GL-PL Insurance Supplemental Reports


Effective July 1, 2018, the Centers for Medicare and Medicaid Services (CMS) approved that nursing facility providers will receive their FYE June 30, 2018 cost of general and professional liability insurance in their current per diem rates.

For the FYE June 30, 2020 Cost Report period, all nursing facility providers must complete the appropriate electronic GL-PL Insurance Supplementary Report and submit to DCH along with their 2020 Cost Report. Please select the appropriate Freestanding, Hospital-Based, Multi Facility- Freestanding, or Multi Facility- Hospital Based option on the left and the report and instructions will be available.

Filing Instructions
To submit an electronic GL-Pl Insurance Supplemental Report, you must include the same electronic passwords for each facility and corporate home office that are used when submitting the annual Medicaid Cost Report. You can obtain these electronic passwords by sending an e-mail to Once DCH receives your request, it will send you the passwords by e-mail. If you need to change your electronic password, you can ask for a new one by sending an e-mail to

Submitting Completed GL-PL Insurance Supplemental Reports 
When you complete the electronic GL-PL Insurance Supplemental Cost Report, you should e-mail it as an attachment to When DCH receives the report, it will send a reply acknowledging that it has received the information. Please be reminded that completed reports must have sufficient financial records to support the reimbursable costs RECORDED in the reports.

General Liability-Professional Liability (GL/PL) Supplemental Template (FY 2020)

Contact Information

If you have any problems accessing the report formats or instructions, please contact: