Community Mental Health Center (CMHC) Cost Report (CMS-2088-17)

OMB 0938-0037

In addition, regulations at 42 CFR 413.20 and 413.24 require adequate cost data and cost reports from providers on an annual basis. The Form CMS-2088-17 cost report is needed to determine a provider’s reasonable costs incurred in furnishing medical services to Medicare beneficiaries and reimbursement due to or due from a provider.

The latest form for Community Mental Health Center (CMHC) Cost Report (CMS-2088-17) expires 2021-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-2088-17 Community Mental Health Cost (CMHC) Report Form
CMS 2088-17 Supporting Statement A.docx Supporting Statement A
Community Mental Health Cost (CMHC) Report Form

All Historical Document Collections

202104-0938-003 Approved without change	Extension without change of a currently approved collection	2021-04-13
201707-0938-013 Approved with change	Reinstatement with change of a previously approved collection	2017-07-27
201401-0938-006 Approved without change	Extension without change of a currently approved collection	2014-01-09
201102-0938-001 Approved without change	Extension without change of a currently approved collection	2011-02-01
200711-0938-012 Approved without change	Extension without change of a currently approved collection	2007-11-21
200411-0938-007 Approved with change	Extension without change of a currently approved collection	2004-11-30
200112-0938-003 Approved without change	Extension without change of a currently approved collection	2001-12-04
199812-0938-005 Approved without change	Revision of a currently approved collection	1998-12-08
199709-0938-002 Approved without change	Extension without change of a currently approved collection	1997-09-03
199410-0938-002 Approved without change	Reinstatement without change of a previously approved collection	1994-10-07
199211-0938-008 Approved without change	Reinstatement with change of a previously approved collection	1992-11-30
198904-0938-049 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-25
198904-0938-029 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-07
198807-0938-002 Approved without change	Reinstatement with change of a previously approved collection	1988-07-26
198505-0938-007 Approved without change	Reinstatement with change of a previously approved collection	1985-05-14
198403-0938-002 Approved without change	Revision of a currently approved collection	1984-03-05
198305-0938-015 Approved with change	No material or nonsubstantive change to a currently approved collection	1983-05-18
198203-0938-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-03-29
198102-0938-010 Approved without change	Revision of a currently approved collection	1981-02-23
198012-0938-006 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-12-31
197905-0938-003 Approved without change	Reinstatement with change of a previously approved collection	1979-05-30
197403-0938-001 Approved without change	New collection (Request for a new OMB Control Number)	1974-03-06