Ohio Medicaid Hospital Cost Report

The Ohio Medicaid Hospital Cost Report (ODM 02930) is used to report the Cost and Charges for the Title XIX and Title V Programs. It is also used to report the Uncompensated Care Data for the Hospital Care Assurance Program (HCAP).

Completion of OBRA survey required: Providers are required to complete both sections A and B of the OBRA Survey. Failure to complete the survey, constitutes an incomplete report and shall be subject to the $1,000/day fine.

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