Effective May 29, 2026, cost reports received on or after this date will feature a redesigned Tentative Settlement (TS) letter. These calculations will now be automated through the System for Tracking Audit and Reimbursement (STAR), replacing the previous manual process. This automation applies to both as-filed and amended cost reports.

The new TS letters will incorporate payment data from the Healthcare Integrated General Ledger Accounting System (HIGLAS) for the applicable fiscal year end (FYE). All cost reports, whether submitted electronically or by mail, will be processed through STAR. TS letters will continue to be sent to each provider’s designated STAR contact, maintaining the existing communication protocol.

Failure to comply with these instructions may result in an incorrect tentative settlement.

If you have any questions, please contact our Provider Contact Center (PCC) for assistance.