EIDR Medicaid Claims Requests

EIDR Claims Reports for Long Term Care Facilities such as Nursing Homes and Adult Day Health Care Centers are to be ordered through the Rate and Audit Review section. EIDR reports are available to the public in order to assist providers with their Cost Reports. This report costs 1/10th of a cent per claim line with a minimum fee of $65.00 and will be delivered via Excel spreadsheet. Please contact Sharon Burch for information on how to order the electronic version. Additional charges will apply if requesting overnight shipping of electronic copy.

An order form is provided on this website for each provider to fill out. Please fill out all the contact information. Click here to download sample form.Once the request information is completed on the form, it must be emailed to Sharon Burch.