For RHC and FQHC providers, keep in mind that you might be eligible to file a no or low utilization cost report for your next cost report. If you have not seen any Medicare patients during the year, save time and money by filing a no utilization cost report. Only a letter and completed worksheet S with original signature needs to be filed or you can complete the cost report including your rate and still include a letter that there was no Medicare utilization. RHC and FQHC providers may also file a low utilization cost report. If the provider has been reimbursed $25,000 or less during the cost reporting period, they may request permission from the intermediary to file a low utilization cost report and waive filing of the ECR disk. If approved the provider must file a copy of the balance sheet, statement of income and expenses and a statement signed by the authorized provider official stating the provider will accept the Medicare interim payments as final settlement for the cost reporting period, along with worksheets noted.