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NC DHB »
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Cost Reports and Assessments »
Nursing Facility Cost Reports

Nursing Facility Cost Reports

Associated Files

2017_Nursing_FSS_v5-01-rev.xls

Nursing Facility Supplemental Cost Report - 2017

XLS • 574 KB
Download

Details

Last updated:
Apr 19, 2017
First published:
Dec 11, 2015
Last Updated:
Mar 7, 2016

Cost Reports and Assessments

  • Ambulance (EMS) Cost Report
  • Hospital Cost Report
  • Intermediate Care Facility - Individuals with Intellectual Disabilities (ICF-IID) Cost Report
  • Intermediate Care Facility - Individuals with Intellectual Disabilities (ICF-IID) Cost Assessment
  • Local Education Agencies (School-based Services) Cost Report
  • Nursing Facility Cost Assessment
  • Nursing Facility Cost Report – Long-term Skilled Nursing Care
  • Nursing Facility Cost Report Long-term Skilled or Intermediate Nursing Care Home Office
  • Nursing Facility Cost Report – Long-term Skilled or Intermediate Nursing Care Hospital Based
  • Nursing Facility Fair Rental Value (FRV)
  • Rural Health Clinics Cost Report - Hospital-based
  • Rural Health Clinics/Federally Qualified Health Centers Cost Report
  • Federally Qualified Health Centers
  • Intermediate Care Facility - Individuals with Intellectual Disabilities (ICF/IID) Cost Report - Home Office or Related Party Support
  • Local Health Department
  • Nursing Facility Cost Reports

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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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