State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid
The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.
Program Accomplishments
Not Applicable.
Uses and Use Restrictions
Funds are made available to States for the purpose of inspecting providers and suppliers of health care services, to ensure mandatory adherence to Medicaid health and safety standards and conditions.
Funds made available under this program are used to support or reimburse State Staff for performing survey activities and for State administration of the program.
Eligibility Requirements
Applicant Eligibility
The Federal government reimburses States for the Federal Financial Participation share for costs of inspection.
Such participation is dependent on an approved State activity plan.
Beneficiary Eligibility
NA.
Credentials/Documentation
State must have an approved State Plan for Title XIX. A signed 1864 Agreement for Title XIX in order to carry out the survey function. OMB Circular No. A-87 applies to this program.
Aplication and Award Process
Preapplication Coordination
Preapplication is required.
Environmental impact information is not required for this program.
This program is eligible for coverage under E.O.
12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Application Procedures
This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. States submit an acceptable State Plan for support of Medicaid survey and certification activities. Budget proposals and estimated expenditures must comply with OMB Circular No. A-87 cost principles and regulatory guidelines.
Award Procedures
States are provided a quarterly award based on an approved annual budget. States are reimbursed for survey activities under Electronic Funds Transfer System procedures. States draw funds through Department"s Payment Management System.
Deadlines
Oct 01, 2010 to Aug 15, 2011 Annual budget proposals are requested from the appropriate State agency as negotiated with Regional Office.
Authorization
Social Security Act, Sections 1863, 1864, 1865, 1902, 1903 and 1919, Title XIX.
Range of Approval/Disapproval Time
From 30 to 60 days.
Appeals
Appeals are reviewed by the Department Grants Appeal Board.
Renewals
Ongoing renewals are awarded to State agencies that are willing and able to conduct required survey activities in compliance with statutory mandate.
Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula.
Matching Requirements: Percent: 25.%. Formula Grants. This program does have a matching requirement (75% Fed/25% State).
This program does not have MOE requirements.
Length and Time Phasing of Assistance
Funding authority is provided for a full year to State agencies performing survey and certification activities pertaining to Medicaid survey activities. Method of awarding/releasing assistance: lump sum.
Post Assistance Requirements
Reports
No reports are required.
Audits
No audits are required for this program.
Records
State must maintain surveyor time records, line item and expenditure documentation, which substantiate the costs relating to survey activities.
Financial Information
Account Identification
75-0511-0-1-550.
Obigations
(Formula Grants) FY 09 $207,175,000; FY 10 est $230,646,000; FY 11 est $234,567,000
Range and Average of Financial Assistance
FY09 range is from $311,219 to $23,966,575 and an average of $3,824,966.
Regulations, Guidelines, and Literature
Title XIX, Social Security Act as amended Sections 1863, 1864 and 1865.
Information Contacts
Regional or Local Office
See Regional Agency Offices.
Headquarters Office
Thomas Hamilton, 7500 Security Boulevard, Baltimore, Maryland 21244 Email: thomas.hamilton@cms.hhs.gov Phone: (410) 786-9493.
Criteria for Selecting Proposals
Not Applicable.
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