Intermediate Care Facility - Individuals with Intellectual Disabilities (ICF-IID) Cost Report
For information on NC Medicaid requirements to follow when preparing cost reporting forms, download the “Guidance for Cost Report Preparation” document below.
Cost reports must be filed by the due date listed below. NC Medicaid does not plan to grant extensions except in the case of natural disasters (e.g., fires and floods.) Medicaid does not normally permit amended cost reports except under certain circumstances.
ICF-IID Facility FYE June 30, 2024
ICF-IID Facility FYE June 30, 2023
- Guidance for Cost Report Preparation for ICF-IID Group Home FYE June 30, 2023
- FY2023 ICF-IID Provider Health Care Assessment Tax Schedules
ICF-IID Facility FYE June 30, 2022
Chart of Accounts
Cost Limitations for ICF-IID Cost Reports for fiscal year ended June 30, 2024
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)
ICF-IID Baseline Payroll Template (NC Session Law 2021-180)
Contact
NC Medicaid Finance Section
Phone: 919-527-7171
Fax: 919-716-0600
Email: Medicaid.LTCCostReport@dhhs.nc.gov
This page was last modified on 06/27/2024