Cost Report Instructions & Forms

***Note:  Cost Reports may only be submitted on CMS-Approved Software.  Specifications are for informational purposes only ***

Form 1728-94 (Home Health Agency):

Form 2540-10 (Skilled Nursing Facility):

Form 1984-14  (Hospice):

Form 222-92 (RHC):

Form 287-05 (Home Office):

Form 2552-96 (Hospital):

Form 224-14 (FQHC):

Form 265-11 (ESRD):

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