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US · guidance

CMS Pub. 100-16, ch. mc86c17a, § 10.1

Reasonable Cost Payments

activein force · 2026-08-25 – presentas-observed

An HMO/CMP paid on a reasonable cost basis is paid the reasonable cost of the covered

services it furnishes directly to or arranges for its Medicare enrollees. The determination

of reasonable cost is based on the Medicare reimbursement principles which are used to

calculate the reasonable cost of hospitals, Skilled Nursing Facilities (SNFs), Home

Health Agencies (HHAs), and other entities paid by the Medicare program on a cost basis

and also on principles contained in this manual. In addition to the costs directly related to

the provision of health services, the costs incurred by the HMO/CMP such as marketing,

enrollment, and membership expenses are also taken into account in determining

reasonable costs.

The cost payment principles for cost-based HMO/CMPs are discussed in detail in

Chapter 17, Subchapter B.

History

(Rev. 4, 10-01-01)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
e232cf297494db65c87964035566e483e769f2eacd8ecc6a423839bb8c6cf50b
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