Intermediate Care Facility - Individuals with Intellectual Disabilities (ICF/IID) Cost Report - Home Office or Related Party Support
Home Office or Related Party Organization supporting long-term care ICF-IID
Download the “Guidance for Cost Report Preparation” document below for specific Division of Health Benefits (DHB) 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. DHB does not plan to grant extensions except in the case of natural disasters; e.g., fires and floods. See Cost Report Extension. DHB 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