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Health Care Cost Information System (HCCIS)

  • HCCIS Home
  • Background
  • Facilities Information
  • Provider and Health Plan Data Reporting Requirements
  • Forms and Instructions
  • HCCIS Data

Related Sites

  • Data Resources
  • Health Economics

Health Care Cost Information System (HCCIS)

  • HCCIS Home
  • Background
  • Facilities Information
  • Provider and Health Plan Data Reporting Requirements
  • Forms and Instructions
  • HCCIS Data

Related Sites

  • Data Resources
  • Health Economics
Contact Info
Health Economics Program
651-201-4520
health.hep@state.mn.us

Contact Info

Health Economics Program
651-201-4520
health.hep@state.mn.us

HCCIS Forms and Instructions

Hospitals
Freestanding Outpatient Surgical Centers (FOSC)
Diagnostic Imaging Facilities
Dental CBCT Facilities
   Reporting no longer required.
Health Care System Capital Expenditure Report
Process for Amending Hospital Data (PDF)

Events and Deadlines

  • Acute and Psych/Specialty Hospitals
    • Hospital Formset Training
      HAR Webinar Training
      January 13, 2023 at 10:00 am
    • Feb. 1, 2023 - First and Second Quarter FYE hospitals' 2022 annual reports due to MHA.
    • April 1, 2023 - Third Quarter FYE hospitals' 2022 annual reports due to MHA.
    • July 1, 2023 - Fourth Quarter FYE hospitals' 2022 annual reports due to MHA.

  • Freestanding Outpatient Surgical Centers (FOSC)
    • March 1, 2023 - 2022 annual reports due to MDH.

  • Diagnostic Imaging Facilities
    • March 1, 2023 - 2022 annual reports due to MDH.

  • Health Care System Capital Expenditure Commitment
    • March 1, 2023 - 2022 annual reports due to MDH.

Hospitals

2022 Hospital Annual Report (HAR)

  • Formset (Excel)
  • Instructions (PDF)
  • Tip Sheet - included in the formset
  • Note: Web transmission site available: https://portal.mnhospitals.org. Contact Jennifer Sanislo at (651) 659-1440 for your login and password. This Web site is secured and encrypted.

2022 HAR Training Materials

  • 2022 HAR Education and Information (PDF)


2021 Hospital Annual Report (HAR)

  • Formset (Excel)
  • Instructions (PDF)


2020 Hospital Annual Report (HAR)

  • Formset (Excel)
  • Instructions (PDF)

2019 Hospital Annual Report (HAR)

  • Formset (Excel)
  • Instructions (PDF)

2018 Hospital Annual Report (HAR)

  • Formset (Excel)
  • Instructions (PDF)

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Freestanding Outpatient Surgical Center (FOSC)

2022 FOSC Financial, Utilization and Services Report

  • Formset (Excel)
  • Instructions (PDF)
  • Notification Letter (PDF)
  • Note new filing fee submission requirement in the instructions.
    You will be invoiced and fees should be submitted to:
    ATTN: Minnesota Department of Health
    Health Economics Program/HCCIS
    Financial Management
    P.O. Box 64975
    St. Paul, MN 55164-0975
    Please include your HCCIS ID on your remittance.


2021 FOSC Financial, Utilization and Services Report

  • Formset (Excel)
  • Instructions (PDF)


2020 FOSC Financial, Utilization and Services Report

  • Formset (Excel)
  • Instructions (PDF)


2019 FOSC Financial, Utilization and Services Report

  • Formset (Excel)
  • Instructions (PDF)


2018 FOSC Financial, Utilization and Services Report

  • Formset (Excel)
  • Instructions (PDF)

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Diagnostic Imaging Facility

2022 Diagnostic Imaging Facility Utilization Report

  • Formset (Excel)
  • Instructions (PDF)
  • Notification Letter (PDF)

2021 Diagnostic Imaging Facility Utilization Report

  • Formset (Excel)
  • Instructions (PDF)

2020 Diagnostic Imaging Facility Utilization Report

  • Formset (Excel)
  • Instructions (PDF)


2019 Diagnostic Imaging Facility Utilization Report

  • Formset (Excel)
  • Instructions (PDF)


2018 Diagnostic Imaging Facility Utilization Report

  • Formset (Excel)
  • Instructions (PDF)

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Dental CBCT Facility

NOTICE OF CHANGE:
State Dental CBCT Utilization Reporting Requirement Repealed

Minnesota Statute 144.565 was amended during the 2022 Regular Legislative Session to specifically exclude dental providers using Cone Beam Computed Tomography (CBCT) scanners from the utilization reporting requirement.

This change does not affect registration requirements with the Minnesota Department of Health, X-ray Unit. X-ray registration is still required per Minnesota Statute 144.121. More information regarding that requirement can be found at MDH X-ray Registration.

Fact Sheet (PDF)

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Capital Expenditure Commitments

2022 Health Care System or Other Provider Capital Expenditure Commitment Report

  • 2022 Formset (Excel)


2021 Health Care System or Other Provider Capital Expenditure Commitment Report

  • 2021 Formset (Excel)


2020 Health Care System or Other Provider Capital Expenditure Commitment Report

  • 2020 Formset (Excel)


2019 Health Care System or Other Provider Capital Expenditure Commitment Report

  • 2019 Formset (Excel)


2018 Health Care System or Other Provider Capital Expenditure Commitment Report

  • 2018 Formset (Excel)

More information about Capital Expenditure Reporting

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Tags
  • economics
Last Updated: 01/13/2023

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