2022-137-E-Health-Duke University - Charlene Wong-Federal awarding agency

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1 Revised 9/8/2021 Centers for Medicare & Medicaid Services Standard 1 Grant/Cooperative Agreement 2 Terms and Conditions 1. Recipient. The Recipient is the Grantee designated in the Notice of Award (NoA). 2. Acceptance of Application & Terms of Agreement. Initial drawdown of funds by the Recipient constitutes acceptance of this award. 3. Notice of Funding Opportunity (NOFO ). All relevant project requirements outlined in the NOFO apply to this award and are incorporated into these terms and conditions by reference. 4. Uniform Administrative Requirements, Cost Principles, and Audit Requirements. This award is subject to 45 CFR Part 75 [available at http://www.ecfr.gov/cgi-bin/text- idx?node=pt45.1.75&rgn=div5], which implements 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (“Uniform Guidance”) for the U.S. Department of Health & Human Services (HHS) operating divisions, effective December 26, 2014. All recipients must comply with Subparts A -F unless as described immediately below under Cost Principles and Audit Re quirements. • Uniform Administrative Requirements . All Recipients must comply with Subparts A -D of 45 CFR Part 75. • Cost Principles . Centers for Medicare and Medicaid Services (CMS) grant awards provide for reimbursement of actual, allowable costs incurred and are subje ct to the Federal cost principles. The cost principles establish standards for the allowability of costs, provide detailed guidance on the cost accounting treatment of costs as direct or indirect, and set forth allowability and allocability principles for s elected items of cost. Applicability of a particular set of cost principles depends on the type of organization. CMS recipients must comply with the cost principles set forth in HHS regulations at 45 CFR Part 75, Subpart E with the following exceptions: (1) hospitals must f ollow Appendix IX to part 75 and commercial (for-profit) organizations are subject to the cost principles located at 48 CFR subpart 31.2 3. 1 Standard Terms and Conditions include all possible grants administrative requirements for CMS awards. All standard terms and conditions apply unless the requirement is not applicable based on the project awarded. Recipients should contact their assigned Grants Management Specialist if they have questions about whether an administrative term and condition applies. 2 A Cooperative Agreement is an alternative assistance instrument to be used in lieu of a grant whenever substantial Federal involvement with the recipient during performance is anticipated. The difference between grants and cooperative agreements is the degree of Federal programmatic involvement rather than the type of administrative requirements imposed. Therefore, statutes, regulations, policies, and the information contained in these Standard Terms and Conditions that are applicable to grants also apply to cooperative agreements, unless otherwise stated. 3 There are no cost principles specifically applicable to grants to for-profit organiza tions. Therefore, the cost principles for commercial organizations set forth in the FAR (48 CFR subpart 31.2) generally are used to determine allowable costs under CMS grants to for-profit organizations. As provided in those costs principles, allowable travel costs may not exceed those established by the FTR (available on-line at http://gsa.gov/portal/content/104790). The cost principles in 45 CFR 75, Appendix IX, determine allowable costs under CMS grants to proprietary hospitals. DocuSign Envelope ID: 7832B0E4-F34E-430E-A3C2-1A6A14F29307