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General Terms and Conditions

View the Terms and Conditions Archive

These terms and conditions apply to the FY22 MFCU grant awards. Acknowledgement and acceptance of these terms and conditions are conceded automatically by drawing down funds from the Payment Management System. Individual awards are based on the application submitted to, and as approved by, OIG and are subject to the terms and conditions incorporated either directly or by reference in the following order of precedence (this order of precedence prevails in the event there are conflicting or otherwise inconsistent policies applicable to the award):

Recipient Responsibilities

Federal Funds Draw Down

Draw down authority for each corresponding quarter is determined based on the needs expressed in the awardee's budget. An awardee is not authorized to draw down funds until they become available as identified on the Notice of Grant Award.

An awardee must liquidate all obligations incurred under the award no later than 90 days after the end of the period of performance to coincide with the submission of the final Federal Financial Report (FFR). This deadline may be extended with prior approval.

Payment

Payment under this award will be made available through the HHS Payment Management System (PMS). PMS provides instructions for making withdrawals of Federal funds. Inquiries regarding payments should be directed to Division of Payment Management; Post Office Box 6021; Rockville, MD 20852; 1-877-614-5533; PMSSupport@psc.gov.

Recipient Share (Match)

Stevens Amendment

When issuing statements, press releases, requests for proposal, bid solicitations and other documents describing the Medicaid Fraud Control Unit (MFCU) program, the MFCU must include a statement that describes the amount and percentage of federal and non-federal funding of total MFCU program costs. The grant award amount should reflect the amount as listed on the Notice of Award for the Federal fiscal year at the time of the public statement. The MFCU must use the following or a similar statement:

The [Name of MFCU] receives [100/90/75] percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling [$XX] for Federal fiscal year (FY) [XXXX]. The remaining [10/25] percent, totaling [$XX] for FY [XXXX], is funded by [Name of State/territory].

Reporting Requirements

Program Reporting

42 CFR 1007.17 requires awardees to submit a reapplication for recertification at least 60 days prior to the expiration of the certification period. 42 CFR 1007.17(a) describes the information required in the reapplication.

An Annual Statistical Report (ASR) must be submitted to OIG's Annual Statistical Report Portal (ASRP) for each Federal fiscal year (FY) by November 30 following the end of the FY.

Financial Expenditure Reporting

Quarterly financial reporting is required under this award.

You are required to electronically submit the SF-425-Federal Financial Report (FFR) in the Payment Management System (PMS). Both the cash transaction (Lines 10 a, b and c) and the expenditures, obligations and liquidations (Lines 10 d through 10 o) will be reported and certified in PMS. https://pms.psc.gov/

Paper copies of these reports are no longer being accepted either by mail, fax or as an email attachment. Questions related to the submission of Federal Financial Report should be directed to PMSFFRSupport@psc.hhs.gov.

Program Income

Program income earned and disbursed must be reported on the SF-425 using the deduction alternative, in accordance with 45 CFR 75.307(e)(1). Therefore, grantees must expend program income before requesting additional Federal payments. If any funds are received from asset forfeitures, please contact the GMO for prior approval to use and report.

Closeout

The final SF-425 (FFR) submitted must reconcile with the final cash drawn in PMS. Once reconciled the OIG will process a closing transaction in PMS. If applicable, the grant will be closed out using the most recently approved indirect rate, which could be the final, predetermined, fixed or provisional rate. Once the grant is closed in PMS, no upward or downward adjustments will be made if a revised rate becomes effective.

MFCU-specific Requirements

Change in Director

Rather than requiring prior approval, OIG is requiring that the grantee provide timely notification to the GMO and program analyst when there is a change in Director. This notification is to include the new or interim Director's name, start date, and contact information. If an interim Director is named, the grantee must also include status of a plan to hire a permanent Director, inform OIG when one is selected, and provide his or her name and contact information. Further, if the Director is to become disengaged from the Unit for more than three months, the Unit must provide notification to OIG.

Budget Revisions

Requests that require prior approval from the awarding office must be submitted in writing (email preferred) to the Grants Management Officer (GMO), with a cc to the assigned program analyst. Only written approvals by the GMO, acting GMO, or Office of Management and Policy Deputy Inspector General are considered valid (see 45 CFR 75.308(j)). Approvals not signed or provided by one of these officials will not be considered binding upon OIG. Such requests include, but are not limited to (See 45 CFR 75.308 for all-inclusive list):

Time Limit to File Claim

In accordance with 45 CFR Part 95 Subpart A, States can receive Federal financial participation (FFP) for an expenditure only if the State files a claim for that expenditure within 2 years after the calendar quarter in which the State made the expenditure. "Claim" is defined as a request for FFP. A claim filed after 90 days following the period of performance end date (also known as the liquidation period) must be requested in writing (via email) to the GMO.

Government-wide Requirements

System for Award Management

The recipient must maintain the accuracy and currency of information in the System for Award Management (SAM) until the final financial report is submitted as required under this award or the final payment is received, whichever is later. Additionally, this term requires the entity to review and update the information at least annually after the initial registration, and more frequently if required by changes in information or another award term. For purposes of this award term, SAM means the Federal repository into which an entity must provide information required for the conduct of business as a recipient. Additional information about registration procedures may be found at https://www.sam.gov.

Subaward Reporting and Executive Compensation

This grant is subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L. No. 109-282), as amended by Section 6202 of Public Law 110-252 and implemented by 2 CFR part 170. Recipients must report information for each first-tier subaward of $25,000 or more in Federal funds and executive total compensation for the recipient's and subrecipient's five most highly compensated executives, as outlined in Appendix A to 2 CFR part 170. Information about the FFATA Subaward Reporting System (FSRS) is available at www.fsrs.gov. For the full text of the award term, go to award term.

Federal Awardee Performance and Integrity Information System (FAPIIS)

For those recipients whose total Federal share of the Federal award is more than $10,000,000, the FAPIIS term and conditions apply. For the full text of the award term, go to award term, also located at 45 CFR part 75, Appendix XII.

Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment

As described in 2 CFR 200.216, recipients and subrecipients are prohibited to obligate or spend grant funds (to include direct and indirect expenditures as well as cost share and program) to:

Whistleblower Protection

Under Title 41, United States Code, Section 4712, it is illegal for an employee of a Federal contractor, subcontractor, grantee, subgrantee, or personal services contractor to be discharged, demoted, or

otherwise discriminated against for making a protected whistleblower disclosure. Additional information can be found at https://oig.hhs.gov/fraud/reportfraud/whistleblower.asp

Mandatory Disclosures

Consistent with 45 CFR 75.113, applicants and recipients must disclose in a timely manner, in writing to the HHS Office of Inspector General (OIG), all information related to violations of Federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the Federal award. Subrecipients must disclose, in a timely manner, in writing to the prime recipient (pass-through entity) and the HHS OIG, all information related to violations of Federal criminal law involving fraud, bribery, or gratuity violations affecting the Federal award. Disclosures must be sent in writing to the HHS OIG at the following addresses:

U.S. Department of Health and Human Services
Office of Inspector General
ATTN: Grants Management Officer, Alexis Crowley
330 Independence Ave, SW, Cohen Building
Room 5140
Washington, DC 20201
Email: Alexis.Crowley@oig.hhs.gov

AND

U.S. Department of Health and Human Services
Office of Inspector General
ATTN: Mandatory Grant Disclosures, Intake Coordinator
330 Independence Avenue, SW, Cohen Building
Room 5527
Washington, DC 20201
Fax: (202) 205-0604 (Include "Mandatory Grant Disclosures" in subject line) or
Email: MandatoryGranteeDisclosures@oig.hhs.gov

Failure to make required disclosures can result in any of the remedies described in 45 CFR 75.371, including suspension or debarment (See also 2 CFR parts 180 & 376 and 31 U.S.C. 3321).

Non-discrimination

You must administer your project in compliance with federal civil rights laws that prohibit discrimination on the basis of race, color, national origin, disability, age and, in some circumstances, religion, conscience, and sex (including gender identity, sexual orientation, and pregnancy). This includes taking reasonable steps to provide meaningful access to persons with limited English proficiency and providing programs that are accessible to and usable by persons with disabilities. The HHS Office for Civil Rights provides guidance on complying with civil rights laws enforced by HHS. See https://www.hhs.gov/civil-rights/for-providers/provider-obligations/index.html and https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html.