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Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023.

Enrollment in the Health Benefits for Immigrant Seniors (HBIS) program will be temporarily paused effective Nov. 6, 2023.

Elizabeth M. Whitehorn, Director

Enrolled Long Term Care Provider Cost Reports

Long Term Care Facilities including Nursing Facilities (NF), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) and Specialized Mental Health Rehabilitation Facilities (SMHRF)

Downloadable Cost Reports

All Long Term Care facilities enrolled in the Medicaid program must file a Financial and Statistical Report for Long-term Care Facilities. This form is commonly called a cost report and is filed in the Bureau of Health Finance within 90 days after the end of the facility's fiscal year. The cost report form changes each year, so make sure the proper form is used. Long term care units within hospitals which provide Medicaid services must file this cost report form. Additional details regarding preparation and filing requirements can be found in the cost reporting instructions.

Sheltered care homes, as well as facilities which have no Medicaid patients and do not anticipate any Medicaid patients may meet the requirements for financial reporting by completing the Short Form of Financial and Statistical Report Schedules for Long Term Care Facilities. If the facility wants to be eligible for Medicaid reimbursement at a later date, it will have to complete the regular Financial and Statistical Report for Long Term Care Facilities before a Medicaid rate can be set.