Nursing Facility Cost Report – Long-term Skilled Nursing Care

Nursing facilities that provide long-term skilled nursing care are required to report financial information to Medical Assistance.

FYE 2016

All providers will use CMS 2540/CMS 2552 cost reporting forms plus the NC Medicaid Supplemental Schedules.

Download “SNF 2016 Instructions Version 5” for Medical Assistance requirements that must be followed when preparing the “NC NF Supplemental Cost Report 2016 – Version 5” Excel cost reporting forms.

Nursing Facility with a 2016 FYE on or before Dec. 31, 2016

State-owned Nursing Facility FYE June 30, 2016

  • State-owned/operated skilled nursing facility providers file annual Medicaid cost reports with Medical Assistance using the CMS 2540 cost reporting schedules. Cost reports are due within 5 months after the provider's fiscal year end.
  • State-owned/operated provider-based nursing facilities file annual Medicaid cost reports with Medical Assistance using the CMS 2552 cost reporting schedules. Cost reports are due within 5 months after the provider's fiscal year end or 37 days from the date of the hospital's PS&R, whichever is later.

Cost Limitations for FY 2016

  • Director's Fees: $2,400 annually or $200 per meeting
  • 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)

Contact

Medical Assistance Finance Section
Michael D’Alessio
Phone: 919-814-0030
Fax: 919-814-0031

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