Cost Reports

Request an Interim Rate Adjustment

When requesting an interim rate adjustment, it's important to submit your interim financial data to National Government Services using the appropriate Interim Rate Review Documentation Request Form. These forms are designed to capture important information relevant to PPS payments (including DSH and IME). Forms are also available for hospitals reimbursed under the TEFRA, as well as CAHs.

Select the appropriate interim rate documentation form, complete and return to the appropriate Medicare Audit and Reimbursement address for your facility.

Please share your thoughts about your experience with our Audit and Reimbursement process. 

Cost Report Contacts:

IL, MN, WI, All FQHC:

Bobbi Jo Luciano, Manager
Office: South Portland, ME

Sharon Townsend
Office: South Portland, ME

J6_Cost_Report_Filing@anthem.com

Mailing Address for USPS:
National Government Services
Attn: Cost Report Unit
P.O. Box 7040
Indianapolis, IN 46207-7040

FEDEX or courier only:
National Government Services, Inc.
Attn: Cost Report Unit
220 Virginia Ave
Indianapolis, IN 46204

Form(s) you'll need:

Cost Report Forms
CMS-Approved Cost Report Vendors

Cost Report Contacts:

CT, ME, MA, NH, NY, RI, VT:

Bobbi Jo Luciano, Manager
Office: South Portland, ME

Sharon Townsend
Office: South Portland, ME

JK_Cost_Report_Filing@anthem.com

Mailing Address for USPS:
National Government Services
Attn: Cost Report Unit
P.O. Box 7040
Indianapolis, IN 46207-7040

FEDEX or courier only:
National Government Services
Attn: Cost Report Unit
220 Virginia Ave
Indianapolis, IN 46204

Form(s) you'll need:

Cost Report Forms
CMS-Approved Cost Report Vendors