§ 53-6-1603 — Process To Establish Cost Reporting

53-6-1603 . Process to establish cost reporting. (1) The department of public health and human services shall establish a cost reporting process that:
(a) implements a standardized cost reporting format that includes recognized revenues and expenditures incurred by medicaid service providers;
(b) identifies medicaid service providers and other providers that are required to submit cost reporting information;
(c) identifies providers that are exempt from cost reporting requirements;
(d) determines a base year for data collection and identifies the types of expenditures and revenues for which providers are required to report data in order for the department to analyze the data and make determinations about rate adequacy;
(e) collects data to update the base-year expenditures at least once every 4 years but not more than once in any 2-year period;
(f) consults medicaid service providers in the development of the cost report format; and
(g) establishes protocols to protect provider cost reporting data.
(2) Identified medicaid service providers shall:
(a) provide actual expenditures and revenue data to the department in the standardized reporting format established under this section;
(b) submit cost information reflecting costs incurred during the provider's most recent fiscal year; and
(c) provide audits or cooperate in audits of the submitted data if requested by the department.

Legislative History

En. Sec. 3, Ch. 654, L. 2025.