Ohio Medicaid Hospital Cost Report

The Ohio Medicaid Hospital Cost Report (JFS 02930) is used to report the Cost and Charges for the Title XIX and Title V Programs. It is also used to report the Uncompensated Care Data for the Hospital Care Assurance Program (HCAP), formerly reported on ODHS 2929.

• Automated Cost Report User's Manual
• Ohio Medicaid Hospital Cost Report Instructions
• Ohio Medicaid Hospital Cost Report Software: The contents of the file will be copied to C:\Hospital Cost Report on your computer. Please review the Instructions and User's Manual prior to completing the cost report. These files are also included in the download file.
• Cost Report Submission Checklist

Completion of OBRA survey required: Providers are required to complete both sections A and B of the OBRA Survey. Failure to complete the survey, constitutes an incomplete report and shall be subject to the $1,000/day fine.

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