MaineCare Cost Report Template

The cost report needs to be submitted in Microsoft Excel format.  We will no longer accept locked or protected cost report files or files that have hidden tabs.

Cost reports and supporting documentation should be filed using MOVEit, our secure file transfer site.  If you have not established an account with us yet for MOVEit, please reach out to Lucas Allen, Manager of Data Analytics, at lucas.allen@maine.gov.  As a reminder submission of files in MOVEit need to follow specific requirements:  each filename will need to contain the facility name, 4-digit year the document relates to, and what the document is (i.e. cost report); files cannot be zipped; files cannot be password protected or restricted in any way (i.e. we need to be able to print extract, or stamp/markup all PDF documents); and files need to be in one of the following formats:  Microsoft product or Adobe PDF to ensure machine readable.

If your cost report identifies an amount due to the State, checks should now be sent separate from the cost report signature page and directly to the DHHS Financial Service Center A/R, 109 Capitol Street, 1^st Floor, 11 State House Station, Augusta, ME 04333-0011.  When sending the check also include a copy of the settlement page(s) and any offset paperwork.  Please continue to mail the cost report signature page to the Division of Audit.

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.