Medicare Managed Care Manual (Pub. 100-16), Ch. 17a § 100
Accounting Standards
100 - Accounting Standards
(Rev. 4, 10-01-01)
The HMO/CMP's records must be capable of verification by qualified auditors and
properly reflect all direct and indirect costs claimed by the HMO/CMP under the
contract. This means that the HMO/CMP's cost data must be based on an approved
method of cost finding and on the accrual basis of accounting. However, if a cost-based
HMO/CMP is owned and operated by a Federal, State or local government agency and
operates on a cash basis of accounting, CMS accepts cost data on this basis, subject to
appropriate treatment of capital expenditures.