SA Goods, Facilities, Services from Other State Agencies or From

4508 - SA Goods, Facilities, Services from Other State Agencies or From Local Agencies (Rev. 1, 05-21-04) 4508A - Definition (Rev. 1, 05-21-04) The definitions of the terms “goods,” “facilities,” and “services,” and the criteria for application of the standards are those in effect for State grant-in-aid relationship with DHHS. 4508B - Centralized State Services (Rev. 1, 05-21-04) In some States, services of an administrative nature (including certain commodities) such as accounting, printing, civil service, or central purchasing are furnished to the various operating agencies of the State by specialized service departments outside the health department (or other agency having an agreement and/or State plan with DHHS under §§1864 and/or 1903 of the Act). An equitable part of such charges may be allocated to the State survey and certification program if the services are necessary and are ones from which the program derives a benefit similar to that accruing to other units of the agency, and provided that: • The pro rata share charged to the State survey program does not include costs attributable to the general expense of State government in carrying out the coordinating, fiscal, and administrative functions of government; • The charge is based on cost; and • The costs are extra, identifiable, and readily ascertainable either by segregation or as a pro rata share of the cost of such facilities or services. The basis of the service agency’s charge must be described, including the method of proration and the services provided, and the description submitted for approval to CMS. Such costs should be separately identified in the SA budget.