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Hospital-Based

Hospital-Based Cost Report changes

Cost Report Submission Due Date Extension

The Centers for Medicare and Medicaid Services (CMS) has extended the filing deadlines for their 2552-10 Cost Report. Information contained in this report is necessary to complete the Hospital-Based Medicaid Cost Report for FYE June 30, 2011. The Department of Community Health will follow the same submission deadline as set by CMS for our Medicaid Cost Report. Deadline extensions are indicated below:

Nursing Home Fiscal Year

Current Medicaid Due Date

Extended Medicare Due Date

Extended Medicaid Due Date

Jul 2010

9/30/2011

N/A

11/30/2011

Aug 2010

9/30/2011

N/A

11/30/2011

Sep 2010

9/30/2011

N/A

11/30/2011

Oct 2010

9/30/2011

N/A

11/30/2011

Nov 2010

9/30/2011

N/A

11/30/2011

Dec 2010

9/30/2011

N/A

11/30/2011

Jan 2011

9/30/2011

N/A

11/30/2011

Feb 2011

9/30/2011

N/A

11/30/2011

Mar 2011

9/30/2011

N/A

11/30/2011

Apr 2011

9/30/2011

11/30/2011

11/30/2011

May 2011

11/30/2011

11/30/2011

1/30/2012

Jun 2011

11/30/2011

1/30/2012

1/30/2012

NOTE: Clicking on the documents may open them in a new browser window. To download the files to your hard drive, right-click the file (Control-click on Macintosh) and choose "Save Target As..."

Please download all three documents to complete the reports. To view PDF documents, you will need the free Acrobat Reader application.

excel file 2011 Cost Report, Questionnaire and Checklist
Updated 8/23/11

excel file 2011 Cost Report, Questionnaire and Checklist
Updated 8/23/11 - Use if you have multiple years for Schedule B-7

pdf file General Instructions
Updated 8/23/11