Medicare Financial Management Manual (Pub. 100-06), Ch. 2 § 120
Budget Amount Appears Insufficient - (Rev. 2, 08-30-02)
120 - Budget Amount Appears Insufficient - (Rev. 2, 08-30-02)
A1-1351, B1-4351
A. Submission of SBR
The contractor shall submit an SBR whenever it appears that the budgeted amount is
insufficient to adequately perform the required functions and the need for additional
funds can be adequately documented. As a general rule, it shall submit the SBR no later
than 90 days prior to the exhaustion of funds so as to allow CMS sufficient time to
respond prior to the need to submit an abatement notice. (See B below.) The SBR should
never be submitted less than 60 days prior to the exhaustion of funds unless it can be
demonstrated that it could not have been given in advance. Resolution of the SBR may
include:
An increase in the budget;
Institution of additional efficiencies;
A reduction of functions to be performed; or
Other ways and means agreeable to both parties.
The contractor shall discuss these alternatives in the SBR and, if after negotiating in good
faith, there is no satisfactory resolution, CMS will send a written rationale denying all or
part of the SBR.
B. Abatement Notice
The contractor shall submit a written abatement notice to the RO no less than 60 days
prior to the date on which it appears that the budgeted amount is insufficient to
adequately perform the required functions in accordance with the Cost of Administration
Article in the Contract/Agreement.