Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 180
Membership Costs
180 - Membership Costs
(Rev. 4, 10-01-01)
The cost-based HMO/CMP’s cost of maintaining and servicing subscriber contracts for
prepayment enrollees, including but not limited to the reasonable cost of maintaining
statistical, financial, and other data on members, are allowable to the extent they are
reasonable. Membership expenses should not be included with allowable enrollment and
marketing expenses.