2013 Personal Care Cost Report

The Department of Health (DOH) posted the 2013 personal care Medicaid cost report software on the Health Commerce System (HCS) with an accompanying Dear Administrator Letter (DAL). The DAL states the report will be used to determine the 2015 personal care Medicaid rates. Also in the DAL, DOH clarifies two changes in the 2013 cost report:

• Schedule A – this includes allowable salary expenses for operator/owners in accordance with Title 18 Section 505.14(h)(7)(ii).
• Part I Statistics – The “Medicaid” column should only include Medicaid hours that are directly billed through a local district contract. All hours billed to a third party, including those billed to Managed Long Term Care plans for Medicaid patients, should be reported in the “Other” column.

The cost report must be filed no later than Sept. 15, 2014. Additionally, the operator’s certificate and accountant’s opinion must be electronically filed no later than Sept. 15, 2014. Late cost reports/certifications could result in a two percent rate reduction.

Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871