Welcome to the Orbs website, designed by the Center for Health Systems Research and Analysis (CHSRA) to support the Wisconsin Division of Long Term Care (DLTC) Medicaid rate setting process for institutional providers. Medicaid Cost Reports are an essential component for calculating Medicaid Long Term Care payments to skilled nursing facilities and intermediate care facilities for individuals with intellectual disabilities.

This website is designed to support the transfer of Cost Reports and supporting documentation from providers to CHSRA for use by Wisconsin DLTC staff. Registration and log in information will only be granted to those approved by providers and by Wisconsin DLTC staff.

Authorized users must log in to the secure section of the website in order to submit a completed Cost Report. A current version of the Cost Report Template can be accessed via the following link: (Cost Report Template 2016 V001). If you need more information regarding regulations related to or instructions for completing Cost Reports, please visit the DLTC web site.

A Medicaid Cost Report is considered to be public information. Cost Reports submitted in 2015 or later can be publicly accessed on this website by clicking on the section below. To obtain copies of Cost Reports for years before 2015, please follow the process described on the DLTC web site.

Publically Available Cost Reports (click to open/close)-+

Family Care MCO Rates by RUG Category (click to open/close)-+