RHC/FQHC Cost Report Update

Cost reports for freestanding and provider-based Rural Health Clinic (RHC)/Federally Qualified Health Center (FQHC) providers with an FY end of October 31, 2009, or after must be processed using the following cost report transmittals that will capture data for administration of the H1N1 vaccine. If cost reports are submitted using a prior transmittal number, they must be resubmitted by the provider on the latest transmittal indicated below, which contains the proper calculations for H1N1 vaccines.The applicable cost report forms and instructions will be available on the CMS Paper-Based Manuals Web page.

Cost Report	Transmittal Number
RHC/FQHC CMS 222-92	T-8
Hospital CMS 2552-96	T-21
Skilled Nursing Facility (SNF) CMS 2540-96	T-17
Home Health Agency (HHA) CMS 1728-94	T-14