Initiative - PDF document

1 Grant Initiative Funding Applicatio
Grant Initiative Funding Application (GIFA) Title: Pregnancy Support Services GIFA Number: 20 - 0 5 Due Date for Applications: Friday, October 30 , 20 20 by 12 :00 p.m . , Eastern Time Ap plication Submitted via e mai l only to: Applic a tion s hall be s u bmitted v i a email to RA - DAGrantsMgmt@pa.gov through Friday, October 30 , 2020 by 12 :00 p . m . , Eastern Time Anticipated Total Avai lable F unding: Up to $ 2 , 0 00 ,000 for ten (10) months . Est i m ated Num b er of Gr a n t Awards: A p pro ximately f i v e ( 5 ) to eight (8) grants up to $ 4 00,000 each will be awarded. Length of Project Period: Beginning December 1, 2020 ending on September 29, 202 1 and the possibility of one (1) year renewal option, if funding is available. Elig ible Appli cant s: E ntit i e s with capacity to provide support servi ces to pregnant women and postpartum wo men with stimulant or opioid misuse issues. Si ngle County Authorities (SCAs) are not eligible to apply under this funding an nouncement. Question s Questions ca n be submitte d vi a ema i l to RA - DAGra ntsMgmt@pa.gov t hrough Fr i day, October 16 , 2020 by 5:00 p.m. , Eastern Time. All quest ions shall include the specific section of the GIFA about which the potent ial applican t is questioning. Questions and an s w e rs w ill be posted to the D e p artment of Drug and Al cohol Programs ( DDAP ) website F riday , Oc tober 23 , 2 0 2 0 by 5 : 00 p.m. , Eastern Time. D DAP will not accept any phone calls reg arding this fu ndi ng announceme nt . GI FA 2 0 - 0 5 – Pregnan cy Supp o r t Serv ice s Page 2 of 11 PROJECT SU MM A RY : DDAP i s a ccepting a pplications fo r provi d e rs who will provide pregnancy sup p ort services or make referrals to address the needs of pregnant and postpartum women with stimulant or opioid mis use issues . In addition, these community pro v i ders w i ll faci litate or m ake referr a ls f o r outpatient Medicat ion - Assisted Treatment (MA T ) an d st imulant misuse treatment. S ubmission Ins tructions and For mat Requ irements for Applic ations: D ue Da te – A ll app li cations shall be submitted electronically t h rough DDAP ’s r esource account no later t han Friday , Oc tober 30 , 20 20 by 1 2 : 00 p.m. , Eastern Time . N ote: DDAP is available to assist with application submis sion con firmatio n s until 12 :00 p .m. , Easte rn Ti m e on F ri day , October 30 , 2020 . If an applica tion su bmission confi rmation is desired , Applic ant shall req u est submission conf irmation to the DDAP resource accou nt by email at : RA - DAGrantsMgmt@pa.gov . Submission – Late sub missions will not be accepted rega r d l ess of the rea son. Applicant shall b e ab le to demonstr ate the application ha d been submitted by the required timeframe, if there is any dispu te . Com pletene s s – Appl ic ations th at do not meet all of the listed requirem ent s in thi s funding announcement ma y b e administrati vely r ejected. Sc or i ng – All applicat ions will be competitively reviewed and scored . Applications will be scored based on t h e A ppli cant’s a dherence t o the f un ding a nnouncement g uidelines, and a timel y s ubmissio n to DDAP . Corrections – If an a pplicat ion is returned b y D DA P fo r corrections, the final a pplication (including all corrections and require d documents) shall be retur ned to a nd appr oved by DD A P in or de r for the a pplication to be awarded. App lic at ion Fo rmat – App licants shall f ol low the format as described below to s u c cessfully appl y and compete for this funding ann ouncement . The fo rmat shall be as follows: • Applicant Cover Pa ge ; • P roject Descript ion ; • Budget Narrative; and • Bud g et Tem plate , Appe nd ix C No te: The Applicant Co v e r Page , Budget T emplate, Appendix, C are n ot counted in the min i m um of 5 pages an d a ma ximum of 7 pages limi t . GI FA 2 0 - 0 5 – Pregnan cy Supp o r t

2 Serv ice s Page 3 of 11 G RANT
Serv ice s Page 3 of 11 G RANT INITI AT I V E GU I DELI NES 1. O VERVIEW Pennsylvania has been experiencing the worst overdose crisis in recent h istory. As a result, on Janua r y 10, 2 0 18 the G ov ernor issued a st a te wide dis a st e r decl aration to enhance state response, increas e access to treatment and save lives. Th e Governor then extended the disaster declaration to continue working to improve respo nse coordination for those suf f er ing f r om subst an ce use disorders. DDA P has i dentified a continued need for pregnancy support services to include care for pregnant w om en and postpartum women with stimulant or opioid misuse issu es . 2. FU NDING AVAILABILITY Applicants can submit a g r ant appl ication for an amount up to $ 4 00 ,000 . Aw ard amounts an d number of awards shall be dependent upon number of applications received , meeting the defined criteria of this solicitation, amount of funds being requested, and the amount of availa b le fu nds to be aw arded. 3. P RO JECT D ATES Continge nt upon th e a vailability of state and federa l funds and the receipt of q uali fi ed a p plications, the term of the project will comme nc e on December 1 , 2 0 20 and end o n September 29 , 20 2 1 wit h the possibility of one ( 1) year renewa l option, if f und i n g is available . 4. ELIG IBLE A PPLICANT S All eligible Applicants shall be able to serve pregnant or postpartum women which have stimu lant or opioid misuse is s ues w ho present for support service s . If either a stimulant or opioid m isuse pro bl em (history) e xists concurrently with ot her substan ce use , all substance use issues may be addressed . Applicants that cannot meet t hi s requirement will not be co nsidered. 5. APPLICATION REQUIREMENTS Appl icant shall provide a narrative proposal to include t he project des cription that includes th e information d e linea ted below and budge t narrativ e which is a min im um o f 5 pages an d a m axi mu m of 7 pages (single sided , Times New Roman, font size 12 , with narrati ve pages numbered ). Project Description: All grant a pp lications sh all include , at a minim u m, a detailed p l an desc ribing the delivery o f pregnancy support s e rv ice to ind iv iduals with stimulant or opioid misu se i ssues . a. T h e A p p lic ant shall provide a S ta tement of Ne e d for any pregnant or postpartum women with stimulant or o pioid misuse issues . The S tatement of Ne ed s hall , at a minimum: GI FA 2 0 - 0 5 – Pregnan cy Supp o r t Serv ice s Page 4 of 11 • I nclude prevalenc e rates or incident dat a of OUD and stimulant use among pregnant and postpartum women and indicate the lack of current reso u rc e s to this population ; • I dentif y t he source of the data , and ; • D escribe the existing capac ity for MA T as it relates to the continuum of care . Appli cants ma y submit other valid data, as appropriate to support t his applica tion. b. T he applic a ti on shall incl ude the total number of pregnant and postpartum wom en to b e served for the du r ation of the project wit h an anticipated n umber to be served monthly . Applic an t shal l include the type s and amount s o f support servi ces the A pplic a nt wi l l prov id e on a mont h ly b asis. c. S ervices shall be provided ei ther by the A p p l icant or through M emoran da of Understa ndin g or Agreements (MOUs/MOAs) with partners . The services f or pr egnant and postpartum w om en with O U D s h all includ e but not limited to the following : • Expa nsion of cu rrent GIFA 19.01 projects to includ e ad ditional c ounties ; • Outreach and e nga gement in serv ices provided by the Applicant ; • Coordinate with the local Singl e County Authority (SCA) for assessment and provision of MAT/OUD / s timulant misuse a nd use treat me nt services; • Substance abus e e ducation an d relapse educ a t ion ; • R ef err al for necess ary m e di cal, d ental, a nd other health care servic es , including obstetrics , gyn ecology , diabetes, hyp ertension and prenatal ca re ; • Postpartum health care i ncluding at te ntion to depression

3 and anx i et y disorders, and med ica
and anx i et y disorders, and med ication nee ds; • S pecialized assessment, m on ito r in g, and referra ls for education, peer suppo rt , therapeu tic intervention and ph ysical safety; • Mental health care that i nc ludes a trauma - informed sy stem of ass es sments and interventions; • Pr ovision of evidence - ba sed interventi ons, or referral to evidence - based inter venti ons; • P a re nting education a nd interventio ns to include child develop m ent ; • Contingency Management ; • N u tr itional educat ion; • Home management an d life s k ills tra in ing; • Education, testin g, counseling, an d treatment of hepatiti s, HIV/AIDS, othe r STDs and rel ated is su e s; • Employment readiness, a n d job training and place ment; • Educ atio n and tut oring assistan ce for ob taining a GED, high school diploma and bey ond ; • C hi l dca re during periods in which th e women are enga ged in ther apy or in othe r necessary health or reha bilitative a ct i vities ; GI FA 2 0 - 0 5 – Pregnan cy Supp o r t Serv ice s Page 5 of 11 • Re covery suppo rt a cti vities such as gr ou ps, mentorin g and co a ching; and • Transpor t ati on and other n ecessary wrapar ound s er v ices. d. The A pplica nt shall d emonstrate the capacity beg i nn ing on Decemb er 1, 20 20 to provide supp ort ser vice s t o pregnant and postpartum women with stimulant and opioid misuse issues. A ll personnel, systems, procedures and resource s shall be in place to perform or referra l for all of the serv i ce s under this gra nt . e. The Appl ic ant shall e x plain its process regarding points of entry for individuals seek in g preg na n cy support s erv ices to include s creeni n g a nd ho w eligibility to the pr og ram is d e term ined . I n addition, p rovi de a ny eligibility restrictions whi ch m ay ex i st . f. The Appl ic ant shall e x plain the care coord ination process in the cat chment area or s ur rounding area in which pren ata l care t o pre gn ant a n d p ostpartum care women with stimulant or o pioid misuse issues can rece ive s upport service s . g. T he A pplicant shall explain coord in at ion of c ar e and assure a referral for 100 percent of the service s to i nclude time fr ames for both . h. If the A pplicant shall pro vide any serv ices through a pa r tne r under MOUs/MO As , the A pplicant shall submit the MOUs/ MOAs wi th the appl i catio n. MO Us /MOAs w ill not count toward the applicati on pro jec t description and budge t n arrat ive page limit . i. T he Applicant shall explain a communi cation str ategy t o facilitate coordination among th e obstetric p rovider, stimulant or opioid misuse t reatme nt pro vide r, h ealth s ystem clinical staff an d child welf are s e r vices . j. T he applicatio n shall include a listing of additiona l r esources and adjunct services cu rrentl y availa ble i n the com munity which will s tre ng then p r opos ed i nitiative and assist the indivi duals serv ed . k. The Ap plicant shall p rov id e an ex p lanation reg a rding k nowledge and adh erence of t he Federal (C hild Abus e Prevention Treatme nt Act – CAP TA), state and county r epor ting guide lines for sub stance - exposed infants an d how the p rog ra m will support th ese guid elin es . T he link for Pennsylvania Plan of Safe Car e Guidance is lis ted bel o w . http://www.ke epkidssafe.pa.gov/cs/grou p s/webcontent/do cuments/documen t/ c_28 7154 .pdf l. T he Applicant shall o perate a progra m w hi c h me ets all applicable fede r al and state confidentiality laws and the H ealth Information Port abili t y and A ccountab ility A ct (HIPA A) req uiremen ts . Provide a summary how the Applicant w ill adhere to the s e laws . m. Exp lai n how the A pplicant plan s to c ollabor at e w ith the SCA s or anothe r en tity to a ssist q u alified individuals in obtain ing transpor tation to and from trea tme nt . GI FA 2 0 - 0 5 – Pregnan cy Supp o r t Se

4 rv ice s Page 6 of 11 n. The
rv ice s Page 6 of 11 n. The A pplicant shall provide a detailed descript ion outlining its capac ity to me asure an d repor t effectiveness of the services provided unde r this grant. The Appl icant shall contain an e xplanat io n how it will gather data and submit reports r equired by se ction 9 . If applicable , spe cify an d ju stify any ad ditional measures or i nst rument s th e A p p li c ant plan s to uti lize . Budget Nar r ative : Th e b udget narrative sh a ll b e inc lude d in the 7 - page ma ximum . Th is budget narrative shall provide ac curate bu dget d etail s and clearly explai n the relationshi p betw een the budgeted costs and the p ropose d projec t . T he bud ge t narrative shall p rovide a ju stifi cati o n for all t he costs a nd figures submitted i n th e Bud g et Tem plate , Appe nd ix C . Budge t Template: Completion of the Budg et Template, Appendix C is required in addition to the 7 - page maximum and sh all alig n w ith t he Project Description , and Budget Narr ative . 6. E LIGIBLE PROGRA M ACTIVI T IES AND EXPENSES Al l expenses shall be described and justified in the B udget Narrative and cor respond to the Budget Templa te, Appendix C provided. DDAP has app roval of all f inal bu dgets . Eac h cos t shall be a separa te li ne item and include the itemization/ calculation. The following are examples of expenses that directly sup port this grant initiat ive funding application: a. Personnel Services: This budget category shall identi f y each posit ion by j ob t itle, hourly rate, and number of hours allocated to the pro ject. Fringe benef its are to be shown as a separate line item by perce ntage and shall include a detailed listing of t he benefits being covered. b. Consultant Ser vices: This b u dget ca tegor y shal l iden tify the services to be provided by each consultant inclu ding hourly rate and number of hours to be utilized under this grant. Id entify services to be p rovided. Do not name the consultant(s) that will be retained. c. Sub contra ct Serv i ces: Th is bu dget c at egor y shall identify t he se rvices to be provided by each subcontractor under this grant. Identify services to be provided. Do not nam e subcontractor to be r etained. d. Patient Servic es: This budget category shall reflect fun ding d edicate d for pa tient servi ce s. Transportation costs to connect an individual to treatment within the Commonwe alth of Pennsylvania is an allowable expense. Contin gencies may be used to reward and incentivize stimulant treatment compliance with a maxim um con tingency value being $15 per contingency. Each patient may not receive contingencies totaling more than $75 per year of his/her treatment. GI FA 2 0 - 0 5 – Pregnan cy Supp o r t Serv ice s Page 7 of 11 e. Equipment: This b udget categ or y shall reflect the actual or projected cost of any equipment which is $5000/ unit or gr eat er ne cessary for the direct execution of the project . I dentify equipment, the quantity an d uni t cost. f. Supplies: This budget category shall reflect expected costs fo r general office supplies. Identify su pplies in general terms. Equipment item s un der $5 000 - unit cost s hall be li st ed h ere. All personal comput ers under $5000 - unit shall be conside red as office suppl ies . g. Travel: Thi s budget category shall include anticip at ed expenditures for travel including mileage, hotels and subsistence for staf f pe rson ne l. Milea ge betw een sites for s taff personnel is an allo wable expense. h. Other Costs: This bu dget category shall be used for a nticipated expenditures that do not fit in to any of the other budget categ or ies such as postage, t elephone, printing, out reac h, a nd in direc t costs (overhead, general and administrative). Indirect rates cannot exceed the pro viders Federally approved indirec t cost rate schedule. There are no caps to t he Federal rate. If the provid er doe s not have a Feder ally approved indirect rate , th en th ey ma y use t he de minimis rate which is 10% of modif ied total direct costs . In the descri ption area under “Other Cost” include the % that the rate reflec ts, identif y the budget categories to w hich t he rate was applied, and l

5 ist the s pecific it ems that t he i
ist the s pecific it ems that t he indir ect is paying for within this grant. Fundin g shall not be used to supplant/repla ce federal, state or local funds that would otherwise be availab le to provi de for program - related servi ces. DDAP funding is to be used in addit ion to oth er f unds t hat are made av ailable for services. Awards will be th rough a grant agreement between the A pplicant and DDAP. The a n ticipated Gra nt Agreemen t te rm is December 1 , 2020 to September 29 , 2 0 2 1 . The ov era ll 10 - month bu dge t for the application shall not excee d $ 4 00, 0 00 and shal l b e paid by monthl y invoices on a c ost reimbursement basis. The budget shall contain a n Ove rall Summar y in addit ion to a Summar y wi th Budg et D etails fo r each year. O ve r a ll Summary December 1, 202 0 to September 29, 202 1 $ 4 00,000 Su mma ry Ye ar 1 Decem ber 1, 202 0 t o June 30, 202 1 $ 2 66, 66 7 S ummary Year 2 July 1, 202 1 to September 29, 20 2 1 $ 1 33 ,3 3 3 7. INELIGIBLE E X PENS ES Th e following a re ineligib le e xpenses t h r ough this gra n t initiative fun di ng applic at ion : a. Expenses related to the p r ovision of sti mulant or opioid tre atm ent services; b. Ca p ital expenditures for purchases a nd /or improvements to la nd, buildi ng or equipment w h ich m ate ri all y increase thei r va lu e o r useful l i fe, i. e., “Bri c ks a n d Mortar”; c. C onstructi on up grades and re modeling ; GI FA 2 0 - 0 5 – Pregnan cy Supp o r t Serv ice s Page 8 of 11 d. Fixe d As sets of $5000 or above (f ixe d assets inclu de furniture, equipment, computers, et c. which have a life o f more tha n one year); e. Cas h pay me nts d ire ctly to th e int en de d re c i pients of the se rvices ; f. E xp en s es related to any star t - up costs ; and g. DD AP is no t li ab le f or co sts incu rred prior t o t he official st ar t date of the award. 8. STANDARDS F OR FINANCIAL MANAGEMENT All grant a ward recipients are requi red to meet the standards an d requireme n ts for financi a l management sys t e ms set fo rt h i n 45 CFR P art 75. The finan cial syst em s shal l enable the rec ipient to mai nta in re cor ds that adequately identif y the sources of funds for federal ly assisted acti v ities and the purposes f or which th e aw ard was u sed, including a ut horizations, ob ligations, u nob ligations ba lances, a s sets , li abili tie s , ou tl ays or expe ndi tures, and an y p rogra m i ncome. The system shall als o enable the recipient to compare actual expenditu r es or out lays with the a ppr oved bud get for the award. These fu n ds shall retai n th eir award - sp eci fic identi ty. The fun d s may not b e c om m i n gled with state fu nds or othe r f ed eral fun ds. [“Commingling funds” t ypically means deposi ting or recor ding funds in a g eneral ac count without t he ability to i dentif y each specific so u rc e of funds fo r any expend it ure .] Nor sh all thes e f u nd s su pplan t, in a n y wa y, current s ta te or feder al fu nds f or already existing services . 9. R EPORTING REQUIREMEN TS All grant applications shall include a detai l ed out line of the Applicant ’ s ability to collec t r equired in fo rm ation and s ub mit report s in a t imely m anner to the De pa r tmen t . Sample r epo rts (whi ch are n ot i ncl uded in the 7 - page narrativ e maximum) shall be included with y our grant applic a tion to i ncl ude the foll owing infor mati on : a. D ata Reports. The A pplicant s hal l submit mo n thly reports beginning Jan uar y 1, 20 21 to DDA P to inc lude, at a minim um, th e f ollowing in formatio n : • Number of r e ferrals r eceived; • Numbe r of w o me n served by age, race, and ethni city; • Types an d n umber of services rece ived per individual ; • Outc o me and process m easur e s as determi n ed by th e prog ram but to includ e at le ast: o Percenta ge of participants active in program at 3 , 6, and 9 months post initi ation of servic es; o Perce nt a ge of partic ipants reporting a r e d uction in su bstan ce use at 3, 6 , and

6 9 months post initiation of s ervice
9 months post initiation of s ervices; o Percen tag e of p arti cipants referred to and admitted to physical he alth services ; o Percentage of participants ref erred to and admitted to any evidence - based su bstanc e use di sorder treatment services incl uding any form of medication assisted tre a tm ent ; GI FA 2 0 - 0 5 – Pregnan cy Supp o r t Serv ice s Page 9 of 11 o Perce ntage of partic ipants screening positive for postpar tum depression or other mental health issues referred to mental health treatment ; o Percentage of participants re port ing and increase in feelings of social connectedness ; o Percentage of particip ants repor ting a n improve ment in qualit y of life ; o Reas on fo r di s charge ; and o Other measur e s as dete rmined/identi f ied in pr oposa l . • C omp le tion of d ata el ement s as required b y the Go v er nment Per fo r mance and Results Act (GPRA) . Applicant shall maintain a n ong oing recor d of n umber of GPRA intake s , follow - up, a n d disch arg e s complet ed for their pr o je ct. • I n addition, the gra nt A p plicant sh a ll submi t a ny addi t i onal fin ancial repo rts which are deemed nece ssary by DDAP or required fo r f ederal repor ti ng requirement s , and a ny o ther s uch repor t s as DDA P may requir e. b. A nnual R epo r t. T he Ap pl i cant shall s ubm it a n an nual report by O c tober 15 of ea c h calend a r yea r during the gr ant agreement . T he re p ort sh all include the following information : • Overall S ummary : This section shall be a b rie f descrip tio n of the project, counti e s served, i n di vidual s s er ved, key c han ges in p rogr amming and /or staf fing, and other in f o rmat ion the Appl ica nt believe s is import a nt for DDAP to un derstand regarding the project. • Outc omes: This section sh all list w hat me asurable out comes did the Applicant e s t ablish f o r this p r oje ct, what ind ica tors did the Applicant use to mea sur e p e rformanc e , wha t extent did th e project achie ve the projected outcome s , if multiple projects exist, repor t outcom es for each i ndividual pro jec t. • Barrie rs: This section shall disc u ss the ch a l l enges th e A pplicant fac ed d uring t he p roje ct and what ac tions did the Appl i c ant take to addr ess these challenges. • To t al Expenditures : This section shall provide a final e xpend iture report for the proje ct dur ing the p roc eeding federal fiscal ye a r . • Future Im p licatio ns : This section s hal l indicate what i mpact does the Appli ca nt thin k thi s project has had to date, what are the le s sons the Applican t learned from und ertaking this proj ect, what are s ome succes s stor ies and w hat can the Applicant do to imp rove t he proj e ct for futur e years. c. P roblem Iden ti fi catio n Repor t. When t he ne ed a rises o r as required b y th e D epartment, complet e a Probl em Identi fication Report. This report shall describe pro ble m areas an d its imp act. T he report shall list differ e nt choice s w ith a dva ntages a n d disadva nta ges of each a nd incl ude App licant rec om men dati ons w it h supporting ra t ion a le . GI FA 2 0 - 0 5 – Pregnan cy Supp o r t Serv ice s Page 10 of 11 10. COMMONWEALTH US E All ma terial s u bmitted shall be c onsidered the prop erty of the Co mm onwealth of Pe nns ylvani a a nd may be returned only a t the Com mon wea lth ’s option. Notwiths tand ing any Ap pli c ant s’ copyri ght design at ions co ntain ed on proposals, t h e Co mm onwealth shall ha ve the rig ht to ma k e copies and distr ibute proposals in ternally and t o comply w ith pu bli c reco rd or other disclosure requ i rements u nde r t he pr ovisions of any Co mmon wealth or Uni t ed Sta tes st atute or r eg ulat ion , or ru le or order of a n y co ur t of competent ju ri sdiction . 11. INCOR PO RTATED DOCUMENTS A ny Applicant awar ded funds un d er this GI FA sha ll a gree to t he Standard General Term s and Con dit io ns i n t he G rant A greement . The link for the Standa rd Ge neral Term

7 s and C on diti o n s is listed belo
s and C on diti o n s is listed belo w. T he do cument is listed un der the Procure me nt section. https://www.d d ap.pa.go v/P ro fess ion als/ Pages/ Procurem ent.a spx 12. A DV ERT ISEMENTS / N EWS RE LEASE S Applicants shall not issue advert isements , news rel eases, internet postings, or any other public communications pertaining to this p roject without prior wr itten approval of DDAP, and t hen only in co ordination with DDAP. 1 3 . A W ARDS All Appli cants will r ecei ve official wr itten not i ficatio n of t h e status o f their a p plication from DDAP. U nsuccessful applic a nts may requ est a deb riefing. T his request sh all be i n writing an d be re ceived by the Division Chief , S pecialt y Gr ants Divi sio n with in ten ( 1 0) cal enda r days of the writte n of ficial notifica tion o f the status of t he application. The Div ision Chief , S peci alty Grants Divis ion or the ir de signee, will de te rm ine the time and place for th e de bri efing. The debrie f ing wil l be conducte d b y t he Division Chief , Spe cialty Grants Divisi on , or th e i r design ee. C o mparison of a ppli cations wi ll not be pro vided. Applica nts will not be given any infor matio n regarding the e va l uation othe r th an the positi on o f t heir application i n relat i on to all ot her applications a nd the str engths and w eaknesse s in their individu al a p p lication. Any wri tten notice to DDAP sha ll be sufficie nt i f mailed to: Department of Drug and Alcohol Pro gram s Attention: Div ision Chief, Spec ial ty Grants Divisio n 2601 No rth 3 rd Stre et, 5 th Floor Har risburg, PA 17110 The Pennsy lv ania Dep artment o f Dru g and Al c ohol Programs is a n equal oppor tuni ty employer. GI FA 2 0 - 0 5 – Pregnan cy Supp o r t Serv ice s Page 11 of 11 A ppl ic ant Cover Page Name of Appl i cant: Ad dre ss o f Applicant : T el eph on e of Appli can t : Email A ddress o f Prim ary Co nt act of Appl ic an t : A pplicant Stat u s : ( ) Pu bl ic ( ) Private ( ) Non - Pro f it ( ) Fo r Pr o fit F ede ral T ax I dentification Nu mber : Ap pl i cant Fin a n cial Reporting Ye ar: Month _ ____ ____ _ through ______ ____ Name , Posi tio n, and Cont a ct Info rmatio n of pe rson directly res p on sibl e for impleme n ta ti on of th is i niti ative : Name of P rogr am (s) : A p p li cant Se rvi ce Delive ry Site (s): Countie s to be Servic e d b y this Grant Fund ing: To tal B udge t Amount Re quest ed: S AP Vender Num ber : D at a Universal Numb erin g Sy ste m (DUNS) Numb er : S ys tem of A ward Ma nageme nt (SAM) A c tive D a t e: Additional App lica n t N ot es : GI FA 2 0 - 0 5 Pregnan cy Supp o r t Serv ice s Page 11 of 11 A ppl ic ant Cover Page Name of Appl i cant: Ad dre ss o f Applicant : T el eph on e of Appli can t : Email A ddress o f Prim ary Co nt act of Appl ic an t : A pplicant Stat u s : ( ) Pu bl ic ( ) Private ( ) Non - Pro f it ( ) Fo r Pr o fit F ede ral T ax I dentification Nu mber : Ap pl i cant Fin a n cial Reporting Ye ar: Month _ ____ ____ _ through ______ ____ Name , Posi tio n, and Cont a ct Info rmatio n of pe rson directly res p on sibl e for impleme n ta ti on of th is i niti ative : Name of P rogr am (s) : A p p li cant Se rvi ce Delive ry Site (s): Countie s to be Servic e d b y this Grant Fund ing: To tal B udge t Amount Re quest ed: S AP Vender Num ber : D at a Universal Numb erin g Sy ste m (DUNS) Numb er : S ys tem of A ward Ma nageme nt (SAM) A c tive D a t e: Additional App lica n t N ot es : GI FA 2 0 - 0 5 Pregnan cy Supp o r t Serv ice s Page 9 of 11 o Perce ntage of partic ipants screening positive for postpar tum depression or other mental health issues referred to mental health treatment ; o Percentage of participants re port ing and increase in feelings of social connectedness ; o Percentage of particip ants repor ting a n improve ment in qualit y of life ; o Reas on fo r di s charge ; and o Other measur e s as dete rmined/identi f ied in pr oposa l . C omp le tion of d ata el ement s as required b y the Go v er nment Per fo r mance and Re

8 sults Act (GPRA) . Applicant shall m
sults Act (GPRA) . Applicant shall maintain a n ong oing recor d of n umber of GPRA intake s , follow - up, a n d disch arg e s complet ed for their pr o je ct. I n addition, the gra nt A p plicant sh a ll submi t a ny addi t i onal fin ancial repo rts which are deemed nece ssary by DDAP or required fo r f ederal repor ti ng requirement s , and a ny o ther s uch repor t s as DDA P may requir e. b. A nnual R epo r t. T he Ap pl i cant shall s ubm it a n an nual report by O c tober 15 of ea c h calend a r yea r during the gr ant agreement . T he re p ort sh all include the following information : Overall S ummary : This section shall be a b rie f descrip tio n of the project, counti e s served, i n di vidual s s er ved, key c han ges in p rogr amming and /or staf fing, and other in f o rmat ion the Appl ica nt believe s is import a nt for DDAP to un derstand regarding the project. Outc omes: This section sh all list w hat me asurable out comes did the Applicant e s t ablish f o r this p r oje ct, what ind ica tors did the Applicant use to mea sur e p e rformanc e , wha t extent did th e project achie ve the projected outcome s , if multiple projects exist, repor t outcom es for each i ndividual pro jec t. Barrie rs: This section shall disc u ss the ch a l l enges th e A pplicant fac ed d uring t he p roje ct and what ac tions did the Appl i c ant take to addr ess these challenges. To t al Expenditures : This section shall provide a final e xpend iture report for the proje ct dur ing the p roc eeding federal fiscal ye a r . Future Im p licatio ns : This section s hal l indicate what i mpact does the Appli ca nt thin k thi s project has had to date, what are the le s sons the Applican t learned from und ertaking this proj ect, what are s ome succes s stor ies and w hat can the Applicant do to imp rove t he proj e ct for futur e years. c. P roblem Iden ti fi catio n Repor t. When t he ne ed a rises o r as required b y th e D epartment, complet e a Probl em Identi fication Report. This report shall describe pro ble m areas an d its imp act. T he report shall list differ e nt choice s w ith a dva ntages a n d disadva nta ges of each a nd incl ude App licant rec om men dati ons w it h supporting ra t ion a le . GI FA 2 0 - 0 5 Pregnan cy Supp o r t Serv ice s Page 7 of 11 e. Equipment: This b udget categ or y shall reflect the actual or projected cost of any equipment which is $5000/ unit or gr eat er ne cessary for the direct execution of the project . I dentify equipment, the quantity an d uni t cost. f. Supplies: This budget category shall reflect expected costs fo r general office supplies. Identify su pplies in general terms. Equipment item s un der $5 000 - unit cost s hall be li st ed h ere. All personal comput ers under $5000 - unit shall be conside red as office suppl ies . g. Travel: Thi s budget category shall include anticip at ed expenditures for travel including mileage, hotels and subsistence for staf f pe rson ne l. Milea ge betw een sites for s taff personnel is an allo wable expense. h. Other Costs: This bu dget category shall be used for a nticipated expenditures that do not fit in to any of the other budget categ or ies such as postage, t elephone, printing, out reac h, a nd in direc t costs (overhead, general and administrative). Indirect rates cannot exceed the pro viders Federally approved indirec t cost rate schedule. There are no caps to t he Federal rate. If the provid er doe s not have a Feder ally approved indirect rate , th en th ey ma y use t he de minimis rate which is 10% of modif ied total direct costs . In the descri ption area under “Other Cost” include the % that the rate reflec ts, identif y the budget categories to w hich t he rate was applied, and list the s pecific it ems that t he indir ect is paying for within this grant. Fundin g shall not be used to supplant/repla ce federal, state or local funds that would otherwise be availab le to provi de for program - related servi ces. DDAP funding is to be used in addit ion to oth er f unds t hat are made av ailable for services. Awards will be th rough a grant agreement between the A pplicant and DDAP. The a n ticipated Gra nt Agreemen t te rm is December 1 , 2020 to September 29 , 2 0 2 1 . The ov era ll 10 - month bu dge t for the application shall not excee d $ 4 00, 0 00 and shal l

9 b e paid by monthl y invoices on a c os
b e paid by monthl y invoices on a c ost reimbursement basis. The budget shall contain a n Ove rall Summar y in addit ion to a Summar y wi th Budg et D etails fo r each year. O ve r a ll Summary December 1, 202 0 to September 29, 202 1 $ 4 00,000 Su mma ry Ye ar 1 Decem ber 1, 202 0 t o June 30, 202 1 $ 2 66, 66 7 S ummary Year 2 July 1, 202 1 to September 29, 20 2 1 $ 1 33 ,3 3 3 7. INELIGIBLE E X PENS ES Th e following a re ineligib le e xpenses t h r ough this gra n t initiative fun di ng applic at ion : a. Expenses related to the p r ovision of sti mulant or opioid tre atm ent services; b. Ca p ital expenditures for purchases a nd /or improvements to la nd, buildi ng or equipment w h ich m ate ri all y increase thei r va lu e o r useful l i fe, i. e., “Bri c ks a n d Mortar”; c. C onstructi on up grades and re modeling ; GI FA 2 0 - 0 5 Pregnan cy Supp o r t Serv ice s Page 5 of 11 Re covery suppo rt a cti vities such as gr ou ps, mentorin g and co a ching; and Transpor t ati on and other n ecessary wrapar ound s er v ices. d. The A pplica nt shall d emonstrate the capacity beg i nn ing on Decemb er 1, 20 20 to provide supp ort ser vice s t o pregnant and postpartum women with stimulant and opioid misuse issues. A ll personnel, systems, procedures and resource s shall be in place to perform or referra l for all of the serv i ce s under this gra nt . e. The Appl ic ant shall e x plain its process regarding points of entry for individuals seek in g preg na n cy support s erv ices to include s creeni n g a nd ho w eligibility to the pr og ram is d e term ined . I n addition, p rovi de a ny eligibility restrictions whi ch m ay ex i st . f. The Appl ic ant shall e x plain the care coord ination process in the cat chment area or s ur rounding area in which pren ata l care t o pre gn ant a n d p ostpartum care women with stimulant or o pioid misuse issues can rece ive s upport service s . g. T he A pplicant shall explain coord in at ion of c ar e and assure a referral for 100 percent of the service s to i nclude time fr ames for both . h. If the A pplicant shall pro vide any serv ices through a pa r tne r under MOUs/MO As , the A pplicant shall submit the MOUs/ MOAs wi th the appl i catio n. MO Us /MOAs w ill not count toward the applicati on pro jec t description and budge t n arrat ive page limit . i. T he Applicant shall explain a communi cation str ategy t o facilitate coordination among th e obstetric p rovider, stimulant or opioid misuse t reatme nt pro vide r, h ealth s ystem clinical staff an d child welf are s e r vices . j. T he applicatio n shall include a listing of additiona l r esources and adjunct services cu rrentl y availa ble i n the com munity which will s tre ng then p r opos ed i nitiative and assist the indivi duals serv ed . k. The Ap plicant shall p rov id e an ex p lanation reg a rding k nowledge and adh erence of t he Federal (C hild Abus e Prevention Treatme nt Act CAP TA), state and county r epor ting guide lines for sub stance - exposed infants an d how the p rog ra m will support th ese guid elin es . T he link for Pennsylvania Plan of Safe Car e Guidance is lis ted bel o w . http://www.ke epkidssafe.pa.gov/cs/grou p s/webcontent/do cuments/documen t/ c_28 7154 .pdf l. T he Applicant shall o perate a progra m w hi c h me ets all applicable fede r al and state confidentiality laws and the H ealth Information Port abili t y and A ccountab ility A ct (HIPA A) req uiremen ts . Provide a summary how the Applicant w ill adhere to the s e laws . m. Exp lai n how the A pplicant plan s to c ollabor at e w ith the SCA s or anothe r en tity to a ssist q u alified individuals in obtain ing transpor tation to and from trea tme nt . GI FA 2 0 - 0 5 Pregnan cy Supp o r t Serv ice s Page 4 of 11 I nclude prevalenc e rates or incident dat a of OUD and stimulant use among pregnant and postpartum women and indicate the lack of current reso u rc e s to this population ; I dentif y t he source of the data , and ; D escribe the existing capac ity for MA T as it relates to the continuum of care . Appli cants ma y submit other valid data, as appropriate to support t his applica tion. b. T he a

10 pplic a ti on shall incl ude the tota
pplic a ti on shall incl ude the total number of pregnant and postpartum wom en to b e served for the du r ation of the project wit h an anticipated n umber to be served monthly . Applic an t shal l include the type s and amount s o f support servi ces the A pplic a nt wi l l prov id e on a mont h ly b asis. c. S ervices shall be provided ei ther by the A p p l icant or through M emoran da of Understa ndin g or Agreements (MOUs/MOAs) with partners . The services f or pr egnant and postpartum w om en with O U D s h all includ e but not limited to the following : Expa nsion of cu rrent GIFA 19.01 projects to includ e ad ditional c ounties ; Outreach and e nga gement in serv ices provided by the Applicant ; Coordinate with the local Singl e County Authority (SCA) for assessment and provision of MAT/OUD / s timulant misuse a nd use treat me nt services; Substance abus e e ducation an d relapse educ a t ion ; R ef err al for necess ary m e di cal, d ental, a nd other health care servic es , including obstetrics , gyn ecology , diabetes, hyp ertension and prenatal ca re ; Postpartum health care i ncluding at te ntion to depression and anx i et y disorders, and med ication nee ds; S pecialized assessment, m on ito r in g, and referra ls for education, peer suppo rt , therapeu tic intervention and ph ysical safety; Mental health care that i nc ludes a trauma - informed sy stem of ass es sments and interventions; Pr ovision of evidence - ba sed interventi ons, or referral to evidence - based inter venti ons; P a re nting education a nd interventio ns to include child develop m ent ; Contingency Management ; N u tr itional educat ion; Home management an d life s k ills tra in ing; Education, testin g, counseling, an d treatment of hepatiti s, HIV/AIDS, othe r STDs and rel ated is su e s; Employment readiness, a n d job training and place ment; Educ atio n and tut oring assistan ce for ob taining a GED, high school diploma and bey ond ; C hi l dca re during periods in which th e women are enga ged in ther apy or in othe r necessary health or reha bilitative a ct i vities ; GI FA 2 0 - 0 5 Pregnan cy Supp o r t Serv ice s Page 3 of 11 G RANT INITI AT I V E GU I DELI NES 1. O VERVIEW Pennsylvania has been experiencing the worst overdose crisis in recent h istory. As a result, on Janua r y 10, 2 0 18 the G ov ernor issued a st a te wide dis a st e r decl aration to enhance state response, increas e access to treatment and save lives. Th e Governor then extended the disaster declaration to continue working to improve respo nse coordination for those suf f er ing f r om subst an ce use disorders. DDA P has i dentified a continued need for pregnancy support services to include care for pregnant w om en and postpartum women with stimulant or opioid misuse issu es . 2. FU NDING AVAILABILITY Applicants can submit a g r ant appl ication for an amount up to $ 4 00 ,000 . Aw ard amounts an d number of awards shall be dependent upon number of applications received , meeting the defined criteria of this solicitation, amount of funds being requested, and the amount of availa b le fu nds to be aw arded. 3. P RO JECT D ATES Continge nt upon th e a vailability of state and federa l funds and the receipt of q uali fi ed a p plications, the term of the project will comme nc e on December 1 , 2 0 20 and end o n September 29 , 20 2 1 wit h the possibility of one ( 1) year renewa l option, if f und i n g is available . 4. ELIG IBLE A PPLICANT S All eligible Applicants shall be able to serve pregnant or postpartum women which have stimu lant or opioid misuse is s ues w ho present for support service s . If either a stimulant or opioid m isuse pro bl em (history) e xists concurrently with ot her substan ce use , all substance use issues may be addressed . Applicants that cannot meet t hi s requirement will not be co nsidered. 5. APPLICATION REQUIREMENTS Appl icant shall provide a narrative proposal to include t he project des cription that includes th e information d e linea ted below and budge t narrativ e which is a min im um o f 5 pages an d a m axi mu m of 7 pages (single sided , Times New Roman, font size 12 , with narrati ve pages numbered ). Project Description: All grant a pp lications sh all include , at a minim u m, a detailed p l an desc ribing the delivery

11 o f pregnancy support s e rv ice
o f pregnancy support s e rv ice to ind iv iduals with stimulant or opioid misu se i ssues . a. T h e A p p lic ant shall provide a S ta tement of Ne e d for any pregnant or postpartum women with stimulant or o pioid misuse issues . The S tatement of Ne ed s hall , at a minimum: GI FA 2 0 - 0 5 Pregnan cy Supp o r t Serv ice s Page 2 of 11 PROJECT SU MM A RY : DDAP i s a ccepting a pplications fo r provi d e rs who will provide pregnancy sup p ort services or make referrals to address the needs of pregnant and postpartum women with stimulant or opioid mis use issues . In addition, these community pro v i ders w i ll faci litate or m ake referr a ls f o r outpatient Medicat ion - Assisted Treatment (MA T ) an d st imulant misuse treatment. S ubmission Ins tructions and For mat Requ irements for Applic ations: D ue Da te A ll app li cations shall be submitted electronically t h rough DDAP r esource account no later t han Friday , Oc tober 30 , 20 20 by 1 2 : 00 p.m. , Eastern Time . N ote: DDAP is available to assist with application submis sion con firmatio n s until 12 :00 p .m. , Easte rn Ti m e on F ri day , October 30 , 2020 . If an applica tion su bmission confi rmation is desired , Applic ant shall req u est submission conf irmation to the DDAP resource accou nt by email at : RA - DAGrantsMgmt@pa.gov . Submission Late sub missions will not be accepted rega r d l ess of the rea son. Applicant shall b e ab le to demonstr ate the application ha d been submitted by the required timeframe, if there is any dispu te . Com pletene s s Appl ic ations th at do not meet all of the listed requirem ent s in thi s funding announcement ma y b e administrati vely r ejected. Sc or i ng All applicat ions will be competitively reviewed and scored . Applications will be scored based on t h e A ppli cant’s a dherence t o the f un ding a nnouncement g uidelines, and a timel y s ubmissio n to DDAP . Corrections If an a pplicat ion is returned b y D DA P fo r corrections, the final a pplication (including all corrections and require d documents) shall be retur ned to a nd appr oved by DD A P in or de r for the a pplication to be awarded. App lic at ion Fo rmat App licants shall f ol low the format as described below to s u c cessfully appl y and compete for this funding ann ouncement . The fo rmat shall be as follows: Applicant Cover Pa ge ; P roject Descript ion ; Budget Narrative; and Bud g et Tem plate , Appe nd ix C No te: The Applicant Co v e r Page , Budget T emplate, Appendix, C are n ot counted in the min i m um of 5 pages an d a ma ximum of 7 pages limi t . Grant Initiative Funding Application (GIFA) Title: Pregnancy Support Services GIFA Number: 20 - 0 5 Due Date for Applications: Friday, October 30 , 20 20 by 12 :00 p.m . , Eastern Time Ap plication Submitted via e mai l only to: Applic a tion s hall be s u bmitted v i a email to RA - DAGrantsMgmt@pa.gov through Friday, October 30 , 2020 by 12 :00 p . m . , Eastern Time Anticipated Total Avai lable F unding: Up to $ 2 , 0 00 ,000 for ten (10) months . Est i m ated Num b er of Gr a n t Awards: A p pro ximately f i v e ( 5 ) to eight (8) grants up to $ 4 00,000 each will be awarded. Length of Project Period: Beginning December 1, 2020 ending on September 29, 202 1 and the possibility of one (1) year renewal option, if funding is available. Elig ible Appli cant s: E ntit i e s with capacity to provide support servi ces to pregnant women and postpartum wo men with stimulant or opioid misuse issues. Si ngle County Authorities (SCAs) are not eligible to apply under this funding an nouncement. Question s Questions ca n be submitte d vi a ema i l to RA - DAGra ntsMgmt@pa.gov t hrough Fr i day, October 16 , 2020 by 5:00 p.m. , Eastern Time. All quest ions shall include the specific section of the GIFA about which the potent ial applican t is questioning. Questions and an s w e rs w ill be posted to the D e p artment of Drug and Al cohol Programs ( DDAP ) website F riday , Oc tober 23 , 2 0 2 0 by 5 : 00 p.m. , Eastern Time. D DAP will not accept any phone calls reg arding this fu ndi ng announceme nt .