State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare

CFDA 93.777 Active Cooperative Agreement
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Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)
$442M FY2026
$417.3M
FY24
$437.3M
FY25
$442M
FY26*
* estimated

Program 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 health and safety standards and conditions of participation.

Eligibility

Eligible Applicants

  • State

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.

How to Apply

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).

Decision Timeline

  • Approval: From 30 to 60 days

This timeline is for initial approval or disapproval.

Program details & compliance

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.

Mission Categories

Primary: General Health and Medical

Use of Funds

Allowed Uses

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.

Required Documentation

A signed 1864 Agreement for Title XVIII in order to carry out the survey function, 2 CFR 200 applies to this program

Reporting & Compliance

Audit Required
Yes — Random
Records Retention
3 years

Applicable 2 CFR 200 Subparts

  • Subpart E — Cost Principles
  • Subpart F — Audit Requirements

Contacts

David Wright
410786-9493
7500 Security Blvd, Baltimore, MD 21244
Data from SAM.gov Federal Assistance Listings. Source published: 2026-01-09. Spec v2.0. Last synced: 2026-05-30 02:31:47.