CMS issues Transmittal 13 to the Provider Cost Reporting Forms and Instructions, Chapter 29, Form CMS-222-92
The Independent Rural Health Clinic (RHC)/Freestanding Federally Qualified Health Centers (FQHC) Cost Report, Form CMS-222-92 was updated to Transmittal 13 by CMS, on February 17, 2017. Transmittal 13 is effective for cost reporting periods ending on or after September 30, 2016.
Effective for cost reporting periods beginning on or after October 1, 2014 the Form CMS-222-92 cost report is only applicable to RHC providers. FQHC providers are currently required to file the Form CMS-224-14 cost report.
Changes include:
- On Worksheet A, expanded the instructions for Allowable and Non-Allowable GME Pass through Costs on lines 20.50 and 53.50, respectively.
- Also on Worksheet A, added the following cost centers:
- Line 55.50 for Chronic Care Management (CCM)
- Line 55.60 for Telehealth
- Worksheet A-2, line 8.01 was added to accommodate the application of the RCE adjustment for teaching physicians.
- Worksheet B, Part II, line 14.01 was revised to eliminate the separate calculation of overhead for direct graduate medical education (GME).
- Revised Worksheet C, Part II, line 15.10 for direct GME costs.
- Also on Worksheet C, Part II, added line 20.99 to capture the Pioneer Accountable Care Organization (ACO) demonstration payment adjustment amount in accordance with ACA 2010, §3022.
HFS is currently programming the software changes for transmittal 13 and anticipates approval in the near future. Once approved, HFS will make the update available to users of the software.
The transmittal is available at the CMS website:
If you have any questions please contact eric@hfssoft.com.