Cost Reporting Forms and Instructions, Form CMS-222-92
This transmittal adds new material in the form of electronic cost reporting specifications to Chapter
29, Rural Health Clinic (RHC)/ Federally Qualified Health Center (FQHC)Cost Reporting Form
CMS-222-92 to be completed by RHCs and FQHCs.
This transmittal also includes instructional revisions to insure consistency with the electronic
reporting specifications.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 21, 2005
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