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  3. Cost Reports and Assessments

Federally Qualified Health Centers (FQHC)

2020

Cost report due 150 days after facility FYE 

  • 2020 FQHC Medicaid Cost Report (for FYE after 3-31-2020)
  • 2020 FQHC Medicaid Cost Report (for FYE before 4-1-2020)
  • 2020 FQHC Medicaid Cost Report Instructions

2019

Cost report due 150 days after facility FYE 

  • Cost Report Instructions for FY2019 FQHC facility
  • FQHC Cost Report FY2019 - Excel Version

2018

Cost report due 150 days after facility FYE 

  • Cost Report Instructions for FY2018 Freestanding FQHC facility
  • FQHC Cost Report FY2018 - Excel Version
  • FQHC Cost Report FY2018 - PDF Version

2017

Cost Report due 150 days after facility FYE. 

  • 2017 Federally Qualified Cost Report -Instructions
  • 2017 Federally Qualified Cost Report - Excel
  • 2017 Federally Qualified Cost Report -PDF

 

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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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