Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 460.5
Other Services - (Rev. 1, 08-30-02)
460.5 - Other Services - (Rev. 1, 08-30-02)
A1-1602.5, B1-4602.5
Where the contractor performs any other services for State agencies, which are not
related to the title XVIII claims process, the cost of such services cannot be charged to
title XVIII. The contractor shall identify these services and charge directly for them
where possible. It shall charge the full cost, rather than add-on cost, to the State agency.
The cost includes both direct and indirect costs. It shall have the State agency prepare a
letter of intent with which it clearly defines the services the contractor is to perform and
the method of reimbursement.