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 participation.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Centers For Medicare and Medicaid Services, Department of Health and Human Services
Type(s) of Assistance Offered
A - Formula Grants
Program Accomplishments
Not applicable.
Social Security Act, Sections 1863, 1864, 1865, 1902, 1903 and 1919, Title XIX
Who is eligible to apply/benefit from this assistance?
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.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. Environmental impact information is not required for this program. An environmental impact assessment is not required for this listing. 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. Preapplication is required.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. 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 Procedure
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.
October 1, 2012 to August 15, 2013 Annual budget proposals are requested from the appropriate State agency as negotiated with Regional Office.
Approval/Disapproval Decision 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.
How are proposals selected?
Not applicable.
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 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.
What are the requirements after being awarded this opportunity?
Not applicable.
Not applicable.
State 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 is voluntary. 25%. Formula Grants. This program does have a matching requirement (75% Fed/25% State).

MOE requirements are not applicable to this assistance listing.
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.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
David Wright
7500 Security Blvd
Baltimore, MD 21244 US
Phone: 410-786-9493
Website Address
Financial Information
Account Identification
(Formula Grants) FY 18 Estimate Not Available FY 19 est $282,000,000.00; FY 20 est $286,750,000.00; FY 17 Estimate Not Available FY 16$291,000,000.00; -
Range and Average of Financial Assistance
FY 18 range is from $479,794 to $37,750,211 with an average of $5,154,420.
Regulations, Guidelines and Literature
Title XIX, Social Security Act as amended Sections 1863, 1864 and 1865.
Examples of Funded Projects
Not applicable.


Federal Grants Resources