Information for Data Submitters: Adult Foster Care Cost Reports

Report Resources

Submission Deadline

  • These reports are due no later than May 17, 2024.


The Center for Health Information and Analysis (CHIA) is now collecting cost reports for the fiscal year (FY) 2023 from Adult Foster Care (AFC) providers. CHIA collects these reports pursuant to regulation 957 CMR 6.00. The reports are used by CHIA and other public entities for monitoring costs and for health care payment policy development. Dual providers of both Adult Foster Care (AFC) and Group Adult Foster Care services (GAFC) services must file separate cost reports.


Filing Application

AFC providers are required to submit the following: 

  • The FY2023 AFC Cost Report Template
  • FY2023 Financial Statements
  • A Statement of Certification

CHIA will only accept cost reports in .xlsx format. Supporting documents such as the Financial Statements and Statement of Certification should be in PDF format.


What’s New for the FY2023 AFC Cost Report

  • Providers must enter their Financial Statement reported income and expenses in the Reconciliation section at the bottom of the Summary tab starting in row 65.
  • If there is variance between Cost Report and Financial Statement Net Income in cell D73 of the summary tab, providers should enter reconciling item explanations and amounts starting in row 75.


Links to download the Excel cost report and instruction documents are posted in the blue “Report Resources” box on this webpage. Please read all instructions carefully.

Providers submit reports and all supplemental items directly to CHIA at The reports are due no later than May 17, 2024.



If you have additional questions about your cost report filing, please email us at with the following information in the subject line of your email:

  1. Name of your agency with MassHealth ID #
  2. Name of the cost report you are asking about
  3. Cost report reporting year

Subject Line Example: Question on FY2023 AFC Cost Report – ABC agency, ID# 123456789A