Provider Notice issued 06/21/16
2016 Long Term Care (LTC) Cost Report Forms and Instructions
| To: | Enrolled Long Term Care Facilities, Nursing Facilities (NF), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) and Specialized Mental Health Rehabilitation Facilities (SMHRF)s |
| Date: | June 21, 2016 |
| Re: | 2016 Long Term Care (LTC) Cost Report Forms and Instructions |
The purpose of this Informational Notice is to notify providers that the 2016 Long Term Care (LTC) cost report form and instructions are available on the Illinois Department of Healthcare and Family Services’ Cost Report webpage. The cost report is due on September 30, 2016 or 90 days after the close of the facility’s fiscal year, whichever is later.
The downloadable Excel cost report file is accessible at the link entitled Long Term Care – Long Form (Nsg Homes, Skilled Nsg Units and ICF/IID). Please use the 2016 cost report file and instructions. Printed copies of the report from the 2015 cost report or earlier files will NOT be accepted.
When the report is complete, please submit via email or CD to: HFS.HealthFinance@illinois.gov. In addition, a signed paper copy must be mailed to the following address at the same time as the submission of the completed Excel cost report file.
Bureau of Health Finance
Illinois Department of Healthcare and Family Services
201 South Grand Avenue East
Springfield, Illinois 62763
If you have any questions concerning this notice, please call Randy Hulskotter at
(217) 524-4489. You may also contact our office by email at: HFS.HealthFinance@illinois.gov.
Felicia F. Norwood
Director