N.J. Admin. Code § 10:60A-6.1

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:60A-6.1 - Cost report preparation and timing of submission

(a) PMDC facility staff shall submit a completed cost report in the form at chapter Appendix B, incorporated herein by reference, covering a period of one calendar year, commencing January 1 and ending December 31, to the Department on or before March 31 of the year next succeeding the calendar year for which the cost report is prepared.

1. The form of cost report is available for download from the DMAHS fiscal agent's website: www.njmmis.com and is available on request by calling the Provider Services Hotline at 1-800-776-6334.

2. The PMDC facility administrator and a corporate officer of the PMDC facility shall sign and certify the cost report.

i. If the cost report is prepared by someone other than the administrator or corporate officer of the PMDC facility, the preparer also shall sign and certify the cost report.

(b) If the Department does not receive a PMDC facility's cost report by March 31 of the calendar year next succeeding the calendar year for which the cost report is prepared, the Department shall send the PMDC facility a notice, by certified mail, return receipt requested, advising the PMDC facility that its failure to timely submit an acceptable cost report shall result in a suspension of payment of any increase based upon the application of the inflation adjustment factor to the base reimbursement rate in effect on that March 31.

1. The Department shall not implement the application of an inflation adjustment factor until the first day of the month following submission by the PMDC facility of a cost report to the Department, in a form acceptable to the Department.

(c) The Department shall review the cost report as filed by the PMDC facility and may contact PMDC facility staff either by writing or telephonically, to request additional information from PMDC facility staff if the cost report is incomplete or does not otherwise conform to the requirements of (a)1 above.

1. If PMDC facility staff fails to provide such additional information to the Department, the Department shall deem the cost report to be not filed until the PMDC facility files a cost report that is complete and conforms to the requirements of (a)1 above.

2. The Department shall provide written notice to the PMDC administrator that the PMDC facility has not filed an acceptable form of cost report and that the Department shall suspend any available increase in payment based upon the application of an available inflation adjustment factor to the then-effective base reimbursement rate for the month that the notice is so provided and until the first day of the month following submission by the PMDC facility of a cost report to the Department that is complete and conforms to (a)1 above.

(d) The Administrator or his or her designee shall submit completed cost reports bearing the original signatures of the administrator, a corporate officer of the PMDC facility and, if applicable, the preparer of the cost report, to the address specified in (a)1 above.

(e) The PMDC facility administrator or corporate officer of the PMDC facility shall certify that all financial information contained in a PMDC facility's cost report is reconciled with the PMDC facility's audited financial statements, submitted by the PMDC facility in accordance with N.J.A.C. 10:60A-6.2.

N.J. Admin. Code § 10:60A-6.1

Amended and Recodified from 10:166-6.1 by 56 N.J.R. 262(a), effective 2/20/2024