US · guidance
CMS Pub. 100-16, ch. mc86c17a, § 20.2.2
Final Settlement Payment for Medicare Cost-Based
HMO/CMPs
(Rev. 4, 10-01-01)
If the final settlement determination is greater than payments already made to the
HMO/CMP through monthly capitation payments and interim settlement, an
underpayment will be declared, and CMS will make a lump-sum payment to the
HMO/CMP.
Conversely, if the final settlement determination is less than the total payment made, the
HMO/CMP has been overpaid, and CMS must recover the overpayment.
History
(Rev. 4, 10-01-01)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
00507906640b688796482660fcbb99d0a97fcff6be3a1cf991445be165434091
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.