ILLINOIS DEPARTMENT FIXED-RATE State 2017 OF HUMAN SERVICES Fiscal GRANT BUDGET Division of Alcoholism Year and Substance Abuse Organizational Name: FEIN: DUNS Number: CFDA/CFSA Number: Funding Opportunity Number: CFDA/CFSA Description: Projected number of unduplicated clients to be served, all services in State Fiscal Year 2017: IDHS regions to be served Region 1 Region 2 Region 3 Region 4 Region 5 (Check all that apply): Projected Projected Number Costs for of Unduplicated Minimum Unit State Fiscal Clients to be Service Deliverable Description of Service Code Rate Year 2017 Served Annually See NOFO for applicable rate information. Narrative Please provide a narrative explanation describing your allocation methodology and/or any formulas used to derive rates.
ILLINOIS DEPARTMENT OF HUMAN SERVICES Division of Alcoholism and Substance Abuse FIXED-RATE GRANT BUDGET State Fiscal Year 2017 Organizational Name: FEIN: DUNS Number: CFDA/CFSA Number: Funding Opportunity Number: CFDA/CFSA Description: Projected number of unduplicated clients to be served, all services in State Fiscal Year 2017: IDHS regions to be served (Check all that apply): Region 1 Region 2 Region 3 Region 4 Region 5 Service Deliverable Description Minimum Unit of Service Code Rate Projected Costs for State Fiscal Year 2017 Projected Number of Unduplicated Clients to be Served Annually See NOFO for applicable rate information. Narrative Please provide a narrative explanation describing your allocation methodology and/or any formulas used to derive rates.