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Information and Resources on Hurricane Helene

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Archived Hospital Cost Reports

2025

Hospital Information

Notice to Non-public Hospitals that are eligible to receive Medicaid Enhanced Payments - May 17, 2021

2023

Hospital Information

  • Hospital Schedules A&C for DSH - Due Oct. 12, 2023

2020

Hospitals - NCDHB E-5

  • Acute Supplemental E-5 Instructions and Schedule FYE 2020
  • CAH Supplemental E-5 Instructions and Schedule FYE 2020

2018

Hospitals – NCDHB E-5

  • Acute Supplemental E-5 Instructions and Schedule FYE 2018
  • CAH E-5 Instructions and Schedule FYE 2018

2017

Hospitals – NCDHB E-5

  • Supplemental E-5 Instructions and Schedule FYE 2017
  • CAH E-5 Instructions and Schedule FYE 2017
  • Treatment of Hospital Provider Assessment (Provider Tax) in Medicaid Cost Reports

2016

Hospitals – NCDHB E-5

  • Supplemental E-5 Instructions and Schedule FYE 2016
  • CAH E-5 Instructions and Schedule FYE 2016

2015

Hospitals - NCDMA E-5

  • Supplemental E-5 Instructions and Schedule FYE 2015
  • CAH Supplemental E-5 Instructions and Schedule FYE 2015
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This page was last modified on 08/06/2025

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Contact Information

NC Medicaid, Division of Health Benefits
2501 Mail Service Center
Raleigh, NC 27699-2501

NC Medicaid Contact Center
Phone: 888-245-0179
Monday-Friday 8 a.m. to 5 p.m.
Closed on State holidays.
 
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