CMS-37.9 State and Local Administration Summary

Department of Health and Human Services													OMB No.	0938-0101
Centers for Medicare & Medicaid Services
Medicaid Program Budget Report
State and Local Administration Summary (In Thousands)
State:														Submission Date:
							Total Administration					Total Administration
State and Local Administration								Fiscal Year		(1)			Fiscal Year		(2)
					FFP		Total Comp.		Federal Share			Total Comp.		Federal Share
					Rates		A		B			C		D
1.	Family Planning				90
2.	Design Develop or Install MMIS:
	A. In-house and Other State Activities				90
	B. Private Sector Contractors				90
	C. Drug Claims System				90
3.	Skilled Professional Medical Personnel				75
4.	Operation of an Approved MMIS:
	A. In-house and Other State Activities				75
	B. Private Sector Contractors				75
5.	Non- MMIS Systems:
	A. In-house and Other State Activities				50
	B. Private Sector Contractors				50
6.	Peer Review Organization				75
7.	A. TPL-Billing Offset				50
	B. Assignment of Rights- Billing Offset				50
8.	Immigration Status System				100
9.	Nurse Aide Training and Competency Evaluation Programs				50
10.	Preadmission Screening Costs				75
11.	Resident Review Activities				75
12.	Drug Use Review Program				50
13.	Outstationed Eligibility Workers				50
14.	TANF Base Allocation				90
15.	TANF Secondary Allocation - 90%				90
16.	TANF Secondary Allocation - 75%				75
17.	External Quality Reviews				75
18.	Enrollment Brokers				50
19.	Other Financial Participation				50
20.	Subtotal (Sum of Lines 1 - 19)
21.	Collections
22.	Prior Period Adjustments
23.	Total Administration (Sum of Lines 20 - 22)
Form CMS-37.9														Report Date: