This page contains the current period cost reporting forms and instructions.

For cost reporting forms and instructions applicable to prior periods, click here.

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 word processor program to view the ".doc" files.

Note -  You need Microsoft Excel or a compatible spreadsheet program to view the ".xlt" files.

Note  - Cost Report templates have been tested with Microsoft Office 97, 2000 and XP

Medicaid Electronic Provider Cost Report Template, Version Application to 2010 and forward:  Applicable to cost reporting periods that begin on or after October 1, 2010 and forward. Incorporates changes related to reporting of QAS revenue and QAAP assessments.   CR201010.xlt

Cost Report Instruction Manual, Version Applicable to 2010 and forward: Detailed page by page instructions on how to complete the cost report template 2010-10. Can be printed onto 48 letter size pages.   Instruction_Manual_CR201010.doc

Cost Reporting Problem Areas  Applicable to all cost reporting periods. List of common electronic cost reporting problem areas.   Cost Reporting Problem Areas.doc

Cost Reporting Questions and Answers  Applicable to all cost reporting periods. Commonly asked questions regarding the electronic cost report completion with answers to the questions.   Cost Reporting Questions & Answers.doc  

Cost Report Checklist  Applicable to cost reporting periods that begin on or after October 1, 2000. List of areas to be reviewed by the provider before cost report submission.   Provider Checklist.doc

Cost Report Submission Checklist  Applicable to cost reporting periods that begin on or after October 1, 2000. Form must be completed and filed with all cost reports submitted.   Cost Report Submission Checklist.doc