Medicare Managed Care Manual (Pub. 100-16), Ch. 17c § 30
Apportionment of Provider Services
30 - Apportionment of Provider Services
(Rev. 4, 10-01-01)
A provider of services (e.g., a hospital, skilled nursing facility, home health agency,
comprehensive outpatient rehabilitation center) which furnishes services to the
HMO/CMP enrollees is subject to the same principles of reimbursement under Medicare
as are providers which do not have HMO/CMP involvement. Consequently, except for
specific instructions in this chapter regarding apportionment of provider costs, the rules
in the Medicare Provider Reimbursement Manual (Pub. 15) apply.