State Operations Manual (Pub. 100-07), Ch. 4 § 4700
SA Accounts
4700 - SA Accounts
(Rev. 1, 05-21-04)
It is the responsibility of the State to ensure that all estimates and reports of expenditures
and other reports are prepared timely and in accordance with appropriate budgetary and
accounting methods and administrative practices adopted by DHHS.
It is the desire and intent of CMS to accept State practice in the manner in which funds
received from the Federal government are handled and accounted for, and in a State’s
choice of a depository, subject to the general accountability required under Article IX,
Cost of Administration, of the §1864 Agreement. However, funds advanced to a State
must be identifiable in a State’s records. This is usually achieved by use of a separate
account. The policies and instructions established by CMS for States’ receipt of funding
advances and submission of reports have been drafted with a view to following State
patterns to the fullest extent possible.