Rural Health Clinics and Federally Qualified Health Centers Consolidated Cost Report Request

Published 09/25/2023

Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) with more than one site may file a consolidated cost report if approved by the A/B MAC in advance of the reporting period for which the consolidated report is to be used. (Reference: Medicare Benefit Policy Manual, CMS Pub. 100-02, Chapter 13, §80.2 [PDF]).

As noted in the manual, a request to file a consolidated cost report must be approved before the first day of the cost reporting period of the primary provider (for which the consolidated filing is to apply). 

In requesting to file a consolidated cost report for a RHC or FQHC:

  1. Submit the request at least 30 days before the start of the cost reporting period (to allow time for review and approval). 
     
  2. Indicate the provider to consolidate — list provider name, provider number (CCN) and FYE.
     
  3. Indicate the primary (or main) provider — list provider name, provider number (CCN) and FYE.
     
  4. Send the request to STAR@palmettogba.com.

Comment: Due to the requirement to approve the consolidated filing request before the start of the cost reporting period, a new RHC or FQHC will have to file at least its first cost report as an individual report.


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