Why Medicaid & hospice reporting is different

Medicaid cost reports (often Form CMS-64, CMS‑372, or state‑specific) and hospice cost reports (CMS-1984-14) have unique rules, reimbursement methodologies, and deadlines. In Texas, providers also face additional supplemental reporting and DSH audits.

Ari Accounting stays current with Texas HHSC, MAC, and CMS requirements. We help nursing facilities, hospices, and clinics capture every allowable cost, maximize supplemental payments, and prepare for desk reviews.

Key deadlines: Hospice cost report due 5 months after FYE; Medicaid cost settlement varies by provider type. Contact us for your specific due date.
Medicaid and hospice cost report preparation at Ari Accounting

Our Texas team specializes in hospice and Medicaid cost reports.

Our Medicaid & hospice process

1. Data collection & review

We gather trial balance, census data, Medicaid logs, and prior cost reports. We identify underreported costs and Medicaid-specific adjustments.

2. Cost allocation & optimization

Expenses are allocated to appropriate cost centers (routine, ancillary, capital). For hospices, we optimize routine home care and continuous care hours.

3. Filing & audit support

We prepare and submit the cost report electronically, then support you during HHSC or MAC audits and desk reviews.

We help hospices accurately report routine home care and continuous care costs.

Provider typeCMS / state formDue / frequencyOur specialist
HospiceCMS‑1984‑145 months after FYEPatricia M.
Skilled Nursing Facility (SNF/NF)CMS‑2540‑10 / Texas MedicaidAnnual + supplementalDavid L.
ICF/IID (intermediate care)Texas HHSC specificVaries by contractRebecca T.
FQHC / RHC (Medicaid)CMS‑222‑17 / stateAnnualCarlos R.
Home Health (Medicaid)CMS‑1728‑14 + state5 months after FYEAngela W.
Hospitals (Medicaid DSH)CMS‑64 / Texas DSHAnnualMarcus Y.

⚠️ Common pitfalls we prevent

  • Misclassified hospice levels of care
  • Unclaimed Medicaid supplemental payments
  • Incorrect nursing facility direct care cost caps
  • Missing DSH (disproportionate share) data
  • Late filing penalties & interest

âś… What you get with Ari

  • Texas HHSC & CMS compliance guarantee
  • Prior‑year lookback & amendment support
  • Audit representation & desk review assistance
  • Texas‑based team, no offshore
  • Flat‑fee or contingency options
"Ari helped our hospice recover $95k in underreported continuous care costs. They truly understand hospice accounting."
LR
Laura Reyes
Executive Director, Serenity Hospice
$2.3B+
Texas Medicaid & hospice settlements annually