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.
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.
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.
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 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.
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.
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.
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.
(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.
Regional or Local Office
See Regional Agency Offices.
David Wright 7500 Security Blvd, Baltimore, Maryland 21244 Email: David.Wright@cms.hhs.gov Phone: 410-786-9493
Criteria for Selecting Proposals