Definitions

150.2 – Definitions (Rev. 27, 12-19-03) A. Books, Documents, and Records All writings, recordings, transcriptions, and tapes of any description necessary to verify the nature and extent of the costs of services provided by a subcontractor. (NOTE: For the sake of brevity, the term "books, documents, and records" is hereinafter shortened to "books.") B. Common Ownership An individual(s) who possesses significant ownership or equity in the subcontractor and the entity providing the services under the contract. C. Control An individual or organization having the power, directly or indirectly, to significantly influence or direct the action or policies of an organization or institution. D. Provider A hospital, skilled nursing facility, home health agency, independent renal dialysis facility, hospice, comprehensive outpatient rehabilitation facility, community mental health center, independent rural health clinic, or a distinct unit of any of these providers. E. Subcontractor Any entity, including an individual(s), that contracts with a provider to supply a service, either to the provider or directly to a beneficiary, for which Medicare reimburses the provider the cost of the service. This includes organizations related to the subcontractor that have a contract with the subcontractor for which the cost or value is $10,000 or more in a 12-month period. F. Related to the Subcontractor A subcontractor that is, to a significant extent, associated or affiliated with, owns (or is owned by), or has control of (or is controlled by), the organization furnishing the services, facilities, or supplies. If a provider contracts for services with a subcontractor, and the subcontractor thereafter contracts with a related organization (which will actually furnish the services), both contracts must contain the access clause if one of the monetary criteria, described in §150.4, is met. G. Contract for Services A contract through which a provider obtains the performance of an act(s), as distinguished from supplies or equipment. It includes any contract for both goods and services to the extent the value or cost of the service component is $10,000 or more within a 12-month period.