How to Request a Home Office Number

For providers claiming cost on their cost report reports that are allocated from a home office or chain organization, a Home Office Cost Statement must be filed annually.

To request a Home Office number, please prepare a letter with the following information:

• Home Office name 
• Physical location of the Home Office to include street, city and ZIP Code
• Correspondence address of the Home Office
• Date the Home Office was established
• Fiscal year-end of the Home Office
• Contact for the Home Office to include name, title, phone number and email 
• A prepared Schedule A from the Cost Report listing the components 

Please submit the letter request and Schedule A to STAR@palmettogba.com; which will then be forwarded to the Home Office Enumeration Team at FSS (Federal Specialized Services) for a home office number assignment.