Hospital Cost Report
Hospitals - NCDHB E-5
- Acute Supplemental E-5 Instructions and Schedule FYE 2021
- CAH Supplemental E-5 Instructions and Schedule FYE 2021
Hospital Information
- Hospital Cost Report Information Sheet - April 24, 2020
- Notice to Non-public Hospitals that are eligible to receive Medicaid Enhanced Payments - May 17, 2021
- Hospital Schedule B for DSH - Due with Cost Report
- Rate Adjustment Eligibility Worksheet - Due Oct. 12, 2023
- Hospital Schedules A&C for DSH - Due Oct. 12, 2023
- 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
This page was last modified on 09/14/2023