Medicare Managed Care Manual (Pub. 100-16), Ch. 18a § 10.3.3
Interim Payment for HCPPs
10.3.3 - Interim Payment for HCPPs
(Rev. 30, 09-05-03)
At the beginning of each month, CMS will send the HCPP an interim payment. This
payment is established by multiplying the interim per capita rate (see §10.3.2) by the
number of the HCPP's Medicare members enrolled for that month. Each month CMS
will determine the total number of Medicare beneficiaries enrolled in the HCPP to date.
This number is increased or decreased by any changes in enrollment submitted by the
HCPP or generated by CMS. In addition, certain retroactive adjustments will be made on
an as needed basis.