Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 120.1
Completing the Schedule of Other Direct Costs (Schedule A) -
120.1 - Completing the Schedule of Other Direct Costs (Schedule A) -
(Rev. 1, 08-30-02)
A1-1215.1, B1-4215.1
A. General
The contractor shall use this schedule to identify specific other direct costs included in
the Other Direct Costs line of the Activity Screen as defined in §90.9 E. A separate
Schedule A is completed for each activity requiring the specific identification of Other
Direct Costs.
B. Uses
The contractor shall complete this schedule only with the concurrence of CMS. It may
not be required of all contractors. If required, the schedule may be used for the BR, SBR,
IER and/or FACP.
C. Explanation of Entries on the Schedule A
1. Code - A three-digit code identifying each cost item. The contractor shall use 999 to
identify all remaining costs not requiring specific identification.
2. Description - A brief description of the discrete cost item. Types of costs to be
reported are described in §90.9 E and may also include such items as consultant fees, cost
of money and travel depending on the nature of the contractor's contract. Those items
requiring identification will depend on contract needs, materiality and other
considerations. The classification of costs in the contractor's cost accounting system,
government regulations and the contract will determine whether the cost is classified as
an Other Direct Cost.
3. Total Cost - The contractor shall report the total cost for each item. The total for all
Other Direct Costs, including those reported under 999 if applicable, must agree with the
total reported on the Other Direct Costs line of the Activity Screen.