US · guidance
CMS Pub. 100-16, ch. mc86c17b, § 170
Initial Enrollment
Cost-based HMO/CMPs, which offer Medicare benefits for the first time, are likely to
incur relatively higher marketing and enrollment costs in offering their HMO/CMPs to
Medicare beneficiaries. In determining whether these higher costs are reasonable, CMS
may allow them if they do not exceed what prudent and cost conscious management
would incur.
History
(Rev. 4, 10-01-01)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
105ae7f10eb2882f8ff065ecda10020a15901d2398a5c99eba411ed9da93f1eb
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