US · guidance
CMS Pub. 100-06, ch. 8, § 150.2
Definitions
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.
History
(Rev. 27, 12-19-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
94708f9c081bae374332333749fb3efc6975474b2018af45afa0b594adcf582e
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