Medicare Managed Care Manual (Pub. 100-16), Ch. 18a § 20
Interim and Final Cost and Enrollment Reports
20 - Interim and Final Cost and Enrollment Reports
(Rev. 30, 09-05-03)
In addition to the annual budget and enrollment forecast, the HCPP is required to submit
one interim report that includes cost and enrollment data. The interim cost and
enrollment report must be submitted to CMS within 45 days after the close of the first 6
month period of the HCPP's reporting period. The report may be used to adjust the
interim rate. If the reports are not submitted timely, CMS may adjust the interim rate
based on the best available information. An adjustment to the interim rate will remain in
effect until such time as the required report is submitted. If there is not enough data
available, interim payments will not be made.