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ICF/DD Provider Cost Reports 

 

Nursing Homes and Intermediate Care Facilities for the Developmentally Disabled (ICF/DD)

Downloadable Cost Reports

All facilities licensed under the Nursing Home Care Act must file a Financial and Statistical Report for Long-term Care Facilities. This form is commonly called a cost report and is filed in the Bureau of Health Finance within 90 days after the end of the facility's fiscal year. The cost report form changes each year, so make sure the proper form is used. Long term care units within hospitals which provide Medicaid services must file this cost report form. Additional details regarding preparation and filing requirements can be found in the cost reporting instructions.

Sheltered care homes, as well as facilities which have no Medicaid patients and do not anticipate any Medicaid patients may meet the requirements for financial reporting by completing the Short Form of Financial and Statistical Report Schedules for Long Term Care Facilities. If the facility wants to be eligible for Medicaid reimbursement at a later date, it will have to complete the regular Financial and Statistical Report for Long Term Care Facilities before a Medicaid rate can be set.

Any questions concerning the filing of cost reports should be addressed to:

Illinois Department of Healthcare and Family Services
Bureau of Health Finance
201 S. Grand Ave. E.
Springfield, IL 62763
Telephone: 217-782-1630
E-mail: Cost Report