The extension of life increased the prevalence of many non-communicable and chronic diseases, including neurodegenerative diseases. Identifying Mild Cognitive Impairment (MCI) in the early stage would allow to providing intervention at early that may reduce the progression of Alzheimer’s and other related cognitive disorders. The present study aimed to examine the effects of a new Indian adapted Motivationally Enhanced Compensatory Cognitive Training program for the elderly with MCI (IAME-CCT-MCI). This is a 4-week intervention program, utilized randomized pilot study with single-group pretest-posttest design conducted with 32 elderly participants screened with MCI using Tamil version of Montreal Cognitive Assessment (T-MoCA). The primary outcome measure was T-MoCA used to measure cognitive impairment, followed by PGI Battery for Assessment of Mental Efficiency in the Elderly (PGI-BAMEE). PGI Memory Scale (PGI-MS) was used to measure as the secondary outcome. The PGI-BAMEE consists of four subtests to assess mental efficiency, general information, orientation towards time and place, perceptuo-motor functions, and depressive symptomology. Whereas, the PGI-MS contains a detailed assessment of ten types of memory, viz., remote memory, recent memory, attention-concentration, delayed recall, immediate recall, verbal retention for similar pairs, verbal retention for dissimilar pairs, visual retention, and recognition. Through the paired t-test analysis, the IAME-CCT-MCI intervention program significantly improved the T-MoCA score and PGI-Memory Scale scores. The subtests of PGI-BAMEE were also significantly improved during the immediate pretest-posttest period. The findings provides preliminary support for the potential efficacy of the IAME-CCT-MCI cognitive intervention when delivered to the elderly with MCI.