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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

Nursing Facilities Cost Reports

Nursing Facility providing Long Term Skilled Nursing Care (SNC)

Contact Information:

Michael D'Alessio
919-814-0030
Email: Mike.DAlessio@dhhs.nc.gov

Through proposed State Plan Amendment language and collaboration with the industry, NCDHHS has directed DMA to transition the cost report medium from FoxPro software to the CMS cost reporting software and all providers will use applicable CMS 2540 / CMS 2552 cost reporting forms plus NC Medicaid Supplemental Schedules as described below.

You will need to download the “SNF 2014 Instructions_Version 4” document as it contains specific DMA requirements that must be followed when preparing the “NC NF Supplemental Cost Report 2014 – Version 4” Excel cost reporting forms.

The free Adobe Acrobat Reader is required to view and print PDF files.

Nursing Facility with a 2014 FYE on or before 12/31/2014

For questions directly related to the new NC NF Medical Supplemental Cost Report Schedules you may view/download the (pdf) file using the following link - NC NF Medicaid Supplemental Cost Report FAQS (PDF, 113 KB)

State-Owned Nursing Facility FYE 06/30/2014

  • State Owned/Operated Skilled Nursing Facility providers shall file annual Medicaid cost reports with DMA using the CMS 2540 cost reporting schedules. Cost reports shall be filed within five (5) months after the provider's fiscal year end.
  • State Owned/Operated Provider Based Nursing Facilities shall file annual Medicaid cost reports with DMA using the CMS 2552 cost reporting schedules. Cost reports shall be filed within five (5) months after the provider's fiscal year end or 37 days from the date of the hospital's PS&R letter, whichever is later.

Established Cost Limitations

Nursing facility cost reports for fiscal year 2014

The cost limitations for FY 2014 are as follows:

  1. Director's Fees: $2,400 annually or $200 per meeting
  2. Owner or Administrator Salary:
    $57,097 (1-50 beds)
    $69,336 (51-99 beds)
    $73,414 (100-149 beds)
    $79,006 (150-199 beds)
    $89,724 (200-249 beds)