Instructions and Checklist for FY 2021/22 Cost Report ID-46 for ICF/IDD Providers

Updates from the Office of Developmental Programs (ODP) for Intermediate Care Facility (ICF) providers:

Please find the Instructions for the ID-46 Cost Report forms, which were emailed previously. Also available is a checklist for completion prior to submission.  A few items to note:

INSTRUCTIONS

• PDF file contains a Table of Contents on page 2.
• Document is organized into these major categories:
  • General Instructions/Regulations — Pages 3–4
  • Timing/Requirements for Submission — Pages 4–5
  • Overall Instructions for ID-46 Excel File — Pages 5–7
  • Detailed Instructions for Each Schedule — Pages 8–46
  • Submission Procedures — Pages 47–48
  • Post Submission Procedures — Pages 49–50
  • Appendices — Pages 51–73
• Within Adobe Acrobat, if you click on the Bookmark symbol in the left margin, all headings throughout the document will appear in a list that is ‘clickable’ so you can jump directly to points of interest and minimize scrolling. An alternate method to display Bookmarks: View > Show/Hide > Navigation Panes > Bookmarks.

CHECKLIST

• May be completed by clicking on Blue fields within Adobe Acrobat.
• Items required to be submitted with cost report, along with requested syntax for file names, are listed on pages 4 & 5.

All cost reports and supporting documentation must be submitted via email for FY 2021/22 by 9/30/2022 with:
Subject line: ‘Cost Report Submission – provider name’
To: ODP

If you encounter any problems or have any questions, please contact Pamela Gilbert or Steve Evitts.

Pamela S. Gilbert | Fiscal Manager
PA Department of Human Services | Office of Developmental Programs
Bureau of Financial Management and Program Support