US · guidance
CMS Pub. 100-16, ch. mc86c17c, § 10
Cost Apportionment for Cost-Based Health Maintenance
Organization and Competitive Medical Plans (HMO/CMPs)
(Rev. 4, 10-01-01)
The term apportionment, as used here, refers to the process of distributing allowable costs
among various groups of cost-based HMO/CMP patients. This chapter sets forth
instructions for apportionment of the total allowable direct and indirect costs of the cost-based HMO/CMP among Medicare beneficiaries enrolled in the HMO/CMP, other
enrollees, and any non-enrolled patients. Certain costs incurred by HMO/CMPs for the
purpose of meeting special Medicare program requirements are separately identified and
paid in full by Medicare. These are discussed 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
7ea20a72fa8b6f45794e4380916e49c51c07ca13d5490231a4e2ecbcd5760028
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