Hospital Cost Report

Hospitals - NCDHB E-5

• Acute Supplemental E-5 Instructions and Schedule FYE 2019 
• CAH Supplemental E-5 Instructions and Schedule FYE 2019

DSH / MRI / GAP Information

• Hospital Cost Report Information Sheet - April 24, 2020
• Notice to Non-public Hospitals that are eligible to receive Medicaid Enhanced Payments - April 16, 2020
• Hospital Schedule B for DSH - Due with Cost Report
• Rate Adjustment Eligibility Worksheet - Due Aug. 14, 2020
• Hospital Schedules A&C for DSH - Due Aug. 14, 2020
• Hospital Change Form

Archive

Contacts

NCDHB E-5
NC Medicaid Finance Section
Phone: 919-527-7169
Fax: 919-716-0600

DSH Schedule A, B and C
NC Medicaid Finance Section
Phone: 919-527-7179
Fax: 919-716-0600