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DOH/KPMG Hold 2020 Home Care Cost Report Outreach Session

The Department of Health (DOH) and KPMG recently held a provider outreach session on the Home Care Cost Report. Slides from the presentation are available here. The Cost Report submission deadline in the Web-based Tool is Nov. 15, 2021, and supporting documentation is due in the Secure File Transfer Protocol (SFTP) site by Nov. 22, 2021.

Providers can learn more about the requirement on DOH’s webpage here or in previous LeadingAge NY Intelligence articles hereThe Cost Report collects 2020 data that will be used to set 2022 Medicaid reimbursement rates.

Highlights of the webinar include the following: 

  • If a Certified Home Health Agency (CHHA), Licensed Home Care Services Agency (LHCSA), or Fiscal Intermediary (FI) was operational in calendar year 2020, but is currently not operational, they are still required to complete the 2020 Home Care Cost Report. 
  • The link to the 2020 Home Care Cost Report is different than the 2019 Home Care Cost Report Tool link. Please make sure that you are using this link for your 2020 submission.
  • For users who completed the 2019 Home Care Cost Report, login credentials for the Web-based Tool will be the same login credentials as those used last year.
  • An agency contracting out the direct care services should report the associated costs as allowable on the Home Care Cost Report. These costs will be reported in Column 009 (Contracted Purchased Services) within the applicable service type row on Schedule 3.
  • An agency acting as a subcontractor should not report these services as allowable. Instead, for all schedules that require the reporting of information by service type, there is a line item for “Other non-allowable services.” The agency acting as the subcontractor for the delivery of services should report any costs related to performing the contract services in this line.
  • DOH recommends that providers use Total Operating Expenses as the basis of their allocation methodology to allocate information within the Home Care Cost Report. If a provider is unable to use this approach, they must explicitly document the allocation methodology used (e.g., Hours of Service, Square Feet Occupied, Time Study, Salary).
  • The login credentials for the SFTP site are different than the Web-based Tool login credentials. New login credentials for the SFTP site were sent on Tues., Sept. 21st to those who have displayed activity in the 2020 Cost Report or submitted the 2019 Cost Report. If a provider did not receive SFTP login credentials or requires a password reset, they should send a request to the KPMG Home Care Cost Report Mailbox.
  • Supporting documentation is subject to audit, and as such, providers must provide supporting documentation for all Cost Report schedules. To clarify the support requested and to create a more consistent process, KPMG and DOH created a supporting documentation template for each entity type (LHCSA, FI, and CHHA).
  • The submission of the completed report occurs in the Cost Report Submission tab. In order to submit the Cost Report, both the Cost Report Schedules tab and the General Questionnaire tab need to be completed.
  • The General Questionnaire tab does not have its own submit button; rather, it will get submitted along with the Cost Report Schedules tab when you submit the Cost Report Submission tab.
  • The Home Care Cost Report must be certified and submitted by an executive level individual (e.g., CEO, CFO).
  • You will not receive an automated email when you submit the Home Care Cost Report. You will be able to tell if the submission went through if you see the words “Cost Report Submitted” in the top right corner of the Cost Report Schedules tab. If you are still unsure if the Cost Report was submitted, please send an email to usadvrisknyshc@kpmg.com.
  • In the Web-based Tool, providers have access to the following resources within the Instructions Tab: Cost Report Instructions (both in the Instructions Tab drop-downs and as a PDF download); description of the 2020 Outreach Program; August 2021 Outreach Session PDF presentation and recording (for the 2020 Cost Report year); supporting documentation templates – tutorial videos for the various components of the Web-based Tool; an Excel template of the Cost Report schedules (for reference, not submission); and PDF presentations and recordings of the 2019 Cost Report Year outreach sessions, including the 2019 Lessons Learned Webinar.

Contact: Meg Everett, meverett@leadingageny.org, 518-929-9342