State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid

To provide (Medicaid) financial assistance to any State which is able and willing to determine through its State health agency or other appropriate State agency that providers and suppliers of health care services are in compliance with Federal regulatory health and safety standards and conditions of

Agency - Department of Health and Human Services

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.

Office - See Regional Agency Offices.

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
District Of Columbia Public Schools $ 2,514,485   2019-10-012019-12-31
Health And Human Services, Massachusetts Executive Office Of $ 4,617,429   2019-10-012019-12-31
Health, New York Department Of $ 5,407,850   2019-10-012019-12-31
Licensing And Regulatory Affairs, Department Of $ 8,171,287   2019-10-012019-12-31
Health And Social Services, Alaska Department Of $ 618,007   2019-10-012019-12-31
Community Health, Georgia Dept Of $ 2,394,688   2019-10-012019-12-31
Health & Human Services, North Carolina Department Of $ 6,295,277   2019-10-012019-12-31
Arkansas Department Of Human Services $ 4,963,312   2019-10-012019-12-31
Health And Environment, Kansas Department Of $ 186,974   2019-10-012019-12-31
Health & Family Services, Kentucky Cabinet For $ 4,321,761   2019-10-012019-12-31

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



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. 2 CFR 200, Subpart E - Cost Principles 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 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. 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.


Oct 01, 2012 to Aug 15, 2013 Annual budget proposals are requested from the appropriate State agency as negotiated with Regional Office.


Social Security Act, Sections 1863, 1864, 1865, 1902, 1903 and 1919, Title XIX.

Range of Approval/Disapproval Time

From 30 to 60 days.


Appeals are reviewed by the Department Grants Appeal Board.


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


No reports are required.


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.


State must maintain surveyor time records, line item and expenditure documentation, which substantiate the costs relating to survey activities.

Financial Information

Account Identification



(Formula Grants) FY 16 $291,000,000; FY 17 Estimate Not Available; and FY 18 Estimate Not Available

Range and Average of Financial Assistance

FY 12 range is from $411,833 to $25,578,617 and an average of $3,941,426. FY 13 range is from $458,382 to $28,355,355 and an average of $3,888,836. FY 14 range is from $411,961 to $37,611,130 with an average of $4,245,492.

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

David Wright 7500 Security Blvd, Baltimore, Maryland 21244 Email: Phone: 410-786-9493

Criteria for Selecting Proposals

Not Applicable.

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