2026-04_SOW_Annual Cost Reports.docx
DOCX document 21 KB Posted
- Attached to
- CMS- Cost ReportBid Documents
- Solicitation number
- 00570-0000087476
- Issued by
- Sullivan County, Indiana
About this file
This Scope of Work document outlines annual cost report preparation services requested by the Indiana Veterans' Home (IVH), a state-operated facility. The supplier will be responsible for preparing and timely filing Financial Reports for State Operated Facilities and CMS Form 2540-24 Skilled Nursing Facility Health Care Complex Cost Reports for fiscal years 2026 through 2029, with budget cost reports covering fiscal years 2027 through 2030. The engagement encompasses cost report preparation and submission only, with each fiscal year treated as an independent and distinct engagement beginning with the request for IVH information and ending upon timely submission and delivery of reports. The supplier will provide IVH with a planning guide to assist in data compilation and will collaborate with the Indiana Family and Social Services Administration's contractor to respond to information requests, though such additional services will be billed separately from the base cost report preparation and filing fees.
The supplier is not responsible for auditing or verifying the accuracy of data provided by IVH but must inform IVH of any irregularities, fraud, or other illegal acts that come to the supplier's attention. All statements, records, schedules, working papers, and memoranda prepared by the supplier remain the exclusive property of the supplier. The supplier must maintain confidentiality of IVH information in accordance with applicable law and professional standards, implementing physical, electronic, and procedural safeguards to protect sensitive data. The supplier may communicate with IVH via facsimile or electronic mail, though such communications containing confidential information will be secured in accordance with professional standards and applicable laws. IVH retains responsibility for designing, implementing, and monitoring policies and procedures ensuring compliance with documentation requirements mandated by the Department of Health and Human Services and Indiana Family and Social Services Administration.
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Other files
| File | Type | Posted |
|---|---|---|
| Sourcing Event packet.docx | DOCX document | |
| Event Packet Cost_Report 4.15.2026.pdf | ||
| Blank Contract 4.2026.pdf |
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Text version
Annual Cost Reports – CMS 2540-24 & State Operated Reports The Indiana Veterans’ Home (IVH) requests quotes for Annual Cost Report Services.
The engagement will include the preparation and timely filing of the following cost reports from the information IVH provides to the supplier.
· Financial Report for State Operated Facility – Annual Cost Report for the year ended June 30, 2026 and subsequent years (State FY2026 – FY2029)
· Financial Report for State Operated Facility – Budget Cost Report for the year ended June 30, 2027 and subsequent years (State FY2027 – FY2030)
· Skilled Nursing Facility Health Care Complex Cost Report Form 2540-24 The supplier is responsible for preparing only the cost reports listed above. Supplier does not audit or otherwise verify the data IVH submits for irregularities or illegal acts, including fraud or any defalcations that may exist; however, supplier will inform IVH of any such matters that come to supplier’s attention. Supplier will provide IVH with a planning guide to assist in compiling the necessary data required for completion of the above reports. This engagement is limited solely to cost report preparation and submission.
Every annual cost report engagement shall be independent and distinct from the cost report engagement services for other years. Each year’s separate engagement will begin with the request for IVH information and will end upon timely submission of the cost reports and delivery of a copy for IVH records. Supplier will collaborate with the Indiana Family and Social Services Administration’s contractor to respond to requests for additional information, any fees for such services will be in addition to the cost report preparation and filing.
The Department of Health and Human Services and the Indiana Family and Social Services Administration require that IVH have adequate documentation to support the cost reports filed. All statements, records, schedules, working papers, or memoranda prepared by the supplier during the engagement shall remain the exclusive property of the supplier.
Supplier will be available to provide IVH with requested advice. Supplier must keep IVH information confidential as limited by law.
Supplier may retain records relating to professional services provided so that they are better able to assist IVH with professional needs and, in some cases, to comply with professional guidelines. In order to guard IVH information, supplier must maintain physical, electronic, and procedural safeguards that comply with professional standards.
In the interest of facilitating services to IVH, supplier may communicate by facsimile transmission or send electronic mail over the internet. Such communications may include information that is confidential to IVH. Supplier will use best efforts to keep such communications secure in accordance with obligations under applicable laws and professional standards.
IVH is responsible for the design, implementation, and monitoring of the policies and procedures upon which compliance is based.
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