This letter transmits revisions to the JFS 02911 Single Cost Report form and JFS 02911-I
Single Cost
Report Instructions which are used pursuant to OAC 5101:2-47-26.1 Public children services agencies (PCSA), private child placing
agencies (PCPA), private noncustodial agencies (PNA): Title IV-E cost report filing
requirements, record retention requirements and related party disclosure requirements. The revised form and instructions are to be used for the state
fiscal year reporting period of July 1, 2018, through June 30, 2019 (SFY 2019).
An explanation of the
revisions to the cost report form and
instructions appears
below:
Form
- All worksheet footers updated to reflect "JFS
02911 (Rev. 8/2019)."
- Annual calculated inflation factor (2.9%) added to
the Title IV-E Reimbursement Ceilings and Cost Per Diems worksheet.
Instructions
- Date references were revised to reflect proper reporting
and effective periods.
An agency which seeks to establish Title IV-E reimbursement ceilings for the effective period
April 1, 2020, through March 31, 2021, must complete the filing requirements as outlined in OAC
5101:2-47-26.1 (cost report) and
OAC 5101:2-47-26.2 (agreed-upon procedures)
for
SFY 2019.
LOCATION
|
REMOVE AND FILE AS OBSOLETE
|
INSERT/REPLACEMENT
|
FORMS
|
JFS 02911 (Rev. 8/2018)
|
JFS 02911 (Rev. 8/2019)
|
|
JFS 02911-I (Rev. 8/2018)
|
JFS 02911-I (Rev. 8/2019)
|