MaineCare Cost Report Template

If you have any issues downloading the cost reports please contact Lucas Allen, Manager of Data Analytics at Lucas.Allen@maine.gov or (207) 287-2831.

Program Template Instructions Checklist
Hospital - Acute Care Excel Word PDF
Hospital - Critical Access Excel Word PDF
Hospital - IMD Excel Word PDF
Hospital - NSGO Excel Word PDF
Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) Excel PDF PDF
Nursing Facility - Single Level Excel PDF PDF
Nursing Facility - Multi-Level, 1 RCF Excel PDF PDF
Nursing Facility - Multi-Level, 1 RCF and CBS Excel PDF PDF
Nursing Facility - Multi-Level, 2 RCFs Excel PDF PDF
Nursing Facility - Multi-Level, 1 RCF with NF & RCF CBS Units Excel PDF PDF
Nursing Facility - Multi-Level, Brain Injury Unit Excel PDF PDF
PNMI - Appendix B & D, FFS Excel PDF PDF
PNMI - Appendix C Excel PDF PDF
PNMI - Appendix C, Multi-Level Excel PDF PDF
PNMI - Appendix E Excel PDF PDF
PNMI – Appendix F Excel PDF PDF
Psychiatric Residential Treatment Facility (PRTF) Excel PDF PDF