Fiscal Reviews - (Rev. 2, 08-30-02)

190.8 - Fiscal Reviews - (Rev. 2, 08-30-02) A1-1518, B1-4518 Required budgetary, expenditures, and other fiscal reports, submitted monthly, quarterly, and annually by intermediaries and carriers, will be reviewed currently by CMS to determine, primarily, whether the types and amounts of expenditures as reported are in accordance with the provisions of the agreement and properly reflect the intermediary's or carriers' accountability for advances of Federal funds under the program. The CMS will contact the intermediary or carrier to resolve any financial questions relative to expenditure of funds for administrative expenses and care costs. Problems of a fiscal nature will be reviewed with intermediaries and carriers to determine that fiscal policies and procedures relating to the agreement are geared toward prudent, effective and economical operations and reflect adequate consideration of the interests of both the intermediary or carrier and the Federal Government. These reviews will be a cooperative process from which the intermediary or carrier and Federal Government will mutually benefit. Reviews may be initiated by either party to the agreement. Where fiscal problems arise relative to expenditure of Federal funds under the agreement and an intermediary or carrier requests assistance from CMS, fiscal specialists will be made available promptly. Periodic cost studies of intermediary and carrier operations will be made in order to carry out the congressional mandate relative to making comparative analyses of individual intermediary and carrier performance.