Intermediate Care Facility - Individuals with Intellectual Disabilities (ICF/IID) Cost Report - Home Office or Related Party Support_archive04302019

Home Office or Related Party Organization supporting long-term care ICF-IID

Download the “Guidance for Cost Report Preparation” document below for specific Medical Assistance requirements that must be followed when preparing the cost reporting forms. More information is available about installing the cost reporting software or system requirements.

Cost reports must be filed by the due date listed below. Medical Assistance does not plan to grant extensions except in the case of natural disasters; e.g., fires and floods. See Cost Report Extension. Medical Assistance does not normally permit amended cost reports except under certain circumstances.

Home Office ICF-IID FYE 6/30/2017

Due: 9/30/17

Home Office Instructions Manual - FY2017

Guidance for Cost Report Preparation for ICF-IID (ICF/MR) Group Home FYE 6/30/2017

Chart of Accounts

Chart of Accounts for FYE 2017 ICF/MR Facilities

Cost Limitations for ICF-IID Cost Reports for FYE June 30, 2017

Medical Director: $250 per bed annually

Management Fees: $7.13 per patient day

Capital/Lease Costs: $6,546 annually per bed

Director's Fees: $2,400 annually or $200 per meeting

Owner or Administrator Salary:

  • $57,570 (1-50 beds)
  • $69,912 (51-99 beds)
  • $74,024 (100-149 beds)
  • $79,660 (150-199 beds)
  • $90,469 (200-249 beds)

Cost Limitations for ICF-IID (ICF/MR) Cost Reports for FYE June 30, 2017

Medical Director: $250 per bed annually

Management Fees: $7.13 per patient day

Capital/Lease Costs: $6,546 annually per bed

Director's Fees: $2,400 annually or $200 per meeting

Owner or Administrator Salary:

  • $57,570 (1-50 beds)
  • $69,912 (51-99 beds)
  • $74,024 (100-149 beds)
  • $79,660 (150-199 beds)
  • $90,469 (200-249 beds)

Contact

NC Medicaid Finance Section
Mike D’Alessio
Phone: 919-814-0030
Fax: 919-814-0031
Email: Mike.DAlessio@dhhs.nc.gov