Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies.
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Information about the health care programs available through Medicaid and how to qualify.
Our migrant program works with a number of organizations to provide services for Michigan’s migrant and seasonal farmworkers.
A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival.
Universal caseload, or task-based processing, is a different way of handling public assistance cases.
Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children.
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Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others.
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Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure.
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MDHHS and partners support a continuum of prevention services. The continuum is inclusive of primary, secondary, and tertiary prevention activities. Visit this page to learn more.
Information about injury and violence prevention programs in Michigan
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The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards.
Resources and information to assist in assuring firearm safety for families in the state of Michigan.
The Division of Victim Services (DVS) provides a voice advocating for and responding to all victims of crime in Michigan. Learn more about DVS-funded programs and services, including Michigan’s 24/7, free, confidential, and anonymous domestic violence and sexual assault hotlines.
Medical Resources for Child Protection
Serves as liaison and provides funding to Michigan’s 45 local health departments.
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Multicultural Health
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Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities.
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Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST.
Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account.
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Information & resources for Community and Faith-Based partners
Information on DHS Applications and Forms grouped by category.
State Health Improvement Plan (SHIP)
Health Care Providers
Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps.
Michigan Statewide Systems of Care
Information on the grant awarded for the State Innovation Model Proposal
Protect MiFamily -Title IV-E Waiver
Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan
Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices.
Information is collected to monitor the general health and well-being of Michigan citizens.
Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information.
A variety of reports & statistics for programs and services.
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This page contains prior periods cost reporting forms and instructions
NEW COST REPORT UPDATE MAY 2023
For cost reporting forms and instructions applicable to current period, click here. nbsp;
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 spreedsheet 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 Applicable to 2009 through 2010: Applicable to cost reporting periods that begin on or after April 1, 2008 and prior to September 30, 2010. Expands WS B, for census reporting of HMO Medicare Days. CR200804.xlt
Cost Report Instruction Manual, Version Applicable to 2009 through 2010: Detail page by page instructions on how to complete the cost report template 2008-04. Can be printed onto 48 letter size pages. Instruction_Manual_CR2000804.doc
Medicaid Electronic Provider Cost Report Template, Version Applicable to 2008: Applicable to cost reporting periods that begin on or after November 1, 2007 and prior to March 31, 2008. Expands WS 1, for reporting of employee background and fingerprinting check costs. CR200711.xlt
Cost Report Instruction Manual, Version Applicable to 2007: Detail page by page instructions on how to complete the cost report template 2007-11. Can be printed onto 48 letter size pages. Instruction_Manual_CR200711.doc
Medicaid Electronic Provider Cost Report Template, Version Applicable to 2006 through 2007: Applicable to cost reporting periods that begin on or after June 1, 2006 and prior to September 30, 2007. Allows for reporting of National Provider Identifier number. CR200606.xlt
Cost Report Instruction Manual, Version Applicable to 2006 through 2007: Detail page by page instructions on how to complete the cost report template 2006-06. Can be printed onto 48 letter size pages. Instruction_Manual_CR200606.doc
Medicaid Electronic Provider Cost Report Template, Version Applicable to 2004 through 2007: Applicable to cost reporting periods that begin on or after March 1, 2004 and prior to May 31, 2006. Incorporates a new cost reporting schedule. CR200403.xlt
Cost Report Instruction Manual, Version Applicable to 2004 through 2007: Detail page by page instructions on how to complete the cost report template 2004-03. Can be printed onto 48 letter size pages. Instruction_Manual_CR200403.doc
Medicaid Electronic Provider Cost Report Template, Version Applicable to 2003: Applicable to cost reporting periods that begin on or after November 1, 2003 and prior to January 31, 2004. Reflects change Base to Support Ratio Percentage, used with contracted services cost. CR200311.xlt
Medicaid Electronic Provider Cost Report Template, Version Applicable to 2001 through 2003: Applicable to cost reporting periods that begin on or after October 1, 2001 and prior to October 31, 2003. Reflects changes due to Quality Assurance Assessment Program. CR200110.xlt
Cost Report Instruction Manual, Version Applicable to 2001 through 2003: Detail page by page instructions on how to complete the cost report template 2001-10 and 2003-11. Can be printed onto 48 letter size pages. Instruction_Manual_CR200110.doc
Medicaid Electronic Provider Cost Report Template, Version Applicable to 2000 through 2001: Applicable to cost reporting periods that begin on or after October 1, 2000 and prior to September 30, 2001. Reflects a change in the Wage Pass Through Program Reimbursement. New Benefits are eligible for inclusion in the Wage Pass Through reimbursement. CR200010.xlt
Cost Report Instruction Manual, Version Applicable to 2000 through 2001: Detail page by page instructions on how to complete the cost report template 2000-10. Can be printed onto 48 letter size pages. Instruction_Manual_CR200010.doc
Incentive Grant Cost Reporting: Supplemental Cost Reporting Form, applicable to cost reporting periods that begin on or after October 1, 2000 and prior to September 30, 2001. Form must be completed and filed with all cost reports submitted. Form clarifies grant expenditures reported in cost report. Incentive_Grant_Cost_Reporting.xls
Medicaid Electronic Provider Cost Report Template, Version Applicable to 1999 through 2000: Applicable to cost reporting periods that begin on or after October 1, 1999 and prior to September 30, 2000. Reflects a change in the Wage Pass Through Program Reimbursement. New Benefits are eligible for inclusion in the Wage Pass Through reimbursement. CR199910.xlt
Cost Report Instruction Manual, Version Applicable to 1999 through 2000: Detail page by page instructions on how to complete the cost report template 1999-10. Can be printed onto 48 letter size pages. Instruction_Manual_CR199910.doc
Medicaid Electronic Provider Cost Report Template, Version Applicable to 1998 through 1999: Applicable to cost reporting periods that begin on or after October 1, 1998 and prior to September 30, 1999. Reflects a change in the Wage Pass Through Program reimbursement. New benefits are not eligible for inclusion in the Wage Pass Through reimbursement. CR199810.xlt
Cost Report Instruction Manual, Version Applicable to 1999 and prior periods: Detail page by page instructions on how to complete the cost report template 1998-10, 1997-10, and 1995-09. Can be printed onto 46 letter size pages. Crmanual.doc
Medicaid Electronic Provider Cost Report Template, Version Applicable to 1997 through 1998: Applicable to cost reporting periods that begin on or after October 1, 1997 and prior to September 30, 1998. Reflects a change in the Wage Pass Through Program reimbursement. Associated costs percentage related to wages was changed from 16.22% to 12.50%. CR199710.xlt
Medicaid Electronic Provider Cost Report Template, Version Applicable to 1995 through 1997: Applicable to cost reporting periods ending prior to September 30, 1997. Can be printed onto either 120 letter size pages or 80 legal size pages. CR199509.xlt