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Ohio Medicaid Hospital Cost Report
Document used to report the Cost and Charges for the Title XIX and Title V Programs and reporting the Uncompensated Care Data for the Hospital Care Assurance Program (HCAP)
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.