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<br /> <br />39 <br />Revised 9/8/2021 <br /> Centers for Medicare & Medicaid Services <br /> Standard Grant/Cooperative Agreement Terms and Conditions <br /> Attachment G <br /> <br /> <br /> Accessibility Provisions <br /> <br />CMS and its recipients are responsible for complying with federal laws regarding accessibility. <br />The grantee may receive a request from a beneficiary or member of the public for information in <br />accessible formats. All successful applicants under this announcement must comply with the <br />following reporting and review activities regarding accessibility requests: <br /> <br />Accessibility Requirements: <br /> <br />1. Public Notification: If you have a public facing website, you shall post a message no <br />later than 30 business days after award that notifies your customers of their right to <br />receive an accessible format. Sample language may be found at: <br />https://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html. <br />Your notice shall be crafted applicable to your program. <br /> <br />2. Processing Requests Made by Individuals with Disabilities: <br />a. Documents: <br />i. When receiving a request for information in an alternate format (e.g., <br />Braille, Large print, etc.) from a beneficiary or member of the public, you <br />must: <br />1. Consider/evaluate the request according to civil rights laws. <br />2. Acknowledge receipt of the request and explain your process <br />within 2 business days. <br />3. Establish a mechanism to provide the request. <br />ii. If you are unable to fulfill a n accessible format request, CMS may work <br />with you in an effort to provide the accessible format as funding and <br />resources allow. You shall refer the request to CMS within 3 business <br />days if unable to provide the request. You shall submit the request, using <br />encrypted e -mail (to safeguard any personally identifiable information), to <br />the AltFormatRequest@cms.hhs.gov mailbox with the following <br />information: <br />1. The e -mail title shall read “Grantee (Organization) Alternate <br />Format Document Request.” <br />2. The body of the e –mail shall include: <br />a. Requester’s name, phone number, e -mail, and mailing <br />address. <br />b. The type of accessible format requested, e.g., audio <br />recording on compact disc (CD), written document in <br />Braille, written document in large print, document in a <br />format that is read by qualified readers, etc. <br />DocuSign Envelope ID: 7832B0E4-F34E-430E-A3C2-1A6A14F29307