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Liability Insurance Memo (32 KB PDF)
If you are a Home Office or Related Party Organization supporting Nursing Facilities providing Long Term Skilled Nursing Care (SNC) and/or Intermediate Nursing Care (INC), you are required to report financial information to DMA.
Michael D'Alessio
919-814-0030
Email: Mike.DAlessio@dhhs.nc.gov
Through proposed State Plan Amendment language and collaboration with the industry, providers will no longer use the FoxPro Home Office Cost Reporting Software and will transition to the use of Form CMS 287 cost reporting form plus NC Medicaid Supplemental Schedules.
IMPORTANT NOTICE: Transition to CMS Cost Reporting formats for FYE 2012. See the attached memo for more details
IMPORTANT NOTICE: If the provider has a home office, they must file the CMS 287 (Home Office) cost reporting forms pursuant to CMS Publication 15, Section 3903. We do not have the software at this point to read it; therefore, providers must file a hardcopy.
If the provider has a related organization which does not fall subject to CMS 287 requirements, they must complete Worksheet A-8-1 in accordance with Medicare cost reporting principles. We will audit this accordingly and request supplemental information to ensure that only actual cost is reported and profit has been removed.
If the provider has related organization / home office costs in the CMS cost reporting schedules, the provider must submit a hardcopy of the provider’s related organization / home office cost report.
IMPORTANT NOTICE: NCDHHS has directed DMA to transition the cost report medium from FoxPro Cost Reporting Software to the CMS cost reporting software and to include supplemental schedules as necessary to comply with North Carolina State Plan reimbursement regulations. As a result, all providers will transition to the use of CMS cost reporting forms plus NC Medicaid Supplemental Schedules as shown below.
For cost report periods ending on or after October 1, 2011, nursing facility providers will file full 12 month cost reports using the CMS 2540-10 cost reporting forms plus the NC Medicaid Supplemental Schedules and the cost report period will be the provider’s normal fiscal year end as registered with Medicare.
For free-standing providers who have a fiscal year end other than 9/30/2011 (such as a 12/31/2011 provider), this will create an overlap of 2011 cost report periods. The Division recognizes this overlap; however, it is necessary during this transition year. Costs from this overlapping period will not be used for rate setting or rebase purposes.
Health Care Assessments and Nurse Aide Training costs for the non-overlapping period will be settled.
You will need to download the “SNF 2012 Instructions_Version 3” document as it contains specific DMA requirements that must be followed when preparing the “NC NF Supplemental Cost Report 2012 – Version 3” Excel cost reporting forms.
The free Adobe Acrobat Reader is required to view and print PDF files.
For questions directly related to the new NC NF Medicaid Supplemental Cost Report Schedules, you may download the (pdf) file using the following link - NC NF Medicaid Supplemental Cost Report FAQS (PDF, 52 KB)
If you need more information about the FoxPro cost reporting software system requirements needed, please read the Software Installation Instructions (PDF 110 KB)
The cost limitations for FY 2012 are as follows:
The cost limitations for FY 2011 are as follows:
Geropsychiatric care is a separate setting for nursing facility level of care individuals with long-term psychiatric and behavioral health needs and who exhibit challenging and difficult behaviors that are beyond the management capacity of traditional skilled nursing home facilities in community-based facilities.
Has the Chart of Accounts changed to appoint specific line items for Geropsychiatric service expenses for freestanding Nursing facilities? Yes, the Chart of Accounts for FYE 2009 Free Standing Nursing Facilities (185 KBF) has been changed to allow eligible providers to utilize Line items 477 through 486 to record either Geropsychiatric costs or HEAD Injury expenses but not both
Will the cost report be changed to allow Geropsychiatric costs to be reimbursed for FYE 9/30/2009? Yes, the cost report will be changed to allow eligible providers to document Geropsychiatric costs using the existing HEAD Injury data entry schedules. At this time, a user may input either HEAD Injury costs or Geropsychiatric costs but not both.
Will DMA grant an extension for filing a cost report beyond the due date? DMA does not plan to grant extensions except in the case of natural disasters, i.e. fire, floods etc. Otherwise, cost reports must be filed by the due date. See the Cost Report Extension (21 KB) memo for further explanation.
If I need to amend a cost report after it has been filed, what are the steps to do this? DMA does not normally permit amended cost reports except under certain circumstances.
Medicaid Providers