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Nursing Home Medicaid Cost Report Due July 11th

We remind nursing home members that the 2021 Residential Health Care Facility (RHCF) Cost Report due date is July 11th. Providers should ensure that they have the appropriate permissions in place for those responsible for completing the electronic certification. Please note that the Department of Health (DOH) instructs that the RHCF Cost Report software provided by the Department is the only software that can be used for submission of the Cost Report. DOH warns that a report prepared in third-party software with data then loaded into the Department's software results in the report not loading correctly. Such reports will be deemed unsubmitted, and the provider will be subject to penalty.

We continue to await DOH guidance for Adult Day Health Care (ADHC) programs on reporting telehealth visits. In its absence, we recommend that members use a methodology that fits their situation well and indicate in the Cost Report notes how such visits were reported. Alternatively, providers may find it most logical to just enter any telehealth visit counts in the notes.

The text of the DOH notice is copied below. We urge members to file on time, since Cost Report submission remains part of the Quality Pool score. Accuracy and completeness are important throughout, including the turnover schedules, which have historically been used to qualify facilities for certain grant monies. Please let us know if you encounter any difficulty.

Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-461-5993


From DOH, May 11, 2022:

Dear Administrator:

This letter provides you with information regarding the 2021 RHCF Cost Report submissions. The 2021 software is now available through the internet-based Health Commerce System (HCS). The 2021 cost report and applicable electronic certifications are due to the Department by Monday, July 11, 2022.

No changes have been made to the software, however, please note, CPA certifications have been updated to be in accordance with the New York State Society of Certified Public Accountants (NYSSCPA) recently updated Statement on Auditing Standards (SAS 134 ), which aligns the generally accepted auditing standards with the standards issued by the International Auditing and Assurance Standards Board. The following documents are located on the HCS in the NH Cost Report section to aid in the submission:

•             RHCF Cost Report Submission Guidelines

•             RHCF Cost Report Electronic Certification Access Instructions

•             Updated CPA certification documents (in accordance with SAS 134)

Additionally, as referenced in the communication from the Department on March 4, 2022, the software provided by the Department is the SOLE software that can be used for submission of the cost report. Third party software creates errors in submission and can no longer be accepted.

If you or your delegate fills out the cost report in a third-party software and then loads the data into the Department's software, the cost report does NOT load correctly and as such the cost report will be deemed unsubmitted and the provider will be subject to penalty.

It is critical that all providers and their delegates prepare and submit their cost report ONLY through the Department of Health software.

If you have any questions regarding the submission of the Cost Report or HCS access, please send an email to RHCF-HCS@health.ny.gov Please include RHCF Submission or HCS access in the subject line.