Cost reports, issued rates, field audits, and appeals.
As the State of Connecticut's former contractor for long-term care rate setting and compliance auditing, CJLC works from both sides of the reimbursement process: how providers report cost information, and how the agencies reviewing it calculate rates and test documentation.
Organization types
- Nursing facilities
- Residential care homes
- Community Living Arrangements
- Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
- DDS Waiver Programs
- Federally Qualified Health Centers, where applicable
What the work covers
Cost Reporting
Preparation of State of Connecticut cost reports for nursing facilities, residential care homes, Community Living Arrangements, and ICF/IID organizations, with knowledgeable assistance through the Department of Social Services desk review process.
Rate Appeals
CJLC is well versed in the complexities of Medicaid rate calculations and assists in all aspects of a rate appeal.
Audit Assistance
On-site support during and in preparation for Department of Social Services field audits, including preparation for the audit process and assistance obtaining documentation that satisfies State guidelines.
Reimbursement Analysis
Review of issued rates, formulation of rate appeals, and recommendations on strategies within the reimbursement models used in Connecticut long-term care.
Bookkeeping
Bookkeeping that supports a complete and accurate accounting of the year's transactions for all entities.
Tax and Financial Reporting
State and federal returns for operating entities, plus financial reporting at all three levels of assurance: compilation, review, and audit.
From first call to next reporting cycle.
- 01
Initial Issue and Deadline Assessment
Identify the organization, regulatory program, reporting requirement, current concern, and applicable deadline.
- 02
Secure Document Request
Collect prior reports, rate calculations, agency correspondence, accounting records, and supporting schedules securely.
- 03
Preliminary Review
Evaluate reporting, documentation, potential exposure, and areas requiring deeper analysis.
- 04
Scope and Engagement Approval
Define responsibilities, deliverables, timing, and professional fees.
- 05
Preparation, Analysis, or Representation
Complete the cost report, audit support, reimbursement review, appeal assistance, or financial engagement.
- 06
Findings and Next-Cycle Planning
Explain results, deliver final documentation, and establish the next reporting or compliance calendar.
Request a Reimbursement and Compliance Review
Tell us the organization, the program, and the deadline. We will review fit and outline next steps.