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NC DHB »
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Cost Reports and Assessments »
Rural Health Clinics Cost Report - Hospital-based

Rural Health Clinics Cost Report - Hospital-based

2019

Due 150 days after facility FYE

  • Cost Report Instructions for FY2019 Hospital-based RHC facility
  • Hospital-based RHC Cost Report FY2019 Excel Version

2018

Due 150 days after facility FYE

  • Cost Report Instructions for FY2018 Hospital-based RHC facility
  • Hospital-based RHC Cost Report FY2018 Excel Version
  • Hospital-based RHC Cost Report FY2018 PDF Version 

2017

Due 150 days after facility FYE

  • Cost Report Instructions for FY2017 Hospital-based RHC facility
  • Hospital-based RHC Cost Report FY2017 Excel Version
  • Hospital-based RHC Cost Report FY2017 PDF Version

2016

Due 150 days after facility FYE

  • Cost Report Instructions for FY2016 Hospital-based RHC facility
  • Hospital-based RHC Cost Report FY2016 Excel Version
  • Hospital-based RHC Cost Report FY2016 PDF Version

Contact

NC Medicaid Finance Section 
John ("Jeff") Mathewson, CPA, Audit Manager 
Phone
: 919-527-7161 
Fax
: 919-716-0600 

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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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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