Notification of Approval

4630 - Notification of Approval (Rev. 1, 05-21-04) A. Explanation of State Survey Agency Budget Notice of Approval, Form CMS-435 (Exhibit 45) This form is used to notify SAs of the amounts approved for the FY. It is the same form as the budget request, hence, no explanation of the entries is necessary. B. Notification of Availability of FFP ROs recommendation State estimated FFP Medicaid requirements on the same budget form (Form CMS-435) which the State provides to estimate State and Federal financial requirements. Since this is the same form, no explanation of the entries is necessary. The annual approval for Medicaid is for planning purposes and is non-binding. State- provided quarterly estimated requirements and actual expenditures are the final determinants for Medicaid funding. These requirements are covered under §4636. C. Line Item Limitation on Use of Funds To provide flexibility to the SA, line item controls are generally not placed on amounts approved for a FY, with the exception of training. However, under certain circumstances, specific controls may be imposed on expenditures through the comments attached to the budget approval documents. D. Due Date The CO will forward notice of budget approval to the RO who in turn will forward the original documents to the State Agency. The RO assembles the budget documents as follows: ● Three Forms CMS-435; ● Form CMS-434; ● Form CMS-1465A. Separate forms are required for Medicare non-LTC and LTC and Medicaid LTC; ● Form CMS-1466; and ● Other documentation as required in the annual budget call letter.