Appendix A: Submission Requirements for APDs

Effective immediately, it is no longer necessary to provide the Director, Regional Administrative Support Center (RASC), with copies of requests for Federal financial participation for automatic data processing (ADP) equipment or services acquisitions.

1. States should address ADP funding requests to:

Mark E. Ragan
Director
Office of State Systems
Administration for Children and Families
370 L'Enfant Promenade, S.W.
Washington, D.C. 20447
ATTN: Joseph F. Costa - Mail Stop OSS/SSPS

Funding requests for Medicaid Management Information Systems should continue to be sent directly to the Associate Regional Administrator, Division of Medicaid of the appropriate Health Care Financing Administration (HCFA) regional office.

Meetings with OSS staff are held at the following address: Department of Health and Human Services, 200 Independence Ave., S.W., Room 334F - Humphrey Building. The telephone listings for the Director's office and the staff responsible for coordinating your requests within the Department are as follows:

2. For requests addressed to Mark E. Ragan, States should provide, in addition to the original, one copy for each program participating in funding the acquisition/project.

We are enclosing a worksheet which will be helpful in determining the correct number of copies to submit and where to send them.

The State should enclose a copy of the completed worksheet with its submission and identify in the cover letter each funding source (preferably by Social Security Act Title) from which funding is sought. Also, the State should list in the cover letter, as courtesy copies, the HHS regional offices to which the State has sent copies of the request. This will confirm for us that the State has sent copies to the appropriate regional office components.

To help expedite the review process for requests relevant to the Title XIX program, States are requested to send a separate copy to:

Director
Office of Information Systems and Data Analysis
Health Care Financing Administration
7500 Security Blvd.
Mail Stop C4-23-07
Baltimore, MD 21244-1850

The State will continue to receive a consolidated HHS response; however, direct mailing from the State to HCFA will help to eliminate the delay involved in our mailing copies of requests to HCFA in Baltimore.

Please distribute these instructions to appropriate offices within your agency and other pertinent State agencies.

If there has been a change to the official(s) authorized in your Department to submit requests for prior systems approval on behalf of the State agency for Titles IV-A, IV-B, IV-D, IV-E, XIX. list, please notify us in writing of the newly designated individual(s).

WORKSHEET FOR DETERMINING NUMBER OF COPIES REQUIRED FOR
SUBMISSION TO HHS CENTRAL & REGIONAL OFFICE

*For each program checked, place 1 in columns A & B

*Column A Central Office Copies should be addressed to:

Mark E. Ragan, Director, Office of State Systems,
Administration for Children and Families
370 L'Enfant Plaza, S.W.
Attn: Joseph F. Costa - Mail Stop OSS/SSPS
Washington, D.C. 20447

*Column B Regional copies must be sent individually to the appropriate address for each funding source - See attached address list.

** Also send a copy to the HCFA Baltimore Office address, as follows:

Director
Office of Information Systems and Data Analysis
Health Care Financing Administration
7500 Security Blvd., Mail Stop C4-23-07
Baltimore, MD 21244-1850

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