Medicare Cost Report Electronic Filing (MCReF)
Each year, Medicare Part A providers must submit an acceptable Medicare Cost Report (MCR) package to their Medicare Administrative Contractor (MAC) for the purposes of determining their Medicare reimbursable cost. The MCR package consists of a variety of cost report materials.
The Medicare Cost Report e-Filing system (MCReF) provides all Medicare Part A providers the ability to electronically file 100% of their MCR package, including all supporting documentation, directly to their MAC for Fiscal Year Ends on or after 12/31/2017. Successful MCReF submissions will immediately be received by the provider’s MAC to begin their 30-day cost report acceptance process.
Downloads
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How to Request MCReF User Role (PDF) -
Medicare Cost Reporting e-Filing System User Manual (PDF) -
MCReF FAQ (PDF) -
MM10611 (PDF) -
MCReF: Medicare Part A Cost Report e-Filing Updates Webinar – February 14, 2024 Presentation (PDF) -
MCReF: Medicare Part A Cost Report e-Filing Updates Webinar – February 14, 2024 Live Presentation and Transcript (ZIP) -
MCReF: Access Interim Rate & Settlement Documentation Webinar — April 26, 2022 Presentation (PDF) -
MCReF: Medicare Part A Cost Report e-Filing Updates Webinar – March 30, 2023 Presentation (PDF)