TECHNOLOGIES             MediMax in Louisiana

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Louisiana Adult Day Health Care Provider Excel Spreadsheet (zip format) - (Released September 8, 2005)

Use this Excel spreadsheet to assist with cost reports.


The  Louisiana Title XIX Supplemental Cost Report & Nurse Aide Testing & Training cost report software (Version 3.1) * - (Updated June 29, 2008) 8.8 MB

*this 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?


Please 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.

Print Extension Request Form   

Louisiana Nursing Home Frequently Asked Questions -  174 KB dated February 25, 2003  (PDF)

Louisiana Supplemental Cost Report (Version 1.1) Help Files -  498 KB dated February 25, 2003  (PDF)

The Louisiana Cost Report Software Solution (Version 13.07) for ICF/MR facilities  (Updated 08/21/2007) (7.31 MB)


Download Information on Issues and Workarounds with Version 13.07
Print Extension Request Form

State Run Developmental Centers Only!

The Louisiana Cost Report Software Solution (Version 11.0)  (Updated 06/29/2008) (5.7MB)


The Louisiana Title XIX Extraordinary Costs Cost Report Software Solution (Version 8.0)  (Updated 08/14/2007)  5.4MB
Print Extension Request Form
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