Left click on the file name to preview the file in your web browser.
Right click on the file name and select "Save Target As" to save the file to your computer.

Note - You need Microsoft WORD or a compatible wordprocessor program to view the ".doc" files.

Electronic Home Office Cost Statement Instructions: Instructions used by Long Term Care Providers operated or managed by a Home Office entity, to complete the annual Electronic Home Office Cost Statement. Printed size, current periods, 33 letter size pages. 

Michigan_Home_Office_Cost_Statement_Completion_Instructions.doc

Michigan Medicaid Home Office Cost Report Submission Checklist: Form must be completed and filed with all Michigan Medicaid Home Office Cost Reports submitted.  

Home Office Cost Report Submission Checklist.doc

Note - You will need WinZip software to access the".zip" file.

Electronic Home Office Cost Statement Form Update: This update file can be installed only after installation of the Michigan Electronic Home Office Cost Statement from the Michigan Home Office Cost Statement CD. Electronic form used by Long Term Care Providers operated or managed by a Home Office entity, to report costs of Home Office entity. File size is approximately 2.5 megabytes. Estimated download time: up to 2 minutes using high speed connection, up to 10 minutes using dial-up connection.

Home_Office_Cost_Statement_Update.zip