Louisiana Adult Day
Health Care Provider Excel Spreadsheet (zip format) -
(Released September 8, 2005)
Use this Excel spreadsheet
to assist with cost reports.
Title XIX Supplemental Cost Report & Nurse Aide Testing &
Training cost report software (Version
3.1) * -
(Updated June 29, 2008)
software version is good through June 29, 2009
BHSF Rate & Audit Review Census Form For Nursing Facilities
Instructions for Census Form
What documentation is required to support the number of census days
reported on page 2 of the supplemental cost report and Worksheet S-3,
Part I of the Form 2540-96?
submit two (2) printed copies of this cost report, two (2) copies of
all required supplemental schedules, and three (3) floppy diskettes containing
the "saved" data files.