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FY22 Allocation Guidelines

Ohio Department of Mental Health and Addiction Services SFY2022 Community Allocation Guidelines

Original Release – April 16, 2021

Table of Contents

INTRODUCTION 3

ALLOCATION GUIDELINES 5

Appropriation Line Item: 336406 Prevention Services (General) 6

Appropriation Line Item: 336406 Prevention Services (Evidence Based) 7

Appropriation Line Item: 336421 Continuum of Care (Mental Health) 8

Appropriation Line Item: 336421 Continuum of Care (AOD) 9

Appropriation Line Item: 336421 Continuum of Care (Medication) 11

Appropriation Line Item: 336422 Criminal Justice Services (ATP) 13

Appropriation Line Item: 336422 Criminal Justice Services (CJ Linkage) 14

Appropriation Line Item: 336422 Criminal Justice Services (Forensic Centers) 15

Appropriation Line Item: 336422 Criminal Justice Services (Forensic Monitoring) 16

Appropriation Line Item: 336423 DRC Partnership (Community Transitions) 18

Appropriation Line Item: 336424 Recovery Housing 19

Appropriation Line Item: 336425 Specialized Docket 20

Appropriation Line Item: 336629 Problem Gambling and Addictions 22

Appropriation Line Item: 336421 Continuum of Care (MH Crisis Stabilization) 23

Appropriation Line Item: 336600 Stabilization Centers (SUD Crisis Stabilization) 25

Appropriation Line Item: 336643 ADAMH Boards (Crisis Flex) 26

Appropriation Line Item: 336421 Continuum of Care (Crisis Infrastructure) 27

Appropriation Line Item: 336643 ADAMHS Boards (Additional Investments) 28

STATUTORILY REQUIRED REPORTING DATES 29

GUIDELINES ADDED AFTER INITIAL RELEASE 30

INTRODUCTION

The Ohio Department of Mental Health & Addiction Services (MHAS) is pleased to publish the Community Allocation Guidelines for state fiscal year 2022.

The Department uses two main methods to disburse dollars to the community, broadly referred to as Allocations and Grants. Allocations are disbursements made to the ADAMHS Boards for specific purposes but with general flexibility in how to achieve those goals and are generally sent out on a scheduled basis. Grants are generally more specific as to purpose and method of implementation and are typically drawn down on a reimbursement basis. Grant funding information will be sent out in a separate communication known as the Grant Information Funding Announcement, or GIFA. This document discusses the allocations to the Boards.

Within this document, you will find guidance on the allowable use of funds for each funding stream, as well as information regarding allocation methodology, contacts, and other important information. In conjunction with these Guidelines, MHAS is also releasing documentation that provides more specific information about specific amounts to each board area, known as Attachment 1. We will also be releasing an updated version of Table B, which provides necessary information for federal grants needed for reporting. Please review all the released documents, as guidelines and funding information may have changed from previous years. As always, please contact your program or fiscal lead with questions regarding any of the information contained within these Guidelines.

We want to acknowledge the continued impact of the COVID‐19 pandemic on our health, our healthcare systems, and our economy. While we are hopeful that we are moving towards recovery, the pandemic is not over, and the impact on our economy – and on Ohio’s tax revenues – continues and presents additional challenges as we enter SFY22. We continue to carefully examine available funding sources and review our budget priorities and areas of need. Thank you for your partnership and for all that you are doing to serve Ohioans. Your hard work has enabled us to continue critical services across Ohio.

GENERAL GUIDELINES

The specific guideline for each funding stream is discussed in more detail below. There are also general guidelines that apply to all funding discussed here:

  1. Eligibility to receive the following funds is limited to ADAMH Boards having an approved community plan and statement of services pursuant to ORC Chapters 340 and 5119.

    • ALI 336406 GRF Prevention Services

    • ALI 336421 GRF Continuum of Care

    • ALI 336422 GRF Forensic Monitoring

    • ALI 336422 GRF Forensic Centers

    • ALIs 336421 & 336643 Community Investment

    • ALI 336629 Fund 5JL0 Problem Gambling and Casino Addictions

    • ALI 336614 Federal Fund 3A90 Block Grant Base (Mental Health)

    • ALI 336619 Federal Fund 3G40 Block Grant SAPT Treatment & Prevention

  2. In accordance with ORC 340.08 (B), fund recipients must submit and receive approval of the 040 Budget prior to any disbursements being made.

  3. Recipients must submit a signed SFY22 Agreement & Assurances prior to any disbursement being made.

  4. All disbursements have a funding period of July 1, 2020 to June 30, 2021, unless otherwise noted. Unless specifically prohibited by the Guidelines below, funding will be eligible to be carried over to the next fiscal year on a case by case basis. All carryover requests must go through the official Carryover process. This process will be detailed under separate cover and released with these Guidelines.

  5. Please note that these amounts are based on the As Introduced version of House Bill 110 of the 134th General Assembly. All amounts are subject to change based on the final Enacted version of the bill or thereafter due to subsequent enacted legislation or administrative action. The Department will communicate any changes as soon as practicable.

PROPOSED NEW FUNDING IN STATE FISCAL YEAR 2022

The Executive Budget proposes several new programs that are currently being developed and will not be part of the initial release. These Guidelines will be updated to include those programs prior to implementation. They include, but are not limited to:

Fund

ALI

Program Name

Proposed

Amount

GRF

336406

Early Identification & Intervention

$ 2,250,000

GRF

336421

Multi‐System Adult Program

$ 5,500,000

GRF

336422

Restoration to Competency Program

$ 575,000

GRF

336424

Recovery Housing Program ‐ NEW

$ 500,000

GRF

336504

Residential Quality Initiative

$ 6,000,000

In addition, the Department is expecting to receive additional stimulus dollars related to federal legislation passed in December, 2020 and March, 2021, including in the Mental Health Block Grant (MHBG) and the Substance Abuse Prevention & Treatment Block Grant (SAPT). We are currently working with our federal partners to understand the expectations and requirements of these dollars. Those funds will be allocated through a separate process and are not included in these Guidelines.

DATA‐INFORMED MANAGEMENT

The Department will continue its commitment to collecting useful programmatic data that supports statewide financial stewardship, streamlined data collection, and continuous quality improvement. Program leads, in conjunction with the Office of Quality, Planning and Research, will provide more specific data requirements with this release and subsequent communications. Our overall focus will be on the timely submission and curation of high‐quality information to better inform future efforts.

ALLOCATION GUIDELINES

By Appropriation Line Item & Program

Fund Code: GRF

Appropriation Line Item: 336406 Prevention Services (General) Program Name: Prevention Allocation

Purpose:

Prevention focuses on preventing or delaying the onset of behavioral health problems (e.g. substance use and abuse, suicide, and problem gambling). Prevention services are a planned sequence of culturally appropriate, science‐driven strategies intended to facilitate attitude and behavior change for individuals and communities. These services do not include clinical assessment, treatment, or recovery support services.

The purpose of these funds is to provide funding to area providers through ADAMH Boards to support the development and implementation of a comprehensive array of primary prevention interventions to meet the needs of communities. The OhioMHAS Prevention Guidance Document, K-12 Prevention Education Initiative | Department of Mental Health and Addiction Services (ohio.gov), provides the guidelines for the delivery of this service array.

OhioMHAS prevention allocation shall be used by the Boards consistent with approved community plans and budgets. Strategies should be selected based on the Strategic Prevention Framework process which includes the assessment of needs, resources and readiness conducted as part of the community planning process.

Funded prevention interventions will address community risk and protective factors that either complicate or mitigate substance use and other mental, emotional, and behavioral health problems including suicide and problem gambling.

Eligibility:

Eligibility to receive GRF 336406 funding is limited to ADAMH Boards having an approved community plan pursuant to ORC Chapters 340 and 5119.

Amount:

$868,659

Distribution:

Automatic quarterly distribution

Reporting Requirements:

Funding and all biannual programmatic reports must be submitted through the GFMS system. Boards will require providers implementing prevention services to submit a funding implementation plan and all biannual programmatic reports through the GFMS system. Providers should have their implementation plans put into GFMS with Board approvals by August 31, 2021. All end of year programmatic reporting will be collected via GFMS and should be completed, by August 31, 2022.

Office and Lead(s):

Office of Prevention Services, Stacey Frohnapfel‐Hasson, Chief, Stacey.Frohnapfel@mha.ohio.gov or Molly Stone – Molly.Stone@mha.ohio.gov

Fund Code: GRF

Appropriation Line Item: 336406 Prevention Services (Evidence Based) Program Name: Prevention Allocation – Evidence Based

Purpose:

Prevention focuses on preventing or delaying the onset of behavioral health problems (e.g. substance use and mental health disorders, suicide, and problem gambling). Prevention services are a planned sequence of culturally appropriate, science‐driven strategies intended to facilitate attitude and behavior change for individuals and communities. These services do not include clinical assessment, treatment, or recovery support services.

The purpose of these funds is to provide funding to area providers through Boards to support the development and implementation of a comprehensive array of primary prevention interventions to meet the needs of communities. The MHAS Prevention Guidance Document, K-12 Prevention Education Initiative | Department of Mental Health and Addiction Services (ohio.gov), provides the guidelines for the delivery of this service array.

These prevention funds can be used for enhanced/expanded Evidence‐ Based Programs and practices, including those targeted to prevention in schools. These funds can also be used to support the coordination of partnership activities with school districts and Educational Service Centers for completing needs‐assessment and planning processes. It is important to note that many evidence‐based substance‐use disorder prevention strategies also have a positive impact on other health and social outcomes related to education, juvenile justice involvement, violence prevention, and mental health.

MHAS prevention allocation funding shall be used by the Boards consistent with approved community plans and budgets. Strategies should be selected based on the Strategic Prevention Framework process which includes the assessment of needs, resources, and readiness conducted as part of the community planning process. Funded prevention interventions will address community risk and protective factors that either complicate or mitigate substance use and other mental, emotional, and behavioral health problems including suicide and problem gambling.

Eligibility:

Eligibility to receive GRF 336406 funding is limited to ADAMH Boards having an approved community plan pursuant to ORC Chapters 340 and 5119.

Amount:

$1,240,000 total funding ($24,800 for each Board) for the Expansion of Evidence Based Prevention Programs and Practices.

Distribution:

One‐time disbursement in the first quarter

Reporting Requirements:

Board funding implementation plans and all biannual programmatic reports are required to be submitted by the provider implementing the services through GFMS. Boards must ensure their contracted Providers have their implementation plans submitted into GFMS, and Boards should approve them by August 31, 2021. All end of year programmatic reporting will be collected via GFMS and should be completed by August 31, 2022.

Office and Lead(s):

Office of Prevention Services, Stacey Frohnapfel‐Hasson, Chief, Stacey.Frohnapfel@mha.ohio.gov or Molly Stone, Molly.Stone@mha.ohio.gov

Fund: GRF

Appropriation Line Item: 336421 Continuum of Care (Mental Health) Program Name: Mental Health Portion

Purpose:

This line item is to be used to assist people or fund services for those not eligible for Medicaid reimbursement. Examples of such services can be found in ORC 340.032:

Establish, to the extent resources are available, a continuum of care, which provides for prevention, treatment, support, and rehabilitation services and opportunities. The essential elements of the continuum include, but are not limited to, the following components in accordance with Section 340.032 of the Revised Code:

  1. To locate persons in need of addiction or mental health services to inform them of available services and benefits;

  2. Assistance for persons receiving services to obtain services necessary to meet basic human needs for food, clothing, shelter, medical care, personal safety, and income;

  3. Addiction and mental health services, including, but not limited to, outpatient, residential, partial hospitalization, and, where appropriate, inpatient care;

  4. Emergency services and crisis intervention;

  5. Assistance for persons receiving services to obtain vocational services and opportunities for jobs;

  6. The provision of services designed to develop social, community, and personal living skills;

  7. Access to a wide range of housing and the provision of residential treatment and support;

  8. Support, assistance, consultation, and education for families, friends, persons receiving addiction or mental health services, and others;

  9. Recognition and encouragement of families, friends, neighborhood networks, especially networks that include racial and ethnic minorities, churches, community organizations, and community employment as natural supports for persons receiving addiction or mental health services;

  10. Grievance procedures and protection of the rights of persons receiving addiction or mental health services;

  11. Community psychiatric supportive treatment services, which include ongoing individualized assistance and advocacy to ensure that needed services are offered and procured.

Amount:

$51,491,524

Reimbursement Form:

Automatic quarterly distribution

Office and Lead(s):

Bureau of Grants Management – Scott Wingenfeld, Scott.Wingenfeld@mha.ohio.gov

Fund: GRF

Appropriation Line Item: 336421 Continuum of Care (AOD) Program Name: AOD Portion

Purpose:

The goal of this program allocation is to ensure local access to quality and cost‐effective alcohol and other drug treatment services based on community needs. At the local level, the Alcohol, Drug Addiction and Mental Health Services Boards identify needs, establish priorities and set targets.

This funding should be utilized consistent with the goals and priorities identified in the approved ADAMH Boards’ community plan, which is the application for funding from the Department.

This line item is to be used to assist Ohioans or to fund services for those not eligible for Medicaid reimbursement. Examples of such services can be found in ORC 340.032 (A):

Establish, to the extent resources are available, a community‐based continuum of care, which provides for prevention, treatment, support, and rehabilitation services and opportunities. The essential elements of the continuum include, but are not limited to, the following components in accordance with Section 5119.21 of the Revised Code:

  1. Prevention and wellness management services;

  2. At least both of the following outreach and engagement activities;

    1. Locating persons in need of addiction services and persons in need of mental health services to inform them of available addiction services, mental health services, and recovery supports;

    2. Helping persons who receive addiction services and persons who receive mental health services obtain services necessary to meet basic human needs for food, clothing, shelter, medical care, personal safety, and income.

  3. Assessment services;

  4. Care coordination;

  5. Residential services;

  6. At least the following outpatient services:

    1. Non‐intensive;

    2. Intensive, such as partial hospitalization and assertive community treatment;

    3. Withdrawal management;

    4. Emergency/crisis.

  7. Where appropriate, at least the following inpatient services:

    1. Psychiatric care;

    2. Medically managed alcohol or drug treatment.

  8. At least all of the following recovery supports:

    1. Peer support;

    2. A wide range of housing and support services; including recovery housing;

    3. Employment, vocational, and educational opportunities

    4. Assistance with social, personal, and living skills

    5. Multiple paths to recovery such as twelve‐step approaches and parent advocacy connection;

    6. Support, assistance, consultation, and education for families, friends, and persons receiving addiction services, mental health services, and recovery supports.

Amount:

$5,347,328

Reimbursement Form:

Automatic quarterly distribution

Office and Lead(s):

Bureau of Grants Management – Scott Wingenfeld, Scott.Wingenfeld@mha.ohio.gov

Fund: GRF

Appropriation Line Item: 336421 Continuum of Care (Medication) Program Name: Community Medication

Purpose:

The overall purpose and intent of the funding is: to provide subsidized support for medications to treat mental illness and/or addiction of indigent citizens of a community, to reduce unnecessary hospitalization because of the inability to afford the required medication, and to provide subsidized support for methadone and other medications used to treat opioid use disorder.

Eligibility:

  1. Boards must be authorized by MHAS for receipt of methadone allocations.

  2. The community medication allocation is made to ADAMH Boards. The Board will determine allocations for medication needs to treat mental illness and/or addiction to eligible providers.

  3. Boards will be responsible for the approval of any application made by a provider for first‐time allocation, with such allocation being made within the Board’s total allocation.

  4. Client eligibility for subsidized support for psychotropic medication should factor in income and client characteristics. In order to receive Office of Pharmacy Services medications, clients must be:

    1. Adults with severe mental disability (SMD) or children/adolescents with a serious emotional disturbance (SED); or

    2. At risk of hospitalization if medications were discontinued; or

    3. Recently released from a mental health inpatient, residential treatment facility, jail or prison (within a three‐month period prior to eligibility determination).

  5. Funds may also be used to provide subsidized support for Board specific projects.

Boards and their contract agencies should establish a method to determine those persons most in need. This method must include the identification of persons eligible for third‐party reimbursement.

Distribution:

  1. MHAS continues to provide flexibility in this GRF allocation with the recognition that increased enrollment in Medicaid means that more individuals have health coverage for needed prescriptions. The state fiscal year 2022 community investments allocation may be designated by the Board to be spread between psychotropic medications, opiate addiction medications, and community projects. All Boards must complete the budget request template and participation agreement form found on the MHAS website. Please return the form to Daniel Schreiber, Chief Fiscal Officer, by July 31, 2021.

  2. The Board may elect to receive these funds as a direct disbursement rather than creating a credit with OPS. Should this be requested, these funds will be disbursed as an allocation to the requesting Board. These funds, as with all 336421 funds, may still be used to make purchases with OPS, which will then be invoiced.

    Consistent with current practice, Boards will continue to make purchases through CPO and/or PSC. If purchases exceed the budgeted amount for medications, the Boards are responsible for payment to CPO/PSC within 30 days.

    In the 4th quarter of state fiscal year 2022, there will be a one‐time opportunity to elect to receive any funds remaining as a credit with the Office of Pharmacy Services from the FY22 allocation as a cash disbursement instead, commonly referred to as the “cash‐out.” This request must be forwarded to Daniel Schreiber no later than Wednesday, April 21, 2022. The “cash‐out” will be disbursed as part of the final quarterly allocation.

    The formulary for treatment in the community was expanded in FY 14 to include medications to treat opiate addiction. All Boards may designate a portion of their GRF 336421 medication funds to be utilized for bulk purchases of opiate addiction medications. Treatment centers will be able to purchase medications such as Suboxone®, Subutex®, and Vivitrol® from the OPS Ohio Pharmacy Service Center (OPSC). Any Board must provide to Ohio Pharmacy Services (OPS) a list of provider agency allocations and contact information for any new customers in order for OPS to establish new customer identification. Any provider of a Schedule 2 or Schedule 3 controlled substance must have a DEA and a Terminal Distributor License. A copy of the license must be sent to Ohio’s Pharmacy Service Center.

    Methadone allocations will continue to be provided to eight ADAMH Boards and will be consistent with previous allocations (see Attachment 1). The total methadone allocation is $252,288.

    Note:

    Please submit provider allocations for community medication allocation no later than July 31, 2021 to: Matt Monell, Ohio Pharmacy Services (matthew.monell@mha.ohio.gov) and fiscal@mha.ohio.gov.

    Each Board must also fill out a budget template and form that indicates the amount of funding that shall be allocated for pharmaceuticals and an amount used at local Board discretion. Templates and instructions are available at: Reporting Forms | Department of Mental Health and Addiction Services (ohio.gov).

    Amount:

    $14,898,706 Community Medication and $252,288 for methadone (total $15,150,994).

    Office and Lead(s):

    Ohio Pharmacy Services – Matt Monell, Fiscal Officer, Matt.Monell@mha.ohio.gov

    Financial Management – fiscal@mha.ohio.gov

    Fund: GRF

    Appropriation Line Item: 336422 Criminal Justice Services (ATP) Program Name: 4224P Addiction TX Program

    Purpose and Eligibility:

    These funds are allocated to ADAMH Boards that are currently providing the Addiction Treatment Program (ATP) in Certified Drug and/or Family Dependency Courts, which may include an offender under a community control sanction. The ATP funds shall be used to support substance use disorder treatment, including medication‐ assisted treatment and recovery supports for drug court specialized docket programs, and to support the administrative expenses of courts and community addiction services providers participating in the program, the Behavioral Health Care Provider, and the Courts. ATP participants will be provided access to long‐acting antagonist therapies, partial antagonist therapies, or full antagonist therapies that are included in the program’s medication‐assisted treatment and are FDA approved. ATP participants will be provided other types of therapies, including psychosocial therapies, for both substance abuse and any disorders that are considered by the treatment provider to be co‐occurring disorders. ATP participants will be provided access to time‐limited recovery supports that help eliminate barriers to treatment and are specific to the participant’s needs, including assistance with housing, transportation, child care, job training, obtaining a driver’s license or state identification card, or any other matter considered relevant by the provider. This, in turn, helps to reduce recidivism, increase public safety, and minimize harm to those who come in contact with law enforcement.

    Amount:

    $5,000,000

    Distribution:

    Automatic quarterly distribution for Q1, Q2, Q3 with possible adjustments based on experience.

    Reporting Requirements:

    A Quarterly report on SFY 2022 will be due to the Ohio Department of Mental Health and Addiction Services, Bureau of Criminal Justice Services, on or before October 31, 2021, January 31, 2022, April 30, 2022, and June 30, 2022. The report must include the following:

    • Total number of ATP clients in the docket at the beginning of SFY22

    • Number of new clients admitted to ATP each Quarter

    • Total number of ATP clients served by the docket each Quarter

    • Amount of Allocation funds used during the reporting period for Treatment

    • Amount of Allocation funds used during the reporting period for Recovery Supports

      Office and Lead(s):

      Criminal Justice Services, Kathy Yokum – Kathy.Yokum@mha.ohio.gov

      Fund: GRF

      Appropriation Line Item: 336422 Criminal Justice Services (CJ Linkage) Program Name: Criminal Justice Behavioral Health Linkage Allocations

      Purpose:

      These funds are allocated to ADAMH Boards that are currently providing Criminal Justice and Behavioral Health Linkage programming. These programs encourage communities in Ohio to forge collaborative relationships between the behavioral health and criminal justice systems so individuals with mental illness and/or alcohol and other drug addiction receive the care they need. This, in turn, helps to reduce recidivism, increase public safety, and minimize harm to those who come in contact with law enforcement.

      Eligibility:

      All local ADAMH Boards that applied for funding are eligible to continue to receive funding.

      Prohibited Expenditures:

      Funding can be used for treatment, recovery supports, and administrative costs at the provider level.

      Amount:

      $3,945,907

      Distribution:

      Automatic quarterly distribution for Q1, Q2, Q3 with possible 4th quarter adjustments.

      Reporting Requirements:

      A mid‐year and year‐end report on SFY 2022 ALI Criminal Justice Services will be due to the Department of Mental Health and Addiction Services, Bureau of Criminal Justice Services, on or before February 1st, 2022 and August 1st, 2022. The report must include the following:

    • Number of individuals with no new arrests.

    • Number of individuals served.

    • Number of staff trained.

    • List type of training(s) staff are receiving.

    • Amount of Allocation funds used during the reporting period.

    • Project Outcomes specific to the Board project.

      Office and Lead(s):

      Criminal Justice Services, Jennifer Roach – Jennifer.Roach@mha.ohio.gov, 614‐466‐1325

      Fund: GRF

      Appropriation Line Item: 336422 Criminal Justice Services (Forensic Centers) Program Name: Community Designated Forensic Evaluation Centers

      Purpose:

      This allocation was developed to provide, through a system of Designated Community Forensic Evaluation Centers, forensic evaluations of defendants to determine competence to stand trial and mental condition at the time of the offense (sanity) for courts of common pleas, general division. These funds are also used to provide non‐secured status/“second opinion” evaluations as required by Section 2945.401(D) of the Ohio Revised Code. If time and resources allow, these funds may be used for (a) consultation to Boards, agencies, courts and the criminal justice system, (b) training in effective treatment of forensic clients, and (c) assistance in needs assessment for Board and provider planning.

      Eligibility:

      Entities that are “Designated Forensic Evaluation Centers” may apply to renew their designation for 4224C funding according to the provisions of Ohio Administrative Code 5122‐32‐01. Initial applications are accepted only if a Designated Forensic Evaluation Center chooses not to renew or is no longer designated by the Department for failure to comply with the requirements of this rule.

      Prohibited Expenditures:

      ALI 4224C funds are not intended for services to courts or agencies other than Courts of Common Pleas, General Division and MHAS regional psychiatric hospitals. Courts of Common Pleas, General Division serve only (a) adults and (b) juveniles who are bound over from the Juvenile Division to the General Division.

      Reimbursement:

      Automatic quarterly distribution

      Amount:

      $3,479,349

      Reporting Requirements:

      A portion of the allocation is funded by the Mental Health Block Grant and must be used only for competency to stand trial (CST) evaluations for the courts of common pleas, general division. For these funds, a year‐end review will be due to the Department of Mental Health and Addiction Services, Bureau of Forensic Services. The report shall be included in the Designated Forensic Evaluation Center’s annual report and application. The report must include the following:

      • The number of CST evaluations completed for the courts of common pleas, general division.

      • Were any additional staff hired with the Block Grant funds? If so, provide the number of staff hired.

        Office and Lead(s):

        Office of the Medical Director – Robert N. Baker, PhD, Forensic Services Director, Robert.Baker@mha.ohio.gov

        Fund: GRF

        Appropriation Line Item: 336422 Criminal Justice Services (Forensic Monitoring) Program Name: Community Forensic Risk Management and System Development

        Purpose:

        These funds are allocated to ADAMH Boards to maintain a unified forensic monitoring and data tracking system as required by Section 5119.29 of the Ohio Revised Code. This involves following the information provided by MHAS in the Forensic Manual regarding the Forensic Monitor’s roles and responsibilities, including performing community risk assessment/management services and reporting quarterly data to the Forensic Tracking and Monitoring System (FTAMS). Each ADAMH Board is responsible to designate a Forensic Monitor, who is responsible to monitor people found Not Guilty by Reason of Insanity or Incompetent to Stand Trial – Unrestorable – under Criminal Court jurisdiction and granted Conditional Release by the trial court. In addition, those ADAMH Boards that are not monitoring such individuals receive funds to perform risk management, diversion, and/or re‐entry activities.

        Eligibility:

        All ADAMH Boards receive these funds. No application is necessary. However, Forensic Monitors are required to fulfill the duties as described in the Forensic Manual in order for Boards to receive continued funding.

        Prohibited Expenditures:

        Funds are to be used to support the work of the Forensic Monitors to monitor individuals on Conditional Release (as defined above) in the county(ies) designated by the Board. If there are no such individuals in the designated county(ies), funds may be used to perform risk management, diversion, or re‐entry activities for people from jails or hospitals. Funds may not be used for any other purpose.

        Reimbursement:

        Automatic quarterly distribution

        Other Information:

        Boards are encouraged to adopt the HCR‐20 Version 3 violence risk assessment instrument as the tool to be used by forensic monitors and/or designated community providers for community risk assessment and management. More information regarding this instrument may be obtained by contacting the Lead, Robert N. Baker, PhD.

        Amount:

        $614,829

        Distribution:

        A base amount of $3,519 is allocated to each Board, consistent with FY21 distributions. The remaining funds were divided proportionately among the Boards based on the total number of people from the Board area who were on Conditional Release. All Boards receive an additional $2,200 from the federal Mental Health Block Grant. These Block Grant funds are now included in Fed Fund 3A90 336614 Mental Health BG.

        Reporting Requirements:

      • Each Forensic Monitor is required to report data quarterly through the FTAMS, as noted above.

      • Each Board is required to submit an Annual Report on or before September 11, 2022 by email to the Lead below. The report shall contain the following items:

        • Agency that provided the forensic monitoring services and received the funding;

        • Amount of administrative costs utilized by the Board from these funds;

        • Number of individuals monitored during the fiscal year;

        • Any forensic programs/tasks specific to the points above that were implemented with related outcomes;

        • For those ADAMH Boards that do not have individuals being monitored, the report shall describe the activities or services related to risk management, diversion, or re‐entry from jails or hospitals.

        • The name of the violence risk assessment instrument being used by the Forensic Monitor and/or designated community providers for people who are Conditionally Released under the jurisdiction of the trial court.

          Office and Lead(s):

          Office of the Medical Director – Robert N. Baker, PhD, Forensic Services Director, Robert.Baker@mha.ohio.gov

           

          NAME

          FUND SOURCE

          SUBMISSION DEADLINE

          POINT OF CONTACT

          Community Forensic Monitors data report through FTAMS

           

          4224Q

          Quarterly report

          Forensic Services – Attn: Robert

          N. Baker, PhD

          Community Forensic Risk Management and System Development

           

          4224Q

           

          Report due by 9/11/22

           

          Forensic Services – Attn: Robert

          N. Baker, PhD

          Fund: GRF

          Appropriation Line Item: 336423 DRC Partnership (Community Transitions) Program Name: Community Transition Program

          Purpose:

          These funds are allocated to ADAMH Boards that are participating in the Community Transition Program (CTP). The CTP reduces recidivism and supports the successful recovery and positive long‐term outcomes for individuals managing a substance use disorder and/or diagnosed with a serious mental illness as they transition from prison to the community. The CTP provides statewide linkage to treatment services and recovery supports.

          Eligibility:

          All local ADAMH Boards are eligible to receive CTP funds.

          Amount:

          $5,000,000

          Distribution:

          Automatic quarterly distribution for Q1, Q2, Q3 with possible 4th quarter adjustments.

          Reporting Requirements:

          A mid‐year and year‐end report on SFY 2022 will be due to the Department of Mental Health and Addiction Services, Bureau of Criminal Justice Services, on or before February 1st, 2022, and August 1st, 2022. The report must include the following:

    • Number of individuals served during the reporting period

    • Types of behavioral health services provided

    • Types of Recovery Supports provided

    • Amount of funds spent on personnel during the reporting period

    • Amount of funds spent on treatment services during the reporting period

    • Amount of funds spent on recovery supports

    • An abstract of the programming provided

      Office and Lead(s):

      Criminal Justice Services, Jennifer Roach – Jennifer.Roach@mha.ohio.gov, 614‐466‐1325

      Fund: GRF

      Appropriation Line Item: 336424 Recovery Housing Program Name: Recovery Housing

      Purpose:

      MHAS is providing funding to 50 Community Behavioral Health Authorities (Boards) to participate in the Recovery Housing Initiative to expand and sustain new and existing recovery housing capacity throughout Ohio. Recovery Housing is for individuals recovering from substance use disorders and provides an alcohol and drug‐ free living environment, peer support, assistance with obtaining alcohol and other substance use disorder treatment services and other recovery assistance (ORC 340.01 (A)(3)). For the purposes of this funding, recovery housing must facilitate multiple pathways to recovery, include peer to peer support, and may include but are not limited to the following: use of medication assisted treatment, use of self‐help groups, use of faith‐based support, and use of recovery support services.

      Use of Funds:

      To assist Recovery Housing that meets Quality Housing Criteria with operating costs including subsidies for residents (rent and utilities).

    • Operations (Rent, Utilities, Staffing and recovery housing services).

    • Up to $5,000 from the total allocation for minor repairs/year per house (these include furniture, small scale improvements and/or repairs).

      Eligibility:

      Eligibility to receive GRF 424 funding is limited to ADAMH Boards having an approved community plan pursuant to ORC Chapters 340 and 5119. All recovery homes must align with the Quality Housing Criteria and have submitted an annual report for FY2022 and mid‐year FY2022 report by December 31, 2021.

      Distribution:

      50% disbursement in Q1 and 50% disbursement in Q3. Quarter 3 disbursements may be dependent upon existing carryover funding and expenditures made in Quarters 1 and 2.

      Reporting:

      Send completed semi‐annual reports (due 12/31/2021) and annual reports (due 6/30/2022) with the following information to the MHAS designee, including:

    • Names and Address of all Recovery Houses Funded; Total Number of Beds (Capacity); NARR Level of House (I, II, III, IV)

    • Use of Funds (rent and/or operations)

    • Amount of funding received by the home during the time period

    • Resident outcomes tool through Ohio Recovery Housing must be completed by every resident in the Recovery House who received funds

      Total Amount:

      $2,295,000 ($45,900 per board area)

      NOTE – Remaining $705,000 disbursement will be disbursed in a separate process.

      Office and Lead(s):

      Bureau of Recovery Supports – Susan Tafrate, susan.tafrate@mha.ohio.gov

      Fund: GRF

      Appropriation Line Item: 336425 Specialized Docket Program Name: Specialized Dockets Allocation

      Purpose:

      These funds are allocated to ADAMH Boards that currently have certified specialized dockets having previously received allocation awards from MHAS. These allocations assist drug courts and other specialized dockets with funding to effectively manage offenders with substance use disorders in the community; thereby reducing commitments to the state prison system.

      A mid‐year and year‐end survey for SFY 2022 will be sent to the awarded specialized dockets by the Department of Mental Health and Addiction Services, Bureau of Criminal Justice Services, on or before January 10, 2022, and July 1, 2022. The survey captures expenditure data as well as the following:

    • Total number of clients carried over in the specialized docket from previous reporting period

    • Number of clients admitted

    • Number of clients successful completing the docket

    • Number of clients maintained in the program

    • Number of clients arrested for a new offense

    • Number of clients admitted to DRC/DYS

    • Number of children reunified with parents (family drug courts only)

     

    Allowable Costs:

    Payroll costs for specialized dockets staff, and behavioral health treatment services for addiction and mental health. Please note this does not include domestic violence assessment/treatment, sex offender assessment/treatment and driver intervention programs (DIPs). Pursuant to O.R.C. 5119.36(B), the allowable behavioral health services must be delivered by community addiction service providers and/or community mental health service providers certified by MHAS; medication assisted treatment (MAT); urinalysis – drug testing supplies; instant tests, reagents, rubber gloves, etc. and payments to laboratories; and recovery supports – housing, transportation, emergency basic needs, peer support/recovery coaching, childcare, employment, private insurance co‐pays, and identification. Further details can be found at: Specialized Dockets | Department of Mental Health and Addiction Services (ohio.gov).

    Amount:

    $10,000,000

    Distribution:

    One‐time allocation distribution made in the first quarter of the state fiscal year. Because these funds are largely used to pay for salaries/fringe benefits of specialized dockets staff, please forward the payment to each respective court in one lump sum in the first quarter of SFY 2022.

    The courts receiving these funds must have achieved certification from the Supreme Court of Ohio and submitted the required documentation to the Department before their allocations will be forwarded to their respective Boards. Courts that have multiple specialized dockets must submit documentation of certification for each docket before their allocations will be forwarded to their Boards.

    Reporting Requirements:

    The courts submit expenditure and outcome data semi‐annually: 1/31/2022 and July 31, 2022. This data will be forwarded to the respective Boards.

    Office and Lead(s):

    Criminal Justice Services, Joani Moore – Joani.Moore@mha.ohio.gov

    Fund Code: 5JL0

    Appropriation Line Item: 336629 Problem Gambling and Addictions Program Name: Gambling Addictions

    Purpose:

    The purpose of this allocation is to fund Problem Gambling prevention, screening, treatment, and recovery services for all Ohioans and specifically for those individuals experiencing gambling disorders, and/or other co‐occurring substance use disorders or mental disorders and client family members, including individuals who may be “at risk” for developing gambling disorders. These funds are to be utilized consistent with the language in the Ohio Constitution Article 15 Section 06.

    Allocations from the Problem Gambling and Addictions Fund will be distributed quarterly to ADAMH Boards. The funds are expected to be used in the community with 50 percent directed toward problem gambling prevention and 50 percent for identification and treatment of gambling disorder and/or other co‐occurring substance use disorders or mental disorders. Analysis of the Ohio Gambling Survey 2017 indicated the need for prevention, awareness building, and screening and treatment of Ohioans with gambling disorder‐‐ including a high co‐occurrence between at‐risk/problem gambling with substance use disorder and/or depression/anxiety. A Board may request a waiver from the Department to use the Problem Gambling and Addictions Fund dollars in different percentages (waiver requests should be emailed to milan.karna@mha.ohio.gov). Please note that gambling disorder screening and treatment services for any Ohioan who presents at a certified addiction or mental health treatment provider must be covered by the Problem Gambling and Addictions Fund dollars if there is no other payer source. This applies to Gambling Disorder as a primary, secondary, or tertiary diagnosis and to family members of a person affected.

    To assist Boards in planning for services, resources are posted on the MHAS website: Problem Gambling Resources | Department of Mental Health and Addiction Services (ohio.gov). Pursuant to ORC 5119.47, all treatment and prevention services provided under programs supported by the Problem Gambling and Addictions Fund shall be services that are provided by programs certified by MHAS.

    Amount:

    $3,788,863 ($1,894,432 – Prevention / $1,894,431 – Treatment)

    Distribution:

    Automatic quarterly distribution

    Reporting Requirements:

    Each Board is required to file a mid‐year (due 1/31/22) and annual (due 7/31/22) report describing the use of the problem gambling funds. Data related to Prevention Services must be entered online into the MHAS Grant and Funding Management System (GFMS). Problem Gambling Treatment client reporting will continue to use the paper reporting form.

    The Department reserves the right to modify these allocations due to changes in the Department funding due to revenue fluctuation in gambling receipts or other like circumstances.

    Office and Lead(s):

    Problem Gambling Services, Milan Karna‐ milan.karna@mha.ohio.gov

    Office of Prevention Services, Stacey Frohnapfel‐Hasson, Chief‐ Stacey.Frohnapfel@mha.ohio.gov

    Fund ‐ GRF

    Appropriation Line Item: 336421 Continuum of Care (MH Crisis Stabilization) Program Name: Mental Health Crisis Stabilization

    Purpose:

    The Mental Health Stabilization Funds shall be used to establish and administer, in collaboration with the other boards that serve the same state psychiatric hospital region, Mental Health stabilization centers. Boards may use these funds in conjunction with the SUD Crisis Stabilization Funds to establish and administer crisis stabilization centers that have the ability to serve individuals with substance use and/or mental health needs. There should be at a minimum one center located in each state psychiatric hospital region. This line item is to be used to assist people or fund services for those not eligible for Medicaid reimbursement. Examples of such services can be found in ORC 340.032.

    Boards of Alcohol, Drug Addiction, and Mental Health services shall ensure that each mental health crisis stabilization center established complies with all of the following:

    • It admits individuals before and after the individuals receive treatment and care at hospital emergency departments or freestanding emergency departments;

    • It admits individuals before and after the individuals are confined in state or local correctional facilities;

    • It has a Medicaid provider agreement;

    • It admits individuals who have been identified as needing the stabilization services provided by the center;

    • It connects individuals when they are discharged from the center with community‐based continuum of care services and supports as described in Section 340.032 of the Revised Code.

      Distribution:

      In each fiscal year a total of $1,500,000 will be disseminated state‐wide for Mental Health Crisis Stabilization. Of the total $250,000 will be disseminated annually through a one‐time distribution to each regional collaborative to the Board area(s) as indicated by the collaborative.

      Regional collaboratives shall submit a plan, subject to approval by the Department, for use of these funds in conjunction with the SUD crisis stabilization center funding (Fund 5TZ0 ALI 336600 – Stabilization Centers) to provide an effective range of crisis services.

      Amount:

      $1,500,000

      Reporting:

      The Boards are required to submit a single Crisis Plan to the department by August 31, 2021. The plan should include:

    • A description of the current and planned county Crisis Response system

    • A description of the strengths, weaknesses, opportunities, and threats in the county crisis response system

    • The planned use of the full Crisis package (MH/SUD Crisis Stabilization, Crisis Flex, and Crisis Infrastructure funds)

      The Boards will be required to report bi‐annual outcome data. The outcome data will be due January 31, 2022, and July 31, 2022.

      The Boards should include expenditures associated with crisis funds on the FIS‐040 2020 Actuals report as a separate column specific to these funds entitled “MH Crisis Funds.”

      Office and Lead(s):

      Office of Community Planning and Collaboration, Assistant Director Alisia Clark, Alisia.Clark@mha.ohio.gov

      Fund: 5TZ0

      Appropriation Line Item: 336600 Stabilization Centers (SUD Crisis Stabilization) Program Name: Substance Use Disorder (SUD) Crisis Stabilization Centers

      Purpose:

      The Substance Abuse Stabilization funding shall be used to establish and administer, in collaboration with the other boards that serve the same state psychiatric hospital region, substance use stabilization centers. Boards may use these funds in conjunction with MH Crisis Stabilization Funds to establish and administer crisis stabilization centers that have the ability to serve individuals with substance use and/or mental health needs. There should be at a minimum one center located in each state psychiatric hospital region. This line item is to be used to assist people or fund services for those not eligible for Medicaid reimbursement. Examples of such services can be found in ORC 340.032.

      Distribution:

      A total of $6,000,000 will be disseminated state‐wide for Substance Abuse Crisis Stabilization Centers. Of the total, $1,000,000 will be disseminated annually to each regional collaborative to the Board area(s) indicated by the collaborative.

      Regional collaboratives shall submit a plan, subject to approval by the Department, for use of these funds in conjunction with the mental health crisis stabilization center funding (Fund GRF ALI 336421 – Continuum of Care) to provide an effective range of crisis services.

      Amount:

      $6,000,000

      Reporting:

      The Boards are required to submit a single Crisis Plan to the department by August 31, 2021. The plan should include:

    • A description of the current and planned county Crisis Response system

    • A description of the strengths, weaknesses, opportunities, and threats in the county crisis response system

    • The planned use of the full Crisis package (MH/SUD Crisis Stabilization, Crisis Flex, and Crisis Infrastructure funds)

      The Boards will be required to report bi‐annual outcome data. The outcome data will be due January 31, 2022, and July 31, 2022.

      The Boards should include expenditures associated with crisis funds on the FIS‐040 2020 Actuals report as a separate column specific to this funding stream (SUD Crisis Funds).

      Office and Lead(s):

      Office of Community Planning and Collaboration, Assistant Director Alisia Clark, Alisia.Clark@mha.ohio.gov

      Fund: 5TZ0

      Appropriation Line Item: 336643 ADAMH Boards (Crisis Flex) Program Name: Crisis Flexible Funds

      Purpose:

      The Crisis Flex Funds are intended to support the needs of individuals and families as they arise to prevent or stabilize a substance use or mental health crisis by providing flexible resources to local communities to fund direct crisis stabilization and crisis prevention support. These funds may be used to meet the intermittent needs of individuals and families to help them successfully maintain their recovery with the least restrictive, lowest cost possible and support families as they experience family members in crisis.

      The funding also provides the flexibility to support the local system to enhance their crisis continuum. This funding can be used to fill the gaps in services and supports for the individuals and families experiencing a crisis (e.g. housing supports, general assistance, family supports, clinical and non‐clinical services not reimbursed by another payor, transportation, peer respite, mobile crisis teams, peer support/peer navigators, text lines, crisis stabilization staff, prevention, etc.).

      The funding allows the local system to identify and fund the services and supports that are critical to supporting individuals and families as they experience a crisis.

      This funding is to be used to assist people or fund crisis services for those not eligible for Medicaid reimbursement, or services and supports that are not Medicaid reimbursable. Examples of such services can be found in ORC 340.03 (A) (11).

      Distribution:

      Two semi‐annual disbursements.

      Amount:

      $6,000,000

      Each Board receives a base amount of $40,000, totaling $2,000,000, with the remaining $4,000,000 funding being allocated by board area population.

      Reporting:

      The Boards are required to submit a single Crisis Plan to the department by August 31, 2021. The plan should include:

    • A description of the current and planned county Crisis Response system

    • A description of strengths, weaknesses, opportunities, and threats in the county crisis response system

    • The planned use of the full Crisis package (MH/SUD Crisis Stabilization, Crisis Flex, and Crisis Infrastructure funds)

      The Boards will be required to report bi‐annual outcome data. The outcome data will be due January 31, 2022, and July 31, 2022.

      The Boards should include expenditures associated with crisis flex funds on the FIS‐040 2020 Actuals report as a separate column specific to this funding stream (Crisis Flex Funds).

      Office and Lead(s):

      Office of Community Planning and Collaboration, Assistant Director Alisia Clark, Alisia.Clark@mha.ohio.gov

      Fund ‐ GRF

      Appropriation Line Item: 336421 Continuum of Care (Crisis Infrastructure) Program Name: Crisis Infrastructure

      Purpose:

      The intention of the MH Crisis Stabilization funds is to develop, evaluate, and expand crisis services infrastructure to provide supports for adults, children, and families in a variety of settings that connect, respond, stabilize, and assist individuals with being able to thrive in the community. This line item can be used to assist people or fund services for those not eligible for Medicaid reimbursement or fund services and supports that are not Medicaid reimbursable. Examples of such services can be found in ORC 340.032.

      Distribution:

      In each fiscal year a total of $2,500,000 will be disseminated state‐wide for Crisis Infrastructure. $50,000 will be disseminated annually through a one‐time distribution to each Board.

      Amount:

      $2,500,000

      Reporting:

      The Boards are required to submit a single Crisis Plan to the department by August 31, 2021. The plan should include:

    • A description of the current and planned county Crisis Response system

    • A description of the strengths, weaknesses, opportunities, and threats in the county crisis response system

    • The planned use of the full Crisis package (MH/SUD Crisis Stabilization, Crisis Flex, and Crisis Infrastructure funds)

      The Boards will be required to report bi‐annual outcome data. The outcome data will be due January 31, 2022, and July 31, 2022.

      The Boards should include expenditures associated with crisis funds on the FIS‐040 2020 Actuals report as a separate column specific to these funds entitled “Crisis Infrastructure Funds.”

      Office and Lead(s):

      Office of Community Planning and Collaboration, Assistant Director Alisia Clark, Alisia.Clark@mha.ohio.gov

      Fund: 5TZ0 and GRF

      Appropriation Line Item: 336643 ADAMHS Boards (Additional Investments) Program Name: Additional Community Investment

      Purpose:

      Per 337.140 of 134th G.A. Am. Sub. H.B. 110, $5,000,000 shall be disbursed by providing Board areas $50,000 for each of the counties that are part of the Board’s district, with any funds remaining from this allocation for this purpose to be distributed based on a formula developed by the agency. In addition, $2,000,000 from GRF ALI 336421 will be disbursed to each Board using an equal amount for each county in the Board area.

      Distribution:

      One‐time allocation distribution made in the first quarter of the state fiscal year, specific timing subject to fund availability in 5TZ0.

      Amount:

      $5,000,000 (Fund 5TZ0, ALI 336643)

      $2,000,000 (GRF, ALI 336421)

      Reporting: Expenditures should be reported on the FIS‐040

      Office and Lead(s): Office of Financial Management, fiscal@mha.ohio.gov

      STATUTORILY REQUIRED REPORTING DATES

      Required Report Due Date Comments

      FIS 040s (aka Board Level Reports)

       

       

      FIS 040‐Budgets

      5/21/2021

       

      FIS 040‐Actuals

      1/31/2022

       

       

       

       

      Annual Questionnaire

      8/2/2021

       

       

       

       

      Annual Audits

       

       

      FYE June 30th

      3/31/2022

       

      FYE September 30th

      6/30/2022

       

      FYE December 31st

      9/30/2022

       

       

       

       

      Provider Audit Checklist

       

       

      FYE June 30th

      4/30/2022

      30 Days after Audit Due

      FYE December 31st

      10/31/2022

      30 Days after Audit Due

      FYE September 30th

      7/31/2022

      30 Days after Audit Due

      GUIDELINES ADDED AFTER INITIAL RELEASE

      This Section will be reserved for new allocation guidelines issued after the original release of this document on April 16, 2021.

      Date Released Fund, ALI & Program

      April 16, 2021

      Original state fiscal year 2022 Guidelines

      August 6, 2021

      ALI 336422: Outpatient Competency Restoration

      August 6, 2021

      ALI 336614: Mental Health Block Grant

      August 6, 2021

      ALI 336618: Substance Abuse Prevention and

      Treatment Block Grant

      Fund: GRF Appropriation Line Item (ALI): 336422

      Program Name: Outpatient Competency Restoration CFDA# (If federally funded): N/A

      Purpose:

      This allocation was developed to provide, through a system of community‐based providers, competency to stand trial restoration services. These services are now required statewide by the provisions of R.C. 2945.38, which changed on August 3, 2021 due to the passage of Senate Bill 2. The competency restoration services are for adults charged with criminal offenses, who have been found by the criminal court to be not competent to stand trial but restorable if provided with treatment, and who can be effectively and safely provided these services in the community.

      Eligibility:

      Providers were selected from either a Designated Forensic Evaluation Center that had previously provided outpatient competency restoration services or expressed an interest in providing such services, or another community‐based provider of mental health service selected by the primary ADAMHS Board serving the catchment area.

      Funding Period:

      7/1/21 – 6/30/23

      Prohibited Expenditures:

      These funds must be used for educational services regarding the defendant’s legal situation and related court processes. The funds may also be used for the follow‐up competence to stand trial evaluation that must be conducted after a period of restoration, as governed by R.C. 2945.38.

      Although the funds may be used to serve people charged with any severity of criminal offense, priority should be given to those charged with nonviolent misdemeanors. The funds cannot be used for med‐ some treatment even if this is for the purpose of competency restoration. The funds also cannot be used for the initial competence to stand trial evaluation.

      Reimbursement:

      Distribution to fiscal agent ADAMHS Boards to be passed through to the providers.

      Amount: $570,000 per year.

      Distribution: See Attachment 1

      Reporting Requirements:

      Monthly data reports will be required from providers. Details of these reports are in process of being finalized and will be communicated directly to the program managers.

      Office and Lead(s) Contact Info:

      Robert Baker, PhD, robert.baker@mha.ohio.gov, 614‐644‐6996;

      Lisa Gordish, PsyD, LICDC‐CS, lisa.gordish@mha.ohio.gov, 614‐466‐1568.

      Fund: 3A90

      Appropriation Line Item: 336614 Mental Health Block Grant (MHBG) Program Name: Federal Block Grant Base to ADAMH/CMH Boards – CFDA 93.958

      Federal fund distributions to Ohio are subject to change without advance notice. Consequently, In the event of federal changes, allocations to boards may also change.

      Purpose:

      The purpose of Block Grant funds is to provide services and programs for adults with serious mental illness (SMI) and children and youth with serious emotional disturbance (SED) by appropriate, qualified community mental health providers or consumer operated services.

      Block Grant funds for forensic monitoring ($2,200 per Board) is now contained in this line item (336614). Each Board should ensure that no less than $2,200 is used for forensic monitoring purposes. If a Board does not have any individuals requiring forensic monitoring, then the funds may be used for risk management, diversion, or reentry from hospitals or jails. Forensic monitoring assists people who have a severe mental illness and who have been granted conditional release by the court to live successfully in the community and work toward recovery through the provision of behavioral health and risk management services.

      SAMHSA Framework for Planning ‐ OhioMHAS encourages ADAMH/CMH Boards to consider this framework when budgeting these funds for services for persons with SMI or SED:

    • Criterion 1: Comprehensive Community‐Based Mental Health Service Systems:

    • Criterion 2: Mental Health System Data Epidemiology: Contains an estimate of the incidence and prevalence of SMI among adults and SED among children; and have quantitative targets to be achieved in the implementation of the system of care described under Criterion 1.

    • Criterion 3: Children’s Services: Provides for a system of integrated services in orderfor children to receive care for their multiple needs.

    • Criterion 4: Targeted Services to Rural and Homeless Populations and to Older Adults: Provides outreach to and services for individuals who experience homelessness; community‐based services to older adults.

    • Criterion 5: Management Systems: Describe financial resources, staffing, and training for mental health services providers necessary for the plan; provide for training of providers of emergency health services regarding SMI and SED.

      Eligibility: ADAMHS/ADAS Boards that have submitted a Community Plan to OhioMHAS and completed the Agreements and Assurances document. This includes proof of insurance, proof of audit, and completing Attachment 4, a list of all community mental health providers and other nonprofit organizations in your Board area that are contracted entities.

      Funding Period: 10/1/2021‐9/30/2022 (Federal Fiscal Year)

      Prohibited Expenditures:

      Federal Substance Abuse Block Grant funds may not be used to:

    • Provide inpatient services;

    • Make cash payments to intended recipients of health services;

    • Purchase or improve land, purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or purchase major medical equipment

    • Satisfy any requirement for the expenditure of non‐Federal funds as a condition of the receipt of Federal funds;

    • Provide financial assistance to any entity other than a public or nonprofit entity;

    • Fund research (funds may be used for evaluation of programs and services);

    • Supplant activities funded by other SAMHSA Grants; and

    • Fund lobbying activities intended to influence the Ohio Legislature or Congress

     

    Reimbursement: Automatic quarterly distribution via Grants and Funds Management System (GFMS)

    Amount: $7,610,000 Distribution: See Attachment 1

    Reporting Requirements: Boards are required to complete their Allocation application in GFMS and complete all fiscal reporting requirements. Early Serious Mental Illness (ESMI) set‐aside programs must report client‐level data (NOMS) via the FEPIS or other system, and are required to complete the annual reporting survey in October.

    Office and Lead(s):

    Office of Grants Administration, Scott Wingenfeld ‐ Scott.Wingenfeld@mha.ohio.gov, 614‐466‐7450

    Fund Code: 3G40

    Appropriation Line Item: 336618 Substance Abuse Prevention and Treatment Block Grant (SAPT) Program Name: Community Investments Treatment 4221C– CFDA 93.959

    Purpose:

    The goal of this program allocation is to ensure local access to quality and cost‐effective substance use disorder (SUD) services based on community needs. At the local level, the Alcohol, Drug Addiction and Mental Health Services/Alcohol and Drug Services (ADAMHS/ADAS) Boards identify needs, establish priorities, and set targets.

    This funding should be utilized consistent with the goal and priorities identified in the approved ADAMHS/ADAS Boards community plans, budget, and statement of services.

    SAMHSA Framework for Planning – OhioMHAS encourages ADAMH/CMH Boards to consider this framework when budgeting these funds for services for persons with SUD

    • Criterion 1: Plan for Substance Use Disorder Prevention, Treatment and Recovery Services for Individuals, Families and Communities (42 U.S.C. § 300x‐ 21 and 45 CFR § 96.122) •

    • Criterion 2: Primary Prevention (42 U.S.C. § 300x‐22(a) and 45 CFR §96.125).

    • Criterion 3: Pregnant Women and Women with Dependent Children (42 U.S.C. § 300x‐22(b); 42 U.S.C. § 300x‐27; 45 CFR § 96.124(c) (e); and 45 CFR §96.131).

    • Criterion 4: Persons Who Inject Drugs (42 U.S.C. § 300x‐23 and 45 CFR §96.126).

    • Criterion 5: Tuberculosis Services (42 U.S.C. § 300x‐24(a) and 45 CFR §96.127).

    • Criterion 7: Referrals to Treatment (42 U.S.C. § 300x‐28(a) and 45 CFR § 96.132(a) and Coordination of Ancillary Services (42 U.S.C. § 300x‐28(c) and 45 CFR § 96.132(c).

    • Criterion 8: Professional Development (42 U.S.C. § 300x‐28(b) and 45 CFR § 96.132(b)

     

    Eligibility: ADAMHS/ADAS Boards that have submitted a Community Plan to OhioMHAS and completed the Agreements and Assurances document. This includes proof of insurance, proof of audit, and completing Attachment 4, a list of all community mental health providers and other nonprofit organizations in your Board area that are contracted entities.

    Funding Period: 10/1/2021‐9/30/2022 (Federal Fiscal Year)

    Prohibited Expenditures:

    Federal Substance Abuse Prevention and Treatment Block funds may not be used to:

    1. to provide inpatient hospital services, with limited exceptions; seestatute

    2. to make cash payments to intended recipients of health services;

    3. to purchase or improve land, purchase, construct, or permanently improve(other than minor remodeling) any building or other facility, or purchase major medical equipment;

    4. to satisfy any requirement for the expenditure of non‐Federal funds as a condition for the receipt of Federal funds;

    5. to provide financial assistance (“grants”) to any entity other than a public or nonprofit private entity;

    6. Supplant activities funded by other SAMHSA Grants

    7. Purchase, prescribe, or provide marijuana or treatment using marijuana to treat Substance Use Disorder

Reimbursement: Automatic quarterly distribution via Grants and Funds Management System (GFMS)

Amount:

$26,323,515

Distribution:

See Attachment 1

Reporting Requirements: Boards are required to complete their Allocation application in GFMS and complete all fiscal reporting requirements. Boards are also required to submit their 90% SUD Treatment Capacity Reports each quarter.

Office and Lead(s):

Office of Grants Administration, Scott Wingenfeld ‐ Scott.Wingenfeld@mha.ohio.gov, 614‐466‐7450

Fund Code: 3G40

Appropriation Line Item: 336618 Substance Abuse Prevention and Treatment Block Grant (SAPT) Program Name: Prevention Per Capita 4253C – CFDA 93.959

Purpose:

Prevention focuses on preventing or delaying the onset of behavioral health problems (e.g. substance abuse, addiction and problem gambling). Prevention services are a planned sequence of culturally appropriate, science‐driven strategies intended to facilitate attitude and behavior change for individuals and communities. These services do not include clinical assessment, treatment, or recovery support services.

The purpose of these funds is to provide funding to area providers and programs through the ADAMHS/ADAS Boards to support the development and implementation of a comprehensive array of primary prevention interventions to meet the needs of their communities. The OhioMHAS Prevention Continuum of Care Taxonomy provides the guidelines for the delivery of this service array.

OhioMHAS prevention allocation shall be used by the boards consistent with local community plans and approved budgets. Strategies should be selected based on the assessment of needs, resources and readiness conducted as part of the community planning process to ensure funded prevention interventions will address community risk and protective factors that either complicate or mitigate substance use and other risk behaviors.

Eligibility: ADAMHS/ADAS Boards that have submitted a Community Plan to OhioMHAS and completed the Agreements and Assurances document. This includes proof of insurance, proof of audit, and completing Attachment 4, a list of all community mental health providers and other nonprofit organizations in your Board area that are contracted entities.

Funding Period: 10/1/2021‐9/30/2022 (Federal Fiscal Year)

Prohibited Expenditures:

Federal Substance Abuse Prevention and Treatment Block funds may not be used to:

  1. to provide inpatient hospital services, with limited exceptions; see statute

  2. to make cash payments to intended recipients of health services;

  3. to purchase or improve land, purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or purchase major medical equipment;

  4. to satisfy any requirement for the expenditure of non‐Federal funds as a condition for the receipt of Federal funds;

  5. to provide financial assistance (“grants”) to any entity other than a public or nonprofit private entity;

  6. Supplant activities funded by other SAMHSA Grants

  7. Purchase, prescribe, or provide marijuana or treatment using marijuana to treat Substance Use Disorder

Reimbursement: Automatic quarterly distribution via Grants and Funds Management System (GFMS)

Amount:

$10,734,771

Distribution:

See Attachment 1.

The amount each ADAMHS/ADAS Board should spend for prevention is indicated in a separate column.

Note: For funding purposes the Prevention Services allocation and the Youth Led allocations have been combined into one Prevention allocation. The 2022 FIS 040 budget will however, still have a Youth Led Prevention column separate.

Youth Led Programming is a comprehensive approach to addressing the emotional and behavioral health of youth and is a sound investment in meaningful youth involvement in community prevention efforts. Youth Led Programs should empower youth emotionally, cognitively, and behaviorally so they can influence social and political systems that affect their lives.

These funds should be used by ADAMHS/ADAS Boards to support youth led programs that utilize the evidence based Youth Empowerment Conceptual Framework which addresses individual and group level change, allows youth to develop a data driven strategic plan and select a problem of focus in their community, then choose an evidence‐based strategy to implement. Minimum spending should be at the 2021 levels.

Reporting Requirements:

Boards are required to complete their Allocation application in GFMS and complete all fiscal reporting requirements.

Office and Lead(s):

Office of Prevention and Wellness, Molly Stone – Molly.Stone@mha.ohio.gov

Office of Financial Management, Amanda Parson – Amanda.Parson@mha.ohio.gov