (DBHR), to obtain licensure to enable the MMHU to dispense the three (3) forms of FDA-approved OUD medications (buprenorphine, naltrexone, and methadone). Please note further details on medication dispensation in Task 4; there is no set timeline for methadone. The licensure process shall be initiated before submission of the plan.
- Operate one or more vehicle(s), such as vans or buses customized for providing services.
- Have adequate staffing/personnel to support the MMHU.
- Deliver services pursuant to the NOFO and Subaward Agreement. Subrecipient shall describe the services to be provided, location(s) where they are to be provided, and frequency of provision.
- Establish and submit a Supplemental Budget for the projected medication and services not otherwise funded through health insurance, the Illinois Department of Human Services (IDHS)/DBHR, other government grants, or correctional institutions/jails.
Services requiring licensure by IDHS shall adhere to applicable laws and standards, including 77 Ill. Admin. Code Part 2060. Services shall be culturally and linguistically appropriate for the individuals, families, and community served.
Task 3.a. Performance Measure
Subrecipients shall submit, within one hundred twenty (120) days from the commencement of the period of performance, the SIP described above.
Task 3.b. Carry Out SIP
Subrecipients shall complete services implementation requirements as defined in the SIP within the first twelve (12) months of the award and in accordance with all federal and state licensing, privacy, security, and confidentiality laws, rules, or regulations.
Task 3.b. Performance Measure
Subrecipients shall report on services implementation requirements progress as defined in the SIP in the PPR and submit documentation for each item to demonstrate progress.
Task 3.c. Submit Policies and Procedures
Subrecipients shall develop policies and procedures to guide program activities that comply with applicable federal and state law and adhere to the following IDHS/DBHR and DEA requirements:
- Adherence to the DEA definition of “motor vehicle” as a vehicle propelled under its own motive power and lawfully used on public streets, roads, or highways with more than three wheels in contact with the ground; a motor vehicle does not include a trailer in this context. See 21 CFR 1300.01 “Motor vehicle”.
- Possession of valid county/city and state information (e.g., a vehicle information number or license plate number) on file at the opioid treatment program (OTP) registered location.
- Maintenance of narcotic drugs in schedules II–V only from the registered OTP location.
- Maintenance of a storage area for controlled substances in the Mobile OTP that is not accessible from outside the vehicle.
- Maintenance of a safe, bolted or cemented to the floor or wall in such a way that it cannot be readily moved, to ensure all controlled substances on the Mobile OTP are securely locked.
- Maintenance of a safe on the Mobile OTP equipped with an alarm system that transmits a signal directly to a central protection company or a local or state police agency, which has a legal duty to respond, or a twenty-four (24)-hour control station operated by the registrant.
- Return of the Mobile OTP to the registered program location each day and removal and securing of the controlled substances inside the registered location. (If the applicant is unable to meet this requirement, please submit a separate exception request for DEA approval.)
- Identification and use of a secure location to store the mobile health unit overnight/on weekends.
- Maintenance of a log that complies with applicable privacy and security laws regarding health information and patient confidentiality, with information on dispensed controlled substances (dose dispensed, patient, date and time, etc.). The log must be stored at the registered program location.
- Maintenance of an electronic log, if applicable, that the DEA has preapproved.
- Maintenance of a hard copy (printed version of the electronic log) each day with each entry initialed by the physician who dispensed the controlled substance.
- Maintenance of and adherence to protocols for the controlled substances on the mobile health unit that are secure and accounted for in the event that the mobile component is disabled for any reason (mechanical failure, accident, fire, etc.).
- Maintenance of and adherence to protocols in place to return to registered location in the event of an unannounced DEA/state inspection.
- Maintenance of and adherence to protocols in place to ensure services are uninterrupted (e.g., weather, breakdown of unit).
- Maintenance of and adherence to protocols that ensure that narcotic drugs are safely returned to the DEA registrant’s program location if there is an unforeseen breakdown of the mobile health unit.
- Maintenance of and adherence to protocols that, at minimum, ensure that any security breach on the mobile health unit is immediately reported to the DEA and IDHS/DBHR.
- Maintenance of and adherence to protocols and logs to track any damaged/lost/stolen medication.
- Maintenance of and adherence to a diversion prevention protocol approved by IDHS/DBHR.
Task 3.c. Performance Measure
Subrecipients shall submit, within two hundred forty (240) days from the commencement of the period of performance, policies and procedures as described above.
Task 4. Launch the MMHU
Subrecipients shall prescribe and dispense medications, provide support services (if exercised as an option), and promote MMHU-3 services.
Task 4.a. Prescribe and Dispense Medications
Subrecipients shall, within twelve (12) months from the commencement of the period of performance, meet requirements and initiate services to prescribe and/or dispense at least two (2) of three (3) forms of U.S. FDA-approved OUD medications (namely, buprenorphine, naltrexone, and methadone). The subrecipient shall continue providing medication services throughout the period of performance and, as previously noted, subrecipients shall, even after implementing services, continue to pursue appropriate credentials to dispense all three (3) MOUD. .
NOTE: One of these medications shall be methadone (dispense) or buprenorphine (dispense and prescribe). Due to the complexities associated with dispensation of methadone, no timeframe is required for methadone dispensation. If prescribing, case management services shall be provided to assist in obtaining medication, and receipt of medication shall be confirmed in outcome measures.
Task 4.a. Performance Measure
Subrecipients shall detail medications services in the Monthly Evaluation Report (MER), which is submitted on the fifteenth (15th) day following each month end.
Task 4.b. Provide Support Services (optional, but preferred)
If selected as an optional task, subrecipients shall, upon initiation of MMHU medication services and within twelve (12) months from the commencement of the period of performance, offer supportive services (detailed below) throughout the period of performance.
Subrecipients shall provide and log other services to support successful patient outcomes to one or more of the priority populations (i.e., communities hit hardest by the crisis, individuals experiencing homelessness or currently or formerly incarcerated, individuals in geographically hard-to-reach communities, and individuals whose quality of life and health outcomes are negatively impacted by social determinants of health).
“Other services” include:
- b1. Harm reduction services* (including naloxone and overdose prevention education)
- b2. Recovery support services*
- b3. Treatment services*
- b4. Community education and referral services
- b5. Primary health services
- b6. Other related services, such as HIV/AIDS prevention services (with prior approval from AHP and IDHS/DBHR)
*Services identified with an asterisk shall adhere to IDHS/DBHR requirements as outlined in 77 Ill. Admin. Code Part 2060, and may be connected with an IDHS/DBHR program (e.g., Drug Overdose Prevention Program). Other services may also be required to adhere to requirements of other state agencies’ administrative rules or federal regulations.
Task 4.b. Performance Measure
Subrecipients shall detail other services in the MER, which is submitted on the fifteenth (15th) day following each month end.
Task 4.c. Promote the MMHU-3
Subrecipients shall post and maintain the MMHU-3’s schedule and location/route of services on the Illinois Helpline.
Task 4.c. Performance Measure
Subrecipients shall document their posting of the schedule and location/routes of services for MMHU-3 on the Illinois Helpline within twelve (12) months of the commencement of the period of performance.
Task 5. Build Community Support
Subrecipients shall conduct engagement activities to build community support.
Task 5.a. Conduct Engagement Activities
Throughout the planning and implementation of the project, subrecipients shall secure buy-in and obtain letters of support for the MMHU from stakeholders who are essential to the delivery of MMHU services and to address any community concerns about the MMHU services located within the community.
Task 5.a. Performance Measure
Subrecipients shall report (in the PPR) the number of engagement activities that have occurred and letters of support from stakeholders within twelve (12) months of the commencement of the period of performance.
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 to be collected by task.
NOTE: Time periods refer to the days from the commencement of the period of performance, unless otherwise specified. Standards for activities refer to percentages of those described in the ISP.
Task 1. Administer Program
See Section H.10. Reporting and Grants Administration Requirements for detailed descriptions of Task 1 activities.
| Performance Measures | Standards | Metrics |
| (a) Participate in virtual Kickoff Meeting | 100% | Kickoff Meeting attended (no later than 15 days after performance start) |
| (b) Complete ONA survey | 100% | ONA survey completed (30 days after distribution of survey by AHP) |
| (c) Develop ISP | 100% | ISP submitted (60 days after performance start) |
| (d) Develop ERJ plan | 100% |
|
| (e) Complete PPR | 100% | Activities and services metrics reported (15th day following each quarter end) |
| (f) Complete PFR | 100% | Financial performance reported (15th day following each quarter); invoicing/fiscal information submitted monthly |
| (g) Participate in TTA | 75% |
|
| (h) Participate in PSM | 75% | # Every-other-month PSMs (initiated within 60 days after performance start) |
| (i) Carry out evaluation reporting | 100% | MER submitted as prescribed (15th day following each month end) |
| (j) Project staffing | 80% |
|
| (k) Submit close-out report | Close-out report submitted (15 days after period of performance ends) | |
| (l) Complete close-out requirements | 100% | No later than 45 days after performance end:
|
Task 2. Conduct Assessment Activities
| Performance Measures | Standards | Metrics |
| (a) Assess current needs and services (environmental scan and SWOT) and report on findings | 100% | SNA report submitted (90 days after performance start) |
Task 3. Plan the MMHU
| Performance Measures | Standards | Metrics |
| (a) Develop an SIP | 100% | SIP submitted (120 days after performance start) |
| (b) Complete activities in SIP | 100% | # SIP activities completed and documentation submitted (12 months) |
| (c) Submit policies and procedures | 100% | Policies and procedures submitted (240 days after performance start) |
Task 4. Launch the MMHU
| Performance Measures | Standards | Metrics |
| (a) Prescribe and/or dispense two of the three FDA-approved medications | 100% | MER submitted (15th day following each month end, starting the month following implementation of services) |
| (b) Provide supportive services (optional) | 80% | MER submitted (15th day following each month end, starting the month following implementation of services), to include number of the following:
|
| (c) Post and maintain MMHU schedule | 90% | Documentation of posted schedule submitted (upon program launch and within 12 months after performance start) |
Task 5. Build Community Support
| Performance Measures | Standards | Metrics |
| (a) Conduct engagement activities | 80% |
|
C.5. Funding Details
This funding can be used to lease vehicles such as vans/buses customized for the provision of services, staff/personnel, medication, and services that are not otherwise funded through health insurance, IDHS/DBHR or other government grants or correctional institutions/jails.
The following sections discuss allowable and unallowable costs for this funding opportunity. Please refer to 2 CFR Part 200 – Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, specifically 2 CFR 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 and allocable under 2 CFR §§ 200.400–476.
Specifically, “Allowable Cost” means a cost allowable to a project (i.e., that can be paid for using award funds). Costs will be considered to be allowable if they:
- are reasonable and necessary for the performance of the award;
- are allocable to the specific project;
- are treated consistently in like circumstances to federally financed, State-financed, and other activities of the awardee;
- conform to any limitations of the cost principles or the sponsored agreement;
- are accorded consistent treatment (a cost may not be assigned to a State or federal award as a direct cost if any other cost incurred for the same purpose in like circumstances has been allocated to the award as an indirect cost);
- are determined to be in accordance with generally accepted accounting principles;
- are not included as a cost or used to meet federal cost-sharing or matching requirements of any other program in either the current or prior period;
- are not used to meet the match requirements of another State or federal grant; and
- are adequately documented.
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 Part 200 –Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, and specifically 2 CFR 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:
- 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)
- Deposits for items, services, or space
- Discriminatory Club Dues or Fees (775 ILCS 25/2) and/or unallowable costs of membership (2 CFR § 200.454; 2 CFR § 200.450)
- Meetings or conventions, unless directly related to the program and approved in advance by the RCCA
- Purchase or repair of vehicles
- Any other costs not expressly included in the plan and budget
Indirect Cost Rate
To charge indirect costs to this grant, the applicant organization must: (1) have a federal annually NICRA, or (2) elect to use the de minimis rate and specify what percentage (up to fifteen percent 15% of modified total direct cost MTDC) 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 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 Part 200.
- The requirements and policies outlined in the applicable fiscal year version of the IDHS 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 online application includes nine (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. 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 and Attachments | 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 program | 30 |
| Section 7. Experience and Capacity | How your organization’s work, approach, and experience are aligned with the intent of the program requirements | 30 |
| Section 8. Quality | The implementation approach and anticipated outcomes of the proposed activities to be funded by this notice | 30 |
| Section 9. Program Budget | Program budget and advance payment request | 5 |
| 100 | ||
D.2. Attachments
Applicants must submit the following files as attachments to the application. Those noted with an asterisk (*) are required. Files must be current and accurately reflect organizational information and practices.
| # | Item | Description |
| A | Conflict of Interest Disclosure* | Discloses actual or potential conflicts of interest |
| B | Form W-9, Request for Taxpayer Identification Number and Certification* | Verifies Taxpayer Identification Number |
| C | Organizational Budget* | Describes organizational revenues and expenditures for current fiscal year |
| D | Organizational Chart* | Describes the reporting structure and roles at the organization |
| E | Single Federal Audit or Financial Statement Audit (if available) | Provides assurance of internal controls to maintain grant compliance; required if organization is subject to audit |
| F | Approved NICRA (if applicable) | Defines an organization’s federally negotiated indirect cost rate |
| G | Financial Management and Personnel Policies and Procedures | Demonstrate that financial management systems meet the standards for fund control and accountability as established in 2 CFR § 200.302 and that internal controls meet standards established in § 200.303. Documents that can demonstrate adequate financial management and internal controls standards may include, but are not limited to, the following: Fiscal Policies and Procedures; Employee Handbook; Internal Expense Approvals Guidance; Organizational Chart; Chart of Accounts; etc.” |
| H | Resumes/CVs of program leadership* | Demonstrates experience of planned leadership |
| I | Letters of commitment* | Provide letters of commitment from any and all proposed partners on the project |
| J | Program Plan* | Describes the applicant’s plan to execute the award over the period of performance, including a timeline of program activities |
| K | 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) |
| M | Budget Workbook* | Demonstrates spending plan for subaward |
E. Submission Requirements and Deadline
E.1. Application Availability
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
- Email a request to [email protected]
- Call Randi Moberly at 312.386.7505
- Mail 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: 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
Under the Federal Uniform Guidance (2 CFR Part 200) and GATA (44 Ill. Admin. Code Sec. 7000.70(f)), all applicants must be qualified to receive an award. An eligible organization must:
- Have an active System for Award Management (SAM.gov) public account
- Have an active Unique Entity Identifier (UEI)
- 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. Governmental entities, school districts and select religious organizations are not required to be registered with the Illinois Secretary of State. Refer to the Illinois Secretary of State Business Services website.)
- Not be on the Illinois Medicaid Sanctions List
- Not be on the Illinois Stop Payment List
- Must meet the other requirements listed in the certifications and representations section
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 Federal Employer Identification Number (FEIN/EIN) | Obtain a FEIN/EIN from the Internal Revenue Service. | 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 https://sam.gov |
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.
Attachments shall be PDF documents, except for the program 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 in accordance with requirements defined at http://www.ilrcca.com/ by June 22, 2026, at 5:00 p.m. CT. 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 confirmation email within forty-eight (48) hours of your submittal, please contact Randi Moberly at [email protected].
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 Responsiveness 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:
- The Illinois Human Rights Act (775 ILCS 5/), including, without limitation, 44 Ill. Admin. Code 750-Appendix A.
Additionally, the entity must comply with the following:
- The Adult Protective Services Act, 320 ILCS 20/
Compliance with Funding Sources and Other Statutes
The agency awarded funds shall act in accordance with all conditions related to the relevant funding sources outlined in the following:
- Applicable regulatory requirements, such as the Illinois Substance Use Disorder Act (20 ILCS 301/)
- Any other relevant state statutes (e.g., 77 Ill. Admin. Code Part 2060)
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 their subrecipient or contractor agreements and provide those agreements to the RCCA. Lower-tier subrecipient and contractor agreement(s) and budgets must be preapproved by the RCCA, but the RCCA does not have privity of contact with those parties. The subrecipient shall retain sole responsibility regarding the performance and monitoring of the lower-tier subrecipient(s) and contractor(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. 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 C.2. and C.3. 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 Prepare to Apply page.
F.4. Review and Selection Process
Merit-Based Review
All competitive grant applications are subject to merit-based review in accordance with 44 Ill. Admin. Code Sec. 7000.350. A clear description of each criterion and subcriterion is found with the application questions on the Prepare to Apply page.
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 application questions. The scoring tool scores the evaluation criteria based on funding priorities and the point allocations for each section of the application.
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/DBHR 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 C.2. and C.3. 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 (1) 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: [email protected]
- 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) 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) 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 Appeal Review Officer (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 the following:
- Review of the appeal
- Appeal determination
- Rationale for the determination
F.5. Risk Review
Under 2 CFR § 200.332, 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, and
- 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.
- 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 August 10, 2026.
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 program. 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
PLEASE 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 shall 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
A review copy, in Microsoft Word format, of the subaward agreement will be distributed to organizational and application contacts designated in the application. Upon completion of any negotiations, the designated signatory will receive an email notification that the agreement is ready for review and electronic signature via a system called Ironclad. The signed subaward agreement shall 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 Part 205, and 44 Ill. Admin. Code Sec. 7000.120 Three different award payment methods exist: Advance Payment, Reimbursement, and Working Capital Advance.
Advance Payment Method (Advance and Reconcile)
Budgets must be signed by either the Chief Executive Officer (or equivalent) or Chief Financial Officer (or equivalent) for the entity. The executive’s signature certifies that their entity complies with the requirements set forth in 2 CFR 200.302 (Financial Management) and 44 Ill Admin Code 7000.120(b)(1) (Advance Payments). The Cash Budget must demonstrate the estimated monthly cash requirements for each month of program Award operation. 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. 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 lower tier subrecipients in accordance with the subaward agreement provisions 2 CFR § 200.305.
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 Part 200.
Subrecipients must submit monthly invoices in the format and method prescribed in the 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 subrecipient.
Subsequent monthly payments will be based on each monthly invoice submitted to the 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 advance 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)(1), 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 warranted by the risk assessment and/or findings in government databases (e.g., SAM.gov)
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. As practicable, 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) 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 200.305(b) (describing advance payments), 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, and 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 Method section above.
H. Post-award Requirements and Administration
H.1. Award-Specific Conditions
Per 2 CFR § 200.332(c) and (d), the RCCA must evaluate each applicant’s risk of noncompliance and consider imposing additional specific award conditions as needed. RCCA’s risk analysis considers the following factors:
- The subrecipient’s past experience with and performance on the same or similar awards, including when an applicant or recipient has a history of failure to comply with the general or specific terms and conditions of a state or federal award or has failed to meet expected performance goals
- The results of previous audits
- Whether the subrecipient has new personnel or new or substantially changed systems
- The extent and results of any Federal or state agency monitoring
- Other criteria set forth in 2 CFR § 200.206
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 program 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 Ill. 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 October 1, 2026, subject to funding availability and other award execution considerations.
H.3. Site Visits
The applicant agrees to authorize access to its facilities and records and to participate in site visits/quality reviews as requested by the RCCA.
H.4. Technology
Agencies awarded funds through this funding notice shall 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 shall 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, 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 FY26 Grant Agreement and Division of Behavioral Health and Recovery Substance Use and Gambling Disorder Services Attachment C. Additional terms and conditions not specified herein may apply.
H.9. Uniform Guidance (2 CFR Part 200) Requirement Revision, Effective October 1, 2024
§ 200.113 Mandatory disclosures
“An applicant, recipient, or subrecipient […] must promptly disclose whenever, in connection with the […] 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 MMHU-3 program data with the OASEE. Reports shall 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.k. Virtual Kickoff Meeting
Subrecipient shall attend a virtual Kickoff Meeting, hosted by AHP.
- Subrecipient shall attend the Kickoff Meeting on a mutually agreed date no later than thirty (30) days from the commencement of the period of performance.
- The Kickoff Meeting shall be attended by, at a minimum, the Program Director, Associate Director, and Program Staff or equivalents.
Task 1.a. Organizational Needs Assessment Survey
Subrecipient shall complete an ONA. An ONA is an online survey that asks a series of questions related to subaward deliverables to help identify gaps and areas for growth. The RCCA will distribute the survey within ten (10) days from the commencement of the period of performance.
- Subrecipient shall complete and submit the ONA survey no later than thirty (30) after distribution of the survey.
Task 1.b. Implementation and Sustainability Plan
Subrecipient shall submit an ISP that includes work plan activities and timelines, roles and responsibilities, and strategies to ensure sustainability of the impacts of the program. AHP will provide the ISP Template.
- Subrecipient shall submit the ISP no later than thirty (30) days of the commencement of the period of performance.
AHP will approve or provide required changes which Subrecipient shall incorporate into the ISP no later than sixty (60) days of receipt.
Task 1.c. Equity and Racial Justice Plan
Subrecipient shall complete the ERJ Plan, a document that sets forth a structured approach to identifying and addressing implicit biases within an organization and its programming, thus creating a culture of inclusivity for all, regardless of race, gender, religion, sexual orientation, or ability. An ERJ plan ensures that an organization’s services are accessible and equitable in delivery and outcomes.
Subrecipient shall complete an ERJ Plan to meet the following objectives:
- Aligns with IDHS’ commitment to advancing ERJ;
- Ensures equity of and access to its services and for equitable outcomes;
- Includes a plan to identify and address implicit bias in all areas, including MMHU-3 programming; and
- Includes an ERJ training plan for subrecipient’s MMHU-3 employees.
Subrecipient shall complete the ERJ Plan as follows:
- Conduct an equity organizational assessment no later than ninety (90) days from the commencement of the period of performance.
- Draft an ERJ Plan no later than 180 days from the commencement of the period of performance. The ERJ draft plan should describe the results of the organizational assessment.
- Submit a final ERJ plan no later than 240 days from the commencement of the period of performance.
- Commence implementation of the ERJ Plan no later than thirty (30) days from receipt of the AHP-approved final ERJ Plan.
Task 1.d. Periodic Performance Reports
Subrecipient shall electronically submit the PPR to AHP no later than fifteen (15) days after the last day of the prior quarter. Quarters end September 30, December 31, March 31, and June 30. The PPR shall describe the status of subaward deliverables using a template or platform provided by AHP.
Task 1.e. Periodic Financial Reporting
Subrecipient shall electronically submit the PFR to AHP no later than fifteen (15) days after the last day of the prior month. The PFR shall detail the monthly expenditures of the subaward using a template or platform provided by AHP.
Task 1.f. Participation in Training and Technical Assistance Activities
Subrecipient shall participate in TTA activities, scheduled and hosted by AHP. TTA activities may include coaching calls, webinars, site visits, and other necessary forms of TTA as determined by AHP and may include the following topics: check-ins; data collection; reporting and performance measures; implementation plans; ERJ plans; and other topical areas of relevance to subrecipients; or special TTA as requested by individual subrecipients and/or as authorized by AHP. The date and time of the TTA activities will be determined in collaboration with Subrecipient.
These sessions shall be attended by, at a minimum, the program director, associate director, program staff, or equivalents.
Subrecipient shall participate in a minimum of seventy-five percent (75%) of scheduled TTA activities, however, certain session attendance may be deemed mandatory:
- Bimonthly (every other month) cohort meetings. The cohort meetings will include the other MMHU-3 subrecipients.
- TTA sessions, once per quarter or as prescribed.
- Additional TTA may be required based on performance issues.
Task 1.g. Project Status Meeting Participation
Subrecipient program leadership shall engage in collaborative discussion with their AHP point of contact to discuss topics related to subaward administration, deliverables progress, and subrecipient performance. The attendees, date, and time of the PSMs shall be determined in collaboration with the subrecipient.
- Subrecipient shall participate in PSMs every other month, no later than 60 days from the commencement of the period of performance, via virtual platform such as Microsoft Teams, Zoom, or WebEx.
Task 1.h. Evaluation Reporting
Subrecipient shall participate in evaluation reporting activities as determined by AHP, using a MER template.
Subrecipient shall:
- Participate in up to four (4) TTA data collection process sessions. Sessions will be scheduled in collaboration with Subrecipient.
- Participate in collection, submission, and use of data on performance measures in accordance with the following schedule:
- Submit the MER to OASEE no later than fifteen (15) days after the last day of the prior month.
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 programs 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 [email protected].
I. Other Information
List of Acronyms
| Acronym | Definition |
| AHP | Advocates for Human Potential, Inc. |
| ARO | Appeal Review Officer |
| DBHR | Division of Behavioral Health and Recovery |
| DEA | Drug Enforcement Agency |
| ERJ | Equity and Racial Justice |
| FDA | Food and Drug Administration |
| FEIN | Federal Employer Identification Number |
| GATA | Grant Accountability and Transparency Act |
| 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 |
| MER | Monthly Evaluation Report |
| MMHU | MAR Mobile Health Unit |
| MTDC | Modified Total Direct Cost |
| NICRA | Negotiated Indirect Cost Rate Agreement |
| NOFO | Notice of Funding Opportunity |
| NOIA | Notice of Intent to Award |
| ONA | Organizational Needs Assessment |
| OOSA | Office of Opioid Settlement Administration |
| OTP | Opioid Treatment Program |
| OUD | Opioid Use Disorder |
| PFR | Periodic Financial Report |
| PPR | Periodic Performance Report |
| PSM | Project Status Meeting |
| RCCA | Regional Care Coordination Agency |
| SAMHSA | Substance Abuse and Mental Health Services Administration |
| SIP | Services Implementation Plan |
| SNA | Services Needs Assessment |
| SOW | Statement of Work |
| SUD | Substance Use Disorder |
| TTA | Training and Technical Assistance |
| UEI | Unique Entity Identifier |
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
Community: A group of people who live in the same area (such as a city, town, neighborhood, tent city, or shelter). Services in the community are offered outside of a state-licensed or certified facility.
Drug Enforcement Agency: A federal law enforcement agency committed to ensuring the safety and health of American communities by combating criminal drug networks bringing harm, violence, overdoses, and poisonings to the United States.
Harm reduction: “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 and their families with the choice to live healthier, self-directed, and purpose-filled lives. Harm reduction centers the lived and living experience of people who use drugs, especially those in underserved communities, in these strategies and the practices that flow from them.” (Substance Abuse and Mental Health Services Administration)
Opioid treatment program: Providers of medication-assisted treatment for people diagnosed with an opioid use disorder. OTPs must be certified by SAMHSA and accredited by an independent, SAMHSA-approved accrediting body.
Opioid use disorder: “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 use resulting in a 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)
Recovery support services: “A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential (SAMHSA). Recovery support services are designed to support individual recovery from a substance use disorder that may be delivered pre-, during, or posttreatment. These services are generally delivered by a peer with the patient in various settings to support the individual in meeting their recovery support goals. They include employment training, continuing care, employment coaching, peer recovery coaching, recovery coaching, recovery skills, spiritual support, and transportation.
Social determinants of health: “Nonmedical factors that affect health outcomes. They include the conditions in which people are born, grow, work, live, and age. Social determinants of health also include the broader forces and systems that shape everyday life conditions. These forces and systems encompass economic policies, development agendas, social norms, social policies, racism, climate change, and political structures.” (Centers for Disease Control and Prevention)
Substance use disorder: “A spectrum of persistent and recurring problematic behavior that encompasses 10 separate classes of drugs: alcohol; caffeine; cannabis; hallucinogens; inhalants; opioids; sedatives, hypnotics and anxiolytics; stimulants; and tobacco; and other unknown substances leading to clinically significant impairment or distress.” (Substance Use Disorder Act)
“Substance use disorders occur when the repeated use of alcohol and/or drugs causes significant clinical and functional impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home.” (Illinois Department of Human Services)
Treatment: Services provided according to 77 Ill. Admin. Code Part 2060. See 77 Ill. Admin. Code 2060.410. Treatment is offered in varying degrees of intensity based on the level of care the patient is assessed in need/placed and the subsequent treatment plan developed for that patient. The level of care provided shall be in accordance with that specified in the most current American Society of Addiction Medicine Patient Placement Criteria and 77 Ill. Admin. Code Part 2060.
I.3. Applicant Technical Assistance
Prequalification and Pre-award Resources
IDHS Pre-Qualification Instructions and Resources provide helpful information about the completion of prequalification and pre-award activities.
Technical Assistance 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 IL RCCA Help Desk no later than June 12, 2026, at 5:00 p.m. CT.
I.4. Relevant Websites
J. Mandatory Forms
J.1. Budget Workbook
Subrecipients must use the Budget Workbook Template to submit their program budget and advance payment request. The Workbook file is available at http://www.ilrcca.com.
The budget and narrative must tie fiscal activity to program objectives and deliverables and must demonstrate that all proposed costs are reasonable and necessary, allocable, and allowable as defined by program regulatory requirements and Uniform Guidance (2 CFR Part 200, Subpart E), as applicable.
Verification of final approved budgets will be required by either the chief executive officer (or equivalent) or chief financial officer (or equivalent) for the entity. The executive must certify that their entity complies with the requirements set forth in 2 CFR § 200.302 (Financial Management) and 44 Ill. Admin. Code 7000.120(b)(i) (Advance Payments).
J.2. Conflict of Interest and Financial Disclosures
Conflict of Interest
Subrecipients must immediately disclose in writing to the RCCA any actual or potential conflict of interest as soon as it becomes known, in accordance with 30 ILCS 708/35, 30 ILCS 708/60(a)(5), 44 Ill. Admin. Code Sections 7000.30 and 7000.330(f) 2 CFR 200.113, and the subaward agreement. This disclosure must be submitted by all subrecipients, whenever an actual or potential conflict may exist.
Download the Grantee Conflict of Interest Disclosure here.
Financial or Other Interests
Subrecipients have a continuing obligation to disclose to the RCCA financial or other interests (public, private, direct, or indirect) that may be a potential conflict of interest or could prohibit the subrecipient from entering or continuing the programs for which the grant is intended.