Medicare Managed Care Manual (Pub. 100-16), Ch. 18b § 60
Initial Enrollment
60 - Initial Enrollment
(Rev. 30, 09-05-03)
HCPPs, which offer Medicare benefits for the first time, are likely to incur relatively
higher marketing and enrollment costs in offering their HCPPs to Medicare beneficiaries.
In determining whether these higher costs are reasonable, CMS may allow them if they
do not exceed what prudent and cost conscious management would incur.