Cost Reporting and Review
Dear Hospice Licensee:
Arizona Administrative Code, Title 9, Chapter 11, specifies the requirements for financial reporting, and are available on the Arizona Secretary of State's web site.
All reports must be submitted to the Department's Cost Reporting Program at firstname.lastname@example.org as e-mail attachments.
There is one type of hospice financial report required by the Department.
The Hospice Uniform Accounting Report (UAR)
The Hospice UAR is due 150 days after the hospice’s fiscal year end.
The Hospice UAR (see form and instructions below) will be posted on a schedule based on the facility’s fiscal year end date. Reports will be posted in March, June, and December. If a facility’s report is not received by the time of posting, there will be a blank space where the facility’s report should be posted.
A complete hospice UAR consists of:
- A Hospice Uniform Accounting Report Form, filled out with hospice-specific data;
- A copy of the Hospice’s Medicare and Medicaid Cost Report – An e-mail copy of the report in PDF format is required.
- A Statement of Cash Flows.
- Attestation of Completeness and Accuracy Form, (updated 07/08/2011) completed by the hospice’s administrator.