Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 230.8
Narrative and Financial Analysis Requirements - (Rev. 1, 08-30-
230.8 - Narrative and Financial Analysis Requirements - (Rev. 1, 08-30-
02)
A1-1255.8, B1-4255.8
The contractor shall include a narrative analysis (budget justification) that summarizes
the funding and workload requested for each line of operation. The analysis shall provide
information that fully justifies its request, includes all required forms as defined herein,
and meets the requirements stated in the annual BPRs. Operations personnel should
actively participate in the development of the BR.
If CMS workload volumes are supplied and those volumes are acceptable, no volume
analysis is required. Requests for changes in workload from any CMS provided volumes
must be supported by a volume analysis that includes the historical data used to make the
projection, a description of the forecast methodology used and the actual forecast
computation. This applies to all line items with identifiable workload volumes.