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Medicare cost reports are required to be filed each year. A cost report normally covers a 12-month period and must be submitted within five months of the end of providers cost reporting period. Filing the cost report before the due date is strongly recommended, as: Filing late results in payments being suspended.
The cost report contains provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data.
Cost reports are due from providers at the end of the 5th month after the providers Fiscal Year End (FYE). If the providers FYE is other than a month end, the cost report will be due 150 days from their FYE.
Cost reports are due on or before the last day of the fifth month following the close of the cost reporting period. 2. No extensions will be granted except when providers operations are significantly adversely affected due to extraordinary circumstances over which the provider has no control.
Many states also require Medicaid cost reports. Each report, which is a public document, contains an abundance of provider information including utilization, wage index, cost and charge ratios, and more.
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For cost reporting purposes, Medicare requires submission of annual reports covering a 12-month period of operations based upon the providers accounting year. The provider may select any annual period for Medicare cost reporting purposes regardless of the reporting period it uses for other programs.
The Department estimates Medi-Cal spending to be $174.6 billion total funds ($37.6 billion General Fund) in 2024-25 and $188.1 billion total funds ($42.1 billion General Fund) in 2025-26. This does not include Certified Public Expenditures of local governments or General Fund expenditures in other state departments.

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