PLEASE DO NOT INCLUDE PROTECTED HEALTH INFORMATION IN YOUR APPLICATION

The Residential Grant program is funded through the Behavioral Health System for Future Generations (BHSFG) Fund.

Program Description and Purpose

DPHHS data shows that timely access to, and the availability of, residential care is insufficient in the adult behavioral health, children’s mental health, and developmental disabilities service areas in Montana. To address this gap, DPHHS has created a new residential grant program to provide funds to congregate community living providers who primarily serve individuals with a serious mental illness, substance use disorder, or developmental disability diagnosis. Providers can use these funds to stabilize or increase residential service provision and capacity. 

Eligible applicants must clearly specify whether they intend to use funds to:

1. Repair an existing setting;

2. Upgrade an existing setting;

3. Reopen a closed setting;

4. Open a new or expand an existing setting; or

5. Purchase or build a new setting. 

A total of $10,000,000 is available to eligible providers under this program. DPHHS expects to make awards to multiple providers. Funding for the program is provided via the Behavioral Health System for Future Generations (BHSFG) Commission, as authorized under HB 872. Funding is anticipated to be reimbursement-based; receipts, invoices, and other supporting materials will be required for reimbursement.

All applications must be submitted via Submittable. Applications will be reviewed and evaluated by DPHHS. Approval notices will be sent out to applicants via email. 

One application per setting. For agencies submitting multiple applications, priority will be placed on the application identified as priority. Subsequent applications will be reviewed if funding is available.

DPHHS Priorities

· The primary goal of this grant program is to expand the capacity of residential providers operating in the state of Montana. 

· DPHHS intends to prioritize projects that repair or upgrade existing settings, and that reopen closed settings. 

· DPHHS intends to prioritize projects that utilize existing infrastructure over new-build projects.

· DPHHS intends to prioritize projects that request less than three months of revenue supplementation, if any. 

· DPHHS intends to provide grants to as many eligible providers as possible.

Key Term Definitions

1. Repair of existing residential setting

Projects that address deferred maintenance costs that are 1) necessary to keep a setting open and compliant with licensing and safety standards, and 2) focused on client health and safety. Eligible providers have an existing licensed program (when applicable) currently serving Medicaid clients. DPHHS expects to fund 100% of the cost of these projects, up to $50,000 per project.

2. Upgrade existing residential setting

Projects that improve a setting in ways that are 1) necessary to keep it open and compliant with licensing and safety standards, and 2) focused on promoting client independence. Eligible providers have an existing licensed program (when applicable) currently serving Medicaid clients. DPHHS expects to fund 100% of the cost of these projects, up to $50,000 per project.

3. Reopen closed residential setting

Projects that reopen a primarily Medicaid-funded (i.e., >50% of funding) setting closed in the past five years. Reopened settings may serve the same or different population as before closure. Eligible costs include hiring and training of staff, revenue supplementation up to three months, and associated repairs and upgrades necessary to reopen the setting and ensure compliance with licensing and safety standards. DPHHS expects to fund 100% of the cost of these projects, up to $250,000 per project.

4. Open new or expand existing residential setting

Projects that purchase and/or convert existing property with the intention of becoming an allowable Medicaid residential setting. This includes property owned by providers that is not currently licensed or receiving Medicaid funds as an allowable residential setting. Eligible costs include purchase of new property and/or furnishings, hiring and training of staff, revenue supplementation up to three months, and associated repairs and upgrades necessary to open the setting and ensure compliance with licensing and safety standards. DPHHS expects to fund 50% of the cost of these projects, up to $300,000 per project.

5. Build new residential setting

Projects that build new physical infrastructure with the intention of becoming an allowable Medicaid residential setting. Eligible providers are 1) existing Montana Medicaid providers, or 2) providers of behavioral health and/or developmental disabilities services in other states looking to expand operations to Montana. Eligible costs include construction costs, furnishings, hiring and training of staff, and revenue supplementation up to three months necessary to open the setting and ensure compliance with licensing and safety standards. DPHHS expects to fund 50% of the cost of these projects, up to $750,000 per project. 

6. Residential capacity

The number of beds available for Medicaid recipients, in the eligible residential settings defined below. For Supported Living providers, residential capacity may be defined as individuals receiving supported living services.

7. Residential setting 

Eligible residential settings must be one of the following: 

· Psychiatric Residential Treatment Facilities (PT38); 

· Therapeutic Group Homes (PT61); 

· Supported and Congregate Living (PT82);

· Adult Foster (PT82, PT59, PT88);

· Assisted Living Facilities (PT88, PT82);

· State Plan Behavioral Health Group Homes (PT59);

· SDMI Waiver Mental Health Group Homes (PT88); 

· SDMI Waiver Intensive Mental Health Group Homes (PT88);

· SDMI Waiver Adult Group Home (PT88); 

· ASAM 3.1 Clinically Managed Low Intensity Residential (PT32); 

· ASAM 3.3 Clinically Managed High Intensity Population-Specific Residential (PT32);

· ASAM 3.5 Clinically Managed High Intensity Residential (PT32).

8. Revenue supplementation

Calculated, for each distinct service, as [the number of unfilled beds x allowable Medicaid rate x unit] for up to three months (i.e., 90 days or the equivalent). “Unit” is defined as the type of unit used in the rate, e.g., an hour, day, or week. For all eligible services, use the table below to calculate the maximum allowable revenue supplementation under this grant program. Use the midpoint if unit rates are sliding (e.g., if rates are $50 – $100, use $75).

Revenue supplementation should not exceed more than 20% of requested funds in an application. 

As an example, assume a hypothetical provider offers a specific service and has 10 unfilled beds. Assume as well that the unit rate for the service is $100 and the unit is 1 day. The calculation for the maximum allowable amount of revenue supplementation would be as follows:  

10 unfilled beds x $100 per bed x 1 day = $1,000

$1,000 x 90 days (i.e., three months’ worth of the service) = $90,000

For a table displaying service descriptions and costs, click here

Rate table footnotes:

1. Congregate Living Tier 5

2. Assisted Living – Moderate

3. Supported Living – Medium Geographic Factor (assumes 7.15 staff hours hrs/day)

4. Adult Foster Support - Moderate Supervision (converted by assuming 30 days/month)

Proposed Project Cost Guidance 

Applicants should submit proposals with costs that are accurate and verifiable; a project budget is required with each application. Applicants may submit proposals that do not cover the full cost of a project if they identify the sources of other funds that will be leveraged to cover the full cost.  

DPHHS expects project costs will fall within the ranges provided in the table below, depending on proposal type. These ranges are offered as guidance; proposals that do not fall within these ranges will not be disqualified. Applicants who exceed this guidance will be reviewed on a case-by-case basis, and awards may be adjusted to fit program parameters. 

Proposed Project Type Expected Cost Range 

Repair or upgrade existing setting = < $100,000

Reopen  closed setting  = $100,000 - $250,000

Open new or expand existing setting = $100,000   - $500,000

Build new setting = $500,000   - $1,000,000

Allowable Uses

Allowable uses of these funds include:

1. Repairing an existing residential setting;

2. Upgrading an existing residential setting;

3. Hiring and training staff necessary to open, reopen, or expand services at a residential setting; 

4. Purchasing or building a new residential setting; and

5. Temporary revenue supplementation to offset low volume during new setting start up.

Training costs should not exceed 15% of requested funds in an application. As above, revenue supplementation should not exceed more than 20% of requested funds in an application. 

Eligibility and Application Requirements 

Providers applying for funds to repair or upgrade an existing residential setting must demonstrate in their application how they:

1. Serve adults with SDMI, adults with SUD, children with SED, individuals with IDD, or people with co-occurring MH/SUD and/or BH/IDD in a residential program in Montana; 

2. Fund the related residential program primarily through Medicaid (i.e., greater than 50% of funding is Medicaid); and

3. Currently experience a need for repairs or upgrades to safely and effectively serve residents (i.e., grant funds cannot be used for non-essential or cosmetic upgrades). Demonstration can include architectural plans, photographs, testimonials, construction bids, and/or a descriptive narrative. 

Providers must also commit to the following: 

1. Proposed projects will be planned for completion within 18 months of the grant award;

2. All data reporting required by DPHHS as part of this program will be completed in the format and timeline requested by DPHHS (specified in greater detail below);

3. Current levels of residential services to Medicaid-enrolled individuals with SDMI, SUD, IDD, or SED will be maintained or increased;

4. Medicaid members will continue to receive services within the funded residences for at least 24 months following project completion; and

5. Ensure compliance with all applicable Montana Medicaid rules and manuals (e.g., Medicaid Services Provider Manual for Substance Use Disorder and Adult Mental Health; Children’s Mental Health Bureau Medicaid Services Provider Manual; Developmental Disabilities Program Services Manual). 

Providers applying for funds to reopen, open, expand, or build a new residential setting must demonstrate in their application how they:

1. Serve adults with SDMI, adults with SUD, children with SED, individuals with IDD, or people with co-occurring MH/SUD and/or BH/IDD in a residential program in Montana; 

2. Fund operations primarily through Medicaid (i.e., greater than 50% of funding is Medicaid); and

3. Operate with a license now or will become licensed by the DPHHS Office of Inspector General, as appropriate.

Providers must also commit to the following: 

1. Proposed projects will be planned for completion within 18 months of the grant award. Projects that reopened beds after the Governor’s approval of the BHSFG Commission’s residential grants Near-Term Initiative but before the grant application was opened may still apply;

2. All data reporting required by DPHHS as part of this program will be completed as requested in the format and timeline requested by DPHHS (specified in greater detail below);

3. Current levels of residential services to Medicaid-enrolled individuals with SDMI, SUD, IDD, or SED will be maintained or increased; 

4. Medicaid members will continue to receive services within the funded residence for at least 24 months following project completion; and

5. Ensure compliance with all applicable Montana Medicaid rules and manuals (e.g., Medicaid Services Provider Manual for Substance Use Disorder and Adult Mental Health; Children’s Mental Health Bureau Medicaid Services Provider Manual; Developmental Disabilities Program Services Manual). 

All providers, regardless of their proposal type, must include in their application:

1. An executive summary of the project;

2. A description of the proposed project, including architectural designs and plans or the closest available substitute; 

3. A description of the target population served by the proposed setting; 

4. A description of the factors that led to original program closure (if applicable), and how the provider will mitigate such factors moving forward;

5. Project budget, by month and cost item;

6. Project expected timeline, by month and task; and

7. Project expected impact, including but not limited to:

a. Number of new beds / increased capacity; 

b. Number of people anticipated to be served by the setting; and

c. Projected utilization of beds.

Reporting Requirements 

Providers selected for an award under this program must commit to regularly sharing the following data and information with the Department:

1. Project budget, by month and line item;

2. Project cost reports;

3. Project timeline, by month, task, and status;

4. Receipts and invoices (for reimbursement); and

5. Project impact, including but not limited to:

a. Number of new beds / increased capacity; 

b. Number of people anticipated to be served by the new or reopened setting;

c. Projected utilization of beds; and 

d. Satisfaction levels of residents, as determined by survey or other means mutually agreed upon by the Department and provider.

The cadence and format of this reporting will be determined by DPHHS and the provider after a provider is selected under this program. DPHHS will verify that each awarded residential setting maintains good standing and will further verify that grant recipients maintain current levels of service to Medicaid-enrolled individuals through year-over-year Medicaid claims data. 

The State reserves the right to reduce the award amount if there are requested costs that do not qualify based on the application criteria.

****IMPORTANT****

DESCRIPTION OF THE CYBERSECURITY PROGRAM


The goal of the Cybersecurity Program is to provide much needed awareness regarding the threat of cybersecurity as well as monitoring, security, and training to protect Montana’s small and medium sized businesses from cybersecurity attacks. Cyber-attacks on all businesses, but particularly small to medium sized businesses are becoming more frequent, targeted, and complex. This program would provide funds to directly assist businesses with cybersecurity monitoring and security. The Department has allocated approximately $2 million towards this program.
Businesses can receive up to $8,000 in grant funds for reimbursement of newly implemented cybersecurity measures paid to an accredited Montana Cybersecurity Company for monitoring and security equipment and/or programs.
These funds are provided under Assistance Listing Number (“ALN”), formerly known as CFDA Number, 21.027.


DEFINITIONS:


Accredited Montana Cybersecurity Company: A Montana based Managed Service Provider (MSP), IT, or security company with a combination of education, certification, training, and experiential and continuous learning attributes required to implement cybersecurity measures effectively. Common certifications can be found here: https://niccs.cisa.gov/about-niccs/cybersecurity-certifications
Eligible Activities: Eligible cybersecurity measures include the following performed by a third party: security services, network security equipment, consumer security software, data security, cloud security, infrastructure protection, identity access management, real time threat response, integrated risk management, application security and training. Cyber Insurance is NOT eligible.  Costs must have been incurred after November 15, 2022.
Eligible Business: The business must be registered and in good standing with the Montana Secretary of State or Tribal Government and/or is a sole proprietorship. The business must have at least 5 but no more than 50 employees.  The business must be for profit. The Business must also have been in business for more than one year and may not be a hobby business.  The business cannot have implemented any previous cybersecurity measures, except for the standard anti-virus software. Cannabis  related businesses are not eligible for Federal grants.  
Hobby Business: Any activity that a person pursues because they enjoy it and with no intention of making a profit. The Department reserves the right to follow up for additional information to determine if a business is a hobby business.  The Department will make the determination at its own discretion.
Employee: Any employee who works an average of at least 30 hours per week for more than 120 days in a year is considered full time. An employee is on a company’s payroll and receives wages and benefits.  Employees must be reported on the businesses UI-5 form.


ELIGIBLE APPLICANTS


Eligible businesses apply directly to the program. Applications are only accepted on https://www.covidreliefmt.org/submit
Businesses are excluded from receiving funds if they are on the federal or state debarment lists or engaging in a business activity that is federally excluded like cannabis.  


GRANT CEILING AND THRESHOLDS
The Department ultimately determines the size of the grant and reserves the right to recommend a reduced amount.
Businesses can submit one grant application to the program, but the one application can include multiple eligible activity invoices up to $8000.


ELIGIBLE COSTS


Reimbursements are for businesses that have not implemented cybersecurity measures in the past except for antivirus software.
Eligible business must engage with Montana based Managed Service Provider (MSP), IT, or security company with a combination of education, certification, training, and experiential and continuous learning attributes for the implementation of eligible activities. Many of these activities are considered cybersecurity hygiene but can also include the purchase of equipment for the implementation of the cybersecurity measures.
The costs must have been incurred after November 15, 2022.


GRANT APPLICATION SUBMITTAL PROCESS


The Montana Department of Commerce is the primary point of contact for initiating the application.  
The eligible business must implement and pay for the cybersecurity measures. Once they complete the measures, the eligible business may submit an application to the Department of Commerce for reimbursement.


DEADLINE FOR APPLICATION SUBMITTAL


Applications will be accepted on a first come – first serve basis until all funds have been obligated.
Reimbursement requests for eligible expenses will be accepted beginning November 15, 2022, through April 30, 2024 or until all funds have been expended.


MANAGEMENT OF FUNDS


The eligible business must have implemented and paid for the cybersecurity measures. They are eligible to submit one application, up to $8,000, for reimbursement. Once the expenses are verified and contract has been executed, the funds are transferred via Electronic Funds Transfer to the business.


At the end of the calendar year, the State will issue 1099 for funds disbursed.
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Before you Submit: Once you click submit at the bottom of your application, it will become locked and you will not be able to edit.  To make changes, you would need to withdraw your application and resubmit.
We encourage you to take your time and fill out the application completely and accurately and review before submitting.

State of Montana