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Update: NC Adult Care Home Cost Reports

Pam Williams0 Comment

The NC Department of Health and Human Services released a memo dated May 15, 2017 detailing the official instructions for Adult Care Home reporting requirements as well as the release of Agreed-Upon-Procedures (AUP) instructions. As of November 21, 2016, the Cost Report for Adult Care Homes was reinstated with the significant change being reporting is only every two years, beginning this year.

To comply with these requirements all facilities that receive State/County Special Assistance funds are required to file a cost report. Those facilities that have more than 7 beds are additionally expected to have Agreed-Upon-Procedures performed.  The cost reports will be completed using the latest completed fiscal year end. These cost reports are due – September 30, 2017!

As an advocate for providers we are flexible in the midst of inconvenient legislation and would be happy to serve your Organization as well. If you have questions, please contact [email protected] or [email protected]!

https://www2.ncdhhs.gov/control/acf/2016-17/aup/adult-care-mental-health-faciliites.pdf

 

 

 

 

Partner Announcement

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meagan partner picLangdon & Company LLP is pleased to announce that Meagan L. Bulloch, CPA has been admitted as partner in our audit practice.  Meagan joined Langdon & Company LLP in 2008 and has over ten years of public accounting experience including work for Ernst and Young LLP in their Raleigh, NC office.  She is a graduate of North Carolina State University with a Bachelor of Science and Masters of Science in Accounting.

Meagan’s focus is to provide audit and attest services to clients primarily in the nonprofit, healthcare and small business industries.  She is also experienced in the preparation of Medicare and Medicaid cost reports.  Meagan was also recently published in the Common Ground newsletter, a publication of the N.C. Center for Nonprofits.  She is an active member of the American Institute of Certified Public Accountants and the North Carolina Association of Certified Public Accountants.

Meagan lives in Angier, North Carolina with her husband and two children.

Changes in NC Behavioral Healthcare

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by Rachel Owens

Consolidation of the state-funded management organizations has been officially declared!

Currently, there are eight LME/MCOs across North Carolina.  The consolidation will reduce the number of LME/MCOs down to four, by combining the catchment areas into contiguous regions.  The LME/MCO’s that are merging are: Smoky Mountain + Partners, Cardinal + CenterPoint, Trillium + Eastpointe, and Alliance + Sandhills. LME_MCO_ConsolidationMap

No timeline has been established for the transition, but the hope is that it will not take more than two years to implement.  The first merger will be between CenterPoint and Cardinal Innovations – somewhere between May 1 and June 30. This change affects each county from “Murphy to Manteo.”  Read more about the consolidation in Rose Hoban’s recent article in NC Health News .

Langdon & Company LLP is committed to assisting the mental health provider population in any way we can.  Please contact our office if you have questions on how these changes will affect your organization.

 

Why Hire a CPA?

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by Brittany Spragins

When looking to hire an accountant to prepare your taxes or perform an audit, you want to ensure that you select a CPA for several reasons.  When you see the CPA designation, you are assured a level of quality that surpasses the average accountant. CPA seal

Every state maintains its own standards and criteria for becoming a CPA.  According to the NC State Board of Accountancy, the use of the CPA designation is granted only to individuals “who meet the statutory requirements” of NCGS 93-12.  These requirements include passing all four sections of the CPA exam, receiving a minimum level of college education with an emphasis in accounting, an accounting law course that covers ethics, professionalism, and professional responsibility, and appropriate work experience.  When the CPA submits his or her application, it must be accompanied by 3 letters of recommendation to indicate “good moral character.”

When selecting a CPA, you are assured that,

“a CPA should at all times maintain independence of thought and action, hold the affairs of clients in strict confidence, strive continuously to improve professional skills, observe generally accepted principles and standards, promote sound and informative financial reporting, uphold the dignity and honor of the accounting profession, and maintain high standards of personal conduct.” -www.NCCPABoard.gov

In North Carolina, it is against the law to use the CPA title without the state’s approval that you meet its qualifications.  Part of the benefits to the client is that the NC CPA Board establishes consumer confidence since it instills peer reviews of the CPA’s work.  It also provides enforcement of professional ethics and code of conduct to ensure client confidence.

Whether you hire Langdon and Company LLP to assist you on a personal or corporate level, you can have the confidence that you are hiring a CPA firm that upholds the highest levels of professional and ethical standards, maintains excellent working knowledge of the tax and assurance current events, and is a focused on a personal relationship with the client.

For more information on CPA’s, you can visit the American Institute of Certified Public Accountants (AICPA) website www.aicpa.org or the NC State Board of Accountancy website www.nccpaboard.gov

Brittany ([email protected]) is a staff member of Langdon & Company LLP’s tax practice.  She focuses primarily on high net-wealth individual returns and their closely-held companies.

Adult Care Home News

Pam Williams0 Comment

by Rachel Owensdhhs

We now have some clarity when it comes to DHHS compliance for Adult Care Homes (ACH).  Last year, the North Carolina General Assembly passed General Statute 131 D-4.1-4.3. It was under this statute, that the Adult Care Cost Report requirement returned.  These cost reports are mandatory for facilities receiving State/County Special Assistance Program funds. Types of facilities subject to this requirement include nursing home combination facilities with adult care beds, mental health supervised living facilities, and all other  adult care homes (Licensed under general Statute Chapters 131E, 122C, and 131D, respectively).

In addition to these cost reports, any of these facilities that are licensed for 7 or more beds, are to be audited.  This audit is of the cost report information in the form of Agreed-Upon-Procedures (AUPs), that must be done by a certified public accountant (CPA)/independent accountant.

The requirements for the combination facilities are slightly different since they are based on the Medicare’s requirements of Skilled Nursing facilities.  Combined nursing facilities should submit a cost report and related AUPs based on their last completed Medicare cost report, which in most cases covers October 2013 through September 2014.

Important Dates:  For the mental health facilities, the reporting period is July 1, 2014 through June 30, 2015.  The reporting period for adult care home facilities is October 1, 2014 through September 30, 2015.

The due date is December 31, 2015 for all facilities.

All facilities that do not receive any funds through the State/County Special Assistance Program are considered exempt and an exemption form must be completed.  This form can be found on the DHHS Office of the Controller’s website at www.ncdhhs.gov/control.

Nursing-homeThe ACH cost report software is also available online, here.  All questions related to the AUPs can be addressed to [email protected].  If you have questions about cost report and AUP preparation, please contact our office.

NC Adult Care Home Update

Pam Williams0 Comment

by Rachel Owens

The NC Department of Health and Human Services sent out a memo dated July 15, 2015 with the latest information regarding General Statute 131D-4.2 – the Adult Care Home providers and their reporting requirements.  To comply with these requirements ALL facilities that receive State/County Special Assistance funds are required to file a cost report.  Those facilities that have 7 beds or more are additionally expected to have Agreed-Upon-Procedures performed.  dhhs

For facilities licensed under Chapter 122C (mental health supervised living facilities) the reporting period is July 1, 2014 – June 30, 2015.  All other facilities are required to use the year end September 30, 2015 regardless of their fiscal year end.  These cost reports are due December 31, 2015.

More information is forthcoming about AUP instructions, and software.  Please continue to check our website and blog for additional information.

Langdon & Company LLP has extensive history working with the long-term healthcare industry. We offer a high degree of expertise and experience with the needs of Adult Care Home providers and would be happy to assist you in the timely filing of the Cost Report.  If you have questions, we will be happy to help you.  Contact [email protected] or [email protected]!

Adult Care Update

Pam Williams0 Comment

dhhsWith the recent announcement about the required Adult Care Home Cost Reports, we have been patiently waiting for more information.  NC DHHS has published the software for these reports along with instructions.  They have chosen to use the same software interface as in prior years – Microsoft Access.  For providers with 21 beds or more, a cost report audit IS required, but details are pending.  For those with a bed capacity from 7-20, this is NOT an audit year for this size home.  For any home with 6 beds or less, there is NO cost report required this year.

Langdon & Company LLP has incredible breadth of experience with health care providers and the associated State requirements.  Please contact our office if you have any questions or if we can help your Organization in any way.