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.

New PS&R and MCReF Sign-In Experience

CMS has implemented a new sign-in experience for the Provider Statistical & Reimbursement (PS&R) System and Medicare Cost Report E-Filing (MCReF) System. This enhancement improves user access and aligns with CMS security requirements.

Please review the guidance document below for important information regarding the new sign-in process, including access instructions, account requirements, and other resources.