Audit of Cooperativa de Seguros de Vida de Puerto Rico's Final Administrative Cost Proposal for Fiscal Year 2009

摘要

Prior to February 28, 2009, CMS contracted with Cooperativa de Seguros de Vida de Puerto Rico (COSVI) to serve as the Part A fiscal intermediary for the Commonwealth of Puerto Rico and the United States Virgin Islands. Pursuant to section 911 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, P.L. No. 108-173, CMS replaced its Part A fiscal intermediaries with new contract entities called Medicare Administrative Contractors (MAC). CMS did not award COSVI a MAC contract. As a result, CMS terminated its Part A fiscal intermediary contract with COSVI, effective February 28, 2009. Our objectives were to determine whether (1) the COSVI cost proposal fairly presented program administration costs and (2) the costs were reasonable, allowable, and allocable in accordance with the FAR and the Medicare contract.