Medicare Financial Management Manual (Pub. 100-06), Ch. 1 § 490.7
Contacting State Agencies or Their Fiscal Agents - (Rev. 1, 08-
490.7 - Contacting State Agencies or Their Fiscal Agents - (Rev. 1, 08-
30-02)
A1-1603.7
In those instances where the intermediary is also the State's fiscal agent and responsible
for audit of the providers, there should be no difficulty working out an agreement which
would be acceptable to the State and CMS. Where the intermediary has established
contacts with the State agencies responsible for grants-in-aid programs, the feasibility for
a common audit program should be explored with them. If the intermediary has not
established contact with the State agencies, they should request assistance from their
CMS regional office of their progress toward the establishment of a common audit
program. Multi-State intermediaries should contact the appropriate fiscal specialist in the
CMS central office for assistance and reporting progress.