Cost Reporting and Review
Home Health Agency
Dear Home Health Licensee:
Arizona Administrative Code, Title 9, Chapter 11, specifies the requirements for financial reporting, and are available on the Arizona Secretary of State's web site.
All reports must be submitted to the Department's Cost Reporting Program at email@example.com as e-mail attachments.
There is one licensed home health agency reporting requirement.
Schedule of Rates and Charges
All home health agency’s are required to keep their existing schedule of Rates and Charges on file with the Department. The office policy will be to receive a current and complete rates and charges report from each home health agency once a year. If a home health agency makes changes to its rates and charges during the year, please submit a new rates and charges report at the end of the calendar quarter in which the change was made.
- Rates and Charges Form (posted 09/03/14) Submit as an e-mail attachment to the Department's Financial Reports Manager.
- Attestation of Completeness and Accuracy (updated 09/03/14) completed by the home health agency administrator.
Home Health Agency Rates and Charges Counties
- Coconino (posted 10/14/14)
- La Paz
- San Juan
- Santa Cruz
NOTE: All Home Health Rates and Charges Data in Excel file format and updated 03/09/15.