Illinois Navigator Grant Program Plan Year 2025

Illinois Navigator Grant Program Plan Year 2025 is sponsored by Illinois Department of Healthcare and Family Services (HFS). This opportunity supports mission-aligned projects and measurable outcomes.

Euna Grants - Department of Healthcare and Family Services - Illinois Navigator Grant Program Plan Year 2025 Illinois Navigator Grant Program Plan Year 2025 Illinois Navigator Grant Program Illinois Navigator Grant Program Plan Year 2025 The purpose of this Notice of Funding Opportunity (NOFO) for the Illinois Navigator Grant Program Plan Year 2025 is to provide grant funding to support a robust, statewide Illinois Navigator program as Illinois transitions to a State-based Marketplace for health insurance.

States running a State-based Marketplace are responsible for performing all marketplace functions for the individual market. Consumers in these states apply for and enroll in coverage through marketplace websites established and maintained by the states.

Following the Affordable Care Act (ACA) Exchange Standards the Department of Insurance will manage “Get Covered Illinois, the official Illinois Marketplace” using the federal platform by plan year 2025, and as a State-based Marketplace by plan year 2026.

This funding opportunity targets organizations seeking to assist eligible Illinois residents in enrolling in health coverage options and affordability programs made available through Get Covered Illinois, the official Illinois Marketplace.

Grant proposals that identify and serve populations currently without health insurance and are expected to benefit from the ACA’s provision of financial assistance for the purchase of Qualified Health Plans (QHPs) on the Health Insurance Marketplace, and the Illinois Medicaid program, will be favored.

The State is particularly focused on serving individuals who would have difficulty enrolling in coverage without the help of an Illinois Navigator, including (but not limited to) individuals with low literacy, limited English proficiency, low-income individuals, people with disabilities, people who are or at risk of experiencing homelessness and other hard-to-reach populations.

Eligible Illinois residents will be able to enroll in Marketplace health coverage through Get Covered Illinois during an open enrollment period beginning November 1 and lasting through January 15 (and through any potential extensions). Enrollment must occur during this period unless an individual experiences a loss of other health coverage or another qualifying life event which triggers a special enrollment period (SEP).

Additionally, through December 31, 2025, individuals up to 150% FPL have an ongoing Marketplace SEP and may enroll anytime without a qualifying life event. Enrollment will occur 24 hours a day, 7 days a week during the entire open enrollment period. Medicaid eligible individuals will be able to enroll in coverage at any time throughout the year.

Through this NOFO, the State is seeking to award funding to eligible organizations to perform the following duties prior to, during, and after the Open Enrollment period: • Maintain expertise in eligibility, enrollment, and program requirements. • Conduct outreach and public education activities to raise awareness about Get Covered Illinois, Illinois Medicaid and utilization of health coverage.

• Provide information and services in a fair, accurate and impartial manner, which includes providing information that assists consumers with submitting the eligibility application; clarifying distinctions among health coverage options, including QHPs; and helping consumers make informed decisions during the health coverage selection process. Facilitate selection of a QHP or, when appropriate, a public insurance plan.

• Provide referrals to the Illinois Department of Insurance, or any other appropriate State agency, for any enrollee with a grievance, complaint, or question regarding their health plan, coverage, or a determination under such plan or coverage.

• Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by Get Covered Illinois at no cost to those individuals, including individuals with limited English proficiency, and ensure accessibility and usability of Illinois Navigator tools and functions for individuals with disabilities in accordance with the Americans with Disabilities Act and section 504 of the Rehabilitation Act; and • Maintain a physical presence in the Marketplace service area, so that face-to-face assistance can be provided to applicants and enrollees.

Healthcare and Family Serv The period of performance of this grant is expected to begin August 1, 2024, and end July 31, 2025. The grant period may be renewed at the end of the term with a letter of intent by the grantee to continue under the program, based on an evaluation by Get Covered Illinois and the Illinois Department of Healthcare and Family Services. Renewals will also depend on the availability of funding.

Grantee organizations may begin to utilize funding for non-enrollment activities (i.e., hiring new staff, training, conducting outreach events) immediately upon receiving an award. However, no employee of an organization may conduct enrollment activities with grant funding prior to completing all required training and receiving certification and licensing from the Illinois Department of Insurance.

All awardees must perform required activities throughout the grant cycle. This will include public education and outreach prior to Open Enrollment and education and enrollment during the November 1, 2024 – January 15, 2025. Open Enrollment period and subsequent annual open enrollment periods.

Additionally, awardees will be required to perform post-enrollment assistance activities, Medicaid enrollments, outreach and SEP enrollments throughout the entirety of the grant period. Sample Estimated Timeline of Grant Activities Grantee organization receives notice of award; grant agreement is executed. Grantee organization employees fulfill certification requirements (training, licensing, background check).

Grantee organization works with Get Covered Illinois team to implement strategic outreach plan. Grantee organization conducts pre-enrollment outreach, tracking, educational activities, and Medicaid enrollments November 2024-January 2025 Grantee organization conducts open enrollment activities to facilitate enrollment in health coverage.

Grantee organization provides post-enrollment education and support, facilitates enrollment for individuals eligible for Medicaid and individual/family QHP SEPs. Funding Opportunity Number Agency Opportunity Number Assistance Listings Number https://il. amplifund.

com/Public/Opportunities/Details/51b0e47e-dd8b-4b43-aeae-aa869dc6d3c4 Funding Source Description Cost Sharing or Matching: There is no cost sharing or matching for this program. Funding for the 2025 Illinois Navigator Grant Program will be determined on a county-by-county basis.

Funding amounts will be determined based on the number of Illinois Navigators proposed and the associated costs, as outlined in Appendix I Applicants are required to submit information for each county in which they would like to perform activities under the Illinois Navigator program.

Applicants may apply as a single organization or as a partnership of organizations; each organization in the partnership may operate in one or more counties. Applicants applying as a partnership of organizations must designate a Lead Grantee Funding and reimbursements will be paid by Department of Healthcare and Family Services (HFS) through the Lead Grantee.

Lead Grantees will be responsible for remitting payment to all partnership organizations • Total amount of funding to be awarded: $6,500,000 • Anticipated number of state awards: 3-5 • Amount of individual awards: (can be range) $500,000 - $5 M • Anticipated start dates: 23 August 2024 • Periods of performance for new state awards: August 2024 through October 2025 Grant funding is intended to support the provision of in-person and virtual/remote application assistance to Illinois consumers eligible for enrollment into QHPs, tax credits and cost-sharing reductions, and/or Medicaid.

Grant funding will also be used to provide outreach and education to eligible populations, and provide post-enrollment support to individuals served by the grantee organization Examples of eligible expenses include, but are not limited to • hiring new staff to perform grant activities, • paying current staff for performing grant activities, • expenses associated with travel to and from locations at which grant activities are performed, • production of materials to promote awareness of the specific organization’s services as an Illinois Navigator entity.

Educational and marketing materials describing features of the Illinois Marketplace, eligibility requirements, enrollment processes, common features of health insurance products, and other materials not specific to promoting awareness of individual Illinois Navigator entities will be produced by the State. Applicants should therefore not apply for funding for the production of such materials.

The grant funds may not be used: • For institutional, organizational, or community-based overhead costs not directly related to grant objectives, indirect costs, or levies. • To cover the costs to provide direct health care services to individuals. • To match any other Federal funds.

• To provide services, equipment, or support that are the legal responsibility of another party under Federal or State law (such as vocational rehabilitation or education services) or under any civil rights laws. Such legal responsibilities include, but are not limited to, modifications of a workplace or other reasonable accommodations that are a specific obligation of the employer or other party.

• To supplant existing State, local, or private funding of infrastructure or services such as staff salaries, etc. • To cover any pre-award costs.

• To carry out services that are the responsibility of the Health Insurance Marketplace, such as eligibility determinations and transferring enrollment information for consumers to a QHP, or to carry out any functions already funded through federal marketplace establishment grants under section 1311(a) of the Affordable Care Act. • To assist consumers residing in a State other than Illinois.

Grantees may provide these consumers with basic information about Health Insurance Marketplaces, but should refer them to other state Navigators, the Marketplace Call Center, and other resources within the State where the consumer resides for more in-depth assistance.

• For any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before the Congress or any state government, state legislature or local legislature or legislative body. Grant recipients may lobby at their own expense if they can segregate federal funds from other financial resources used for that purpose.

• To cover the cost of food or beverage See Funding Source Description Expected Number of Awards In-Kind Match Requirement Other Funding Requirement Submission Timeline Additional Information Application Opens: June 3, 2024, 8:00 a. m. (CST) Application Deadline: July 5, 2024, 5:00 p.

m. (CST) Application deadline is the date and time by which HFS must receive the application in the AmpliFund System. Late applications will not be reviewed or considered.

HFS will determine if an application has been submitted by the application deadline by using the AmpliFund system generated documentation of receipt date and time. Acceptable form of application submission includes the following: Electronically through the AmpliFund System at https://il. amplifund.

com/Public/Opportunities/Details/51b0e47e-dd8b-4b43-aeae-aa869dc6d3c4. AmpliFund records the date and time of each submission, along with the submitting applicant and the title of the grant proposal.

Allow Multiple Applications Application Review Start Date / Pre-Qualification Deadline Other Submission Requirements Application and Submission Information: Agencies forming a partnership will designate a Lead Grantee that will submit the grant application and coordinate Illinois Navigator operations in each county (or counties) on behalf of the partnership.

No single organization may be included as a Lead Grantee or partner on more than one application. The Illinois Department of Healthcare and Family Services, the Illinois Department of Insurance, and the Get Covered Illinois team will work directly with the Lead Grantee and each partnership agency to fulfill the objectives of the program.

For agencies applying as a partnership, the Lead Grantee will serve in a management role and be responsible for distributing grant funds to each fellow partnership agency. Ways to request an application package: All application materials are provided in this NOFO and the AmpliFund opportunity.

Content and Form of Application Submission: Affordable Care Act Illinois Navigator Grant Program Application Instructions and content are listed at https://il. amplifund. com/Public/Opportunities/Details/51b0e47e-dd8b-4b43-aeae-aa869dc6d3c4 and this NOFO.

Registration Requirements: Each applicant (unless the applicant is an individual or Federal or State awarding agency that is exempt from those requirements under 2 CFR § 25. 110(b) or (c), or has an exception approved by the Federal or State awarding agency under 2 CFR § 25. 110(d))v is required to: • Be registered in SAM before submitting its application, with a UEI assigned.

To establish a SAM registration, go to www. SAM. gov. • Continue to maintain an active SAM registration with current information at all times during which it has an active Federal, Federal pass-through or State award or an application or plan under consideration by a Federal or State awarding agency.

The State awarding agency may not make an award to an applicant until the applicant has complied with all applicable SAM requirements. If an applicant has not fully complied with the requirements by the time the awarding agency is ready to make an award, the awarding agency may determine that the applicant is not qualified to receive an award and use that determination as a basis for making an award to another applicant.

Question Submission Information Question Submission Open Date Question Submission Close Date Question Submission Email Address Question Submission Additional Information Questions regarding any item listed in this NOFO may be submitted via this link https://officeofmedicaidinnovation. jotform. com/has776/illinois-navigator-grant The deadline for submitted questions is 5:00 p.

m. (CST) on June 17, 2024. All substantive questions and responses will be posted by June 25, 2024 on the HFS website, on the GATA website https://gata.

illinois. gov/ and on the AmpliFund website at https://www. amplifund.

com/. Due to the competitive nature of this solicitation, applicants may not discuss the opportunity directly with any employee other than via this link.

Technical Assistance Session Technical Assistance Session Small Businesses, Others, Government Organizations, Education Organizations, Public Housing Organizations, Nonprofit Organizations, For-Profit Organizations Applicant Eligibility Information Beneficiary Eligibility Information Credentials Documentation Eligibility Information Additional Eligibility Information Applicant Eligibility: Legally recognized organizational entities based within Illinois (including local chapters of national organizations).

The minimum eligibility requirements for entities responding to this NOFO are consistent with the final regulations issued by the U.S. Department of Health & Human Services on March 27, 2012, April 3, 2013, and May 16, 2024 (45 CFR 155. 210 and 45 CFR 155. 215).

An entity may not apply for a grant until the entity has registered and pre-qualified through the Grant Accountability and Transparency Act (GATA) Grantee Portal.

Beneficiary Eligibility: Individuals who would have difficulty enrolling in coverage without the help of an Illinois Navigator, including (but not limited to) individuals with low literacy, limited English proficiency, low-income individuals, people with disabilities and other hard-to-reach populations.

Credentials Documentation: N/A An entity may not apply for a grant until the entity has registered and pre-qualified through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www. grants. illinois.

gov/portal. Registration and pre-qualification are required During pre-qualification, verifications are performed including a check of federal SAM. gov Exclusion List and status on the Illinois Stop Payment List.

The Grantee Portal alerts the entity of “qualified” status or informs how to remediate a negative verification (e.g., missing UEI- Unique Entity Identifier assigned in sam. gov, not in good standing with the Secretary of State). Inclusion on the SAM.

gov Exclusion List cannot be remediated. HFS will only accept applications from legally recognized organizational entities; applications from individual persons will not be considered. Only organizations based within Illinois (including local chapters of national organizations) are eligible to compete for these funds.

The minimum eligibility requirements for entities responding to this NOFO are consistent with the final regulations issued by the U.S. Department of Health & Human Services on March 27, 2012, April 3, 2013, and May 16, 2024 (45 CFR 155. 210 and 45 CFR 155. 215).

Pursuant to these regulations and the Affordable Care Act, organizations eligible to apply for funding include the following: • Community and consumer-focused nonprofit groups. • Trade, industry, and professional associations. • Commercial fishing industry organizations, ranching and farming organizations.

• Resource partners of the Small Business Administration. • Licensed agents and brokers (organizations); and • Other public or private entities that meet the requirements of this section. • Other entities may include but are not limited to Indian tribes, tribal organizations, urban Indian organizations, and State or local human service agencies and other government entities, including local Public Health Departments.

To receive a grant, an applicant must: • Be capable of carrying out at least those duties described in Section F (“Program Requirements”). • Demonstrate to Get Covered Illinois that the entity has existing relationships, or could readily establish relationships, with Illinois consumers (including uninsured and underinsured consumers) likely to be eligible for enrollment in a QHP or Medicaid.

• Meet the certification standards prescribed within this application. • Agree to use and actively maintain (see section V) consumer scheduling and find help tools. • Provide a complete employee roster by October 31st of each plan year.

• Not have a conflict of interest during the term as grantee defined in the section below; and • Comply with the privacy and security standards adopted by the US Department of Health and Human Services (HHS), IDOI, and HFS, including those found in 45CFR 155. 260 (see Appendix II for a web link to this regulation).

Organizations receiving consideration from health insurance issuers for reasons other than enrollment in insurance products (e.g., reimbursement for the provision of medical services, or grant funding for educational activities related to community health) are eligible to apply for this grant. To receive a grant or participate in the grant program, an applicant or grantee may not: • Be a health insurance or stop-loss insurance issuer.

• Be a subsidiary of a health insurance or stop-loss insurance issuer.

• Be an association that includes members of, or lobbies on behalf of, the insurance industry; or, • Receive any consideration directly or indirectly from any health insurance or stop-loss insurance issuer in connection with the enrollment of any individuals or employees in a QHP or a non-QHP, though no health care provider shall be ineligible for participation in this grant program solely because it receives consideration from a health insurance issuer for health care services provided.

• Charge any applicant or enrollee, or request or receive any form of remuneration from or on behalf of an individual applicant or enrollee, for application or other assistance related to Illinois Navigator program duties.

• Provide gifts, including gift cards or cash, unless they are of nominal value, or provide promotional items that market or promote the products or services of a third party, to any applicant or potential enrollee as an inducement for enrollment.

Gifts, gift cards, or cash may exceed nominal value for the purpose of providing reimbursement for legitimate expenses incurred by a consumer in effort to receive application assistance, such as, but not limited to, travel or postage expenses.

• Use grant funds to purchase gifts or gift cards, or promotional items that market or promote the products or services of a third party that would be provided to any applicant or potential enrollee.

• Solicit any consumer for application or enrollment assistance by going door-to-door or through other unsolicited means of direct contact, including calling a consumer to provide application or enrollment assistance without the consumer initiating the contact, unless the individual has a pre-existing relationship with the Navigator or Navigator entity and other applicable State and Federal laws are otherwise complied with.

Outreach and education activities may be conducted by going door-to-door or through other unsolicited means of direct contact, including calling a consumer.

• Initiate any telephone call to a consumer using an automatic telephone dialing system or an artificial or prerecorded voice, except in cases where the Navigator or Navigator entity has a relationship with the consumer and so long as other applicable State and Federal laws are otherwise complied with.

All applicants and grantees must have a signed conflict of interest form on file for each Administrator, Program Manager and Navigator attesting the adherence to the following conflict-of-interest disclosure requirements: • Certain conflicts of interest, while not a bar to serving as an Illinois Navigator, must be disclosed to HFS and Get Covered Illinois and to each consumer receiving application assistance (which includes pre-enrollment and post-enrollment services, but does not include outreach and education assistance).

Disclosures include: • Any lines of insurance business, other than health insurance or stop loss insurance, which the Navigator intends to sell while serving as a Navigator. • Any existing and former employment relationships they have had within the last five years with any issuer of health insurance or stop loss insurance, or subsidiaries of such issuers.

• Any existing employment relationships between any health insurance issuer or stop-loss insurance issuer, or subsidiary of such issuers, and the individual’s spouse or domestic partner. • Any existing or anticipated financial, business, or contractual relationships with one or more issuers of health insurance or stop loss insurance or subsidiaries of such issuers.

• Upon request, all Illinois Navigator entities must submit a written plan to remain free of conflicts of interest during their term as Illinois Navigators. Applicant organizations may also apply for and receive funding through other programs providing funding for ACA enrollment assistance efforts.

However, applicant organizations that are selected for the Illinois Navigator grant program may not use other funding sources designated for outreach, education, or enrollment through the Marketplace to pay staff working as Illinois Navigators under this grant program (i.e., each Illinois Navigator staff member must be dedicated to this grant on a full-time basis, though additional staff may be hired with other funding).

Organizations that receive funding through another program must demonstrate that activities performed under the Illinois Navigator program will be distinct from those performed under the other program and maintain separate accounting and financial records for each program.

If an organization is applying for funding for the same activities through this NOFO and another program, please include an attachment that clearly identifies areas of overlap. If the organization receives an award in any of these areas, it will not be eligible for funding through this NOFO for overlapping activities or program staff.

If an organization receives funding from another source, it should submit the Project Narrative or similar document submitted with that application Additional Information URL Additional Information URL Description Organizations awarded funding through this grant opportunity will be required to provide in-person assistance to eligible individuals seeking to enroll in QHP (including advanced premium tax credits and cost-sharing reductions) or Medicaid coverage...

The list of required duties includes those referenced in Appendix I of this application. In addition, outreach and education activities must be performed by all granted partners to raise awareness and knowledge of coverage options in Illinois.

Examples of required outreach and educational activities include but are not limited to: • Canvassing local communities and small businesses • Developing community contacts • Educational presentations • Visibility and tabling events • Using social channels to promote educational and enrollment activities All navigators must have appointments available on the Get Covered Illinois Find Help Tool (see section x below) and are responsible for updating all navigator or organizational information within 48 hours of any change.

IDOI and Get Covered Illinois are committed to engaging the communities that we are serving at times that are most beneficial to the public. Grantees and Illinois Navigators must be regularly available for client services during evening and weekend hours. It is an expectation of this grant funding that Illinois Navigators will conduct outreach and education activities outside the grantee offices.

This requirement will be demonstrated through event reporting. Due to the condensed open enrollment period, granted organizations and Illinois Navigators will limit the period of closure, not to exceed four days between November 1 – January 15th. Any absence or closure beyond four days must be reported to Get Covered Illinois.

Organization Structure and Staffing Requirements: Organizations applying as a partnership will appoint a Lead Grantee that will head all operational and administrative matters for the partnership organizations. All applicant organizations or partnerships will appoint a Program Director responsible for managing all Illinois Navigator grant activities.

The Program Director will be appointed from the Lead Grantee to oversee the entire partnership. Project Supervisor(s) will directly manage the organization’s Illinois Navigator outreach and enrollment activities and serve as the point of contact for the Lead Grantee and state outreach staff.

For Lead Grantees and partnership organizations with 5 or more full-time Illinois Navigators, a Project Supervisor may be dedicated full time to overseeing the activities of the organization. For partnership organizations with fewer than 5 Illinois Navigators in a region, the Project Supervisor should spend at least half of his or her time functioning as an Illinois Navigator.

Illinois Navigators must be dedicated to fulfilling the duties and activities outlined in Section F and Appendix I of this NOFO on a full-time basis. The lead agency must also designate an individual to serve as a Fiscal Manager for the grant program and may also employ an Administrative Coordinator to support program activities. Please see Appendix I for further detail on staffing requirements.

Grantees are expected to engage with all individuals seeking health coverage, regardless of the coverage program they ultimately enroll in. Using the Get Covered Illinois website, Illinois Navigators are expected to work with consumers to apply for coverage through either the Marketplace or Medicaid.

Illinois Navigators will conduct referrals to experts for other health programs, such as Medicare, or to agents or brokers as requested by consumers. Grantees are expected to refine their messages and outreach activities in order to reach the Marketplace-eligible population including but not limited to African American, Hispanic or Latino, LGBTQIA and Asian American/Pacific Islander consumers.

Marketplace applicants must complete an application and QHP enrollment process, may be more apprehensive about completing a purchase due to cost, and are typically confronted with more options than consumers under other programs. Marketplace applicants may require follow-up appointments to complete the QHP enrollment process. It is expected that Illinois Navigators and grantees expend the necessary effort to reach this population.

Certification & Licensing: All Illinois Navigators, Program Directors, Project Managers, and Project Supervisors designated in the proposal and participating in grant activities through successful applicant organizations will be required to be certified by completing online training, and in person trainings (when offered) and be licensed by the State of Illinois.

Upon completion of the training, trainees will be required to demonstrate their knowledge of coverage options, eligibility rules, enrollment procedures, the needs of underserved and vulnerable populations, consumer assistance rules, conflict of interest standards, and privacy and security considerations. Training will be free of charge for grantees.

The certification and licensing process is conducted through the Illinois Department of Insurance. Certified individuals are required to pass a criminal background check, conducted by the Illinois State Police through a process designated by the State. The cost of the background check is an eligible grant expenditure—see Section 6.

8 of the Grant Application Instructions. For prospective Illinois Navigators who are current Employees of the grant recipient, the background check must be submitted within 2 weeks of the grant award. For prospective Illinois Navigators who are new employees, background checks must be submitted within 2 weeks of the hiring date.

Organizations must have sufficient infrastructure to facilitate online submission of enrollment applications through the Marketplace or Medicaid, including: computers and internet access to facilitate online enrollment; scanners to assist potential enrollees with uploading copies of documents to the Marketplace and Medicaid online web portals; and printers.

Except in rare instances, all enrollment applications assisted through the Illinois Navigator program will be electronically submitted through the appropriate eligibility and enrollment system or state Application for Benefits Eligibility (ABE) online portal.

Award Administration Information Administrative and National Policy Requirements Grantees must comply with all legal requirements related to procurement, environmental concerns, labor standards, and other requirements.

Failure to comply with any legal requirement or other requirement specified in the grant agreement may result in suspension or termination of the grant agreement, grant funds being repaid by the Grantee, the withholding of future grant payments by HFS, or other remedy provided by law.

In addition to the below requirements, Grantees must comply with all rules, regulations, and laws applicable to the grant program, as may be listed in this NOFO. Business Enterprise Program (30 ILCS 575/0. 01 et seq.)

: For grant awards of $250,000 or more, the grantee will be required to comply with the Business Enterprise for Minorities, Women, and Persons with Disabilities Act (30 ILCS 575/0. 01 et seq.) , which establishes a goal for contracting with businesses that have been certified as owned and controlled as a minority-owned business, woman-owned business or business owned by a person with a disability.

Reporting, Monitoring, and Audit Requirements: Grantees must complete multiple reports during the term of the grant and potentially after the grant has ended. This will include, but is not limited to, financial and performance reports, closeout report, and labor hour reports. Grantee is subject to the audit rules and policies set forth by the Governor’s Office of Management and Budget as found in 30 ILCS 708/65(c) and 44 Ill.

Admin. Code 7000. 90.

Deadlines for any required reports may be extended at the discretion of HFS and GCI. Extensions shall be issued only in extraordinary circumstances not in control of the grantee. • Grantee must complete weekly performance metrics on a form provided.

See example of weekly metrics Appendix III. • Grantee must report out of office events on a form or platform provided by Get Covered Illinois. • Grantee must complete periodic financial reporting at least quarterly using the State grant management system.

• Grantees with participation goals under the Business Enterprise for Minorities, Women, and Persons with Disabilities Act will be required to report at least quarterly on their use of approved vendors. • More frequent or additional reporting may be required in the grant agreement based on the successful applicant’s risk assessments.

In addition to required reporting, grantees are subject to fiscal and programmatic monitoring visits by HFS in accordance with 2 CFR 200. 336. Grantees must have an open-door policy allowing periodic visits by HFS monitors to evaluate the progress of the project and must provide documentation upon request.

HFS staff will also maintain contact with the participants and will monitor progress and performance under the terms of the agreement(s). HFS may modify grants based on performance. Grantees shall be subject to Illinois’ statewide Audit Report Review requirements.

Terms of the Single Audit Act Amendments of 1996 (31 USC 7501-7507), Subpart F of 2 CFR Part 200, and the audit rules set forth under the Grant Accountability and Transparency Act shall apply. (See 30 ILCS 708/65). Grantees will be required to participate in regular calls and meetings with the state and other organizations providing application assistance and outreach services to share best practices and coordinate