CMS Pub. 100-06, ch. 2, § 130.8

Classification Report

(Rev. 2, 08-30-02)

A1-1361.8, B1-4361.8

See chapter 1, §140 for descriptions of credits.

The credit schedule supports the Cost Classification Report (CMS-2580) attachment to

the FACP.

Transferee Name - The contractor shall list the insurers to whom claims are being

transferred for complementary insurance (including both internal and external transfers),

Medicaid, and Other.

Transfer Type - The method of transfer (electronic or hard copy).

Frequency - The contractor shall indicate whether the transfer is an occasional request or

by agreement for ongoing transfer.

Number of Claims Transferred - The number of claims transferred to complementary

insurers (including both internal and external transfers), Medicaid, and Other.

Credit Received (Including Transfer Costs) - The total credit received, including transfer

costs, for claims transferred to complementary insurers (including both internal and

external transfers), Medicaid, and Other. The total credit received for complementary,

Medicaid, and other must agree with the totals on the Preliminary Data Entry Screen.

Unit Cost - The credit received divided by the number of claims transferred.

Credit Code - Indicate the type of transfer:

C = Complementary Insurance;

N = Medicaid;

M = Medigap; or

O = Other (as defined by CMS).

140 - Supporting Documentation for the FACP - (Rev. 2, 08-30-02)

A1-1362, B1-4362

If there are any variances between the September IER and the FACP, e.g., charges or

credits or other adjustments that may have been received after the close of the FY, the

contractor shall prepare a detailed narrative explanation. If total costs claimed are more

than the NOBA for the FY, it shall include a justification for the additional requested

funds. (See §120 and chapter 1, §250.1.)

The RO reviews the narrative justification for adequacy and may issue a revised NOBA,

where appropriate, allowing the drawing of additional funds. (See Chapter 1.)

If costs claimed on the FACP are less than the administrative funds drawn, the contractor

shall make an adjustment to current cash draws for administrative costs to reduce funds

drawn for the applicable fiscal period.

It shall include the attachments in §180 as supporting documentation for the FACP.

150 - Financial Procedures for Release of Medicare Information to the

Public - (Rev. 2, 08-30-02)

A1-1380, B1-4380

Costs incurred for releasing Medicare information to the public should be reported on the

IER and the FACP.

160 - Financial Procedures Related to Medicare Projects Funded by

HHS Components Other Than CMS - (Rev. 2, 08-30-02)

A1-1381, B1-4381

Requests may be received to furnish information and/or perform Medicare services by

HHS components other than CMS, or from other third parties under contract with other

HHS components. The contractor shall handle charges for such services in accordance

with the following instructions.

160.1 - Release of Existing Medicare Information - (Rev. 2, 08-30-02)

A1-1381.1, B1-4381.1

If an outside organization has a contract/grant with a HHS component other than CMS to

carry out independent studies or projects and requests existing data and/or specific

records for purposes of aiding the study, the contractor shall not charge the outside

organization.

160.2 - Development of Additional Data - (Rev. 2, 08-30-02)

A1-1381.2, B1-4381.2

A. Outside Organizations

If an outside organization requests data which must be developed or requests other

services, the contractor shall invoice such services to the organization and not include

those costs on the IER or FACP.

B. HHS Components Other Than CMS

When receiving requests from HHS components, other than CMS, to perform services on

various studies, the contractor shall invoice directly to the requesting HHS component

and not include these costs on the IER or FACP.

170 - Special One-Time Costs Associated With Non-Continuation of the

Medicare Contract - (Rev. 2, 08-30-02)

A1-1382, B1-4382

Special one-time costs associated with a contractor leaving the program are not handled

through the normal budget and cost reporting process. Instead, these costs, which may

include severance pay for employees or penalty payments for terminating contracts, are

handled through a separate voucher process subsequent to submission and approval of a

budget request. The voucher should state the period of time covered and itemize the

expenses. CMS reviews the voucher and determines whether payment should be made.

Approved vouchered costs are paid separately by check or EFT and not through the

NOBA process.