• DMA HOME

• ABOUT DMA
• CONTACT DMA

 

ICF/MR Cost Reports

Intermediate Care Facility/Mental Retardation Facility (ICF/MR) providing Long Term Care

Contact Information:

Michael D'Alessio
919-814-0030
Email: Mike.DAlessio@dhhs.nc.gov

You will need to download the Guidance for Cost Report Preparation document as it contains specific DMA requirements that must be followed when preparing the cost reporting forms. 

The free Adobe Acrobat Reader is required to view and print PDF files.

ICF/MR Facility FYE 6/30/2012

• Software (5.4 MB)
• ICFMR12 User Manual (PDF, 404 KB)
• Guidance for Cost Report Preparation for ICF/MR Group Home FYE 6/30/2012 (PDF, 65 KB)
• Guidance for Cost Report Preparation for State-owned ICF/MR Facility FYE 6/30/2012 (PDF, 53 KB)
• Manual FY2012 ICF/MR Settlement Supplemental Worksheet (XLS, 41 KB

ICF/MR Facility FYE 6/30/2011

• Software (5.4 MB)
• ICFMR11 User Manual (PDF, 538 KB)
• Guidance for Cost Report Preparation for ICF/MR Group Home FYE 6/30/2011 (PDF, 171 KB)
• Guidance for Cost Report Preparation for State-owned ICF/MR Facility FYE 6/30/2011 (PDF, 79 KB)
• Manual FY2011 ICF/MR Assessment Adjustment Workpaper (XLS, 303 KB)
• Manual FY2011 ICF/MR Settlement Supplemental Worksheet (XLS, 50 KB)

More information about installing the cost reporting software or system requirements needed

Chart of Accounts

• Chart of Accounts for FYE 2011 ICF/MR Facilities (PDF, 197 KB)
• Chart of Accounts for FYE 2008, 2009 & 2010 ICF/MR Facilities (PDF, 197 KB)

Cost Limitations for ICF/MR Cost Reports for fiscal year ended June 30, 2012

The cost limitations are as follows:

• Medical Director: $250 per bed annually
• Management Fees: $7.13 per patient day
• Capital/Lease Costs: $6,546 annually per bed
• Director's Fees: $2400 annually or $200 per meeting
• Owner or Administrator Salary:
  $57,570 (1-50 beds)
  $69,912 (51-99 beds)
  $74,024 (100-149 beds)
  $79,660 (150-199 beds)
  $90,469 (200-249 beds)

Cost Limitations for ICF/MR Cost Reports for fiscal year ended June 30, 2011

The cost limitations are as follows: 

• Medical Director: $250 per bed annually
• Management Fees: $7.13 per patient day
• Capital/Lease Costs: $6,546 annually per bed
• Director's Fees: $2400 annually or $200 per meeting
• Owner or Administrator Salary:
  $57,570 (1-50 beds)
  $69,912 (51-99 beds)
  $74,024 (100-149 beds)
  $79,660 (150-199 beds)
  $90,469 (200-249 beds)

Frequently Asked Questions

1. Will DMA grant an extension for filing a cost report beyond the due date?
   DMA does not plan to grant extensions except in the case of natural disasters, i.e. fire, floods etc.  Otherwise, cost reports must be filed by the due date. See the Cost Report Extension (PDF, 21 KB) memo for further explanation.
2. If I need to amend a cost report after it has been filed, what are the steps to do this?
   DMA does not normally permit amended cost reports except under certain circumstances.