2018-2019 Cost Report - AUPs Click on links to forms below to view or download. All reports are due Sept. 30, 2019. Please print instructions for any of the applications below prior to downloading. For Microsoft Access 2016 or Higher Please read instructions before beginning download. Download "Adult Care Cost Report application for Access" If you do not have a copy of Microsoft Access, please download a free RunTime version from Microsoft before continuing. If you have trouble exporting your data file from the free RunTime version, please contact Susan Kesler at 919-855-3680 Submit a Report Please read instructions before submitting your cost report. All adult care home with seven beds or more must be audited this year. Exemptions If your facility: Did not receive any State/County Special Assistance Funds or Does not bill Medicaid PCS You should submit an Exemption Form. Do not complete a Cost Report. Mental Health Group Homes with six beds or less To obtain blank forms, download the appropriate "Adult Care Cost Report program ". See link above. After downloading/installing application, click on "Preview Report" button and follow the prompts. Instructions for Cost Report Agreed Upon Procedures aer not required for facilities with six beds or less. Adult Care Homes with Seven or More Beds To obtain blank forms download the "Adult Care Cost Report program " that you need. See the links above. After downloading application, click on "Preview Report" button and follow the prompts. Instructions for Cost Report Schedule F Position Titles with Definitions Agreed Upon Procedures for Seven Beds or More Accountants Certification Form Adult Care Facilities ACF Attachments I, II and III Special Care Units SCU Attachments I, II and III Mental Health Facilities Nursing Facilities You can contact the following people if you have any questions or problems: Susan Kesler, 919-855-3680, susan.kesler@dhhs.nc.gov Fax: 919-715-3095 For Aup questions, email AUP.questions@dhhs.nc.gov
2018-2019 Cost Report - AUPs Click on links to forms below to view or download. All reports are due Sept. 30, 2019. Please print instructions for any of the applications below prior to downloading. For Microsoft Access 2016 or Higher Please read instructions before beginning download. Download "Adult Care Cost Report application for Access" If you do not have a copy of Microsoft Access, please download a free RunTime version from Microsoft before continuing. If you have trouble exporting your data file from the free RunTime version, please contact Susan Kesler at 919-855-3680 Submit a Report Please read instructions before submitting your cost report. All adult care home with seven beds or more must be audited this year. Exemptions If your facility: Did not receive any State/County Special Assistance Funds or Does not bill Medicaid PCS You should submit an Exemption Form. Do not complete a Cost Report. Mental Health Group Homes with six beds or less To obtain blank forms, download the appropriate "Adult Care Cost Report program ". See link above. After downloading/installing application, click on "Preview Report" button and follow the prompts. Instructions for Cost Report Agreed Upon Procedures aer not required for facilities with six beds or less. Adult Care Homes with Seven or More Beds To obtain blank forms download the "Adult Care Cost Report program " that you need. See the links above. After downloading application, click on "Preview Report" button and follow the prompts. Instructions for Cost Report Schedule F Position Titles with Definitions Agreed Upon Procedures for Seven Beds or More Accountants Certification Form Adult Care Facilities ACF Attachments I, II and III Special Care Units SCU Attachments I, II and III Mental Health Facilities Nursing Facilities You can contact the following people if you have any questions or problems: Susan Kesler, 919-855-3680, susan.kesler@dhhs.nc.gov Fax: 919-715-3095 For Aup questions, email AUP.questions@dhhs.nc.gov
