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Working backwards through emails here. Yes this is a huge concern and pretty sure NRHA is advocating on this topic. I know I have chatted with them about it and likewise, raised this issue with AHA and FAH as well. We have yet to see anything ...

Chapter 6 from the Provider Reimbursement Manual discusses grants: Restricted and Non Restricted Grants are not adjusted against costs. Many years ago, unrestricted grants were offset, legislation was passed in the late 80's or so that changed that requirement. ...

It has been our understanding that CARES Act Relief Funds would be treated as Grants and NOT be offset on the Medicare Cost Report. Repayments will be due if the CARES Relief Funds are greater then "lost revenues due to the pandemic" plus "expenses incurred ...

Alan, I am not sure that federal grant are exempt as an offset on the cost report. Sent from my iPhone -Daniel Kelly