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Program Management

Schedules

TAFS: 075-0511 /X - Program Management

Adjustment authority: Yes
Reporting categories: No
Line #SplitDescriptionIteration 1
Previously Approved Amount
Iteration 2
OMB Action Amount
Footnotes
1000DEDiscretionary Estimated- Unob Bal: Brought forward, October 1$82,000,000-$82,000,000
$0
1000DADiscretionary Actual- Unob Bal: Brought forward, October 1Line added+$88,954,054
$88,954,054
1000MEMandatory Estimated - Unob Bal: Brought forward, October 1$4,101,431,818-$4,101,431,818
$0
1000MAMandatory Actual - Unob Bal: Brought forward, October 1Line added+$4,266,957,245
$4,266,957,245
1740BA: Disc: Spending auth:Antic colls, reimbs, other$30,000,000+$1,600,000
$31,600,000
1801BA: Mand: Spending auth: Chng uncoll paymt Fed src$54,569,925+$610,173,483
$664,743,408
See footnotes below
Footnotes for line 1801 (Previous):

B2: Transfer amount has been adjusted to reflect amount sequestered, in the trust funds, pursuant to the OMB Report to the Congress on the Joint Committee Reductions for Fiscal Year 2022.

Footnotes for line 1801 (Current):

B2: Transfer amount has been adjusted to reflect amount sequestered, in the trust funds, pursuant to the OMB Report to the Congress on the Joint Committee Reductions for Fiscal Year 2022.

1802BA: Mand: Spending auth: Previously unavailable$93,361,341+$2,509,194
$95,870,535
1823BA: Mand: Spending auth: New\Unob bal temp reduced-$135,342,244+$29,629,069
-$105,713,175
1840BA: Mand: Spending auth:Antic colls, reimbs, other$2,557,417,097-$631,600,000
$1,925,817,097
1920Total budgetary resources avail (disc. and mand.)$6,783,437,937+$184,791,227
$6,968,229,164
See footnotes below
Footnotes for line 1920 (Previous):

B1: These amounts reflect an adjustment to the funds sequestered for FY 2022 pursuant to the FY 2022 Joint Committee sequestration, in accordance with Section 3709(a) of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act"), as amended by Public Law 116-260 and further amended by Public Law 117-7, which suspended the sequestration of Medicare programs under tile XVIII of the Social Security Act from May 1, 2020 until December 31, 2021.

Footnotes for line 1920 (Current):

B1: These amounts reflect an adjustment to the funds sequestered for FY 2022 pursuant to the FY 2022 Joint Committee sequestration, in accordance with Section 3709(a) of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act"), as amended by Public Law 116-260, as amended by Public Law 117-7, and further amended by Public Law 117-71 which suspended the sequestration of Medicare programs under title XVIII of the Social Security Act from May 1, 2020 until March 31, 2022.

6001Category A -- 1st quarter$61,853,860 $61,853,860
6002Category A -- 2nd quarter$66,371,848 $66,371,848
6003Category A -- 3rd quarter$52,146,984 $52,146,984
6004Category A -- 4th quarter$51,164,429-$171,884
$50,992,545
6014Diagnostic Lab Tests (ACA 3113, P.L. 111-148)$0 Line removed
6013Extending the Independence at Home Medical Practice Demonstration Program (Sec 105, P.L. 116-260)$5,000,000 $5,000,000
6016Community Prevention (ACA 4202, P.L. 111-148)$0 Line removed
6019Provider Enrollment Fees (ACA 6401, P.L.111-148)$73,177,978-$2,701,755
$70,476,223
6017GNE Demonstration (ACA 5509, P.L.111-148)$0 Line removed
6022Nursing Home CMPs (ACA 6111, P.L.111-148)$6,440,406 $6,440,406
6018Medicare and Medicaid Extenders Act of 2010 (Section 206, P.L. 111-309)$0 Line removed
6023RAC Retention Fees (MACRA 505, P.L.114-10)$45,030,000 $45,030,000
6024SHIPS (Consolidated Appropriations Act Sec. 103, P.L. 116-260)$16,674,159 $16,674,159
6021Medicaid Regulations Study and Report (Section 7001, P.L. 110-252)$0 Line removed
6025Value-Based Purchasing Program for SNFs (PAMA 215, P.L.113-93)$125,000 $125,000
6026Clinical Diagnostic Laboratory Test (PAMA 216, P.L.113-93)$3,825,000 $3,825,000
6028Ensuring Accurate Valuation of Services (PAMA 220, P.L.113-93)$2,600,000 $2,600,000
6034Repealing SGR and Improving Medicare Payments (MACRA 101, P.L.114-10)$63,000 $63,000
6038Open Payments CMPs (ACA 6002, P.L.111-148)$1,307,600 $1,307,600
6041Medicare Site-of-Service (CURES 4011, P.L.114-255)$1-$1
$0
6042Medicare Ambulance Services (BBA 50203, P.L.115-123)$2,616,492 $2,616,492
6029Post-Acute Care Common Measurement Tool (IMPACT 2a, P.L.113-185)$0 Line removed
6044Recovery Audit Contractors - Part A/B (Section 302, P.L.109-432)$109,000,000-$3,824,196
$105,175,804
6032Assessment and Analysis on Adjustments (IMPACT 2d2D, P.L.113-185)$0 Line removed
6046Recovery Audit Contractors - MSP (Section 302, P.L.109-432)$50,650,000 $50,650,000
6048Marketplace User Fees (Section 1311&1321, P.L.111-148)$1,700,000,000+$177,529,562
$1,877,529,562
See footnotes below
Footnotes for line 6048 (Previous):

A4: Of the amounts apportioned on line 6048, $500,000,000 is available immediately for obligation. The remaining $1,200,000,000 is available for obligation 10 days after submission to OMB of an HHS approved spend plan

6049Risk Adjustment User Fees (Section 1343, P.L.111-148)$51,078,621+$1,782,755
$52,861,376
6039Prohibition of Inclusion of SSNs (MACRA 501, P.L.114-10)$0 Line removed
6050Extension of Funding for Quality Measure (Consolidated Appropriations Act Sec. 102, P.L. 116-260)$22,133,917+$400,000
$22,533,917
6040Treatment of Cancer Hospitals (CURES 16002, P.L.114-255)$0 Line removed
6051Expanding the Use of Telehealth Services (SUPPORT 2001, P.L.115-271)$813,197 $813,197
6053Grants to Provide Technical Assistance to Outlier Prescribers (SUPPORT 6052, P.L.115-271)$2,972,478 $2,972,478
6055Recovery Audit Contractors - Part D (Section 302, P.L. 109-432)$500,000 $500,000
6057Repeal Medicare Payment Cap Therapy Services (BBA 50202)$5,000,000 $5,000,000
6058Beneficiary Enrollment Simplification (Consolidated Appropriations Act Sec. 120, P.L. 116-260)$450,000+$356,000
$806,000
6059Implementation Funding (Consolidated Appropriations Act Sec. 501, P.L. 116-260)$16,916,000 $16,916,000
6060Funding for Strike Teams for Resident and Employee Safety SNFs (ARPA Sec 9402, P.L. 117-2)$250,000,000 $250,000,000
6061Funding for State Strike Teams for Resident and Employee Safety in Nursing Facilities (ARPA Sec 9818$250,000,000 $250,000,000
6062Medicare Payment for Rural Emergency Hospital Services (Consolidated Appropriations Act Sec. 125, P.$3,465,000 $3,465,000
6063Establishing Hospice Program Survey and Enforcement Procedures Under the Medicare Program (Consolida$9,573,671 $9,573,671
6054Payment Adjustments for Home Health Care (ACA 3131, P.L. 111-148)$0 Line removed
617015Apportioned in FY 2023 and future fiscal years - Assessment and Analysis on Adjustments (IMPACT 2d2D$336,008 $336,008
617030Apportioned in FY 2023 and future fiscal years - Beneficiary Enrollment Simplification (Consolidated$3,014,734+$122,110
$3,136,844
6056Quality Incentives Computed Tomography (PAMA 218, P.L. 113-93)$0 Line removed
61701Apportioned in FY 2023 and future fiscal years - Category A$209,815,123+$50,549,715
$260,364,838
617012Apportioned in FY 2023 and future fiscal years - Clinical Diagnostic Laboratory Test (PAMA 216, P.L.$1,690,039+$1,246,192
$2,936,231
61704Apportioned in FY 2023 and future fiscal years - Community Prevention (ACA 4202, P.L. 111-148)$37,978,007 $37,978,007
61703Apportioned in FY 2023 and future fiscal years - Diagnostic Lab Tests (ACA 3113, P.L. 111-148)$1,250,595 $1,250,595
617013Apportioned in FY 2023 and future fiscal years - Ensuring Accurate Valuation of Services (PAMA 220,$643,385+$1,895,884
$2,539,269
617036Apportioned in FY 2023 and future fiscal years - Establishing Hospice Program Survey and EnforcementLine added+$140,548
$140,548
61702Apportioned in FY 2023 and future fiscal years - Extending the Independence at Home Medical Practice$5,898,479 $5,898,479
617024Apportioned in FY 2023 and future fiscal years - Extension of Funding for Quality Measure (Consolida$2,291,439-$136,035
$2,155,404
61705Apportioned in FY 2023 and future fiscal years - GNE Demonstration (ACA 5509, P.L.111-148)$13,998,983 $13,998,983
617025Apportioned in FY 2023 and future fiscal years - Grants to Provide Technical Assistance to Outlier P$67,303,931-$730,198
$66,573,733
617031Apportioned in FY 2023 and future fiscal years - Implementation Funding (Consolidated Appropriations$9,383,691+$716,584
$10,100,275
617022Apportioned in FY 2023 and future fiscal years - Marketplace User Fees (Section 1311&1321, P.L.111-1$1,260,720,821-$97,540,648
$1,163,180,173
61708Apportioned in FY 2023 and future fiscal years - Medicaid Regulations Study and Report (Section 7001$2,854,052 $2,854,052
617034Apportioned in FY 2023 and future fiscal years - Medicare Ambulance Services (BBA 50203, P.L.115-123Line added+$376,166
$376,166
61706Apportioned in FY 2023 and future fiscal years - Medicare and Medicaid Extenders Act of 2010 (Sectio$5,670,989+$1,189,803
$6,860,792
617032Apportioned in FY 2023 and future fiscal years - Medicare Payment for Rural Emergency Hospital Servi$5,035,000+$372,984
$5,407,984
617033Apportioned in FY 2023 and future fiscal years - Medicare Site-of-Service (CURES 4011, P.L.114-255)Line added+$256,414
$256,414
61709Apportioned in FY 2023 and future fiscal years - Nursing Home CMPs (ACA 6111, P.L.111-148)$75,034,463+$13,102,997
$88,137,460
617017Apportioned in FY 2023 and future fiscal years - Open Payments CMPs (ACA 6002, P.L.111-148)$1,213,639 $1,213,639
617026Apportioned in FY 2023 and future fiscal years - Payment Adjustments for Home Health Care (ACA 3131,$463,500,000 $463,500,000See footnotes below
Footnotes for line 6170 (26) (Previous):

A3: Of the amounts apportioned on line 6054, $463,500,000 corresponds to section 3131(d) of the Patient Protection and Affordable Care Act and the legal availability of these amounts is the subject of a continuing legal review, consistent with OMB section 120.9. After resolution is reached, the account will be reapportioned accordingly.

Footnotes for line 6170 (26) (Current):

A3: Of the amounts apportioned on line 6054, $463,500,000 corresponds to section 3131(d) of the Patient Protection and Affordable Care Act and the legal availability of these amounts is the subject of a continuing legal review, consistent with OMB section 120.9. After resolution is reached, the account will be reapportioned accordingly.

617014Apportioned in FY 2023 and future fiscal years - Post-Acute Care Common Measurement Tool (IMPACT 2a,$1,581,839+$37,222
$1,619,061
617018Apportioned in FY 2023 and future fiscal years - Prohibition of Inclusion of SSNs (MACRA 501, P.L.11$11,075,709 $11,075,709
61707Apportioned in FY 2023 and future fiscal years - Provider Enrollment Fees (ACA 6401, P.L.111-148)$15,827,773-$7,931,275
$7,896,498
617028Apportioned in FY 2023 and future fiscal years - Quality Incentives Computed Tomography (PAMA 218, P$14,518,320 $14,518,320
617010Apportioned in FY 2023 and future fiscal years - RAC Retention Fees (MACRA 505, P.L.114-10)$237,695,228+$25,943,414
$263,638,642
617021Apportioned in FY 2023 and future fiscal years - Recovery Audit Contractors - MSP (Section 302, P.L.$731,697,752-$49,658,051
$682,039,701
617020Apportioned in FY 2023 and future fiscal years - Recovery Audit Contractors - Part A/B (Section 302,$672,811,291+$43,897,552
$716,708,843
617027Apportioned in FY 2023 and future fiscal years - Recovery Audit Contractors - Part D (Section 302, P$1,912,453 $1,912,453
617029Apportioned in FY 2023 and future fiscal years - Repeal Medicare Payment Cap Therapy Services (BBA 5$19,465,378+$70,274
$19,535,652
617016Apportioned in FY 2023 and future fiscal years - Repealing SGR and Improving Medicare Payments (MACR$7,336,647-$16,167
$7,320,480
617023Apportioned in FY 2023 and future fiscal years - Risk Adjustment User Fees (Section 1343, P.L.111-14$36,943,228+$27,279,809
$64,223,037
617035Apportioned in FY 2023 and future fiscal years - SHIPS (Consolidated Appropriations Act Sec. 103, P.Line added+$235,452
$235,452
617019Apportioned in FY 2023 and future fiscal years - Treatment of Cancer Hospitals (CURES 16002, P.L.114$1,968,433 $1,968,433
617011Apportioned in FY 2023 and future fiscal years - Value-Based Purchasing Program for SNFs (PAMA 215,$2,020,867 $2,020,867
6190Total budgetary resources available$6,783,437,937+$184,791,227
$6,968,229,164
See footnotes below
Footnotes for line 6190 (Previous):

A1: Details on attachments are not subject to 31 USC 1517. The term "attachments" includes but is not limited to the worksheets in this excel file that accompany the SF 132 and this footnote worksheet.

A2: The total amount apportioned may be increased for additional spending authority from offsetting collections received by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available (excluding appropriations from the Medicare trust funds). The amount of such increase is to be applied to the appropriate line in the application of budgetary resources.

Footnotes for line 6190 (Current):

A1: Details on attachments are not subject to 31 USC 1517. The term "attachments" includes but is not limited to the worksheets in this excel file that accompany the SF 132 and this footnote worksheet.

A2: The total amount apportioned may be increased for additional spending authority from offsetting collections received by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available (excluding appropriations from the Medicare trust funds). The amount of such increase is to be applied to the appropriate line in the application of budgetary resources.

Footnotes

Footnotes provide further information about, or establish further legal requirements related to the use of, the funds in a given line or set of lines in an apportionment. If footnotes appear on lines 1920 or 6190, they apply to all the lines in the 1xxx and 6xxx sections, respectively. The following are all the footnotes associated with this file.

NumberText
A1
Details on attachments are not subject to 31 USC 1517. The term "attachments" includes but is not limited to the worksheets in this excel file that accompany the SF 132 and this footnote worksheet.
A2
The total amount apportioned may be increased for additional spending authority from offsetting collections received by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available (excluding appropriations from the Medicare trust funds). The amount of such increase is to be applied to the appropriate line in the application of budgetary resources.
A3
Of the amounts apportioned on line 6054, $463,500,000 corresponds to section 3131(d) of the Patient Protection and Affordable Care Act and the legal availability of these amounts is the subject of a continuing legal review, consistent with OMB section 120.9. After resolution is reached, the account will be reapportioned accordingly.
B1
These amounts reflect an adjustment to the funds sequestered for FY 2022 pursuant to the FY 2022 Joint Committee sequestration, in accordance with Section 3709(a) of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act"), as amended by Public Law 116-260, as amended by Public Law 117-7, and further amended by Public Law 117-71 which suspended the sequestration of Medicare programs under title XVIII of the Social Security Act from May 1, 2020 until March 31, 2022.
B2
Transfer amount has been adjusted to reflect amount sequestered, in the trust funds, pursuant to the OMB Report to the Congress on the Joint Committee Reductions for Fiscal Year 2022.

The following are all of the footnotes associated with the previous iteration of this file. Note that previous iterations of accounts in this file may come from multiple previous files.

NumberText
A1
Details on attachments are not subject to 31 USC 1517. The term "attachments" includes but is not limited to the worksheets in this excel file that accompany the SF 132 and this footnote worksheet.
A2
The total amount apportioned may be increased for additional spending authority from offsetting collections received by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available (excluding appropriations from the Medicare trust funds). The amount of such increase is to be applied to the appropriate line in the application of budgetary resources.
A3
Of the amounts apportioned on line 6054, $463,500,000 corresponds to section 3131(d) of the Patient Protection and Affordable Care Act and the legal availability of these amounts is the subject of a continuing legal review, consistent with OMB section 120.9. After resolution is reached, the account will be reapportioned accordingly.
A4
Of the amounts apportioned on line 6048, $500,000,000 is available immediately for obligation. The remaining $1,200,000,000 is available for obligation 10 days after submission to OMB of an HHS approved spend plan
B1
These amounts reflect an adjustment to the funds sequestered for FY 2022 pursuant to the FY 2022 Joint Committee sequestration, in accordance with Section 3709(a) of the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act"), as amended by Public Law 116-260 and further amended by Public Law 117-7, which suspended the sequestration of Medicare programs under tile XVIII of the Social Security Act from May 1, 2020 until December 31, 2021.
B2
Transfer amount has been adjusted to reflect amount sequestered, in the trust funds, pursuant to the OMB Report to the Congress on the Joint Committee Reductions for Fiscal Year 2022.

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