Ch. 7, § 5. Cost Report

. (a) Deadline. A certified cost report for each nursing facility must be submitted to the Department by the end of the fifth month following the nursing facility's fiscal year end. (i) The Department may grant one thirty-day extension of the submission deadline if a nursing facility provides good cause for the extension in writing before its submission deadline. (ii) A cost report is deemed complete when the Department receives the certified cost report with all of the required documentation. (iii) If the Department does not receive a nursing facility's complete cost report within ten days after the deadline, the Department shall reduce the nursing facility's per diem rate by 25% until the nursing facility submits its complete cost report or the Department suspends payment to the nursing facility. (iv) If the Department does not receive a nursing facility's complete cost report within sixty days after the deadline, the Department shall suspend all Medicaid payments to the nursing facility until the Department receives a complete cost report from the nursing facility. (v) The Department may pay the nursing facility the suspended payments without interest. (vi) Reduction and suspension of per diem rates do not affect any of the Department's other rights or remedies. (vii) A nursing facility that closes or changes ownership is not required to submit a cost report if that cost report will not be used to calculate a rate. (b) Attachments. The nursing facility must attach a copy of each of the following documents in which it is a party to the cost report. (i) Contracts involving the purchase of a facility or equipment during the last seven years, unless previously submitted; (ii) Contracts with an owner or other entity related to the nursing facility, unless previously submitted; (iii) Leases of real or personal property, unless previously submitted; (iv) Management contracts, unless previously submitted; (v) Mortgages or loan agreements, unless previously submitted; (vi) Working trial balance used to prepare the cost report with line number tracing notations or similar identifications; (vii) Audit, review, or compilation statements prepared by an independent accountant that includes the nursing facility costs or allocation of costs to the nursing facility, including disclosure statements and management letters or SEC 10-K forms; (viii) Home office cost statements; (ix) Current Medicare cost report; (x) Wyoming Financial Report for Long Term Care, a supplemental cost reporting form specific to the Medicaid program; and (xi) Any other documents requested in writing by the Department that relates to the provision of services, the submission of claims for payment, or a nursing facility's cost reports. (c) Cost reporting method. A nursing facility may change its cost reporting method only if, prior to the end of the cost reporting period, it requests the change in writing, and the Department approves the change. The Department must not withhold approval if the change can reasonably be expected to result in more accurate reporting. (d) Fiscal period. A nursing facility must use the same fiscal period as it uses for reporting Medicare costs. (i) If a nursing facility is not certified by Medicare, it must use the same period it uses for federal income tax reporting. (ii) A cost reporting period of less than six months must not be used to calculate a nursing facility's rate. (e) Setting per diem rate. The Department will set a nursing facility's per diem rate within ninety days of the Department's receipt of a complete cost report (f) Certification of cost reports. (i) Misrepresentation or falsification of any information contained in a cost report may be punishable by a fine and/or imprisonment under state or federal law. (ii) Each cost report must include the following certification signed by an authorized agent of the nursing facility: I certify that I have reviewed the foregoing cost report for the fiscal year beginning ___________, 20___, and ending ___________, 20___, including all required documentation and, to the best of my knowledge and belief, it is an accurate and complete report prepared from the books and records of the nursing facility in accordance with standard accounting principles and applicable instructions, except as specifically noted and explained in the cost report. Additionally, an accurate copy of all required documentation is attached to the cost report. Signature Title Date __________________________ Printed name