State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare
To provide 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 participation.
General information about this opportunity
Last Known Status
Centers For Medicare and Medicaid Services, Department of Health and Human Services
Type(s) of Assistance Offered
A - Formula Grants; C - Direct Payments For Specified Use
Social Security Act, Sections 1863, 1864, 1865, 1902, 1903, and 1919, Title XVIII, and the IMPACT Act P.L. 113-185
Who is eligible to apply/benefit from this assistance?
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.
A signed 1864 Agreement for Title XVIII in order to carry out the survey function, 2 CFR 200 applies to this program
What is the process for applying and being award this assistance?
Preapplication coordination is required. N/A
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Sign an 1864 Agreement for support of Medicare/Medicaid survey and certification activities.
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).
August 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.
Approval/Disapproval Decision Time
From 30 to 60 days. This timeline is for initial approval or disapproval.
Title XVIII appeals are reviewed by the Armed Services Contracts Appeal Board.
Ongoing renewals are awarded to States that are willing and able to conduct required survey activities in compliance with statutory mandate.
How are proposals selected?
Selecting criteria for Federal funding of State certification proposals are available to State survey agencies upon request.
How may assistance be used?
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.
What are the requirements after being awarded this opportunity?
Performance monitoring is required. Comprehensive final reports are due no later than 90 days after termination projects.
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.
States must maintain surveyor time records, line item and expenditure documentation, which substantiate the costs relating to survey activities.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.
Matching requirements are not applicable to this assistance listing.
MOE requirements are not applicable to this assistance listing.
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.
Who do I contact about this opportunity?
Regional or Local Office
Contact the Regional Administrator for Centers for Medicare and Medicaid Services. (See Appendix IV of the Catalog for listing of Regional Offices).
7500 Security Blvd
Baltimore, MD 21244 US
(Direct Payments for Specified Use) FY 18$363,178,086.00; FY 19 est $366,123,636.00; FY 20 est $397,334,000.00; FY 17$365,054,041.00; FY 16$363,816,174.00; -
Range and Average of Financial Assistance
FY 18 range is from $559,205 to $46,106,561 with an average of $6,603,238 (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
Examples of Funded Projects