Specifications include, but are not limited to: It is the intent of the Alabama Department of Public Health, Bureau of Home and Community Services (the Department) , to enter into a two-year contract with a Medicare Cost Consultant who will provide consultation and technical assistance in the: preparation and submission of year-end and interim cost reports to fiscal intermediaries as required by the Centers for Medicare and Medicaid Services (CMS) and for the Department’s interim cost analysis respectively; negotiation of settlements with fiscal intermediaries related to cost reports; interpretation of billing and audit findings between the Department and fiscal intermediaries; and the interpretation of the payment and reporting structure under the Medicare Program Home Health Prospective Payment System (HHPPS).