The facility cost reports are submitted to which agency?

• A. HHSC
• B. CMS
• C. FDA
• D. OSHA

Answer: (A)

The main idea is who handles cost reporting for facilities within the state’s regulatory framework. In Texas, the agency that administers Medicaid and oversees long‑term care facilities is the Health and Human Services Commission. Facility cost reports are submitted there because HHSC uses the data to set Medicaid reimbursement rates and monitor financial and regulatory compliance for facilities. While Medicare-related cost reports are filed with CMS, the Texas/state practice for Medicaid‑related reporting is through HHSC. FDA and OSHA focus on safety and workplace standards, not submitting facility cost data.