California’s FY 2012-13 Mental Health Block Grant Application is now available for review and comment. Please send comments to: MHBG@dmh.ca.gov
SAMHSA 2012-13 County Renewal Application Documents
County applications are due to DMH by August 1, 2012.
- DMH Cover Letter
- Planning Estimate Worksheet (Enclosure 1): Please email. MHBG@dmh.ca.gov for individual county planning estimate worksheets.
- Block Grant Application Instructions (Enclosure 2)
- Accounting Guidelines (Enclosure 3)
- Agreements (Attachment 1)
- Certifications (Attachment 2)
- Program Data Sheet (Attachment 3)
- MH1779 Detailed Budget Form (Attachment 4)
- MH1779 Detailed Budget Form Example (Attachment 4A)
- Definition of SMI and SED (Attachment 5)
The Substance Abuse & Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS) provides grant funds to establish or expand an organized community-based system of care for providing non-Title XIX mental health services to children with serious emotional disturbances (SED) and adults with serious mental illness (SMI). States are required to submit an application for each fiscal year the State is seeking funds. These funds are used to: (1) carry out the State plan contained in the application; (2) evaluate programs and services, and; (3) conduct planning, administration, and educational activities related to the provision of services.
In 1992 the ADAMHA Reorganization Act (ARA, PL 102-321) was passed establishing the Substance Abuse and Mental Health Services Administration (SAMHSA). The ARA also separated the mental health and substance abuse funds into two separate grants.
The Center for Mental Health Services (CMHS) distributes the Community Mental Health Block Grant funds to 59 eligible States and Territories through a formula, based upon specified economic and demographic factors.
States must apply for the grants and submit an annual plan and implementation report for providing comprehensive community mental health services to adults with a serious mental illness (SMI) and children with a serious emotional disturbance (SED).
The block grant also requires that the State must have and maintain a State Mental Health Planning Council that meets specific membership requirements. One of the many roles of the Planning Council is to review the State mental health plan and implementation report and provide recommendations for modification when necessary.
Source of Funds:
The Community Mental Health Services Block Grant is the Center for Mental Health Services (CMHS). CMHS is one of three centers within the Substance Abuse and Mental Health Services Administration (SAMHSA), and agency of the U.S. Department of Health and Human Services (HHS).
Fiscal Year Statewide Funding Amount:
- FY 2008-09: $53,728,412
- FY 2009-10: $53,996,249
- FY 2010-11: $53,676,045
- FY 2011-12: $53,676,045
- FY 2012-13: $57,438,409
The California State Department of Mental Health (DMH) administers the block grant and allocates the funds each year to 58 local county mental health agencies. The county mental health departments and contracted providers deliver a broad array of treatment and support services that include over 150 individual programs supported by the block grant.
Federal statute requires independent peer reviews to assess quality, appropriateness, and efficacy of services utilizing Block Grant funding. DMH has entered into a Memorandum of Understanding with the California Mental Health Planning Council to conduct the reviews. No fewer than 5% of counties will be reviewed annually.
Purpose of Funding:
The CMHS requires that States develop a comprehensive public mental health system that has as one of its goals to move care for adults with SMI and children with SED from costly and restrictive inpatient hospital care to the community. States and territories may expend block grant funds only to carry out their annual plan, to evaluate programs and service carried out under the plan, and for planning, administration, and educational activities related to providing services. Although the block grant is a small percentage of California’s mental health budget, it is viewed as providing an important and flexible funding source to support a broad range of activities specific to the needs of each county. The DMH awards most of the funds to counties based on a legislated formula, and the remainder through a competitive process that encourages both innovation and use of best practices.
Who's Eligible for Funding:
The funds are allocated to county mental health departments to be used for community mental health services for a specific target population. The target population of the funding is adults and older adults with SMI and children with SED, as defined in the Federal Register.
The funds cannot be used for the following:
- Inpatient services;
- Cash payments to intended recipients of health services;
- Purchase or improve land or buildings;
- Purchase major medical equipment; or
- Provide financial assistance to any entity other than a public or nonprofit private entity.
Matching Funds Requirements:
This grant does not require a State match, however, it requires a statutory maintenance of effort (MOE) to document that the State has maintained expenditures for community mental health services at a level that is not less than the average level of such expenditures maintained by the State for the 2-year period preceding the fiscal year for which the State is applying for the grant.
DMH does not require a county match for the “base funding” or the “dual diagnosis set-aside.” However, funds awarded under a competitive grant are subject to the requirements set forth in the State RFA/RFP process, which may include a match.
Funds are distributed per the Cigarette and Tobacco (C&T) Products Surtax fund formula or can be distributed for the development of innovative programs, in consultation with the California Mental Health Directors Association and upon appropriation by the Legislature (Welfare and Institutions Code).
Length of Funding Availability:
Federal law requires that the funds awarded to the States be obligated and expended within two years. CMHS operates on an October to September fiscal year while California operates on a July through June fiscal year. Block grant funds that are awarded in October cannot be allocated until the State Budget is approved the following July. Counties must incur expenditures before receiving payments from their MHBG allocation. Payments are based on actual expenditures documented on quarterly expenditure reports, which are due to the Department of Mental Health 20 days after the end of the quarter:
- October 20th
- January 20th
- April 20th
- July 20th
MHBG allocations that are unexpended will no longer roll forward to the next fiscal year. Counties must fully expend their SFY 2009-10 MHBG allocations by September 30, 2010. Counties must adhere to the fourth quarter report submittal date of July 20, 2010, but will be able to make revisions to their fourth quarter report up to October 20, 2010. In order to facilitate expenditure the “Federal First Dollar” policy (DMH Letter No. 90-07) is used.
Timeframes for Distribution:
Payments are not made until all necessary documents are received and applications have been approved. Funds are distributed to counties monthly; unless quarterly fiscal reports have not been submitted or it has been determined a county has excess cash on hand.
Subject to Adjustment in Cost Report Settlement:
A block grant cost report is submitted with actual expenditures for the State’s fiscal year. The block grant cost report can be adjusted up until the Department’s Cost Report Data Collection (CRDC) has been settled.
- Federal – CMHS
- State - DMH
Data and Other Reporting Requirements:
In order to receive the formula allocation, each county is required to submit an annual application or expenditure plan that includes a narrative detailing their intended use of the funds. In addition, the county application must include a Federal Grant Detailed Provider Budget for each program, and signed assurances accepting the Block grant funds under the conditions established by governing federal and State laws, regulations and guidelines, as well as specific conditions included in their county application.
Each county must provide financial reporting on a quarterly basis and also an annual cost report. Additionally, counties are required to submit a one-page data sheet for each program funded with the block grant. That data sheet is used to provide information to the federal government as part of the State Plan.
Public Comment Process
Under the authority of the Public Health Service Act, the Secretary of the Department of Health and Human Services, through the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), awards block grants to states to establish or expand an organized community-based system for providing mental health services for adults with serious mental illness and children with serious emotional disturbances. States are required to submit an application for each fiscal year for which the State is seeking funds. The funds awarded are to be used to carry out the State Plan contained in the application, to evaluate programs and services set in place under the Plan, and to conduct planning, administration and educational activities related to the provision of services under the Plan.
The State Plan includes:
- a description of the state service system;
- identification and analysis of the service system’s strengths, needs and priorities; and
- performance goals and action plans to improve the service system.
Block Grant legislation stipulates that as a condition of the funding agreement for the grant, State’s will provide opportunity for the public to comment on the State Plan. States will make the Plan public in such a manner to facilitate comment from any person (including Federal or other public agency) during the development of the Plan (including any revisions) and after the submission of the Plan to the Secretary of the Department of Health and Human Services.
The FY 2010-11 and 2012 Plan was submitted to CMHS on September 1, 2011. A request of approval of a modification to the Plan may be made at any time during the year. Comments on the Plan may be made at any time during the year. Comments will be considered in any modification of this plan, and/or in the formulation of the 2012-13 Plan.
California’s FY 2012-13 Mental Health Block Grant Application draft is now available for review and comment.
California’s FY 2010-11 and 2011-12 Mental Health Block Grant Application (updated 9-1-2010) is now available for review and comment. This is an update to the two-year application.
California’s FY 2010-11 and 2011-12 Mental Health Block Grant Application is now available for review and comment. This is a two-year application.
You may forward any comments on the Plan to MHBG@dmh.ca.gov.
To receive a printed version of the Plan, mail your request to:
California Department of Mental Health
Federal/State Grant Management
1600 9th Street, Room 100
Sacramento, CA 95814
Statutory Citations/Reference Documents:
- Title XIX of the Public Health Service Act as amended by Public Law (P.L.) 102-321 and P.L. 106-321 (Children’s Health Act of 2000).
- Definition of Adults with SMI and Children with SED, as published in the Federal Register May 20, 1993 (Volume 58, No. 96)
- Welfare and Institutions Code, Sections 5700 and 5700.1.
- Office of Management Budget (OMB) A-10. “Uniform Requirements for Grants to State and Local Governments.”
- State Administrative Manual (SAM) applicable provisions for Federal block grant reporting.
- Federal First Dollar policy (DMH Letter NO. 90-07)