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pdfRevisions Crosswalk (Form 276-25)
Cost Report Instructions
Note: In Changes to the Application column, the quoted words are what are to be entered. Example in issue #1 is “276-25”; do not enter the words that
explain the change and that are outside of the quotations.
Issue
#
1.
Page #
2.
6
Action to be
performed
Change form
number
2303.1 Part 1 Change date
3.
6
2303.1 Part 1 Change date
4.
6
2303.1 Part 1 Change date
5.
11
Line 2
Change date
6.
11
Line 2
Change date
7.
11
Line 2
Change date
8.
12
Line 2
Change date
9.
12
Line 2
Change date
10. 12
Line 2
Change date
11.
12.
13.
14.
Line 9a.
Line 9a.
Line 9b.
Line 9b.
Change date
Change date
Change date
Change date
1
34
34
34
34
Section
Changes to the Application
Reason for the Change
Changed form number 276-22 to “276-25”.
To reflect the most recent change in the
form number/year.
To update the date for an example date
range.
To update the date for an example date
range.
To update the date for an example date
range.
To update the date for an example date
range.
To update the date for an example date
range
To update the date for an example date
range
To update the date for an example date
range.
To update the date for an example date
range.
To update the date for an example date
range.
To update the date provided in an example.
To update the date provided in an example.
To update the date provided in an example.
To update the date provided in an example.
Changed date December 31, 2023 to
“December 31, 2025”.
Changed date from December 31, 2021 to
“December 31, 2023”.
Changed date from December 31, 2021 to
“December 31, 2023”.
Changed date December 31, 2023 to
“December 31, 2025”.
Changed date from December 31, 2021 to
“December 31, 2023”.
Changed date from December 31, 2021 to
“December 31, 2023”.
Changed date December 31, 2023 to
“December 31, 2025”.
Changed date from December 31, 2021 to
“December 31, 2023”.
Changed date from December 31, 2021 to
“December 31, 2023”.
Changed date 2023 to “2024”.
Changed date from 2021 to “2022”.
Changed date 2023 to “2024”.
Changed date from 2021 to “2022”.
Page 1 of 2
Issue
Page #
#
15. 34
16. 34
17.
18.
19.
20.
35
35
35
35
21. Footnote
Section
Line 9b.
under
Terminating
Plans
Line 9b.
under
Terminating
Plans
Table.
Table.
Line 12
Line 9b.
under
Terminating
Plans
Footnote
Action to be
performed
Change date
Changes to the Application
Reason for the Change
Changed date 2023 to “2024”.
To update the date provided in an example.
Change date
Changed date from 2022 to “2023”.
To update the date provided in an example.
Change date
Change date
Change date
Change date
Changed date 2021 to “2022”.
Changed date from 2022 to “2023”.
Changed date 2022 to “2024”.
Changed date from 2022 to “2024”.
To update the date provided in an example.
To update the date provided in an example.
To update the date provided in an example.
To update the date provided in an example.
Centered
Centered Footnote in document.
To center the footnote in the document.
Page 2 of 2
File Type | application/pdf |
File Title | Issue # |
Author | CMS |
File Modified | 2025-01-22 |
File Created | 2025-01-16 |