77 Ill. Adm. Code 975.221
Notification
Section 975.221 Notification
a) Prior
to submitting a grant application, an applicant shall submit a "Notification
of Application for State Funding of Community Health Center Expansion" to
the Department. Copies of the notification form are available from the
Department.
1) The
notification shall be submitted to the Department with enough time so that it
can be reviewed and deemed complete at least 45 calendar days prior to the
submission of a grant application.
2) The
notification shall contain the following information:
A) The legal name of the
applicant;
B) The applicant's mailing
address;
C) The site of the proposed
project, including its legal address;
D) A description of the
project, including its estimated cost;
E) A
description of the project's service area, including the boundaries of the
service area and the target population to be served;
F) Identification
of any MUA or MUP designations in the project's service area;
G) The
users of the primary health care services proposed in the project;
H) A
description of the issues creating a high need for primary health care
services, including any significant or unique barriers to care;
I) A
list of other providers of care in the project service area, including FQHCs,
FQHC Look-Alikes, local health departments and hospitals. This list shall
include the name of the facility and its address and phone number;
J) A
list of all primary health care services to be provided, including mental
health, substance abuse, and oral health care services, as well as the
mechanism for providing each service (e.g., direct service, referral);
K) The
project's stage of development and the ability of the applicant to meet the
requirements of this Part for program compliance; and
L) The
readiness to receive funding, including the ability of the facility and
providers at the new access point or expanded facility to be operational within
120 calendar days after the warrant for payment of the grant award is issued by
the Illinois Office of the Comptroller.
b) In
addition to providing notice to the Department, the applicant shall also
provide the notification to entities referenced in this subsection. The
notification shall be sent to the entities at least 45 calendar days prior to
submitting a grant application to the Department.
1) The
applicant shall send (via certified mail) the notification to the following
entities in the project service area for their input. When the notification is
received, the contacted entities may submit responses to both the applicant and
the Department.
A) Local health department
administrators;
B) Local hospital
administrators; and
C) Other FQHCs and FQHC
Look-Alikes.
2) The
applicant shall also send (via certified mail) the notification to the
following entities for their input. When the notification is received, the
contacted entities may submit responses to both the applicant and the
Department.
A) Illinois State Medical Society;
B) Illinois Primary Health
Care Association;
C) Illinois State Dental Society;
D) Illinois Academy
of Family Physicians; and
E) Illinois Public Health
Association.
3) The
application packet submitted to the Department shall include a copy of the
completed notification form and documentation that the notification was sent by
certified mail, as well as the names and addresses of individuals to whom the
notification was sent, the organizations that the individuals represent, and
the date of the notification.
c) The
Department will review the notification to ensure that all required elements in
subsections (a) and (b) are included. If all required elements are not
included, the Department will contact the applicant and request a revised
notification. The revised notification shall be sent to both the Department
and the entities listed in subsection (b). Once the Department receives the
revised notification and determines that all required elements are included,
the 45 calendar day period (see subsection (a)(1)) will commence.
d) A
notification is valid for 90 calendar days after receipt by the Department,
provided that it meets the requirements of subsections (a) through (c).
e) The
Department will not review a grant application until the notification
requirements of this Section are fulfilled.