Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 29 - FEDERALLY-QUALIFIED HEALTH CENTERS (FQHC'S)
Section 471-29-005 - Cost Reports

Providers participating in the NMAP as FQHCs must submit an annual cost report to the Department.

The Medicare cost report form CMS- 222-92 can be found in the Provider Reimbursement Manual-Part-2 ( Pub. 15-2), Chapter 29 located at http://www.cms.hhs.gov/manuals/PBM/list.asp on the CMS website.

Each FQHC must report and supply the Department with necessary documentation, cost reports, and any other documentation when requested.