Source of Governing Requirements The CO-OP program is authorized by the Patient Protection and Affordable Care Act (Public Law No. 111-148, which was enacted on March 23, 2010), which was amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152). The two laws are collectively referred to as the Care Section 1322 of the ACA created the “Affordable Act.” Consumer Operated and Oriented Plan program, which is codified at 42 USC 18042, and program regulations are found at 45 CFR sections 156.500 through .520 (45 CFR part 156, subpart F—Consumer Operated and Oriented Plan Program). Availability of Other Program Information: Additional information is available on the CCIIO website at or at . COMPLIANCE REQUIREMENTS In developing the audit procedures to test compliance with the requirements for this Federal program, the auditor must determine, from the following summary (also included in Part 2, of Compliance which of the 12 types of compliance “Matrix Requirements”), requirements apply, and then determine which of the applicable requirements is likely to have a direct and material effect on the Federal program at the auditee. For each such requirement, the auditor must use Part 3 (which includes generic details about each compliance requirement other than Special Tests and Provisions) and this program supplement (which includes any program-specific requirements) to perform the audit. A. B. C. E. F. G. H. I. J. L. M. N. Activities Allowable Cash Eligibility Equipment Matching, Period of Procurement Program Reporting Subrecipient Special Allowed or Costs/Cost Management and Real Level of Performance and Income Monitoring Tests and Property Effort, Suspension Unallowed Principles Provisions Management Earmarking and Debarment Y N N N N N N N N Y N N Activities Allowed or Unallowed In accordance with the loan agreement, these include the Activities Allowed – following categories and specified limitations: Start-up loan funds must only be used in accordance with the Business Plan and the Start-Up Loan Disbursement Plan. For both types of loans, the borrower must use the loan funds only for the following purposes: costs identified in the Business Plan and Disbursement Plans, and costs associated with establishing the CO-OP as an operating business. Costs associated with the initial operations of a CO-OP, including the following:
Source of Governing Requirements The CO-OP program is authorized by the Patient Protection and Affordable Care Act (Public Law No. 111-148, which was enacted on March 23, 2010), which was amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152). The two laws are collectively referred to as the “Affordable Care Act.” Section 1322 of the ACA created the Consumer Operated and Oriented Plan program, which is codified at 42 USC 18042, and program regulations are found at 45 CFR sections 156.500 through .520 (45 CFR part 156, subpart F—Consumer Operated and Oriented Plan Program). Availability of Other Program Information: Additional information is available on the CCIIO website at or at . COMPLIANCE REQUIREMENTS In developing the audit procedures to test compliance with the requirements for this Federal program, the auditor must determine, from the following summary (also included in Part 2, “Matrix of Compliance Requirements”), which of the 12 types of compliance requirements apply, and then determine which of the applicable requirements is likely to have a direct and material effect on the Federal program at the auditee. For each such requirement, the auditor must use Part 3 (which includes generic details about each compliance requirement other than Special Tests and Provisions) and this program supplement (which includes any program-specific requirements) to perform the audit. A. Activities Allowed or Unallowed B. Allowable Costs/Cost Principles C. Cash Management E. Eligibility F. Equipment and Real Property Management G. Matching, Level of Effort, Earmarking H. Period of Performance I. Procurement and Suspension and Debarment J. Program Income L. Reporting M. Subrecipient Monitoring N. Special Tests and Provisions Y N N N N N N N N Y N N Activities Allowed or Unallowed Activities Allowed – In accordance with the loan agreement, these include the following categories and specified limitations: Start-up loan funds must only be used in accordance with the Business Plan and the Start-Up Loan Disbursement Plan. For both types of loans, the borrower must use the loan funds only for the following purposes: costs identified in the Business Plan and Disbursement Plans, and costs associated with establishing the CO-OP as an operating business. Costs associated with the initial operations of a CO-OP, including the following: