State Operations Manual (Pub. 100-07), Ch. 4 § 4518
Use of Overtime in SAs
4518 - Use of Overtime in SAs
(Rev. 1, 05-21-04)
The CMS expects the SA to take the initiative in bringing about the adoption of such
special measures as it believes necessary to meet workload objectives. To provide the
productive capacity to meet certification workloads on a timely basis, all agencies should
take steps to secure authority for future use of paid overtime for State survey program
staff.