Icf/Iid: Reporting System Principle And Application

Providers must file annual cost reports. (7-1-26) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 515 Page 113 01. Cost Report Requirements. The fiscal year end filings include: (7-1-26) a. Annual income statement; (7-1-26) b. Balance sheet; (7-1-26) c. Statement of ownership; (7-1-26) d. Schedule of patient days; (7-1-26) e. Schedule of private patient charges; (7-1-26) f. Statement of additional charges to residents above usual monthly rates; and (7-1-26) g. Other schedules, statements, and documents as requested. (7-1-26) 02. Special Reports. When required, specific instructions are issued, based upon the circumstance. (7-1-26) 03. Report Criteria. (7-1-26) a. Use of State-approved formats. (7-1-26) b. Presented on accrual basis. (7-1-26) c. Prepared according to GAAP and principles of reimbursement. (7-1-26) d. Providing appropriate detail on supporting schedules or as requested. (7-1-26) 04. Preparer. Statements do not require a CPA. (7-1-26) 05. Reporting by Chain Organizations or Relative Providers. Filing combined or consolidated cost reports as a basis for reimbursement is prohibited. Each facility must file a separate set of reports for each level of organization allocating expenses to a provider. Consolidated financial statements are considered supplementary information and do not meet primary reporting requirements. (7-1-26) 06. Change of Management or Ownership. To properly pay separate entities or individuals after a change of management or ownership, the following requirements apply: (7-1-26) a. Outgoing management or administration must file an adjusted-period cost report when necessary. This report will meet the criteria for annual cost reports and be filed no later than sixty (60) days after the change. (7-1-26) b. The Department may require an appraisal for a change in ownership. (7-1-26) 07. Reporting Period. When required to establish rates, new ICF/IIDs are required to submit cost projections for the first year of operations. Thereafter, the normal reporting period coincides with the facility’s standard fiscal year. If a facility withdraws from the program and later re-enters, new provider reporting requirements apply. (7-1-26) 514. (RESERVED)