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.

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. OMB Circular No. A-87 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 OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. 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, 2010 to Aug 15, 2011 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.


No audits are required for this program.


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 09 $207,175,000; FY 10 est $230,646,000; FY 11 est $234,567,000

Range and Average of Financial Assistance

FY09 range is from $311,219 to $23,966,575 and an average of $3,824,966.

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

Thomas Hamilton, 7500 Security Boulevard, Baltimore, Maryland 21244 Email: Phone: (410) 786-9493.

Criteria for Selecting Proposals

Not Applicable.

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