Medicare Managed Care Manual (Pub. 100-16), Ch. 17a § 90
Financial Records, Statistical Data, and Cost Finding
90 - Financial Records, Statistical Data, and Cost Finding
(Rev. 4, 10-01-01)
The cost-based HMO/CMP must maintain sufficient and adequate financial and statistical
records for CMS to make proper determinations of the costs incurred by the HMO/CMP
in furnishing services, either directly or through arrangements, to its Medicare enrollees.
The records must be retained for a period of at least 3 years following the issuance of a
Notice of Program Reimbursement (NPR).