Medicare Managed Care Manual (Pub. 100-16), Ch. 17c § 10.1
Objectives of Apportionment
10.1 - Objectives of Apportionment
(Rev. 4, 10-01-01)
The objectives of the apportionment process are to assure that:
•
Costs of covered care to Medicare enrollees will not be borne by non-Medicare
enrollees and non-enrolled patients of the cost-based HMO/CMP; and
•
Costs of services to non-Medicare enrollees and non-enrolled patients will not be
borne by Medicare enrollees.