Missouri Department of Health and Senior Services Annual Subrecipient Information Form
The Missouri Department of Health and Senior Services (DHSS) Business Management Assessment (BMA) form transitioned to the Annual Subrecipient Information Form (ASIF) in early 2022.
DHSS subrecipients are required to submit one online ASIF per calendar year regardless of the number of contracts or agreements with DHSS or the number of business locations. Completion of the ASIF helps ensure compliance with 2 CFR 200, the Federal Funding Accountability and Transparency Act of 2006 (FFATA) and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Check out the Frequently Asked Questions for more information.
There is a new data requirement: The ASIF will require input of your Unique Entity ID (UEI). This is due to a federal government-wide conversion from using the Data Universal Numbering System (DUNS) to a new non-proprietary identifier, the UEI issued at SAM.gov. You will need your UEI in addition to other data listed below before you will be able to complete the ASIF.
If your organization is a registered entity with SAM.gov:
- Your UEI has already been assigned and is viewable online
- Click here to verify your UEI information
- Click here for step by step guidance on how to verify your UEI
If your organization is NOT a registered entity with SAM.gov:
- You may not have a UEI yet
- Click here for step by step instructions on applying for a UEI
- A complete entity registration at SAM.gov is NOT required to obtain a UEI
- Click here for a video walkthrough on applying for a UEI
Completing the ASIF
The ASIF must be completed by the Administrator/Director, Executive Director, primary financial executive, Board President or authorized representative with knowledge of the administrative operations of your organization/entity.
Once you submit your information you will have the opportunity to download a copy. This is the only confirmation of completion you will receive. DHSS will not be able to reproduce the data in a report for you.
NOTE: It is recommended that you complete the form in one session to avoid possibly timing out.