Basis for State Agency (SA) Activities Under Title XVIII and

1002 - Basis for State Agency (SA) Activities Under Title XVIII and Title XIX of the Act (Rev. 1, 05-21-04) Section 1864(a) of the Act directs the Secretary to use the help of State health agencies or other appropriate agencies when determining whether health care entities meet Federal standards. This helping function is termed "certification." See 42 CFR 488.1. Section 1902(a)(9)(A) of the Act requires that a State use this same agency to set and maintain additional standards for the State Medicaid program. Section 1902(a)(33)(B) requires that the State use the agency utilized for Medicare or, if such agency is not the State agency responsible for licensing health institutions, the State use the agency responsible for such licensing to determine whether institutions meet all applicable Federal health standards for Medicaid participation, subject to validation by the Secretary. The complete Federal requirements are published in the "Federal Register," and they are further explained in this manual. See 42 CFR Part 488.