March 3, 2026
MCReF: One-Click PS&R Summary Reports Available
Effective May 13, 2025, the Medicare Cost Report E-Filing (MCReF) system gives Medicare Part A, home health, and hospice providers the option to access their Provider Statistical and Reimbursement (PS&R) summary reports via one-click download for all of its eligible providers/subproviders and fiscal years. The PS&R summary reports will have most of the splits required for cost report submissions and be available in a vendor ready format. The goal of this functionality is to:
- Make acquiring PS&R summary reports easier (one-click rather than the current multi-screen flow for custom requests in the PS&R system).
- Provide faster access (immediate download, no queue/inbox).
Please reference the following resources on the CMS website
for more information:
- Medicare Cost Reporting e-Filing System User Manual
- Medicare Part A Cost Report e-Filing Updates Webinar – March 19, 2025 (presentation, live recording and transcript instructions)
Note: Before using PS&R One-Click Summary Reports, confirm that the default PS&R splits meet your cost report filing needs. If the defaults described don’t meet your needs for a particular use case, continue to request tailored PS&R reports directly in the PS&R system.
e-Filing tips for accelerating cost report processing:
Use MCReF.
- e-Sign through the ECR software.
- Categorize files appropriately.
- Submit Medicare cost report exhibits using the optional electronic specifications/templates.
- Provides upfront, live notice of potential issues with your exhibits (which, if addressed, minimizes back-and-forth with CGS).
- Accelerates cost report acceptance and tentative settlement (with the potential for instant acceptance).
- Pay attention to warnings.
Reference:
See the CMS instruction
(including Attachment A) for complete details.

