Title XVIII Supplemental Budgets

4640.1 - Title XVIII Supplemental Budgets (Rev. 1, 05-21-04) The SA is requested at the direction of the CO or RO, to review Medicare title XVIII non-LTC and LTC survey activity requirements for the balance of the FY. If additional funds are required, the SA prepares and sends a supplemental budget request memorandum to the RO. The memorandum should include the total amount of supplemental funding required and detailed justification supporting the request. The SA should allow sufficient time for the RO to review, provide recommendation, and notify CO for processing of the supplemental budget request. Please note that CO will make all final decisions regarding supplemental budget requests. Furthermore, the limit on expenditures for a FY is the SA’s approved budget. Any expenditures reported on the cumulative Form CMS-435 above the approved budget amount will be treated as a supplemental request. All supplemental funding is subject to availability of funds.