Medicare Financial Management Manual (Pub. 100-06), Ch. 8 § 150.9
Refusal of Subcontractor to Furnish Access
150.9 – Refusal of Subcontractor to Furnish Access
(Rev. 27, 12-19-03)
If it is determined that a subcontractor's books are necessary for a reimbursement
determination and, despite all efforts, a subcontractor refuses to make them available, the
intermediary shall immediately notify the CMS Regional Administrator. If a
subcontractor continues to refuse access, legal action may be initiated by CMS against
that subcontractor. Also, the Regional Administrator will advise the subject provider that
its subcontractor has refused access so that the provider may take whatever action it
considers necessary for its financial protection (e.g., withholding of any balances due the
subcontractor under the contract).