Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 (CMS-2540-24)

OMB 0938-0463

Form CMS 2540-10 is used by Skilled Nursing Facilities (SNFs) and Skilled Nursing Facility Complexes participating in the Medicare program to report the health care costs to determine the amount of reimbursable costs for services rendered to Medicare beneficiaries.

The latest form for Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 (CMS-2540-24) expires 2021-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-2540-24 Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 Form
CMS-2540-24 Supporting Statement - final (5-29-24).docx Supporting Statement A
CMS-2540-24.Responses to 60-Day Comments.docx Supplementary Document
CMS-2540-24 Crosswalk.pdf Supplementary Document
Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 Form

All Historical Document Collections

202405-0938-031 Approved without change	Reinstatement with change of a previously approved collection	2024-06-07
202404-0938-018 Improperly submitted	Reinstatement without change of a previously approved collection	2024-04-23
201806-0938-010 Approved without change	Extension without change of a currently approved collection	2018-06-29
201509-0938-003 Approved with change	Revision of a currently approved collection	2015-09-03
201408-0938-012 Approved without change	Extension without change of a currently approved collection	2014-08-29
201107-0938-006 Approved with change	Revision of a currently approved collection	2011-07-19
201006-0938-014 Approved without change	Revision of a currently approved collection	2010-06-28
200703-0938-008 Approved without change	Extension without change of a currently approved collection	2007-03-14
200402-0938-013 Approved without change	Extension without change of a currently approved collection	2004-02-20
200103-0938-011 Approved without change	Revision of a currently approved collection	2001-03-20
200009-0938-006 Approved without change	Revision of a currently approved collection	2000-09-15
199812-0938-006 Approved without change	Revision of a currently approved collection	1998-12-08
199705-0938-002 Approved without change	Revision of a currently approved collection	1997-05-23
199603-0938-001 Approved without change	Revision of a currently approved collection	1996-03-12
199410-0938-013 Approved without change	Revision of a currently approved collection	1994-10-18
199206-0938-008 Approved without change	Reinstatement with change of a previously approved collection	1992-06-17
198908-0938-008 Approved without change	Reinstatement with change of a previously approved collection	1989-08-30
198708-0938-018 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-08-12
198602-0938-006 Approved without change	New collection (Request for a new OMB Control Number)	1986-02-13