Line Item Justification for SA Personnel Services

4610 - Line Item Justification for SA Personnel Services (Rev. 1, 05-21-04) A - Full-Time Positions The budget justification describes the organizational location of the staff and how it functions in relation to the workload included in the work plan. The SA lists the positions on Form CMS-1465A (see Exhibit 47) in accordance with §4612. The SA completes a separate Form CMS-1465A listing the positions requested for title XVIII non-LTC, title XVIII LTC, and title XIX LTC. The SA prepares three Forms CMS- 1465A with its annual budget request. B - Approval To Exceed Authorized Full-Time Staffing The RO will place limitations on the number of full-time equivalents (FTEs) charged to Medicare program budgets so the SA cannot exceed the approved full-time staff without prior RO authorization. This ensures that ROs can track onboard surveyor disciplines and analyze fund requirements for support of additional staff. RO recommendations for staffing under the Medicaid program represent Federal estimates of required survey personnel. C - Part-Time and Temporary The SA is authorized to augment the full-time staff with the appropriate professional specialties and other positions required to perform the State survey activities and to secure the services of such persons on a part-time or temporary basis. Specific rationale for the need for such positions and skills are required in the line item justification, relating these manpower needs to activities and staff-days noted in the work plan. The SA details the basis for determining charges for part-time or temporary services in the line item justification and lists the positions requested on Form CMS-1465A in accordance with instructions stated in §4612.