Cost Reporting Presentation Available for NHTD/TBI Waiver Providers
The Department of Health (DOH) presented a Traumatic Brain Injury (TBI) and Nursing Home Transition and Diversion (NHTD) 1915c Medicaid Waivers Cost Report Training Webinar on June 18th. As NHTD/TBI providers are aware, cost reporting will be required for both the NHTD and TBI 1915c waiver programs. The Centers for Medicare and Medicaid Services (CMS) is requiring that DOH engage in a retrospective reimbursement reconciliation process using service provider cost by service compared to the final allowable Medicaid reimbursement rate. Providers will use the Consolidated Fiscal Report (CFR), which is the report utilized by all governmental and non-governmental providers to communicate annual costs incurred as a result of operating 1915c waiver services. The year-end cost report is used to set rates and analyze the appropriateness of fees and contracts. Once the cost is received and the reconciliation is complete, DOH will meet with providers to discuss results.
A reporting start date of July 1, 2018 is required by CMS, and cost reports will be due 90 days from the end of the reporting period with a 30-day extension. The cost reporting periods to be initiated are July 1, 2018 to June 30, 2019 for Fiscal Year filers and July 1, 2018 to Dec. 31, 2018 for Calendar Year filers. After the initial Cost Report year, the reporting periods will be July 1st to June 30th for Fiscal Year filers and Jan. 1st to Dec. 31st for Calendar Year filers. Both reporting periods will be reconciled to the cost of all services compared to the final allowable Medicaid reimbursement rate by service.
Click here to access the Cost Report Manual and here for the NHTD/TBI Cost Report presentation slides. To access the Excel Cost Report forms, click here. Going forward, rate questions should be directed to the MHRS@health.ny.gov mailbox. As far as contact updates or any further questions/comments regarding Cost Reports, please direct them to 1915CR@health.ny.gov.
Contact: Meg Everett, meverett@leadingageny.org, 518-867-8871