State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare
Active
- Assistance listing
- 93.777
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Grant awards
- 5,871 $5,650,024,469 in federal obligations
Program facts
- Assistance types
-
- Formula Grant
- Project Grant
- Block Grant
- Treasury account
-
- 75-0511-0-1-550
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Centers for Medicare and Medicaid Services funds state-conducted surveys and certification activities verifying that Medicare providers and suppliers meet federal health and safety standards and conditions of participation under CFDA 93.777, with the most recent grant awards issued October 1, 2020.
This program exclusively serves state health agencies and related state entities conducting Medicare provider compliance surveys and certification work. Funded activities include state-performed inspections, compliance assessments, and certification determinations for health care providers and suppliers participating in the Medicare program. States receive quarterly awards under an annual approved budget negotiated with CMS regional offices, and funding draws occur through the Department's Payment Management System.
The program is predominantly formula-based, with Formula Grants representing 70 percent of 5,871 total awards since 2000 (4,109 awards), complemented by Project Grants at 25 percent (1,458 awards) and Block Grants at 5 percent (304 awards). CMS is the sole funding agency. Over the past six years, award volume averaged roughly 120 to 320 awards annually, though no grant opportunities have been posted recently; the portfolio reflects only recurring state entitlements and awards through fiscal year 2021 (most recent awards dated October 1, 2020).
Combined federal dollars obligated across 5,871 awards total $5.65 billion. Recent awards cluster in the $50 thousand to $2 million range for individual states, though larger states receive substantially more: Texas Medicare entitlement ($33.6 million, FY 2021), Florida Medicare entitlement ($12.7 million, FY 2021), New York Medicare entitlement ($16.8 million, FY 2021), and North Carolina Medicare entitlement ($8.8 million, FY 2021). A mix of base Medicare entitlements and supplemental CARES Act funding characterizes the FY 2021 award cohort.
Because all recent awards predate 2021 and no current opportunities are listed, this program appears inactive for new solicitations or competitive applications. Eligibility is restricted to state agencies; business development interest should focus on engagement with state health agency partners where those relationships exist.
Objective and description
- Objective
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 healt
- Description
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.
Eligibility
- Applicant eligibility
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.
- Uses of assistance
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.
- 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.
How to apply
- Criteria for selecting proposals
Selecting criteria for Federal funding of State certification proposals are available to State survey agencies upon request.
- Award procedure
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).
- Deadlines
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.
- Time to approval or disapproval
This timeline is for initial approval or disapproval.
- Renewals
Ongoing renewals are awarded to States that are willing and able to conduct required survey activities in compliance with statutory mandate.
- Appeals
Title XVIII appeals are reviewed by the Armed Services Contracts Appeal Board.
Grant awards
Latest 10 of 5,871 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | California Department Of Public Health | $604,615,057 | 11% |
| 2 | NYS Department Of Health | $257,224,259 | 5% |
| 3 | Health & Human SVC Commn TX | $230,490,758 | 4% |
| 4 | Department Of Public Health Illinois | $219,533,993 | 4% |
| 5 | Ohio Department Of Health | $219,319,000 | 4% |
| 6 | Missouri Department Of Health & Senior Services | $157,662,436 | 3% |
| 7 | Pennsylvania Department Of Health | $153,611,232 | 3% |
| 8 | North Carolina Department Of Health & Human Services | $138,615,934 | 2% |
| 9 | Florida Agency For Health Care Administration | $128,386,567 | 2% |
9 of 121 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2021 | $386,014,643 |
| FY2020 | $382,198,060 |
| FY2019 | $351,619,078 |
| FY2018 | $344,796,556 |
| FY2017 | $358,700,006 |
| FY2016 | $322,327,690 |
| FY2015 | $321,638,537 |
| FY2014 | $302,030,771 |
| FY2013 | $294,508,566 |
| FY2012 | $346,075,283 |
| FY2011 | $510,188,369 |
| FY2010 | $796,939,840 |
| FY2009 | $391,714,217 |
| FY2008 | $117,218,441 |
| FY2006 | $72,752,222 |
| FY2005 | $67,559,939 |
| FY2004 | $88,228,062 |
| FY2003 | $69,203,332 |
| FY2002 | $70,607,097 |
| FY2001 | $55,703,754 |
Show all 20
Quick answers
What is Assistance Listing 93.777?
Assistance Listing 93.777 is State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare, a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services).
What is the CFDA number for State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare?
Its CFDA number is 93.777: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.777 awarded?
5,871 grant awards under 93.777 have obligated $5,650,024,469 in federal funds to 121 recipients.
Who receives the most funding from 93.777?
The recipients obligated the most under State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare are California Department Of Public Health ($604,615,057), NYS Department Of Health ($257,224,259) and Health & Human SVC Commn TX ($230,490,758).
On GovTribe
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