Final Cost Report

20.2 - Final Cost Report (Rev. 30, 09-05-03) All HCPPs must submit a final cost report and supporting documents to CMS no later than 120 days following the close of each reporting period that detail cost, utilization, and enrollment data for the entire reporting period. (See 42 CFR 417.810(b)). An extension of time to submit the report may be granted provided the HCPP requests such extension before the due date of the cost report and shows good cause for the extension. The final cost report shall be in the form and detail required by CMS. This report will be used to make final settlement for the contract period and should include, but is not limited to, the following: • The per capita costs incurred for the provision of covered services to the HCPP's Medicare enrollees during the contract period, including costs incurred by another organization related to the HCPP through common ownership or control; • The HCPP's methods of apportioning costs among Medicare and other enrollees, including nonenrolled patients receiving health care services on a fee-for-service or other basis; and • Such information on enrollment and other data that CMS may require. The total reasonable costs, which the HCPP incurs, that are related to administrative costs incurred by the HCPP in preparing the cost reports, and other data required by the program (other than costs related to reporting enrollment information) are included in Plan Administration. The CMS has the right to reject the final cost report if CMS believes there are significant deficiencies in the report. Unless the HCPP requests and receives an extension of time for submitting the final cost report, CMS may consider the failure to report timely as evidence of a likely overpayment and may initiate recovery of amounts previously paid, reduce current interim payments, or both.