ARRA-Survey and Certification Ambulatory Surgical Center Healthcare-Associated Infection (ASC-HAI) P

(a) Improve State Agency inspection capability and frequency for onsite surveys of Ambulatory Surgical Centers nationwide;
(b) Use a new infection control survey tool developed by the Centers for Disease Control and Prevention and CMS;
(c) Improve the survey process through the use of a CMS
tracer methodology; and
(d) Use multi-person teams for ASCs over a certain size or complexity.

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.

Angela Mason-Elbert, - 410.786.8279
Marilyn Dahl, - 410.786.8665
Angela Brice-Smith, - 410.786.4340.
Website Address

Program Accomplishments

Fiscal Year 2008: No Current Data Available Fiscal Year 2009: This is a new program in FY 2009 and that there are currently no program accomplishments to report. Fiscal Year 2010: No Current Data Available

Uses and Use Restrictions

States will use the funding to conduct additional ASC surveys, save and/or create jobs directly within the State Agency; contract with experienced surveyors who will be trained in the new ASC survey process, enlist the services of State physicians or certified infection control specialists who will accompany surveyors on several of their initial surveys conducted under the new survey process.

Funding may not be used to support other State Agency work required by CMS and may not be used to offset costs are that funded through CMS regular survey and certification budget.

Eligibility Requirements

Applicant Eligibility

State (includes District of Columbia, public institutions of higher education and hospitals): Health/Medical

Beneficiary Eligibility



No Credentials or documentation are required. This program is excluded from coverage under OMB Circular No. A-87.

Aplication and Award Process

Preapplication Coordination

Any questions about the Recovery Act ASC HAI Initiative or the application process should be directed to Angela Mason-Elbert at 410-786-8279.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.


Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. Memorandum S&C-09-43 outlined the Recovery Act ASC-HAI initiative application process. States must submit projected plans and costs eligible for Recovery Act funding. The plans must include the following:

• Identifying information
• Staffing plan
• Capability Expansion and Hiring Plan
• Training Plan
• Survey Plan
• Barriers and Prospective Solutions
• Budget Estimate

Award Procedures

All plans must meet the minimum requirements. Plans will be reviewed and grants awarded based on the amount of funding available.


Jun 30, 2009 to Aug 30, 2009 Submission of Plan for FY 2009 funding: June 30, 2009
Selection of States for FY 2009 Implementation: July 2009
Notice to States of FY 2009 Approval & Funding Levels: July 2009
Start Implementation in FY 2009 for Volunteer States: July 2009
Submission of Plan for FY 2010 funding: August 30, 2009
Notice to States of FY 2010 Approval & Funding Levels: September 2009.


American Recovery and Reinvestment Act of 2009 (Recovery Act), Section 1864 of the Social Security Act.

Range of Approval/Disapproval Time

Not Applicable.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.

This program has no matching requirements. There is no match requirement for States for the Recovery Act ASC-HAI Initiative. Additionally, cost-sharing does not apply insofar as it pertains to the add-ons to the survey process that are occasioned by the Recovery Act.

MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

** Get information for this section**. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements


All State Agencies must be able to track and report ASC-HAI project activities, program participant data, and spending separate from other survey and certification activities.

Reporting requirements include quarterly reports, annual reporting, and close-out reporting.

State Agencies are responsible for furnishing data on the number of jobs created or saved.

CMS will produce quarterly reports on what work has been completed, including milestones such as training, outreach efforts, and allotments to State Agencies.

CMS will also issue an evaluative report on the new ASC survey process.

This report will include State Agency input on the value from the enhanced survey infection control tool and other important aspects of the new survey process.

No cash reports are required.

No progress reports are required.

No expenditure reports are required.

No performance monitoring is required.


This program is excluded from coverage under OMB Circular No. A-133. ** Get information for this section**


Recipients must follow the Administrative requirements for record keeping as listed in A-102.

Financial Information

Account Identification



(Formula Grants (Apportionments)) FY 08 $0; FY 09 est $1,000,000; FY 10 est $9,000,000

Range and Average of Financial Assistance

$11,500 - $115,500; $47,688.

Regulations, Guidelines, and Literature

Grants Administration policies (45 CFR 74 and 92) and application kits may be obtained from the Office of Acquisition and Grants Management, Centers for Medicare and Medicaid Services, Room C2-21-15, Central Building, 7500 Security Boulevard, Baltimore, MD 21244-1850.

The HHS Grants Policy Statement can be found at:

The ARRA Award Terms and Conditions can be found at:

Information Contacts

Regional or Local Office

See Regional Agency Offices. Angela Mason-Elbert, - 410.786.8279
Marilyn Dahl, - 410.786.8665
Angela Brice-Smith, - 410.786.4340.

Headquarters Office

Angela Mason-elbert 7500 Security Boulevard
Baltimore, MD 21207, Baltimore, Maryland 21207 Email: Phone: 4107868279

Criteria for Selecting Proposals

All acceptable proposals will be funded. To the extent that proposals exceed available funds, the funds will be pro-rated downward, beginning with those States that propose to survey more than 33% of non-deemed ASCs.

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