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
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.
- Hospital Formset Training
- 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
2021 Hospital Annual Report (HAR)
2020 Hospital Annual Report (HAR)
2019 Hospital Annual Report (HAR)
2018 Hospital Annual Report (HAR)
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
2020 FOSC Financial, Utilization and Services Report
2019 FOSC Financial, Utilization and Services Report
2018 FOSC Financial, Utilization and Services Report
Diagnostic Imaging Facility
2022 Diagnostic Imaging Facility Utilization Report
2021 Diagnostic Imaging Facility Utilization Report
2020 Diagnostic Imaging Facility Utilization Report
2019 Diagnostic Imaging Facility Utilization Report
2018 Diagnostic Imaging Facility Utilization Report
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.
Capital Expenditure Commitments
2022 Health Care System or Other Provider Capital Expenditure Commitment Report
2021 Health Care System or Other Provider Capital Expenditure Commitment Report
2020 Health Care System or Other Provider Capital Expenditure Commitment Report
2019 Health Care System or Other Provider Capital Expenditure Commitment Report
2018 Health Care System or Other Provider Capital Expenditure Commitment Report