Hospital-Based

Hospital-Based Cost Report changes

  • No notable changes have been made. 

Enhancements

  • No notable changes have been made.

Please download and complete the document below. Note that the Cost Report Template can be used for one or multiple Medicare Cost Report closed years. To view PDF documents, you will need the free Acrobat Reader application.

Due to the Public Health Emergency enacted during FYE June 30, 2020, an additional schedule has been created to assist the Office of Reimbursement in identifying possible revenue and expenditures related to COVID-19.  Please complete and submit the schedule along with the FYE 2020 Cost Report and any additional supporting documentation.

Download this xls file.FY 2020 COVID-19 Schedule