RO Distribution of Approved Funds

4636 - RO Distribution of Approved Funds (Rev. 1, 05-21-04) The RO forwards the SA’s recommendation funding to CO for processing. The CO is responsible for the execution and oversight of the SA’s approved Medicare and Medicaid budgets for survey and certification activity. The CO prepares an internal document quarterly for each SA with an approved Medicare title XVIII budget authorizing funds upon which the State may draw. The amount is one- fourth of the SAs approved budget. This information is forwarded to the Division of Accounting (DA) in CMS for processing. The DA enters the authorization in the Payment Management System. (See §4636.l.) Medicaid title XIX quarterly grants are prepared and issued to States with approved plans for survey and certification activity in accordance with 42 CFR Part 430.30. The amount of a grant is based on documents provided to the CMS-RO (estimate of Federal funds required with certification of States matching funds available and prior quarter actual expenditures). The CMS-RO reviews and approves the certified documents and provides notification to CMS-CO for processing. CO prepares a computation worksheet and two- page grant award letter authorizing the release of funds to the SA. The original award is mailed to the SA and a copy is forwarded to the DA in CMS for entry into the Payment Management System.