Upload Attachments

As part of the registration process, the system will require you to upload worksheets from the most-recently filed Cost Report to support the registration Qualification Information. Failure to upload the required documentation before submitting the registration will result in rejection of the registration for the quarter. Required attachments vary by hospital type.

Cost Report Worksheets for Hospital Registrations
Hospital Type	Cost Report Worksheets
Hospital Type	S	S-2	S-3	E (Part A)
Disproportionate Share Hospital (DSH) One of the categories of hospitals that are eligible to participate in the 340B Program. Disproportionate Share Hospitals serve a significantly disproportionate number of low-income patients and receive payments from the Centers for Medicaid and Medicare Services to cover the costs of providing care to uninsured patients. Disproportionate share hospitals are defined in Section 1886(d)(1)(B) of the Social Security Act. To be eligible to participate in the 340B Program, disproportionate share hospitals must meet the requirements of section 340B(a)(4)(L) of the Public Health Service Act.	Yes	Yes	No	Yes
Critical Access Hospital (CAH) Critical Access Hospitals are designated by the Centers for Medicare and Medicaid Services. The defining legislation is Section 1820(c)(2) of the Social Security Act. To be eligible to participate in the 340B Drug Pricing Program, Critical Access Hospitals must meet the requirements of section 340B(a)(4)(L)(i) of the Public Health Service Act.	Yes	Yes	No	No
Freestanding Cancer Hospital (CAN)	Yes	Yes	No	Yes
Children's Hospital (PED) One of the categories of hospitals that are eligible to participate in the 340B Program. Nonprofit hospitals that serve individuals through the age of 18 years of age and have a CMS-issued 3300 Series Medicare Provider Number to designate them as Medicare certified children's hospitals. Children's hospitals must meet certain requirements, including a DSH adjustment percentage greater than 11.75% and compliance with the GPO Prohibition, to be eligible to participate in the 340B program.	Yes	Yes	Yes	No
Rural Referral Center (RRC) One of the categories of hospital covered entities that are eligible to participate in the 340B Program. Rural Referral Centers are high-volume acute-care rural hospitals that treat a large number of complicated cases. Hospitals classified as Rural Referral Centers may be eligible to participate in the 340B Drug Pricing Program if they have a disproportionate share adjustment percentage equal to or greater than 8 percent for the most recently filed Medicare cost report and meet the requirements of section 340B(a)(4)(L)(i) of the Public Health Service Act.	Yes	Yes	No	Yes
Sole Community Hospital (SCH) One of the categories of hospital covered entities that are eligible to participate in the 340B Program. Sole Community Hospitals are designated by the Centers for Medicare and Medicaid Services. To be eligible to participate in the 340B Drug Pricing Program, Sole Community Hospitals must also have a disproportionate share adjustment percentage equal to or greater than 8 percent for the most-recently filed Medicare Cost Report and meet the requirements of Section 340B(a)(4)(L)(i) of the Public Health Service Act.	Yes	Yes	No	Yes

Follow these steps to upload one or more attachments:

When the Attachments page first displays, click the Upload Attachments button.

Selecting from Existing Attachments

Clicking the Select from Existing Attachments button displays a list of attachments that have already been uploaded.

If you are the AO or PC for the parent entity, the list will show all attachments uploaded for the parent and for all of its children.

Click the checkbox for the files you want to attach and click the Submit button to add them to the hospital's Attachments page.
When the attachments upload selection page displays, click the Select button, navigate to the file you want to upload, and select it.

Follow these file attachment rules to prevent rejection during uploading:
- Only Microsoft Excel (xlsx) and Adobe PDF formats are allowed. Excel files must not be macro-enabled.
- File size is limited to 50MB.
- Files must not be password protected.
- Files must pass virus scan.
- Number of uploaded files must not exceed 10 files per submission.
As each file is selected, it will appear on the attachments upload selection page.
- The file name of the attachment will appear in the Document Name box. It may be changed to better describe the attachment if desired.
- Under Attachment Types, click the appropriate check box(es) to identify the worksheet in the attachment. Select Other for attachments that are not cost report worksheets.
  
  Multiple boxes may be selected it the attachment includes multiple worksheets.
- Type any relevant notes in the Attachment Comments text box.
Repeat the steps above to select and identify additional attachments.
Click the Submit button to proceed when finished selecting attachments.

The system will display a list of the selected attachments.

Selected Attachments List
Column	Description
ID	A unique system-generated identifier associated with the attachment file.
FileName	Click the link to open the attachment with the application that created it (e.g., Excel).
Document Name	Optional user-entered description of the attachment (defaults to the file name).
Attachment Type	User selected type identifier.
Uploaded On	Date when they attachment was uploaded.
Uploaded By	Email address of the user who uploaded the attachment.
Comment	User comment entered when the attachment was uploaded.
Modify Attachments	Edit – Return to the attachments upload selection page to edit the document name, attachment type or comment. Remove – Delete the associated attachment from the entity.
Upload Attachments	Upload additional attachment files
Select from Existing Attachments	Select additional files from a list of attachments that have already been uploaded.
Cancel	Cancel the registration and return to the home page.
Back	Return to the previous page.
Continue	Click this button to accept the attachments and proceed.