Medicare Managed Care Manual (Pub. 100-16), Ch. 17a § 80
Costs Not Reimbursable Directly to the Cost-Based HMO/CMP
80 - Costs Not Reimbursable Directly to the Cost-Based HMO/CMP
(Rev. 4, 10-01-01)
In determining amounts due the HMO/CMP, certain costs are excluded from payments
made directly to the HMO/CMP. The following subsections, while not necessarily all-
inclusive, detail some of these costs.