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February, 2009
Medicare and Medicaid Participating Facilities:
CMS Needs to Reexamine its Approach for Funding State Oversight of Health
Care Facilities
Federal funding for state surveys increased from
fiscal years 2000 through 2002 but was nearly flat from fiscal years 2002
through 2007. In inflation-adjusted terms, funding fell 9 percent from
fiscal years 2002 through 2007. CMS has made incremental adjustments to
improve its management of state allocations. It shifted federal funding
from support contracts to surveys, increasing state allocations about 1
percent in fiscal years 2006 and 2007.
Released in February 2009, this report reviews
the status of funds and whether federal funding has kept pace with the
changing workload.

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