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State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare
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.
Contact the Regional Administrator for Centers for Medicare and Medicaid Services.
(See Appendix IV of the Catalog for listing of Regional Offices).
Selected Recipients for this Program
| Recipient | Amount | Start Date | End Date | |
| Public Health, Illinois Department Of | $ 982,039 | 2009-10-01 | 2910-09-30 | |
| Senior People With Disabilities Service Oregon | $ 986,977 | 2014-07-01 | 2054-07-01 | |
| Health, Florida Department Of | $ 1,972,000 | 2019-10-01 | 2020-09-30 | |
| Health, Louisiana Department Of | $ 304,207 | 2019-10-01 | 2020-09-30 | |
| Health And Welfare, Idaho Department Of | $ 90,314 | 2019-10-01 | 2020-09-30 | |
| Health, Hawaii Department Of | $ 130,932 | 2019-10-01 | 2020-09-30 | |
| Arizona Department Of Health Services | $ 0 | 2019-10-01 | 2020-09-30 | |
| Public Health, California Department Of | $ 1,313,962 | 2019-10-01 | 2020-09-30 | |
| Licensing And Regulatory Affairs, Department Of | $ 486,816 | 2019-10-01 | 2020-09-30 | |
| Social And Health Services, Washington State Department Of | $ 226,887 | 2019-10-01 | 2020-09-30 |
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 Medicare/Medicaid health and safety standards and conditions.
Funds made available under these programs are used to support or reimburse State staff for performing survey activities and for State administration of the program.
Eligibility Requirements
Applicant Eligibility
Under Title XVIII, States enter into Section 1864 agreements with the Secretary of Health and Human Services whereby the designated agency of the State will be supported or reimbursed for on-site inspection of health care providers and suppliers.
The designated State agency is usually that unit performing licensure activities within the State health department.
Beneficiary Eligibility
NA.
Credentials/Documentation
A signed 1864 Agreement for Title XVIII in order to carry out the survey function, 2 CFR 200 applies to this program. 2 CFR 200, Subpart E - Cost Principles applies to this program.
Aplication and Award Process
Preapplication Coordination
Preapplication coordination is required.
Environmental impact information is not required for this program.
This program is excluded from coverage under E.O.
12372.
Application Procedures
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Sign an 1864 Agreement for support of Medicare/Medicaid survey and certification activities.
Award Procedures
States are provided a quarterly award based on an approved annual budget under Title XVIII, IMPACT Act, and quarterly formula grants under Title XIX. States are reimbursed for Title XVIII and Title XIX survey activities under Electronic Funds Transfer System procedures. States draw funds through the Department's Payment Management System (PMS).
Deadlines
Aug 10, 2010: By the end of the 4th quarter of the previous Fiscal Year, Annual budget proposals for Title XVIII for the upcoming Fiscal Year are requested from the appropriate State agency as negotiated with Regional Office. By the end of the 4th quarter of the previous Fiscal Year, Annual budget proposals for Title XVIII and IMPACT Act for the upcoming Fiscal Year are requested from the appropriate State agency as negotiated with Regional Office. By the end of the 4th quarter of the previous Fiscal Year, Annual budget proposals for Title XVIII and IMPACT Act for the upcoming Fiscal Year 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 XVIII, and the IMPACT Act P.L. 113-185.
Range of Approval/Disapproval Time
From 30 to 60 days. This timeline is for initial approval or disapproval.
Appeals
Title XVIII appeals are reviewed by the Armed Services Contracts Appeal Board.
Renewals
Ongoing renewals are awarded to States 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. This program has no matching requirements. This program does not have MOE requirements.
Length and Time Phasing of Assistance
Grants/cooperative agreements are generally funded on a 12-month basis, with support beyond the first year contingent upon acceptable evidence of satisfactory progress, continuing program relevance, and availability of funds. Method of awarding/releasing assistance: lump sum.
Post Assistance Requirements
Reports
Program reports are required.
Cash reports are required.
Progress reports are required.
Expenditure reports are required.
States operate under 1864 Agreement (Title XVIII).
Quarterly expenditure reports are required 30 days after the close of each quarter and monitoring is carried out by the Department of Health and Human Services.
Performance monitoring is required.
Comprehensive final reports are due no later than 90 days after termination projects.
Audits
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. DHHS Office of Inspector General staff or designated representatives make periodic audits of State survey agencies. In addition, under the Single State Audit Act, States may elect to conduct their own nonpartisan audits and certify the results to the Secretary of Health and Human Services.
Records
States 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
(Direct Payments for Specified Use) FY 16 $363,816,174; FY 17 est $361,497,858; and FY 18 est $364,288,848
Range and Average of Financial Assistance
FY 15 range is from $607,409 to $45,882,611 and an average of $6,526,368 (includes IMPACT Act funding). FY16 range is from $542,819 to $46,234,033 and an average of $6,522,660 (includes IMPACT Act funding). FY17 range is from $558,610 to $46,266,103 and an average of $6,523,464 (includes IMPACT Act funding).
Regulations, Guidelines, and Literature
Title XVIII, Social Security Act as amended Sections 1863, 1864 and 1865. IMPACT Act P.L. 113-185
Information Contacts
Regional or Local Office
See Regional Agency Offices. Contact the Regional Administrator for Centers for Medicare and Medicaid Services. (See Appendix IV of the Catalog for listing of Regional Offices).
Headquarters Office
David Wright 7500 Security Blvd, Baltimore, Maryland 21244 Email: David.Wright@cms.hhs.gov Phone: 410786-9493
Criteria for Selecting Proposals
Selecting criteria for Federal funding of State certification proposals are available to State survey agencies upon request.
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