Medicare and Medicaid Participating Facilities: CMS Needs to Reexamine its Approach for Funding State Oversight of Health Care Facilities

February, 2009 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 . . .