Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 410
Taxes Assessed Against the Medicare Cost-Based HMO/CMP
410 - Taxes Assessed Against the Medicare Cost-Based HMO/CMP
(Rev. 4, 10-01-01)
The general rule is that taxes assessed against the Medicare cost-based HMO/CMP, in
accordance with the levying enactments of the several States and lower levels of
government, and for which the organization is liable for payment, are allowable costs.
Tax expense should not include fines and penalties.
Whenever exemptions to taxes are legally available, the Medicare cost-based HMO/CMP
is expected to take advantage of them. If the HMO/CMP does not take advantage of
available exemptions, the expenses incurred for such taxes are not recognized as
allowable under the program.
More detail can be found in the Medicare “Provider Reimbursement Manual,” (Pub. 15),
Part I, §§2122ff.